Head-to-head dispatch
ElixaMD vs RxSpan MD
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 weight-loss membership at $99 for the first month and $199/month thereafter — a price published only on its glp1.elixamd.com lander, never on elixamd.com, whose header promises "clear pricing" beside no figure at all.
$199/mo after a $99 first month (published only on the glp1.elixamd.com lander; elixamd.com itself shows no price, compounded) sema · Verified August 29, 2026
Marked down on: ⛔ No price appears anywhere on elixamd.com — not on the home page, not on any policy page — while the running header cycles the words 'CLEAR PRICING'. The only figures on the property are one subdomain over, at glp1.elixamd.com
Desk Score
A physician-founded desk with one of the widest menus in the ranking — compounded and brand-name GLP-1 across injectable and oral routes, microdosing, plus longevity, hair, and sexual-health lines — with transparent, all-inclusive pricing across all 50 states.
From $194/mo sema · $329/mo tirz
Marked down on: Compounded semaglutide and tirzepatide are not FDA-approved — not the same as Wegovy/Ozempic or Zepbound
RxSpan MD takes this head-to-head with the higher Desk Score, 86/100 (B) against 70/100 (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
70/100
C
RxSpan MD
86/100
B
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | ElixaMD | RxSpan MD |
|---|---|---|
| Semaglutide | $199/mo after a $99 first month (published only on the glp1.elixamd.com lander; elixamd.com itself shows no price, compounded) | From $194/mo |
| Tirzepatide | Not listed on ElixaMD's site (checked August 29, 2026) | $329/mo |
| Coverage | Not listed on ElixaMD's site (checked August 29, 2026) | All 50 states |
| Brand-name | Yes | Yes |
| Oral option | Yes | Yes |
| Best for | People who want dietitian visits and 24/7 coaching bundled in and are comfortable paying before a clinician reads their file — budget for $199/month, not the $99 banner. | Patients who want a broad, physician-led menu across GLP-1 routes and adjacent longevity care, with transparent all-inclusive pricing and nationwide reach. |
| Desk Score | 70/100C | 86/100B |
The verdict
Desk pick — RxSpan MDRxSpan MD takes this head-to-head with the higher Desk Score, 86/100 (B) against 70/100 (C) for ElixaMD. ElixaMD still holds its ground where its strengths line up with yours.
Choose ElixaMD if…
People who want dietitian visits and 24/7 coaching bundled in and are comfortable paying before a clinician reads their file — budget for $199/month, not the $99 banner.
$199/mo after a $99 first month (published only on the glp1.elixamd.com lander; elixamd.com itself shows no price, compounded) sema
Choose RxSpan MD if…
Patients who want a broad, physician-led menu across GLP-1 routes and adjacent longevity care, with transparent all-inclusive pricing and nationwide reach.
From $194/mo sema · $329/mo 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 · RxSpan MD.
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 RxSpan MD
- ElixaMD vs Vaylen
- RxSpan MD vs Vaylen
- ElixaMD vs Semaglutide Online
- RxSpan MD vs Semaglutide Online
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.