Head-to-head dispatch
ElixaMD vs HealthRX
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
ElixaMD is a doctor-guided online weight-loss telehealth offering compounded semaglutide injections from $179 the first month, with free shipping, no membership, no contract, and no insurance required.
$179/mo (starting dose, first-month rate, compounded) sema · Verified June 26, 2026
Marked down on: $179 is a first-month/intro price — ongoing monthly cost is higher (tiers to ~$249-$299)
Desk Score
A LegitScript-certified compounding platform whose pricing page prints every plan's total, per-month rate and renewal price — and whose renewals are cheaper than sign-up.
$190/mo month-to-month ($149 first month on Subscribe & Save, renews at $165) · $99/mo on a 12-month prepay ($1,188) sema · $239/mo month-to-month ($193 first month on Subscribe & Save, renews at $214) · $179/mo on a 12-month prepay ($2,148) tirz · Verified August 29, 2026
Marked down on: Compounded medications are not FDA-approved
HealthRX takes this head-to-head with the higher Desk Score, 86/100 (B) against 63/100 (C) for ElixaMD. ElixaMD 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.
ElixaMD
63/100
C
HealthRX
86/100
B
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | ElixaMD | HealthRX |
|---|---|---|
| Semaglutide | $179/mo (starting dose, first-month rate, compounded) | $190/mo month-to-month ($149 first month on Subscribe & Save, renews at $165) · $99/mo on a 12-month prepay ($1,188) |
| Tirzepatide | Not listed on ElixaMD's site (checked June 26, 2026) | $239/mo month-to-month ($193 first month on Subscribe & Save, renews at $214) · $179/mo on a 12-month prepay ($2,148) |
| Coverage | Not listed on ElixaMD's site (checked June 26, 2026) | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | Shoppers wanting low-cost compounded semaglutide with free dietician and coaching included. | Patients who want a certified program with every plan price and renewal in one table, and a full refund if a provider does not approve them. |
| Desk Score | 63/100C | 86/100B |
The verdict
Desk pick — HealthRXHealthRX takes this head-to-head with the higher Desk Score, 86/100 (B) against 63/100 (C) for ElixaMD. ElixaMD still holds its ground where its strengths line up with yours.
Choose ElixaMD if…
Shoppers wanting low-cost compounded semaglutide with free dietician and coaching included.
$179/mo (starting dose, first-month rate, compounded) sema
Choose HealthRX if…
Patients who want a certified program with every plan price and renewal in one table, and a full refund if a provider does not approve them.
$190/mo month-to-month ($149 first month on Subscribe & Save, renews at $165) · $99/mo on a 12-month prepay ($1,188) sema · $239/mo month-to-month ($193 first month on Subscribe & Save, renews at $214) · $179/mo on a 12-month prepay ($2,148) tirz · All 50 states
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: ElixaMD · HealthRX.
Also here
CoreAge Rx tops every dispatch at 94/100
Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: one price at every dose, both molecules, all 50 states — but the $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
More head-to-heads
- CoreAge Rx vs ElixaMD
- CoreAge Rx vs HealthRX
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- HealthRX vs Trimi
- Elara Health and Wellness vs ElixaMD
- Elara Health and Wellness vs HealthRX
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.