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Head-to-head dispatch

Lean Rx vs Vaylen

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 #290
Lean Rx

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

vs
Dispatch #2Desk pick
Vaylen

The strongest all-rounder among the newer entrants — low pricing, brand access, oral routes, and all 50 states on one account.

Vaylen takes this head-to-head with the higher Desk Score, 91/100 (A−) 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

Vaylen

91/100

A−

Price transparency

78
88

State access

24
96

Molecule range

77
96

Onboarding speed

56
86

Support responsiveness

66
84

Licensing & trust

68
90

The spec sheet

FieldLean RxVaylen
Semaglutide$266/mo (starting dose, compounded)$179/mo
Tirzepatide$399/mo (starting dose, compounded)$239/mo
CoverageCoverage not publishedAll 50 states
Brand-nameCompounded onlyYes
Oral optionYesYes
Best forPatients wanting compounded GLP-1 in injectable, sublingual, or tablet form.People who want maximum optionality — brand or compounded, oral or injectable — without giving up nationwide reach.
Desk Score61/100C91/100A−

The verdict

Desk pick — Vaylen

Vaylen takes this head-to-head with the higher Desk Score, 91/100 (A−) 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 Vaylen if…

People who want maximum optionality — brand or compounded, oral or injectable — without giving up nationwide reach.

$179/mo sema · $239/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: Lean Rx · Vaylen.

Also on the board

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 board.

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.