LevelsRx vs Refills
LevelsRx and Refills both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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LevelsRx
Best for: seeing what it charges before you answer any medical questions
Visit LevelsRx →
Refills
Best for: seeing what it charges before you answer any medical questions
Visit Refills →If you are choosing between LevelsRx and Refills, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Refills leads our six-part score, 7.4 to 6.6. One of the two has an FDA warning letter on record, covered below.
LevelsRx vs Refills price
LevelsRx and Refills start at the same figure, $150 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, $150 a month; tirzepatide is cheaper at Refills ($150 a month vs $240 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Neither LevelsRx nor Refills publishes the states it serves, so enter your state at the very start of each sign-up.
Pricing
LevelsRx
Injectable or oral liposomal liquid; starting price
Starting price; injectable
Refills
What each price covers
Both prices cover shipping.
LevelsRx's price also covers the clinician visit and the medication itself, which Refills does not claim.
LevelsRx is silent on lab work and coaching.
Refills is silent on the clinician visit, the medication itself, lab work and coaching.
That matters most for the drug: unless Refills confirms otherwise, budget for medication on top of its listed price.
LevelsRx
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
Refills
Covered by the monthly price
Medication
Not stated
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Refills scores 7.4 and LevelsRx 6.6 out of 10.
LevelsRx is stronger on trust & safety (6.5 vs 3.5) and support (7.0 vs 5.0).
Refills is stronger on value (8.7 vs 3.0).
Effectiveness, user experience and accessibility are within half a point.
LevelsRx
6.6/10
Refills
7.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Refills a warning letter dated February 20, 2026 (letter 721475), and it is still open.
LevelsRx has no FDA warning letter on record with us.
Features & Coverage
| Feature | LevelsRx | Refills |
|---|---|---|
| Starting Price | $150/mo | $150/mo |
| Features | 6 features | 6 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 1 letter |
About LevelsRx
150 dollars per month is the entry on compounded semaglutide, sold as an injectable or as an oral liposomal liquid, while compounded tirzepatide opens at 240 dollars per month; Sermorelin is on the shelf too. Everything happens virtually with providers who hold licenses, slots open the same day, and online visits are uncapped. A money-back warranty is advertised against weight-loss targets that go unmet. Phone and email support run around the clock, 24-7. Compounded meds lack FDA approval.
Read our full LevelsRx review →About Refills
No price appears before the intake. Refills is an online pharmacy, LegitScript-certified, running a telehealth platform that sells compounded GLP-1 prescriptions, semaglutide and tirzepatide. Daily wellness, hair growth and ED treatments round out the catalog. By its own account it operates in all 50 US states, though certain regions are documented as excluded. Shipping is free and no insurance is needed. The site itself is Webflow-hosted with dynamic content.
Read our full Refills review →Pros & Cons
LevelsRx
What we like
- 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 LevelsRx
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
Refills
What we like
- Semaglutide costs $150 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $150 a month, 40% 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 shipping
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
- The FDA has issued Refills a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- 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
Refills wins this one, 7.4 to 6.6, above all for seeing what it charges before you answer any medical questions. LevelsRx fits better if seeing what it charges before you answer any medical questions is your priority.
Choose LevelsRx if…
You want seeing what it charges before you answer any medical questions and an opening price near $150 a month.
Choose Refills if…
You want seeing what it charges before you answer any medical questions and an opening price near $150 a month.
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Eden
Coverage in all 50 states, which most sellers will not confirm
From $239/mo
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Semaglutide at $99/month, 48% below the typical price
From $99/mo
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Knowing which pharmacy fills the vial: it names RedRock Pharmacy
From $79/mo
Get started →LevelsRx vs Refills: FAQ
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