Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 9.4/10
Best for: seeing the pharmacy list up front: it names four pharmacies with addresses
Lean Meds scores highest on price and lowest on ease of signing up. Its compounded semaglutide costs $79 a month, 60% below the $199 median among the sellers we compare.
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
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
Prices checked October 2026
Lean Meds is a cash-pay GLP-1 storefront on the OpenLoop platform: OpenLoop Healthcare Partners, PC prescribes, and four named pharmacies fill. Compounded semaglutide is $79 a month and compounded tirzepatide $129, the same every month and at every dose, with a 1:1 care coach in every plan. Its homepage advertises plans "starting at $49" a month, a figure neither plan page charges.
Yes. Lean Meds is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 9.4/10 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.
We know of no promo or coupon code for Lean Meds. Its listed price is $79 a month. Coupon sites advertising "Lean Meds discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Lean Meds compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
Editorial score · methodology
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
Editorial score · methodology
Best for: moving between compounded and brand without changing seller
Editorial score · methodology
Six columns, each one computed from something Lean Meds 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.
$79/month is 60% below the $199 median for compounded semaglutide across the sellers we compare.
Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
A price is shown before the questionnaire starts.
It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Serves all 50 states and DC.
The price covers the medication, clinician visits, shipping and coaching.
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 →
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
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.
Taken from the terms Lean Meds publishes. Terms change, so check the current policy before you subscribe.
Lean Meds 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.
Prices re-verified
"Billing cycle Per month 1-month $79"; "Same price every month. No price hike. Cancel Anytime." Consultation, care, medication, supplies, shipping and support included.
"Billing cycle Per month 1-month $129"; "Same price every month. No price hike. Cancel Anytime." Consultation, care, medication, supplies, shipping and support included.
Check the price yourself before you pay
Every figure here comes from Lean Meds'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.
Lean Meds names each pharmacy below as one that compounds or fills its prescriptions, in its own site, terms or filings. The quote under each one is the seller’s own wording.
“Prescriptions for Leanmeds members are filled by independently owned and operated state-licensed compounding pharmacies in the Leanmeds network, including: RedRock Pharmacy 1240 E 100 S #220 St. George, UT 84790 ... Health Warehouse 7107 Industrial Rd. Florence, KY 41042 ... Precision Medicine 2657 Merrick Road Bellmore, NY 11710 ... Triad Rx 26258 Pollard Road Daphne, AL 36526”
“Prescriptions for Leanmeds members are filled by independently owned and operated state-licensed compounding pharmacies in the Leanmeds network, including: RedRock Pharmacy 1240 E 100 S #220 St. George, UT 84790 ... Health Warehouse 7107 Industrial Rd. Florence, KY 41042 ... Precision Medicine 2657 Merrick Road Bellmore, NY 11710 ... Triad Rx 26258 Pollard Road Daphne, AL 36526”
“Prescriptions for Leanmeds members are filled by independently owned and operated state-licensed compounding pharmacies in the Leanmeds network, including: RedRock Pharmacy 1240 E 100 S #220 St. George, UT 84790 ... Health Warehouse 7107 Industrial Rd. Florence, KY 41042 ... Precision Medicine 2657 Merrick Road Bellmore, NY 11710 ... Triad Rx 26258 Pollard Road Daphne, AL 36526”
“Prescriptions for Leanmeds members are filled by independently owned and operated state-licensed compounding pharmacies in the Leanmeds network, including: RedRock Pharmacy 1240 E 100 S #220 St. George, UT 84790 ... Health Warehouse 7107 Industrial Rd. Florence, KY 41042 ... Precision Medicine 2657 Merrick Road Bellmore, NY 11710 ... Triad Rx 26258 Pollard Road Daphne, AL 36526”
Lean Meds charges $79/month, and holds that rate across every dose. That sits at the affordable end of what we see. Flat dose pricing matters more than it sounds: on a tiered plan the bill grows with the dose, so the figure that got you to sign up is not the one you end up paying.
For compounded semaglutide, the median across the sellers we compare is $199/month, so Lean Meds' $79 is genuinely below the middle, not just advertised that way. Before you pay, compare Lean Meds' cancellation terms with other sellers' cancellation and refund policies. Across the compounded market the dearest tenth of sellers charges about three times what the cheapest tenth does; how much GLP-1 prices actually vary explains the spread.
CoreAge Rx, at about $79/month, is the closest like-for-like alternative we review.
Lean Meds prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two molecules with the largest published weight-loss trial programs behind them. These are compounded preparations from a licensed pharmacy rather than approved pens, which is where the lower price comes from. A compounded drug is not FDA-approved as a finished product: the specific preparation has not been reviewed for safety, efficacy or manufacturing quality. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder.
Lean Meds tells you its price before you start the medical questionnaire, that it treats patients in all 50 states, and the pharmacy that fills its prescriptions. It also offers coaching as part of the plan. We found no FDA warning letters issued to Lean Meds. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. The FDA's warning signs for online medicine sellers are a quick check to run on any seller before you pay. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Lean Meds competes on price without an obvious sacrifice elsewhere: $79/month, no FDA warning letters, and wide state coverage.
The Bottom Line
Lean Meds scores highest on price and lowest on ease of signing up. Its compounded semaglutide costs $79 a month, 60% below the $199 median among the sellers we compare.
Starting at $79 a month. Check today's price, then start the intake.
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these two counts, another seller does better.
If none of these fits, our guide to alternatives to Lean Meds sets more sellers in the same category beside Lean Meds on price, states and what the price includes.
Every seller that ships to your state, side by side: Kansas, Massachusetts, Minnesota, New Jersey, North Carolina, North Dakota, Virginia, Wyoming and every other state.
The words sellers use, defined. Tap any term.
Cited across this Lean Meds review: primary regulatory filings, and peer-reviewed studies.
Plans start at $79 a month. Whether you qualify is a clinician's decision, made after your intake.