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Pallas Health vs Lean Meds

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
Pallas Health logo

Pallas Health

8.0
★★★★4/5

Best for: knowing which pharmacy fills the vial — it names Belmar Pharmacy

Visit Pallas Health
VS
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

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 $199, and Pallas Health is where most people should begin. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

Pallas Health

Compounded plan, billed $597 every 12 weeks (not monthly)Compounded
$199$139/mo
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semaglutide

$139 for the first month, then $597 every 12 weeks, which Pallas advertises as a $199/mo average. Same price at every dose. Provider care and check-ins included.

Compounded plan, billed $897 every 12 weeks (not monthly)Compounded
$299$179/mo
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tirzepatide

$179 for the first month, then $897 every 12 weeks, advertised as a $299/mo average. Same price at every dose.

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.

What’s included

Pallas 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

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

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Pallas Health

8.0/10

Overall

Lean Meds

9.3/10

Value25%

4.6A
vs
B
10.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

10.0A
vs
B
9.0

Accessibility10%

10.0A
vs
B
10.0

Support10%

7.0A
vs
B
7.0

Features & Coverage

FeaturePallas HealthLean Meds
Starting Price$199/mo$79/mo
Features8 features7 features
States Available5150
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted✓ Yes
FDA WarningsNoneNone

About Pallas Health

$199 and $299 a month are the averages on the compounded plans, with messaging, check-ins and provider care folded in, no membership charged on the side, and the figure unchanged at every dose. Mounjaro, Zepbound, Ozempic and Wegovy sell under their brand names next to compounded tirzepatide and semaglutide. Brentmoor, Inc. is the operator. Disclosure is unusually thorough here: NPIs you can verify against two named advising physicians, Lion MD as clinical partner, six pharmacy partners named, and all 50 states plus DC covered.

Read our full Pallas Health review →

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 →

Pros & Cons

Pallas Health

What we like

  • Semaglutide at $199 a month, within the normal band around this register's $189 median for the same drug and form
  • 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 6 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

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

Our Verdict

Winner: Pallas Health

Pallas Health is the one we would pick, particularly on knowing which pharmacy fills the vial — it names Belmar Pharmacy. Lean Meds is a real alternative if knowing which pharmacy fills the vial — it names Belmar Pharmacy is what you are after — the six-dimension breakdown and the prices below are what to weigh against your own case.

Choose Pallas Health if…

You want knowing which pharmacy fills the vial — it names Belmar Pharmacy and an opening price near $199 a month.

Choose Lean Meds if…

You want knowing which pharmacy fills the vial — it names Belmar Pharmacy and an opening price near $79 a month.

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6.0

SkinnyRx

Starting below a standard dose, with microdose tiers

8.2

YourEra

Semaglutide at $99/month, 63% under the register median

8.8

Gala

Moving between compounded and brand without changing seller

Pallas Health vs Lean Meds: FAQ

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Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.