RxSpan MD logo

RxSpan MD Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.7/10

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

6.7
★★★☆☆3.4/5

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

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$194first month

then $249/mo ongoing

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

RxSpan MD prices compounded semaglutide and tirzepatide from $249/mo, as injections or oral capsules, and also carries brand-name Wegovy, Zepbound and Ozempic. It is unusually transparent for the category: it names its 503A pharmacy partners, Belmar, Strive, Epiq Scripts and Casa Pharma, and its medical group. Shipping is free and unlimited 24/7 support is included. The physician-led practice was founded by Dr. John Diaz, a board-certified plastic surgeon, and is available in all 50 states.

By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
GLP-1 from $249/moPrice after intakeIncludes medication + consultAll 50 statesPharmacy namedNo FDA warning letters found

Is RxSpan MD legit?

Yes. RxSpan MD is a real, operating US company, and we found no FDA warning letters issued to it. Its site shows LegitScript certification. We rate it 6.7/10 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 RxSpan MD promo or coupon code?

RxSpan MD has no coupon code to enter. New patients are currently quoted $194 for the first month, then $249 a month, and the discount applies on its own. Coupon sites advertising a "RxSpan MD promo code" are not a source we can vouch for.

See how RxSpan MD compares on our rankings of the best semaglutide providers and the best tirzepatide providers.

RxSpan MD logo
3.4 / 5
Our editorial rating
Visit RxSpan MD →

from $249/mo · no insurance needed

RxSpan MD at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$249/mo
What's included
Medication · Consult · Shipping · Coaching
Availability
All 50 states
FDA status
No FDA warning letters found

How RxSpan MD scores

Six columns, each one computed from something RxSpan MD 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

$329/month is 32% above the $250 median for compounded tirzepatide across the sellers we compare.

Effectiveness25%

10.0/10

Dispenses semaglutide and tirzepatide, including the FDA-approved product. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).

User Experience15%

3.0/10

No price appears until the medical intake is finished.

Trust & Safety15%

7.5/10

It names the pharmacy that fills its prescriptions. Its price appears only after the medical intake. It lists the states it serves.

Accessibility10%

10.0/10

Serves 50 of 50 states.

Support10%

8.5/10

The price covers the medication, clinician visits, shipping and coaching.

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 RxSpan MD

Last checked July 2026
  • Checked the listed price across 7 dose or plan tiers
  • Checked state coverage: all 50
  • Checked what the monthly price covers, and what it leaves out
  • Confirmed which compounding pharmacy fills the order, and its accreditation
  • Checked FDA warning letters for RxSpan MD

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 RxSpan MD 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. 1RxSpan MD shows a price only after you finish its medical questionnaire, so you cannot compare costs until you have shared health information.
  2. 2Belmar Pharmacy fills the prescriptions, and RxSpan MD names it publicly, which most sellers do not.
  3. 3The monthly price includes the medication, clinician visits, shipping and coaching.
Price shown only after intake
  • Lowest ongoing monthly price: semaglutide $249, tirzepatide $329. That leaves out membership fees, first-month rates and insurance copays.
  • RxSpan MD serves all 50 states.
  • 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 RxSpan MD

Email
RxSpan MD offers email support

Cancelling RxSpan MD

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

Cancel any time
Yes
Minimum commitment
None
Refund policy
Not published by the seller
Early-termination fee
None

GLP-1 medications RxSpan MD 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.

Peptides RxSpan MD offers

RxSpan MD sells peptides beyond the GLP-1s. Tap one to read what the evidence says about it.

Pricing

Prices re-verified

Semaglutide InjectionCompounded
$249$194/mo
Save 22% right now
semaglutide

Plan ladder: Monthly $249/mo, 3-mo $219/mo, 6-mo $199/mo, 12-mo $194/mo. Card labeled '(For the first month)'; plan picker shows flat recurring rates (Total if prescribed $657 on 3-mo).

Semaglutide CapsulesCompounded
$249$179/mo
Save 28% right now
semaglutide

Plan ladder: Monthly $249/mo, 3-mo $219/mo, 6-mo $199/mo, 12-mo $179/mo.

Tirzepatide InjectionCompounded
$329$269/mo
Save 18% right now
tirzepatide

Plan ladder: Monthly $329/mo, 3-mo $309/mo, 6-mo $289/mo, 12-mo $269/mo (Total if prescribed $927 on 3-mo).

Tirzepatide CapsulesCompounded
$349$269/mo
Save 23% right now
tirzepatide

Plan ladder: Monthly $349/mo, 3-mo $299/mo, 6-mo $289/mo, 12-mo $269/mo (Total if prescribed $897 on 3-mo).

ZepboundBrand-name
$1069/mo
tirzepatide

Monthly plan only ($1,069/mo).

OzempicBrand-name
$1299/mo
semaglutide

Monthly plan only ($1,299/mo).

WegovyBrand-name
$1349/mo
semaglutide

Monthly plan only ($1,349/mo).

Check the price yourself before you pay

Every figure here was read off RxSpan MD'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 RxSpan MD pricing →

RxSpan MD compounding-pharmacy partners

Each partner below is a 503A or 503B pharmacy that RxSpan MD routes prescriptions through. Each entry is anchored to a verbatim primary-source quote from the provider’s or pharmacy’s own site.

