TotalRx Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.2/10
Best for: buyers who want a named pharmacy and clinician network and will check the plan terms before paying
TotalRx falls below our bar on disclosure. Read the breakdown below before you give it money.
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
Not stated
Prices checked October 2026
TotalRx is a Houston-based brand of Coravita Health, LLC that sells compounded semaglutide and tirzepatide injections through OpenLoop clinicians and four named pharmacies. Its cards read from $129 a month for semaglutide and $174 for tirzepatide, with the price locked while the plan stays active. Plan length and the real charge appear only after a long medical intake and your contact details.
Is TotalRx legit?
Yes. TotalRx is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 6.2/10 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 TotalRx promo or coupon code?
We know of no promo or coupon code for TotalRx. Its listed price is $129 a month. Coupon sites advertising "TotalRx discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how TotalRx compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to TotalRx
CoreAge Rx
Best for: flat-priced compounded semaglutide at $79 a month, any dose
Editorial score · methodology
Editorial score · methodology
Editorial score · methodology
TotalRx at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $129/mo
- What's included
- Medication · Consult · Shipping
- Availability
- All 50 states + DC
- FDA status
- No FDA warning letters found
How TotalRx scores
Six columns, each one computed from something TotalRx 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%
3.0/10The 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%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
3.0/10No price appears until the medical intake is finished.
Trust & Safety15%
5.0/10No pharmacy is named for its prescriptions. Its price appears only after the medical intake. It lists the states it serves.
Accessibility10%
10.0/10Serves all 50 states and DC.
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 TotalRx
Last checked October 2026- Checked the listed price across 2 dose or plan tiers
- Checked state coverage: all 50
- Checked what the monthly price covers, and what it leaves out
- Checked FDA warning letters for TotalRx
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 TotalRx 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.
- 1TotalRx shows a price only after you finish its medical questionnaire, so you cannot compare costs until you have shared health information.
- 2Ask TotalRx which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 3The monthly price includes the medication, clinician visits and shipping.
- 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.
- TotalRx serves all 50 states and DC.
Contacting TotalRx
- TotalRx offers email support
- Hours
- Monday to Friday, 8am to 8pm ET
Cancelling TotalRx
Taken from the terms TotalRx publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- Auto-renewing subscription; multi-month plans bill the full term, and canceling within 72 hours of renewal lets that charge go through
- Refund policy
- Full refund if medically disqualified; otherwise none on cancellation, apart from a pro-rata share of unshipped paid months on prepaid plans
Medications TotalRx lists
TotalRx 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.
Pricing
Prices re-verified
The lowest figure the site advertises. The refund policy describes monthly, 3-, 6- and 12-month plans with free months added at the end, so the cheapest figure may belong to a longer plan; the plan screen was not reached.
Product card: from $174 a month, price for life while the plan stays active. Billing cadence and up-front amount are disclosed only at the plan step.
Check the price yourself before you pay
Every figure here was read off TotalRx'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.
In its favor
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states and DC
- We found no FDA warning letters issued to TotalRx
Against it
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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 TotalRx charges
TotalRx lists $129/month.
- Compounded semaglutide: $129/month
- Compounded tirzepatide: $174/month
bmiMD, at about $129/month, is the closest like-for-like alternative we review.
What TotalRx dispenses
TotalRx 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.
Safety and disclosure
TotalRx tells you that it treats patients in all 50 states. We found no FDA warning letters issued to TotalRx. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If TotalRx 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 TotalRx bills your plan before you start.
It fits if
- you need access wherever you live
Our read
TotalRx charges $129/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 catch is disclosure, which is why TotalRx scores low on Trust & Safety: settle the pharmacy and pricing questions above before the price decides for you.
The Bottom Line
TotalRx falls below our bar on disclosure. Read the breakdown below before you give it money.
Before you pay TotalRx
Starting at $129 a month. Check today's price, then start the intake.
Where TotalRx 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 SkinnyRx.
- 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 ShedRx.
Compare TotalRx head to head
The sellers closest to TotalRx on medication and price.
Frequently Asked Questions
How to check TotalRx yourself
- How to Verify an Online GLP-1 Pharmacy: Six Public Checks
- We Read FDA's Register of Compounding Facilities. 42 of 98 Have Never Been Inspected.
- Buying Tirzepatide as a Research Chemical: What "Research Use Only" Really Means
Every seller that ships to your state, side by side: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware 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 TotalRx 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 (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
See TotalRx's current pricing
Plans start at $129 a month. Whether you qualify is a clinician's decision, made after your intake.