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Head-to-head dispatch

Lean Rx vs Tell Her Doc

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.

Dispatch #297
Lean Rx

Lean Rx is a Sacramento-based telehealth technology platform offering compounded GLP-1 weight loss medications.

Marked down on: Compounded-only; no FDA-approved branded options

vs
Dispatch #135Desk pick
Tell Her Doc

Tell Her Doc is a women-focused, self-pay telehealth program for compounded GLP-1 weight loss — compounded semaglutide and tirzepatide in injection, oral, and orally-dissolving-tablet forms, plus microdoses.

Marked down on: 'All sales are final' — no refunds once medication has left the pharmacy

Tell Her Doc takes this head-to-head with the higher Desk Score, 71/100 (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

Overall

Tell Her Doc

71/100

C

Price transparency

78
66

State access

24
86

Molecule range

77
64

Onboarding speed

56
75

Support responsiveness

66
69

Licensing & trust

68
65

The spec sheet

FieldLean RxTell Her Doc
Semaglutide$266/mo (starting dose, compounded)$269/mo (microdose tier, plus a separate fee, compounded)
Tirzepatide$399/mo (starting dose, compounded)Not disclosed
CoverageCoverage not publishedAll 50 states
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forPatients wanting compounded GLP-1 in injectable, sublingual, or tablet form.Readers who want women-focused compounded semaglutide or tirzepatide in injection, oral or ODT form with a named pharmacy.
Desk Score61/100C71/100C

The verdict

Desk pick — Tell Her Doc

Tell Her Doc takes this head-to-head with the higher Desk Score, 71/100 (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.

$266/mo (starting dose, compounded) sema · $399/mo (starting dose, compounded) tirz · Coverage not published

Choose Tell Her Doc if…

Readers who want women-focused compounded semaglutide or tirzepatide in injection, oral or ODT form with a named pharmacy.

$269/mo (microdose tier, plus a separate fee, compounded) sema · Not disclosed 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: Lean Rx · Tell Her Doc.

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: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

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.