Lean Meds vs NextMeds
Lean Meds and NextMeds both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Lean Meds
Best for: knowing which pharmacy fills the vial: it names Belmar Pharmacy
Visit Lean Meds →
NextMeds
Best for: semaglutide at $79/month, 59% below the typical price
Visit NextMeds →If you are choosing between Lean Meds and NextMeds, 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 9.2.
Lean Meds vs NextMeds price
Lean Meds and NextMeds 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 costs the same at both, $109 a month.
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Lean Meds lists 50 states, and NextMeds lists 50 states.
They overlap in 50 states.
Pricing
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.
NextMeds
Compounded Semaglutide Membership: medication when prescribed, telehealth visits, a care coach, a dietitian and shipping. $79 is the month-to-month rate. The headline 'from $49/mo' is the 12-month prepaid price spread by month, not a monthly rate; 3 months is $76, 6 months $73, 12 months $49. A summer promotion was set to end August 20, so $79 may be a discounted rate.
Compounded Tirzepatide Membership: medication when prescribed, telehealth visits, a care coach, a dietitian and shipping. $109 is the month-to-month rate. The advertised 'GLP-1 + GIP: $95' is the 12-month prepaid price spread by month; 3 months is $105, 6 months $100, 12 months $95. A summer promotion was set to end August 20, so $109 may be a discounted rate.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
NextMeds' price also covers coaching, which Lean Meds does not claim.
Lean Meds is silent on lab work and coaching.
NextMeds is silent on lab work.
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
NextMeds
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, Lean Meds scores 9.3 and NextMeds 9.2 out of 10.
Lean Meds is stronger on trust & safety (9.0 vs 7.5).
NextMeds is stronger on support (8.5 vs 7.0).
Value, effectiveness, user experience and accessibility are within half a point.
Lean Meds
9.3/10
NextMeds
9.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Lean Meds nor NextMeds has an FDA warning letter on record with us.
Features & Coverage
| Feature | Lean Meds | NextMeds |
|---|---|---|
| Starting Price | $79/mo | $79/mo |
| Features | 7 features | ✓8 features |
| States Available | 50 | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | None | None |
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 →About NextMeds
Membership is a single flat monthly charge, and inside it sit free shipping, a registered dietitian holding a license, a care coach working 1:1, telehealth visits and the drug itself where one is prescribed. Insurance is not billed. A free assessment online goes to a licensed provider, who adds a phone or video consult in states that demand one, then prescribes if it fits. Compounding pharmacies within the Next Meds network, all licensed, ship. Auto-renewal does not exist, cancellation is open, and all 50 states can order compounded tirzepatide and semaglutide.
Read our full NextMeds review →Pros & Cons
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
NextMeds
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, shipping and coaching
- Serves all 50 states
- We found no FDA warning letters issued to NextMeds
Watch-outs
- 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
Lean Meds wins this one, 9.3 to 9.2, above all for knowing which pharmacy fills the vial: it names Belmar Pharmacy. NextMeds fits better if semaglutide at $79/month, 59% below the typical price is your priority.
Choose Lean Meds if…
You want knowing which pharmacy fills the vial: it names Belmar Pharmacy and an opening price near $79 a month.
Choose NextMeds if…
You want semaglutide at $79/month, 59% below the typical price and an opening price near $79 a month.
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