Belmar Pharmacy

“1) Belmar Pharmacy | Phone: 800-525-9473 ... 2) Strive Pharmacy ... 3) Epiq Scripts ... 4) Casa Pharma Rx”

Strive Pharmacy

“1) Belmar Pharmacy | Phone: 800-525-9473 ... 2) Strive Pharmacy ... 3) Epiq Scripts ... 4) Casa Pharma Rx”

Epiq Scripts

“1) Belmar Pharmacy | Phone: 800-525-9473 ... 2) Strive Pharmacy ... 3) Epiq Scripts ... 4) Casa Pharma Rx”

Casa Pharma Rx

“1) Belmar Pharmacy | Phone: 800-525-9473 ... 2) Strive Pharmacy ... 3) Epiq Scripts ... 4) Casa Pharma Rx”

Compare every compounding pharmacy we’ve reviewed →

In its favor

  • The monthly price includes the medication, clinician visits, shipping and coaching
  • Serves all 50 states
  • Names 4 pharmacies that fill its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to RxSpan MD

Against it

  • Semaglutide costs $249 a month, 35% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $329 a month, 32% above the $250 median for compounded tirzepatide across the sellers we compare
  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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 RxSpan MD charges

The figure RxSpan MD leads with is $179, and it is a first-month rate. From month two the price is $249/month, which is the number to plan around. There is nothing wrong with an introductory offer; it just is not the price of staying on the medication.

  • Compounded semaglutide: $194 first month, then $249/month
  • Compounded semaglutide: $179 first month, then $249/month
  • Compounded tirzepatide: $269 first month, then $329/month
  • Compounded tirzepatide: $269 first month, then $349/month
  • Brand-name tirzepatide: $1,069/month
  • Brand-name semaglutide: $1,299/month

For compounded tirzepatide, the median across the sellers we compare is $250/month, so RxSpan MD's $329 is a premium, and a premium has to buy something. Discounting the first month does not change the twelve-month total by much.

Wellorithm dispenses semaglutide and tirzepatide from $247/month, which makes it the fair comparison to run before you commit here.

What RxSpan MD dispenses

RxSpan MD 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. The choice is between an FDA-approved pen and a compounded preparation that costs less. Compounding is lawful and often appropriate, but a compounded product is not an approved one, and the price gap is largely that difference.

Safety and disclosure

RxSpan MD tells you 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 RxSpan MD. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. How we weigh oversight, disclosure and price is set out in our scoring methodology.

Who should look elsewhere

  • You care most about the twelve-month total, not the first bill. A flat-rate seller such as Collective will usually win that math.
  • You would be choosing on the advertised figure. The introductory month is real, but it is not what you will pay in month three.
  • You need insurance to cover the cost. Check whether RxSpan MD bills your plan before you start.

It fits if

  • you want a cheap way to find out whether the medication suits you before committing
  • you want coaching bundled in rather than billed on top
  • you need access wherever you live

Our read

RxSpan MD is a cheap way to start and an ordinary way to continue. Use the $179 month for what it is good for, finding out whether the medication works for you, and re-run the numbers against $249/month before you let it renew twice. Direct Meds is the nearest comparison we review, and worth reading alongside this.

The Bottom Line

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

Score: 6.7/10Best for: knowing which pharmacy fills the vial: it names Belmar PharmacyFrom: $194/mo

Before you pay RxSpan MD

Starting at $194 a month. Check today's price, then start the intake.

Alternatives to RxSpan MD

6.5/ 10
Verified partner

Sesame Care

Best for: oral orforglipron alongside the injectables

★★★☆☆3.3/5

Editorial score · methodology

$59/mo
CompoundedSemaglutideTirzepatideOrforglipron
Get StartedRead full Sesame Care review →
8.4/ 10
Verified partner

Collective

Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top

★★★★☆4.2/5

Editorial score · methodology

$59/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full Collective review →
8.6/ 10
Verified partner

Found

Best for: tirzepatide at $169/month, 37% below the typical price

★★★★☆4.3/5

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideOrforglipron
Get StartedRead full Found review →

Compare RxSpan MD head to head

The sellers closest to RxSpan MD on medication and price.

Frequently Asked Questions

RxSpan MD prices compounded semaglutide and tirzepatide from $249/mo, as injections or oral capsules, and also carries brand-name Wegovy, Zepbound and Ozempic. It is unusually transparent for the category: it names its 503A pharmacy partners, Belmar, Strive, Epiq Scripts and Casa Pharma, and its medical group. Shipping is free and unlimited 24/7 support is included. The physician-led practice was founded by Dr. John Diaz, a board-certified plastic surgeon, and is available in all 50 states. We rate it 6.7/10 overall.
The standing rate at RxSpan MD is $249 a month. The $194 figure is a first month, not what you pay from month two. Cost also moves with the medication and the dose, so read the row in the pricing table above that matches yours.
RxSpan MD says it treats patients in all 50 states.
RxSpan MD sells semaglutide (sold as Wegovy and Ozempic) and tirzepatide (sold as Zepbound and Mounjaro). Both are listed in FDA-approved brand form and in a cheaper compounded form.
RxSpan MD lists both. Compounded semaglutide and tirzepatide come out of a licensed compounding pharmacy and cost less. The brand pens are the FDA-approved reference products and cost more. What you give up on each path is set out in the review above.
Check whether RxSpan MD bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
RxSpan MD says the price covers medication, the clinician visit, shipping and coaching. 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. New patients are currently quoted $194 for the first month. RxSpan MD runs that whole sequence on its own site.
We found no FDA warning letters issued to RxSpan MD. Before you buy, weigh these: Semaglutide costs $249 a month, 35% above the $185 median for compounded semaglutide across the sellers we compare. Tirzepatide costs $329 a month, 32% above the $250 median for compounded tirzepatide across the sellers we compare. You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information. None of them rules RxSpan MD out, but each is worth settling before you pay.

Glossary

The words sellers use, defined. Tap any term.

Sources

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

Sources & methodology — as of July 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.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.

See RxSpan MD's current pricing

Plans start at $194 a month. Whether you qualify is a clinician's decision, made after your intake.