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Lean Meds vs Somi Health

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
Somi Health logo

Somi Health

6.4
★★★☆☆3.2/5

Best for: an oral route if you will not self-inject

Visit Somi Health

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 $135, and Lean Meds finishes ahead, 9.3 to 6.4. 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.

Somi Health

StartingCompounded
$135/mo
semaglutide

$135/mo on the 3-month plan, 'ANY DOSE.' Verified joinsomi.com 2026-06-19.

StartingCompounded
$165/mo
tirzepatide

$165/mo on the 3-month plan, 'ANY DOSE.' Verified joinsomi.com 2026-06-19.

Oral tabletCompounded
$279/mo
semaglutide

Semaglutide Tablet (no shots), $279/mo on the 1-month plan. Verified joinsomi.com 2026-06-19.

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

Somi Health

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

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

Somi Health

6.4/10

Value25%

10.0A
vs
B
2.2

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

9.0A
vs
B
6.5

Accessibility10%

10.0A
vs
B
5.0

Support10%

7.0A
vs
B
7.0

Features & Coverage

FeatureLean MedsSomi Health
Starting Price$79/mo$135/mo
Features7 features8 features
States Available50Not disclosed
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 Somi Health

Take Somi Health's 3-month plan and the compounded GLP-1 semaglutide starts at $135/mo, tirzepatide at $165/mo, one price whatever the dose. A US-licensed clinician reads a short intake, then a single transparent monthly figure covers the medical visit, every shipment that follows and messaging the provider directly. The line is compounded semaglutide and tirzepatide by injection, plus an oral semaglutide tablet.

Read our full Somi Health 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

Somi Health

What we like

  • 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
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • Semaglutide at $279 a month, 48% above the $189 register median for the same drug and form
  • No state list is on record here, so whether it serves your state cannot be confirmed from this page
  • 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 6.4, and it is especially strong on knowing which pharmacy fills the vial — it names Belmar Pharmacy. Somi Health is no weak second and may fit you better on an oral route if you will not self-inject.

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 Somi Health if…

You want an oral route if you will not self-inject and an opening price near $135 a month.

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Lean Meds vs Somi Health: FAQ

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