Head-to-head dispatch
HealthRX vs Royal Medical Center
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
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
Desk Score
Royal Medical Center is a physician-led nationwide telehealth practice centered on hormone therapy that also offers a compounded tirzepatide weight-loss program (no semaglutide).
$450/mo (2.5 mg dose, compounded) tirz · Verified June 6, 2026
Marked down on: Operating legal entity not disclosed — only the 'Royal Medical Center' brand surfaced
HealthRX takes this head-to-head with the higher Desk Score, 86/100 (B) against 51/100 (C) for Royal Medical Center. Royal Medical Center 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.
HealthRX
86/100
B
Royal Medical Center
51/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | HealthRX | Royal Medical Center |
|---|---|---|
| Semaglutide | $190/mo month-to-month ($149 first month on Subscribe & Save, renews at $165) · $99/mo on a 12-month prepay ($1,188) | Not listed on Royal Medical Center's site (checked June 6, 2026) |
| Tirzepatide | $239/mo month-to-month ($193 first month on Subscribe & Save, renews at $214) · $179/mo on a 12-month prepay ($2,148) | $450/mo (2.5 mg dose, compounded) |
| Coverage | All 50 states | Not listed on Royal Medical Center's site (checked June 6, 2026) |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | 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. | Credentialed MD founder with itemized dose-strength pricing. |
| Desk Score | 86/100B | 51/100C |
The verdict
Desk pick — HealthRXHealthRX takes this head-to-head with the higher Desk Score, 86/100 (B) against 51/100 (C) for Royal Medical Center. Royal Medical Center still holds its ground where its strengths line up with yours.
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
Choose Royal Medical Center if…
Credentialed MD founder with itemized dose-strength pricing.
$450/mo (2.5 mg dose, compounded) tirz
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: HealthRX · Royal Medical Center.
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 HealthRX
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- Elara Health and Wellness vs HealthRX
- Invigor Medical vs Royal Medical Center
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.