DrBrainRx Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.3/10
Best for: compounded semaglutide at $199 a vial with no automatic refill charges
DrBrainRx scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability, and it serves 21 states. Its compounded semaglutide costs $199 a month, the same as the $199 median among the sellers we compare.
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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
Prices checked October 2026
DrBrainRx is a San Diego telehealth clinic founded by neurologist Dr. Sara Siavoshi. It sells compounded semaglutide at $199 and tirzepatide at $299 per 4-week vial, one price at every dose, plus a required $25 monthly care fee. Prepaying six months lowers the rates to $129 and $249. Its providers prescribe in 21 states. It also runs a Lilly Direct Zepbound track at $99 a month in care fees and sells compounded retatrutide, a drug no FDA approval covers.
Is DrBrainRx legit?
Yes. DrBrainRx is a real, operating US company, and we found no FDA warning letters issued to it. Its site shows LegitScript certification. We rate it 7.3/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there a DrBrainRx promo or coupon code?
We know of no promo or coupon code for DrBrainRx. Its listed price is $199 a month. Coupon sites advertising "DrBrainRx discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how DrBrainRx compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to DrBrainRx
Editorial score · methodology
Collective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
Editorial score · methodology
Found
Best for: people who want clinician visits billed to commercial insurance, with compounded medication in the plan price
Editorial score · methodology
DrBrainRx at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide, Lilly Direct Zepbound track
- Starting price
- $199/mo
- What's included
- Medication · Consult · Shipping
- Availability
- 21 states
- FDA status
- No FDA warning letters found
How DrBrainRx scores
Six columns, each one computed from something DrBrainRx has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
5.0/10$199/month is exactly the median for compounded semaglutide across the sellers we compare.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
7.5/10No pharmacy is named for its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
5.4/10Serves 21 of 50 states.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on DrBrainRx
Last checked October 2026- Checked the listed price across 2 dose or plan tiers
- Checked state coverage: 21 states
- Checked what the monthly price covers, and what it leaves out
- Checked FDA warning letters for DrBrainRx
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with DrBrainRx involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1DrBrainRx shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2DrBrainRx does not require a live video visit or baseline bloodwork before a first prescription.
- 3Ask DrBrainRx which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 4The monthly price includes the medication, clinician visits and shipping.
- Lowest ongoing monthly price: semaglutide $199, tirzepatide $299. That leaves out membership fees, first-month rates and insurance copays.
- DrBrainRx serves 21 of 50 states, so check that yours is one of them.
- The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Contacting DrBrainRx
- Phone
- 760-456-8764
Cancelling DrBrainRx
Taken from the terms DrBrainRx publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None on Monthly Flex; 3- and 6-month bundles are paid up front and must be used within 3 or 6 months
- Refund policy
- Shipped prescription medication cannot be returned or refunded, except for pharmacy errors reported within 72 hours. Membership and consult fees are non-refundable once services start.
- Early-termination fee
- None
Medications DrBrainRx lists
DrBrainRx lists compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Peptides DrBrainRx offers
DrBrainRx sells peptides beyond the GLP-1s. Tap one to read what the evidence says about it.
Pricing
Prices re-verified
One 4-week vial per order; refills are charged only when you request them. Prepaid: $495 for 3 months ($165 a month), $774 for 6 months ($129). Plus the required $25/month Care Access fee.
One 4-week vial per order; refills are charged only when you request them. Prepaid: $807 for 3 months ($269 a month), $1,494 for 6 months ($249). Plus the required $25/month Care Access fee.
Check the price yourself before you pay
Every figure here comes from DrBrainRx's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
In its favor
- Semaglutide costs $199 a month, exactly the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $299 a month, close to the $269 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 and shipping
- We found no FDA warning letters issued to DrBrainRx
Against it
- Serves only 21 states, so check that yours is one of them
- 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
What DrBrainRx charges
DrBrainRx lists $199/month.
- Compounded semaglutide: $199/month
- Compounded tirzepatide: $299/month
For compounded semaglutide, the median across the sellers we compare is $199/month, so DrBrainRx's $199 lands mid-market. Price is unlikely to be the deciding factor. Before you pay, compare DrBrainRx's cancellation terms with other sellers' cancellation and refund policies.
Bodybuilding Health+ dispenses semaglutide and tirzepatide from $179/month, which makes it the fair comparison to run before you commit here.
What DrBrainRx dispenses
DrBrainRx prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the pair carrying the strongest published outcome data. What arrives is compounded at a licensed pharmacy, not an approved pen. That is the reason it costs less, and the reason the finished preparation carries no FDA review behind it. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy.
Safety and disclosure
DrBrainRx tells you its price before you start the medical questionnaire and the 21 states it serves. We found no FDA warning letters issued to DrBrainRx. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If DrBrainRx will not tell you, treat that as a warning sign. Once you have the pharmacy's name, 503A vs 503B explains which regulator oversees it and how to check. How we weigh oversight, disclosure and price is set out in our scoring methodology.
DrBrainRx also sells NAD+, and a 2026 systematic review found no outcomes trials of injected NAD+ for anti-aging or wellness.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether DrBrainRx bills your plan before you start.
Our read
DrBrainRx lands mid-market on price without a standout advantage or an obvious problem. It comes down to whether its particular package fits you. Belle Health is the nearest comparison we review, and worth reading alongside this.
The Bottom Line
DrBrainRx scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability, and it serves 21 states. Its compounded semaglutide costs $199 a month, the same as the $199 median among the sellers we compare.
Before you pay DrBrainRx
Starting at $199 a month. Check today's price, then start the intake.
Where DrBrainRx is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider WellMedRx.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo + membership).
- If you want a human checking in, not just a prescription, consider Found.
If none of these fits, our guide to alternatives to DrBrainRx sets more sellers in the same category beside DrBrainRx on price, states and what the price includes.
Frequently Asked Questions
How to check DrBrainRx yourself
- How to Verify an Online GLP-1 Pharmacy: Six Public Checks
- Is Ozempic Available Over the Counter? No GLP-1 Is, and What Is Sold Instead
- FDA Warning Letters to Peptide Sellers: What FDA Has Cited, 2023 to 2026
Every seller that ships to your state, side by side: Colorado, Maine, Minnesota, Nebraska, Nevada, New Hampshire, Texas, Utah and every other state.
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this DrBrainRx review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See DrBrainRx's current pricing
Plans start at $199 a month. Whether you qualify is a clinician's decision, made after your intake.