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Medsol RX vs Rixa Health

Medsol RX costs $2.98 less a month, and both sell semaglutide and tirzepatide.

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

Medsol RX

7.9
★★★★☆4/5

Best for: coaching inside the $209/month rather than sold separately

Visit Medsol RX →
VS
Rixa Health logo

Rixa Health

5.9
★★★☆☆3/5

Best for: coverage in all 50 states, which most sellers will not confirm

Visit Rixa Health →

If you are choosing between Medsol RX and Rixa Health, the first difference is cost: Medsol RX is $2.98 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Medsol RX leads our six-part score, 7.9 to 5.9.

Medsol RX vs Rixa Health price

Medsol RX is the cheaper way in: $209 a month against $211.98 a month at Rixa Health. That is $2.98 less each month (1% lower), or about $35.76 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Medsol RX ($209 a month vs $211.98 a month); tirzepatide is cheaper at Medsol RX ($250 a month vs $304.38 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Medsol RX lists 50 states, and Rixa Health lists 50 states.

They overlap in 50 states.

Pricing

Medsol RX

Compounded SemaglutideCompounded
$209/mo
semaglutide

12-mo plan; $229 (6-mo), $249 (3-mo), or $199 first month then $279 month-to-month

Compounded TirzepatideCompounded
$250/mo
tirzepatide

From ~$250/mo compounded; varies by dose

Rixa Health

Compounded semaglutide, starting dose, month-to-monthCompounded
$211.98/mo
semaglutide

This is the starting dose. Higher doses may cost more.

Compounded tirzepatide, starting dose, month-to-monthCompounded
$304.38/mo
tirzepatide

Advertised as $303.33 a month. The seller bills $280 every 28 days, which works out at $304.38 per calendar month. The figure here is the calculated one. This is the entry rung. The published ladder rises to $525 at higher doses.

What each price covers

Both prices cover the clinician visit and the medication itself.

Medsol RX's price also covers shipping and coaching, which Rixa Health does not claim.

Medsol RX is silent on lab work.

Rixa Health is silent on shipping, lab work and coaching.

Medsol RX

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

In the price

Rixa Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

Not stated

Where each one scores higher

Overall, Medsol RX scores 7.9 and Rixa Health 5.9 out of 10.

Medsol RX is stronger on value (5.0 vs 3.0), user experience (8.0 vs 2.5), trust & safety (7.5 vs 5.0) and support (8.5 vs 5.5).

Effectiveness and accessibility are within half a point.

How we score

Medsol RX

7.9/10

Overall

Rixa Health

5.9/10

Value25%

5.0A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
2.5

Trust & Safety15%

7.5A
vs
B
5.0

Accessibility10%

10.0A
vs
B
10.0

Support10%

8.5A
vs
B
5.5

FDA warning letters

Neither Medsol RX nor Rixa Health has an FDA warning letter on record with us.

Features & Coverage

FeatureMedsol RXRixa Health
Starting Price✓$209/mo$211.98/mo
Features7 features✓8 features
States Available5050
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted✓ Yes—
FDA Warning LettersNoneNone

About Medsol RX

Compounded GLP-1 semaglutide opens at $209/mo with Medsol RX, with tirzepatide also stocked. Board-certified clinicians working through OpenLoop write the scripts, and orders go out across the country. What the plan buys beyond the drug is a dedicated care coach, a treatment plan built for you and medical oversight. HSA/FSA money qualifies, Klarna handles financing, and terms run month-to-month or across 3, 6 or 12 months. Microdosing and wellness add-ons are available.

Read our full Medsol RX review →

About Rixa Health

Rixa Health bundles weight-loss medication and visits into one price and does not charge until after approval. The direct-to-consumer functional-medicine practice prescribes compounded and oral semaglutide and tirzepatide, plus other peptides, through partner US pharmacies. Board-certified DO and FNP providers take a root-cause approach and require monthly follow-ups for the first six months. It is cash-pay only and available in nearly all states, with a few listed as coming soon. Compounded, not branded, GLP-1 is the focus.

Read our full Rixa Health review →

Pros & Cons

Medsol RX

What we like

  • Semaglutide costs $209 a month, close to the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $250 a month, close to 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, shipping and coaching
  • Serves all 50 states
  • We found no FDA warning letters issued to Medsol RX

Watch-outs

  • 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

Rixa Health

What we like

  • The monthly price includes the medication and clinician visits
  • Serves all 50 states
  • We found no FDA warning letters issued to Rixa Health
  • A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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: Medsol RX

Medsol RX wins this one, 7.9 to 5.9, above all for coaching inside the $209/month rather than sold separately. It also costs $2.98 less each month than Rixa Health. Rixa Health fits better if coverage in all 50 states, which most sellers will not confirm is your priority.

Choose Medsol RX if…

You want coaching inside the $209/month rather than sold separately and an opening price near $209 a month.

Choose Rixa Health if…

You want coverage in all 50 states, which most sellers will not confirm and an opening price near $211.98 a month.

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6.6

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Moving between compounded and brand without changing seller

8.4

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Medsol RX vs Rixa Health: FAQ

Medsol RX. It starts at $209 a month; Rixa Health starts at $211.98 a month, $2.98 more per month.
Yes, both sell semaglutide and tirzepatide.
Both list 50 states and share 50.
Both include the clinician visit and the medication itself. Only Medsol RX includes shipping and coaching.
Medsol RX has none. Rixa Health has none.
No. Neither Medsol RX nor Rixa Health pays us anything.

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