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RxSpan MD Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.8/10

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

6.8
★★★☆☆3.4/5

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

$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

See plans →

No insurance neededVetted by our editors

Compare top-rated alternatives ↓

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 & fact-checked against primary sources · How we verify contentLast reviewed
GLP-1 from $249/moPrice after intakeIncludes medication + consultAll 50 statesPharmacy namedNo FDA letter on record

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

from $179/mo · no insurance needed

RxSpan MD at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$179/mo (Plan ladder: Monthly $249/mo, 3-mo $219/mo, 6-mo $199/mo, 12-mo $179/mo.)
What's included
Medication · Consult · Shipping · Coaching
Availability
All 50 states
FDA status
No FDA warning letter on record

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 it publishes nothing, that absence is what gets scored. Every seller in the register goes through the same six columns.

Value25%

3.5/10

$329/month is 23% above the register median of $267 for compounded tirzepatide.

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

On the seller's own pages, no price appears until the medical intake is finished.

Trust & Safety15%

7.5/10

names its dispensing pharmacy; withholds price until after the intake; publishes its state list. Our verification confidence is high.

Accessibility10%

10.0/10

Publishes coverage in 50 of 50 states.

Support10%

8.5/10

The price covers medication, consult, shipping, coaching.

6weighted dimensions
560sellers in the register
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

A seller that will not show a price before an intake loses points on Value and carries that note in its review. Withholding the number is itself a finding. How we score →

What we checked on RxSpan MD

Last checked July 2026
  • Re-read the price on file across 7 dose or plan tiers
  • Checked state coverage: all 50
  • Established what the monthly figure covers, and what it leaves out
  • Confirmed which compounding pharmacy fills the order, and its accreditation
  • Searched our FDA enforcement register for this operator

Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below. Editorial confidence in this data: high.

What signing up with RxSpan MD involves

Assembled from this seller’s entry in the register — the price record, the state list, the dispensing pharmacy where one is named, and what the monthly figure covers. It describes what a reader can expect to meet on the way to a prescription, and what is missing from the seller’s own disclosures. It is not a clinical judgment and not a prescribing decision.

  1. 1RxSpan MD does not show a price until you have worked through its medical questionnaire. Budget for the fact that you cannot compare it against anything until you have handed over health information.
  2. 2The intake is a written questionnaire. No live video visit or baseline bloodwork is recorded as required.
  3. 3A prescription is dispensed by Belmar Pharmacy, which RxSpan MD names publicly. Most sellers in this register do not.
  4. 4The monthly price is recorded as covering medication, consult, shipping, coaching.
Price shown only after intake
  • Cheapest standing monthly prices on record: semaglutide $249, tirzepatide $329. Membership fees, first-month rates and insured copays are excluded from those figures.
  • Coverage is published for 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.

RxSpan MD support, as documented

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

Source: www.rxspanmd.com · Verified 2026-07-14

Strive Pharmacy

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

Source: www.rxspanmd.com · Verified 2026-07-14

Epiq Scripts

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

Source: www.rxspanmd.com · Verified 2026-07-14

Casa Pharma Rx

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

Source: www.rxspanmd.com · Verified 2026-07-14

Compare every compounding pharmacy we’ve reviewed →

In its favor

  • Semaglutide at $249 a month, within the normal band around this register's $189 median for the same drug and form
  • The monthly figure covers medication, consult, shipping, coaching
  • Coverage is published for all 50 states
  • Names 4 dispensing pharmacies, which most sellers in this register do not do
  • No FDA warning letter matched this operator when we searched our enforcement register

Against it

  • No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
  • 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. Nothing improper about 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 — $1069/month
  • Brand-name semaglutide — $1299/month

The median standing price across the GLP-1 providers we track is about $169/month, so this is a premium, and a premium has to buy something. Discounting the first month does not change the twelve-month total by much.

Breeze Meds dispenses semaglutide and tirzepatide from $199/month, which makes it the honest comparison to run before committing 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.

What we could verify

On the record: it treats patients in all 50 states, it dispenses through an accredited compounding pharmacy, it names the pharmacy that fills its prescriptions, and coaching is included rather than sold on top. We searched the federal warning-letter record for this operator and came back with nothing. Because the medication is compounded, the named pharmacy is the detail that matters most here — it is the license you can actually look up. How we weigh oversight, disclosure and price evidence is set out in our scoring methodology.

Who should look elsewhere

  • You are optimizing for the twelve-month total rather than the first bill — a flat-rate seller such as CoreAge Rx will usually win that arithmetic.
  • You would be choosing on the advertised figure. The introductory month is real, but it is not what you will be paying in month three.
  • You need to bill insurance. Like most of this market, this is cash-pay.

It fits if

  • you want a cheap way to find out whether the medication suits you before committing
  • you want coaching bundled rather than metered
  • you need access regardless of where 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 — establishing 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 track, 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: 6.8/10Best for: knowing which pharmacy fills the vial — it names Belmar PharmacyFrom: $194/mo

Before you pay RxSpan MD

Starting at $194/month. Check today's price, then book the free consultation.

Frequently Asked Questions

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 August 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)GLP Watchdog.
  2. 2.FDA — Compounding and the 503A Pharmacy FrameworkU.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 StandardsAccreditation 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@FDAU.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDAU.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@FDAU.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDAU.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/month. The free consultation is where you learn whether you qualify, and what it costs today.