Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →

Lyfe Rx vs MDExam

Lyfe Rx and MDExam both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Lyfe Rx logo

Lyfe Rx

6.4
★★★☆☆3.2/5

Best for: compounded semaglutide at $225/month

Visit Lyfe Rx →
VS
MDExam logo

MDExam

6.0
★★★☆☆3/5

Best for: coaching bundled into the price rather than sold separately

Visit MDExam →

If you are choosing between Lyfe Rx and MDExam, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Lyfe Rx leads our six-part score, 6.4 to 6.0. One of the two has an FDA warning letter on record, covered below.

Lyfe Rx vs MDExam price

Lyfe Rx and MDExam start at the same figure, $225 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, $225 a month; tirzepatide is cheaper at MDExam ($258 a month vs $299 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Neither Lyfe Rx nor MDExam publishes the states it serves, so enter your state at the very start of each sign-up.

Pricing

Lyfe Rx

Compounded SemaglutideCompounded
$225/mo
semaglutide
Compounded TirzepatideCompounded
$299/mo
tirzepatide

MDExam

Program price (telehealth + coaching + medication)Compounded
$225/mo
semaglutide
Program price (telehealth + coaching + medication)Compounded
$258/mo
tirzepatide

What each price covers

Both prices cover the clinician visit and the medication itself.

Lyfe Rx's price also covers shipping, which MDExam does not claim.

MDExam's price also covers coaching, which Lyfe Rx does not claim.

Lyfe Rx is silent on lab work and coaching.

MDExam is silent on shipping and lab work.

Lyfe Rx

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

MDExam

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

In the price

Where each one scores higher

Overall, Lyfe Rx scores 6.4 and MDExam 6.0 out of 10.

Lyfe Rx is stronger on user experience (8.0 vs 3.0).

MDExam is stronger on value (4.8 vs 3.7) and trust & safety (4.0 vs 3.5).

Effectiveness, accessibility and support are within half a point.

How we score

Lyfe Rx

6.4/10

Overall

MDExam

6.0/10

Value25%

3.7A
vs
B
4.8

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

3.5A
vs
B
4.0

Accessibility10%

5.0A
vs
B
5.0

Support10%

7.0A
vs
B
7.0

FDA warning letters

Lyfe Rx has an FDA warning letter on record.

MDExam has no FDA warning letter on record with us.

Features & Coverage

FeatureLyfe RxMDExam
Starting Price$225/mo$225/mo
Features✓3 features2 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning Letters1 letter✓None

About Lyfe Rx

Lyfe Rx sells compounded semaglutide at $289 and compounded tirzepatide at $399, shipping to all 50 states. The FDA issued it a warning letter on 09/09/2025 for misbranding compounded GLP-1 products.

Read our full Lyfe Rx review →

About MDExam

MDExam is a telehealth seller offering GLP-1 medications alongside other prescription services.

Read our full MDExam review →

Pros & Cons

Lyfe Rx

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

Watch-outs

  • Semaglutide costs $225 a month, 22% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $299 a month, 20% above the $250 median for compounded tirzepatide across the sellers we compare
  • 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 Lyfe Rx 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

MDExam

What we like

  • Tirzepatide costs $258 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
  • The monthly price includes the medication, clinician visits and coaching
  • We found no FDA warning letters issued to MDExam

Watch-outs

  • Semaglutide costs $225 a month, 22% above the $185 median for compounded semaglutide across the sellers we compare
  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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: Lyfe Rx

Lyfe Rx wins this one, 6.4 to 6.0, above all for compounded semaglutide at $225/month. MDExam fits better if coaching bundled into the price rather than sold separately is your priority.

Choose Lyfe Rx if…

You want compounded semaglutide at $225/month and an opening price near $225 a month.

Choose MDExam if…

You want coaching bundled into the price rather than sold separately and an opening price near $225 a month.

Ready to start? GLP-1 providers we have vetted

Telehealth providers, vetted by us, prescribing GLP-1 online.

Vetted by our editors · no insurance required

Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more

9.4

Trimi Health

Knowing which pharmacy fills the vial: it names VialsRx

6.4

ShedRx

Oral orforglipron alongside the injectables

9.0

bmiMD

Starting below a standard dose, with microdose tiers

Lyfe Rx vs MDExam: FAQ

Neither on the entry price: Lyfe Rx and MDExam both start at about $225 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Lyfe Rx does not publish where it ships; MDExam does not publish where it ships. Confirm your state before paying.
Both include the clinician visit and the medication itself. Only Lyfe Rx includes shipping. Only MDExam includes coaching.
Lyfe Rx has one FDA warning letter on record. MDExam has none.
No. Neither Lyfe Rx nor MDExam pays us anything.

Or see the full category ranking.