Head-to-head comparison
Lean Rx vs Nolu
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
Lean Rx is a Sacramento-based telehealth technology platform offering compounded GLP-1 weight loss medications.
From $266/mo (lowest dose rung) sema · From $399/mo (lowest dose rung) tirz · Verified July 2026
Marked down on: Compounded-only; no FDA-approved branded options
Desk Score
An all-in, LegitScript-verified GLP-1 line billed every 4 weeks rather than by the calendar month, with no named prescriber or pharmacy behind the price.
$249/mo (billed every 4 weeks) sema · $339/mo (billed every 4 weeks) tirz · Verified August 2026
Marked down on: Billed "per 4 weeks," not per calendar month — the real annualized cost runs roughly 8% above the $249/$339 headline
Nolu takes this head-to-head with the higher Desk Score, 78/100 (C+) against 61/100 (C) for Lean Rx. Lean Rx 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.
Lean Rx
61/100
C
Nolu
78/100
C+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Lean Rx | Nolu |
|---|---|---|
| Semaglutide | From $266/molowest dose rung$266/mo (starting dose, compounded) | $249/mobilled every 4 weeks$249/mo injectable · $279/mo oral (billed per 4 weeks) |
| Tirzepatide | From $399/molowest dose rung$399/mo (starting dose, compounded) | $339/mobilled every 4 weeks$339/mo injectable (billed per 4 weeks) |
| Coverage | Not listed on Lean Rx's site (checked July 2026) | All 50 states + DC |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | Patients wanting compounded GLP-1 in injectable, sublingual, or tablet form. | Patients who want one bundled per-order price and will budget for 13 billing cycles a year rather than 12. |
| Desk Score | 61/100C | 78/100C+ |
The verdict
Desk pick — NoluNolu takes this head-to-head with the higher Desk Score, 78/100 (C+) against 61/100 (C) for Lean Rx. Lean Rx still holds its ground where its strengths line up with yours.
Choose Lean Rx if…
Patients wanting compounded GLP-1 in injectable, sublingual, or tablet form.
From $266/mo (lowest dose rung) sema · From $399/mo (lowest dose rung) tirz
Choose Nolu if…
Patients who want one bundled per-order price and will budget for 13 billing cycles a year rather than 12.
$249/mo (billed every 4 weeks) sema · $339/mo (billed every 4 weeks) tirz · All 50 states + DC
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: Lean Rx · Nolu.
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
- CoreAge Rx vs Lean Rx
- CoreAge Rx vs Nolu
- Lean Rx vs MadeMed
- Fitish vs Nolu
- Lean Rx vs VirtualCare2Go
- Nolu vs REMEVi
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.