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ElixaMD Review

Semaglutide GLP-1 weight-loss telehealth · Independently scored 6.3/10

Best for: seeing what it charges before you answer any medical questions

6.3
★★★☆☆3.2/5

ElixaMD's strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.

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$179/mo

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

Compare top-rated alternatives ↓

The $179 first-month figure for compounded semaglutide injections is an intro rate. No membership, no contract and no insurance are involved, and delivery costs nothing. Everything else folds in: a patient portal, 24/7 support, care coaching, dietician visits at no charge and 1:1 physician guidance. HSA/FSA money qualifies. ElixaMD does something rare and names its compounders, RedRock and Beaker, alongside a full legal suite, and it discloses that compounded drugs are not FDA-approved. Semaglutide is the only molecule advertised, and no verifiable LegitScript seal is displayed.

By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Price shown up frontIncludes medication + consultNo FDA warning letters found

Is ElixaMD legit?

Yes. ElixaMD is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 6.3/10 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 an ElixaMD promo or coupon code?

We know of no promo or coupon code for ElixaMD. Its listed price is $179 a month. Coupon sites advertising "ElixaMD discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.

See how ElixaMD compares on our rankings of the best semaglutide providers.

Vetted alternatives to ElixaMD

7.3/ 10
Verified partner

RNK Health

Best for: an oral route if you will not self-inject

★★★★☆3.7/5

Editorial score · methodology

$197/mo
CompoundedSemaglutideTirzepatideNAD+Sermorelin
Get StartedRead full RNK Health review →
5.9/ 10
Verified partner

Wellorithm

Best for: compounded semaglutide at $247/month

★★★☆☆3/5

Editorial score · methodology

$147/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full Wellorithm review →
7.3/ 10
Verified partner

Willow

Best for: seeing what it charges before you answer any medical questions

★★★★☆3.7/5

Editorial score · methodology

$299/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full Willow review →
ElixaMD logo
3.2 / 5
Our editorial rating
Visit ElixaMD →

from $179/mo · no insurance needed

ElixaMD at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide
Starting price
$179/mo
What's included
Medication · Consult · Shipping
FDA status
No FDA warning letters found

How ElixaMD scores

Six columns, each one computed from something ElixaMD 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%

3.0/10

The listed figure is not a comparable monthly price for a named GLP-1 (it may be a membership fee, an insured copay, a per-vial rate or a starting-dose price), so Value is capped rather than scored against other sellers.

Effectiveness25%

8.5/10

Dispenses semaglutide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).

User Experience15%

8.0/10

A price is shown before the questionnaire starts.

Trust & Safety15%

6.5/10

No pharmacy is named for its prescriptions. It shows a price before asking for health information.

Accessibility10%

5.0/10

No state list is available to check, so this is held at the midpoint rather than scored on reach.

Support10%

7.0/10

The price covers the medication, clinician visits and shipping.

6weighted dimensions
588sellers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

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 ElixaMD

Last checked June 2026
  • Checked the listed price across 1 dose or plan tier
  • Checked what the monthly price covers, and what it leaves out
  • Checked FDA warning letters for ElixaMD

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 ElixaMD 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.

  1. 1ElixaMD 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.
  2. 2Ask ElixaMD which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
  3. 3The monthly price includes the medication, clinician visits and shipping.
Price shown before you start
  • Before you commit, get the ongoing monthly price of the medication itself, not a first-month rate, a membership fee or a per-vial price.
  • Confirm that ElixaMD serves your state before you start.

Contacting ElixaMD

Email
ElixaMD offers email support

Cancelling ElixaMD

Taken from the terms ElixaMD publishes. Terms change, so check the current policy before you subscribe.

Cancel any time
Yes
Minimum commitment
None
Refund policy
Refund policy published, terms not stated
Early-termination fee
None

GLP-1 medications ElixaMD offers

Each one has its own guide: how the molecule works, the dosing schedule, the side effects that show up in practice, and what the trials actually measured.

