Head-to-head comparison
Aspen vs SexyMD
Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.
Desk Score
Aspen (Aspen Health Systems LLC) is a LegitScript-certified telehealth clinic offering compounded semaglutide and tirzepatide as physician-chosen weekly injections, with flat pricing at every dose.
$279/mo (3-month prepay) sema · $399/mo tirz · Verified July 2026
Marked down on: Compounded semaglutide and tirzepatide only — no brand-name Wegovy, Zepbound or Ozempic — and compounded GLP-1s aren't FDA-reviewed or approved
Desk Score
SexyMD publishes every plan length before intake and names the professional entities behind its prescriptions, but the $199 in each headline is a 48-week commitment rate.
From $269/mo sema · From $369/mo tirz · Verified September 2026
Marked down on: Every headline quotes $199 and $299, which are the 48-week rates, not the four-week ones.
Aspen takes this head-to-head with the higher Desk Score, 78/100 (C+) against 74/100 (C) for SexyMD. SexyMD still holds its ground where its strengths line up with yours.
Desk Score, dimension by dimension
Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.
Aspen
78/100
C+
SexyMD
74/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Aspen | SexyMD |
|---|---|---|
| Semaglutide | $279/mo3-month prepay$279/mo (3-month plan, compounded) | From $269/moFrom $269/mo (28-day cycle, compounded) |
| Tirzepatide | $399/mo$399/mo (compounded) | From $369/moFrom $369/mo (28-day cycle, compounded) |
| Coverage | All 50 states | 47 states (not Arkansas, Mississippi or New Jersey) |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | LegitScript-certified compounded semaglutide/tirzepatide with a named accredited pharmacy and flat dosing. | Anyone who will check the plan length behind a headline before comparing it with anything else. |
| Desk Score | 78/100C+ | 74/100C |
The verdict
Desk pick — AspenAspen takes this head-to-head with the higher Desk Score, 78/100 (C+) against 74/100 (C) for SexyMD. SexyMD still holds its ground where its strengths line up with yours.
Choose Aspen if…
LegitScript-certified compounded semaglutide/tirzepatide with a named accredited pharmacy and flat dosing.
$279/mo (3-month prepay) sema · $399/mo tirz · All 50 states
Choose SexyMD if…
Anyone who will check the plan length behind a headline before comparing it with anything else.
From $269/mo sema · From $369/mo tirz · 47 states (not Arkansas, Mississippi or New Jersey)
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Aspen · SexyMD.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- Aspen vs CoreAge Rx
- CoreAge Rx vs SexyMD
- Aspen vs Peak Wellness
- Peak Wellness vs SexyMD
- Aspen vs Tryozi
- SexyMD vs Tryozi
Or see the full comparison hub and the complete ranking.
Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.