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KERNX Health vs Rixa Health

KERNX Health costs $2.98 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
KERNX Health logo

KERNX Health

7.6
★★★★☆3.8/5

Best for: a rate that does not climb with the dose: $209/month for semaglutide at every rung

Visit KERNX Health →
VS
Rixa Health logo

Rixa Health

5.9
★★★☆☆3/5

Best for: coverage in all 50 states, which most sellers will not confirm

Visit Rixa Health →

If you are choosing between KERNX Health and Rixa Health, the first difference is cost: KERNX Health is $2.98 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. KERNX Health leads our six-part score, 7.6 to 5.9.

KERNX Health vs Rixa Health price

KERNX Health is the cheaper way in: $209 a month against $211.98 a month at Rixa Health. That is $2.98 less each month (1% lower), or about $35.76 over a year of treatment.

Drug by drug: Semaglutide is cheaper at KERNX Health ($209 a month vs $211.98 a month); tirzepatide is cheaper at KERNX Health ($299 a month vs $304.38 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

KERNX Health lists 50 states, and Rixa Health lists 50 states.

They overlap in 50 states.

Pricing

KERNX Health

Month-to-month (flat across all doses, 0.22–2.5 mg weekly)Compounded
$209/mo
semaglutide

Flat $209/month at every dose KERNX publishes — 0.22, 0.44, 0.89, 1.5, 2.22 and 2.5 mg weekly. Covers medication, shipping, the provider consultation and ongoing care team support. No membership fee, no separate consultation fee, no introductory rate and no required multi-month prepayment. Lab testing, where a provider recommends it, is billed separately.

Month-to-month (flat across all doses, 2.2–15 mg weekly)Compounded
$299/mo
tirzepatide

Flat $299/month at every dose KERNX publishes — 2.2, 4.4, 6.6, 8.8, 11, 13.2 and 15 mg weekly. Covers medication, shipping, the provider consultation and ongoing care team support. No membership fee, no separate consultation fee, no introductory rate and no required multi-month prepayment. Lab testing, where a provider recommends it, is billed separately.

Rixa Health

Compounded semaglutide, starting dose, month-to-monthCompounded
$211.98/mo
semaglutide

This is the starting dose. Higher doses may cost more.

Compounded tirzepatide, starting dose, month-to-monthCompounded
$304.38/mo
tirzepatide

Advertised as $303.33 a month. The seller bills $280 every 28 days, which works out at $304.38 per calendar month. The figure here is the calculated one. This is the entry rung. The published ladder rises to $525 at higher doses.

What each price covers

Both prices cover the clinician visit and the medication itself.

KERNX Health's price also covers shipping, which Rixa Health does not claim.

KERNX Health is silent on coaching.

Rixa Health is silent on shipping, lab work and coaching.

KERNX Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Charged on top

Coaching

Not stated

Rixa Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, KERNX Health scores 7.6 and Rixa Health 5.9 out of 10.

KERNX Health is stronger on value (4.1 vs 3.0), user experience (8.0 vs 2.5), trust & safety (7.5 vs 5.0) and support (7.0 vs 5.5).

Effectiveness and accessibility are within half a point.

How we score

KERNX Health

7.6/10

Overall

Rixa Health

5.9/10

Value25%

4.1A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
2.5

Trust & Safety15%

7.5A
vs
B
5.0

Accessibility10%

10.0A
vs
B
10.0

Support10%

7.0A
vs
B
5.5

FDA warning letters

Neither KERNX Health nor Rixa Health has an FDA warning letter on record with us.

Features & Coverage

FeatureKERNX HealthRixa Health
Starting Price✓$209/mo$211.98/mo
Features5 features✓8 features
States Available5050
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About KERNX Health

Flat monthly plans for compounded semaglutide and tirzepatide, run out of Washington DC, with one price at every dose and the provider consultation inside the plan rather than billed per visit. The gap is upstream of the price: KERNX no longer names the pharmacy that fills the vial, describing it only as the licensed dispensing pharmacy identified in your treatment and fulfillment information.

Read our full KERNX Health review →

About Rixa Health

Rixa Health bundles weight-loss medication and visits into one price and does not charge until after approval. The direct-to-consumer functional-medicine practice prescribes compounded and oral semaglutide and tirzepatide, plus other peptides, through partner US pharmacies. Board-certified DO and FNP providers take a root-cause approach and require monthly follow-ups for the first six months. It is cash-pay only and available in nearly all states, with a few listed as coming soon. Compounded, not branded, GLP-1 is the focus.

Read our full Rixa Health review →

Pros & Cons

KERNX Health

What we like

  • Semaglutide costs $209 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 stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits and shipping
  • Serves all 50 states
  • We found no FDA warning letters issued to KERNX Health

Watch-outs

  • Tirzepatide costs $299 a month, 20% above the $250 median for compounded tirzepatide across the sellers we compare
  • Not included in the monthly price: lab work
  • 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

Rixa Health

What we like

  • The monthly price includes the medication and clinician visits
  • Serves all 50 states
  • We found no FDA warning letters issued to Rixa Health
  • A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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

Winner: KERNX Health

KERNX Health wins this one, 7.6 to 5.9, above all for a rate that does not climb with the dose: $209/month for semaglutide at every rung. It also costs $2.98 less each month than Rixa Health. Rixa Health fits better if coverage in all 50 states, which most sellers will not confirm is your priority.

Choose KERNX Health if…

You want a rate that does not climb with the dose: $209/month for semaglutide at every rung and an opening price near $209 a month.

Choose Rixa Health if…

You want coverage in all 50 states, which most sellers will not confirm and an opening price near $211.98 a month.

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KERNX Health vs Rixa Health: FAQ

KERNX Health. It starts at $209 a month; Rixa Health starts at $211.98 a month, $2.98 more per month.
Yes, both sell semaglutide and tirzepatide.
Both list 50 states and share 50.
Both include the clinician visit and the medication itself. Only KERNX Health includes shipping.
KERNX Health has none. Rixa Health has none.
No. Neither KERNX Health nor Rixa Health pays us anything.

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