Pricing

Prices re-verified

First month (intro)Compounded
$179/mo
semaglutide

'$179 first month' intro/sale, no contract; ongoing/higher-dose tiers ~$249-$299; HSA/FSA eligible

Check the price yourself before you pay

Every figure here was read off ElixaMD's own checkout on the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.

See ElixaMD pricing →

In its favor

  • 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 ElixaMD

Against it

  • 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 is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality

What ElixaMD charges

The standing price at ElixaMD is $179/month.

  • Compounded semaglutide: $179/month

Bodybuilding Health+, at about $179/month, is the closest like-for-like alternative we review.

What ElixaMD dispenses

ElixaMD prescribes semaglutide (approved as Wegovy and Ozempic). That is among the best-evidenced options in this class. 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.

Safety and disclosure

ElixaMD tells you its price before you start the medical questionnaire. We found no FDA warning letters issued to ElixaMD. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If ElixaMD will not tell you, treat that as a warning sign. How we weigh oversight, disclosure and price is set out in our scoring methodology.

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 ElixaMD bills your plan before you start.

Our read

ElixaMD charges $179/month. Too few sellers offer the same drug and form to say whether that is cheap or expensive, so judge it on what the package includes.

The Bottom Line

ElixaMD's strongest column is the clinical side: which molecules it will prescribe, and how it handles dosing.

Score: 6.3/10Best for: seeing what it charges before you answer any medical questionsFrom: $179/mo

Before you pay ElixaMD

Starting at $179 a month. Check today's price, then start the intake.

Where ElixaMD 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 Sesame Care.
  • If the standing monthly cost is what decides it, consider Collective (from $59/mo).
  • If you want a human checking in, not just a prescription, consider RNK Health.

Compare ElixaMD head to head

The sellers closest to ElixaMD on medication and price.

Frequently Asked Questions

The $179 first-month figure for compounded semaglutide injections is an intro rate. No membership, no contract and no insurance are involved, and delivery costs nothing. Everything else folds in: a patient portal, 24/7 support, care coaching, dietician visits at no charge and 1:1 physician guidance. HSA/FSA money qualifies. ElixaMD does something rare and names its compounders, RedRock and Beaker, alongside a full legal suite, and it discloses that compounded drugs are not FDA-approved. Semaglutide is the only molecule advertised, and no verifiable LegitScript seal is displayed. We rate it 6.3/10 overall.
ElixaMD starts at $179 a month. The pricing table above lists every tier.
Ask ElixaMD whether it serves your state before you start the intake, and get the answer in writing.
ElixaMD sells semaglutide (sold as Wegovy and Ozempic). Every dose it lists is compounded.
ElixaMD lists compounded GLP-1s only. A licensed compounding pharmacy prepares them: same active ingredient as the brand drug, lower cash price, and no FDA approval of the finished product. That last part is the one readers underestimate, and the review above says why.
You do not need insurance to use ElixaMD: it sells at cash prices. It also takes FSA and HSA cards. If you hope to use your plan, ask ElixaMD whether it can bill it before you sign up.
ElixaMD says the price covers medication, the clinician visit and shipping. The strip near the top of this review shows what is included and what is not.
You fill in an online intake, a licensed clinician decides whether a GLP-1 is appropriate, and if the answer is yes the medication ships to you. ElixaMD runs that whole sequence on its own site.
We found no FDA warning letters issued to ElixaMD. Before you buy, weigh these: 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 is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality. None of them rules ElixaMD out, but each is worth settling before you pay.

Glossary

The words sellers use, defined. Tap any term.

Sources

Cited across this ElixaMD review: primary regulatory filings, and peer-reviewed studies.

Sources & methodology — as of June 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  6. 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. 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.

See ElixaMD's current pricing

Plans start at $179 a month. Whether you qualify is a clinician's decision, made after your intake.