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Transcarent 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
Transcarent logo

Transcarent

4.4
★★☆☆☆2.2/5

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

Visit Transcarent
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 starts at $79/mo, and Lean Meds finishes ahead, 9.3 to 4.4. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.

Pricing

Transcarent

Pricing not publicly listed.

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

Transcarent

Covered by the monthly price

Medication

Not stated

Clinician visits

Not stated

Shipping

Not stated

Lab work

Not stated

Coaching

In the price

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.

Transcarent

4.4/10

Overall

Lean Meds

9.3/10

Value25%

3.0A
vs
B
10.0

Effectiveness25%

5.0A
vs
B
10.0

User Experience15%

5.0A
vs
B
8.0

Trust & Safety15%

4.0A
vs
B
9.0

Accessibility10%

5.0A
vs
B
10.0

Support10%

5.0A
vs
B
7.0

Features & Coverage

FeatureTranscarentLean Meds
Starting Price$79/mo
Features8 features7 features
States AvailableNot disclosed50
Compounded✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About Transcarent

An individual cannot look up what this costs, because nothing is sold to individuals. Transcarent builds Weight Health for health plans and for employers who self-insure, putting behavioral coaching, nutrition guidance, bariatric surgery navigation and GLP-1 medication management, where the drug is covered and clinically appropriate, onto a single platform. Doctors, nurses and pharmacists back the member. To hold down total cost of care the company points to contracts struck directly with pharma, a low-cost formulary and a PBM it calls transparent. Distribution is B2B2C.

Read our full Transcarent 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

Transcarent

What we like

  • The monthly figure covers coaching
  • No FDA warning letter matched this operator when we searched our enforcement register

Watch-outs

  • No state list is on record here, so whether it serves your state cannot be confirmed from this page
  • No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here

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: Lean Meds

Lean Meds takes it, 9.3 against 4.4, and it is especially strong on knowing which pharmacy fills the vial — it names Belmar Pharmacy. Transcarent is no weak second and may fit you better on coaching bundled into the price rather than sold separately.

Choose Transcarent if…

You want coaching bundled into the price rather than sold separately.

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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8.8

Gala

Moving between compounded and brand without changing seller

9.4

Trimi Health

Knowing which pharmacy fills the vial — it names VialsRx

8.5

Strut Health

Semaglutide at $99/month, 48% under the register median

Transcarent vs Lean Meds: FAQ

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