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Lean Meds vs PlexusDx

An in-depth comparison of two leading GLP-1 Providers

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Lean Meds logo

Lean Meds

9.3
★★★★4.7/5

Best for: knowing which pharmacy fills the vial — it names Belmar Pharmacy

Visit Lean Meds
VS
PlexusDx logo

PlexusDx

8.3
★★★★4.2/5

Best for: starting below a standard dose, with microdose tiers

Visit PlexusDx

Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, Lean Meds opens cheaper — $79/mo against $129, and Lean Meds finishes ahead, 9.3 to 8.3. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

Lean Meds

Any dose, month-to-month (same price at every dose)Compounded
$79/mo
semaglutide

Standing month-to-month rate. The advertised $69 is the 12-month prepay tier; 3-month is $76 and 6-month is $73.

Any dose, month-to-month (same price at every dose)Compounded
$109/mo
tirzepatide

Standing month-to-month rate. Prepay tiers: $105 for 3 months, $100 for 6, $95 for 12.

PlexusDx

Microdose GLP-1 monthlyCompounded
$129/mo
semaglutide
Compounded semaglutide startingCompounded
$149/mo
semaglutide
Compounded tirzepatide startingCompounded
$249/mo
tirzepatide

What’s included

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

PlexusDx

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

Not stated

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Lean Meds

9.3/10

Overall

PlexusDx

8.3/10

Value25%

10.0A
vs
B
7.8

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

9.0A
vs
B
7.5

Accessibility10%

10.0A
vs
B
10.0

Support10%

7.0A
vs
B
5.5

Features & Coverage

FeatureLean MedsPlexusDx
Starting Price$79/mo$129/mo
Features7 features8 features
States Available5050
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

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 PlexusDx

PlexusDx (plexusdx.com) prices a microdose GLP-1 from $129/month, compounded semaglutide from $149/month and compounded tirzepatide from $249/month, and also sells a combination GLP-Squared protocol. An independent US-licensed clinician reviews each patient through a state-licensed telehealth platform, medications come from state-licensed pharmacies, and licensed providers cover all 50 states. What sets it apart is an optional Precision Peptide genetic test returning 151 insights, discounted to $99 after a first order.

Read our full PlexusDx review →

Pros & Cons

Lean Meds

What we like

  • Semaglutide at $79 a month, 58% below the $189 median for the same drug and form across this register
  • Tirzepatide at $109 a month, 59% below the $267 median for the same drug and form across this register
  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly price is recorded as flat across doses, so it does not climb as the dose is titrated up
  • The monthly figure covers medication, consult, shipping
  • Coverage is published for all 50 states
  • Names 5 dispensing pharmacies, which most sellers in this register do not do
  • No FDA warning letter matched this operator when we searched our enforcement register

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

PlexusDx

What we like

  • Semaglutide at $129 a month, 32% below the $189 median for the same drug and form across this register
  • Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
  • The monthly figure covers medication and consult
  • Coverage is published for all 50 states
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
  • 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: Lean Meds

Lean Meds takes it, 9.3 against 8.3, and it is especially strong on knowing which pharmacy fills the vial — it names Belmar Pharmacy. PlexusDx is no weak second and may fit you better on starting below a standard dose, with microdose tiers.

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 PlexusDx if…

You want starting below a standard dose, with microdose tiers and an opening price near $129 a month.

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Lean Meds vs PlexusDx: FAQ

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