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Lean Meds vs Vivanta Care

Lean Meds and Vivanta Care both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · 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

Vivanta Care

8.2
★★★★☆4.1/5

Best for: new GLP-1 starters who want a low first-month price and month-to-month billing

Visit Vivanta Care →

If you are choosing between Lean Meds and Vivanta Care, 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 8.2.

Lean Meds vs Vivanta Care price

Lean Meds and Vivanta Care 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 Vivanta Care ($99 a month vs $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 Vivanta Care does not publish where it ships.

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.

Vivanta Care

Starting dose stage, billed monthlyCompounded
$79/mo
semaglutide

The entry price, for one small 0.5 mL vial per order. The same price applies if you are restarting after two or more weeks off.

Building dose stage, billed monthlyCompounded
$169/mo
semaglutide

The second of four dose stages; the monthly price goes up as the dose does.

Regular dose stage, billed monthlyCompounded
$229/mo
semaglutide

The third stage. Its dose label is higher than any brand-name semaglutide dose and appears to track the vial strength.

Higher dose stage, billed monthlyCompounded
$299/mo
semaglutide

The top stage. The 10 mg weekly label looks like the vial concentration rather than a weekly dose.

Starting dose stage, billed monthlyCompounded
$99/mo
tirzepatide

The entry price, also charged when restarting after a break of two weeks or more.

Building dose stage, billed monthlyCompounded
$139/mo
tirzepatide

The second of four dose stages; each step up in dose raises the monthly price.

Regular dose stage, billed monthlyCompounded
$249/mo
tirzepatide

The third stage, covering the usual maintenance range.

Higher dose stage, billed monthlyCompounded
$329/mo
tirzepatide

The top stage. Its 20-25 mg label is above the highest brand-name tirzepatide dose.

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Lean Meds is silent on lab work and coaching.

Vivanta Care is silent on lab work and coaching.

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

Vivanta Care

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 Vivanta Care 8.2 out of 10.

Lean Meds is stronger on value (10.0 vs 9.2), trust & safety (9.0 vs 6.5) and accessibility (10.0 vs 5.0).

Effectiveness, user experience and support are within half a point.

How we score

Lean Meds

9.3/10

Overall

Vivanta Care

8.2/10

Value25%

10.0A
vs
B
9.2

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

FDA warning letters

Neither Lean Meds nor Vivanta Care has an FDA warning letter on record with us.

Features & Coverage

FeatureLean MedsVivanta Care
Starting Price$79/mo$79/mo
Features7 features7 features
States Available50Not disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted—✓ Yes
FDA Warning LettersNoneNone

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 Vivanta Care

Vivanta Care is a Ventura, California telehealth platform that books compounded semaglutide and tirzepatide through the MD Integrations clinician network, filled by the Florida pharmacy DiRx, alongside hormone and longevity programs. Pricing climbs with your dose stage: semaglutide runs $79 to $299 a month and tirzepatide $99 to $329, billed monthly with the clinician review and shipping included. You see your stage price before the health questions.

Read our full Vivanta Care 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

Vivanta Care

What we like

  • Semaglutide costs $169 a month, 10% 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
  • We found no FDA warning letters issued to Vivanta Care

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
  • 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 wins this one, 9.3 to 8.2, above all for knowing which pharmacy fills the vial: it names Belmar Pharmacy. Vivanta Care fits better if new GLP-1 starters who want a low first-month price and month-to-month billing 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 Vivanta Care if…

You want new GLP-1 starters who want a low first-month price and month-to-month billing and an opening price near $79 a month.

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9.1

CoreAge Rx

Semaglutide at $99/month, 48% below the typical price

9.4

Trimi Health

Knowing which pharmacy fills the vial: it names VialsRx

6.4

ShedRx

Oral orforglipron alongside the injectables

Lean Meds vs Vivanta Care: FAQ

Neither on the entry price: Lean Meds and Vivanta Care both start at about $79 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Lean Meds lists 50 states; Vivanta Care does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
Lean Meds has none. Vivanta Care has none.
No. Neither Lean Meds nor Vivanta Care pays us anything.

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