Fierce Health vs RNK Health
Fierce Health and RNK Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Fierce Health
Best for: starting below a standard dose, with microdose tiers
Visit Fierce Health →
If you are choosing between Fierce Health and RNK Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. RNK Health leads our six-part score, 7.3 to 6.7.
Fierce Health vs RNK Health price
Fierce Health and RNK Health start at the same figure, $197 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $197 a month; tirzepatide costs the same at both, $297 a month.
Medications and formats
Both sell semaglutide and tirzepatide.
On format, Fierce Health prices compounded injections, while RNK Health prices compounded injections and an oral option.
Where each one treats patients
Fierce Health lists 30 states, and RNK Health does not publish where it ships.
Pricing
Fierce Health
Also sold as 3-month and 6-month paid-in-full cadences. Free US shipping.
Also sold as 3-month and 6-month paid-in-full cadences.
Listed as "From $197.00"; one vial per month.
Listed as "From $297.00"; one vial per month.
RNK Health
From $197/month, all-inclusive: medication, physician consult, syringes and wipes, and shipping. Multi-month prices are not published; the site says 'Full pricing details are shown during checkout.'
'From $297/month' on landing page; same all-inclusive framing. Multi-month pricing not published pre-quiz.
REMOVE from entry: no oral semaglutide anywhere on live site; /semaglutide/oral/v1 and variants render the 404 page ('Oops! We can't find that page.'). Homepage product grid lists injectable sema/tirz only.
What each price covers
Both prices cover shipping.
RNK Health's price also covers the clinician visit, the medication itself and coaching, which Fierce Health does not claim.
Fierce Health is silent on the clinician visit, the medication itself, lab work and coaching.
RNK Health is silent on lab work.
That matters most for the drug: unless Fierce Health confirms otherwise, budget for medication on top of its listed price.
Fierce Health
Covered by the monthly price
Medication
Not stated
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
RNK Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
In the price
Where each one scores higher
Overall, RNK Health scores 7.3 and Fierce Health 6.7 out of 10.
Fierce Health is stronger on accessibility (6.8 vs 5.0).
RNK Health is stronger on value (5.0 vs 4.5), trust & safety (6.5 vs 4.5) and support (8.5 vs 5.0).
Effectiveness and user experience are within half a point.
Fierce Health
6.7/10
RNK Health
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Fierce Health nor RNK Health has an FDA warning letter on record with us.
Features & Coverage
| Feature | Fierce Health | RNK Health |
|---|---|---|
| Starting Price | $197/mo | $197/mo |
| Features | 5 features | ✓6 features |
| States Available | 30 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Fierce Health
Fierce Health prices its GLP-1 programs at $197-$497/mo. It sells compounded semaglutide and tirzepatide in both standard and microdose programs, a four-program ladder broader than peers selling only one or two SKUs, with the microdose tier among the lower entry points. A longevity catalog sits alongside it. Service is limited to 30 enumerated states, and the platform is LegitScript Certified.
Read our full Fierce Health review →About RNK Health
Des Moines, IA houses the medical operations of RNK Health, while pharmacy fulfillment happens in Springville, UT. The list pairs GLP-1s with longevity products: compounded tirzepatide, compounded semaglutide as injectable or oral, NAD+ in injectable, nasal, and liposomal form, a DNA Blueprint test panel, enclomiphene, and sermorelin.
Read our full RNK Health review →Pros & Cons
Fierce Health
What we like
- Semaglutide costs $197 a month, close to the $185 median for compounded semaglutide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes shipping
- We found no FDA warning letters issued to Fierce Health
Watch-outs
- Tirzepatide costs $297 a month, 19% above the $250 median for compounded tirzepatide across the sellers we compare
- Serves only 30 states, so check that yours is one of them
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
RNK Health
What we like
- Semaglutide costs $198 a month, close to the $199 median for oral semaglutide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits, shipping and coaching
- We found no FDA warning letters issued to RNK Health
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
RNK Health wins this one, 7.3 to 6.7, above all for an oral route if you will not self-inject. Fierce Health fits better if starting below a standard dose, with microdose tiers is your priority.
Choose Fierce Health if…
You want starting below a standard dose, with microdose tiers and an opening price near $197 a month.
Choose RNK Health if…
You want an oral route if you will not self-inject and an opening price near $197 a month.
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Luvo Health
Moving between compounded and brand without changing seller
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Semaglutide at $99/month, 48% below the typical price
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Knowing which pharmacy fills the vial: it names Tru Meds Rx
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Get started →Fierce Health vs RNK Health: FAQ
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