Good Girl Rx vs Lean Meds
Good Girl Rx and Lean Meds both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Good Girl Rx
Best for: starting below a standard dose, with microdose tiers
Visit Good Girl Rx →
Lean Meds
Best for: knowing which pharmacy fills the vial: it names Belmar Pharmacy
Visit Lean Meds →If you are choosing between Good Girl Rx and Lean Meds, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Lean Meds leads our six-part score, 9.3 to 7.9. One of the two has an FDA warning letter on record, covered below.
Good Girl Rx vs Lean Meds price
Good Girl Rx and Lean Meds start at the same figure, $79 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, $79 a month; tirzepatide is cheaper at Lean Meds ($109 a month vs $139 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, Good Girl Rx prices compounded injections, an oral option and brand-name pens, while Lean Meds prices compounded injections.
If you want the FDA-approved brand rather than a compounded version, Good Girl Rx is the only one of the two with a brand-name price.
Where each one treats patients
Good Girl Rx does not publish where it ships, and Lean Meds lists 50 states.
Pricing
Good Girl Rx
From $134/mo on annual plan (monthly $179, quarterly $159; all paid upfront).
Semaglutide microdose, from $79/mo.
Oral dissolving tablets, from $214/mo.
From $235/mo.
Tirzepatide microdose, from $139/mo.
Tirzepatide pills, from $291/mo.
From $1,580/mo; limited availability.
From $1,991/mo; limited availability.
Lean Meds
Standing month-to-month rate. The advertised $69 is the 12-month prepay tier; 3-month is $76 and 6-month is $73.
Standing month-to-month rate. Prepay tiers: $105 for 3 months, $100 for 6, $95 for 12.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Good Girl Rx is silent on lab work and coaching.
Lean Meds is silent on lab work and coaching.
Good Girl Rx
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Lean Meds
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Lean Meds scores 9.3 and Good Girl Rx 7.9 out of 10.
Lean Meds is stronger on user experience (8.0 vs 7.5), trust & safety (9.0 vs 3.5) and accessibility (10.0 vs 5.0).
Value, effectiveness and support are within half a point.
Good Girl Rx
7.9/10
Lean Meds
9.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Good Girl Rx a warning letter dated February 20, 2026 (letter 721449), and it is still open.
Lean Meds has no FDA warning letter on record with us.
Features & Coverage
| Feature | Good Girl Rx | Lean Meds |
|---|---|---|
| Starting Price | $79/mo | $79/mo |
| Features | 7 features | 7 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | ✓None |
About Good Girl Rx
Savannah Chrisley founded Good Girl Rx, registered as Good Girl LLC. Compounded semaglutide and tirzepatide come three ways: injectable, microdose, and oral dissolving tablet (ODT). Availability on the brand names, Mounjaro, Zepbound, Wegovy, and Ozempic, is limited, though all four are listed. Licensed 503A/503B pharmacies dispense, and the company holds LegitScript certification.
Read our full Good Girl Rx review →About Lean Meds
Titrating up does not raise the rate, which is flat and monthly: $79 to start on compounded semaglutide, $109 on compounded tirzepatide, the telehealth visit and shipping absorbed into both. Clinicians come from the OpenLoop Health network. Trinity HealthCare Supply, LLC operates the service and puts names to its five dispensing pharmacies as well as to the physicians who prescribe.
Read our full Lean Meds review →Pros & Cons
Good Girl Rx
What we like
- Semaglutide costs $79 a month, 58% below the $188 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $139 a month, 44% below the $250 median for compounded tirzepatide 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 and shipping
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
- Offers both oral and injectable options, so the format is your choice
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
- The FDA has issued Good Girl Rx a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- 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
Lean Meds
What we like
- Semaglutide costs $79 a month, 58% below the $188 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $109 a month, 56% below the $250 median for compounded tirzepatide 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 stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
- Names 5 pharmacies that fill its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Lean Meds
Watch-outs
- 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
Lean Meds wins this one, 9.3 to 7.9, above all for knowing which pharmacy fills the vial: it names Belmar Pharmacy. Good Girl Rx fits better if starting below a standard dose, with microdose tiers is your priority.
Choose Good Girl Rx if…
You want starting below a standard dose, with microdose tiers and an opening price near $79 a month.
Choose Lean Meds if…
You want knowing which pharmacy fills the vial: it names Belmar Pharmacy and an opening price near $79 a month.
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ShedRx
Oral orforglipron alongside the injectables
From $149/mo
Get started →bmiMD
Starting below a standard dose, with microdose tiers
From $99/mo
Get started →RxSpan MD
Knowing which pharmacy fills the vial: it names Belmar Pharmacy
From $249/mo
Get started →Good Girl Rx vs Lean Meds: FAQ
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Or see the full category ranking.
Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.