Head-to-head comparison
Lean Meds vs NextMeds
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 Meds publishes its whole price ladder in the open — both molecules, every plan length — and names the four pharmacies that dispense it, which most sellers in this category never do.
$79/mo sema · $109/mo tirz · Verified September 2026
Marked down on: The advertised $49 is the twelve-month tier rather than the month-to-month rate of $79, and tirzepatide runs the same gap between $95 and $109.
Desk Score
NextMeds is a cash-pay telehealth membership that now publishes a full four-term ladder for both molecules, bundling the medication, telehealth visits, a 1:1 care coach and a registered nutritionist into one flat monthly price.
$79/mo sema · $109/mo tirz · Verified August 2026
Marked down on: The page title, the banner and the closing panel all shout $49/mo and $95/mo — both are the 12-month rungs, and the month-to-month rates ($79 and $109) appear only on the card
Lean Meds takes this head-to-head with the higher Desk Score, 83/100 (B) against 71/100 (C) for NextMeds. NextMeds 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 Meds
83/100
B
NextMeds
71/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Lean Meds | NextMeds |
|---|---|---|
| Semaglutide | $79/mo$79/mo | $79/mo$79/mo month-to-month ($76/mo on the 3-month plan, $73/mo on the 6-month plan, $49/mo on the 12-month plan; compounded) |
| Tirzepatide | $109/mo$109/mo | $109/mo$109/mo month-to-month ($105/mo on the 3-month plan, $100/mo on the 6-month plan, $95/mo on the 12-month plan; compounded) |
| Coverage | All 50 states | All 50 states |
| Brand-name | Compounded only | Compounded only |
| Oral option | Injectable only | Injectable only |
| Best for | Anyone who wants to see the full price and the dispensing pharmacy before starting a questionnaire. | First-time patients who want an all-inclusive monthly price with coaching built in and no commitment — the $79 and $109 monthly rungs, not the advertised annual figures. |
| Desk Score | 83/100B | 71/100C |
The verdict
Desk pick — Lean MedsLean Meds takes this head-to-head with the higher Desk Score, 83/100 (B) against 71/100 (C) for NextMeds. NextMeds still holds its ground where its strengths line up with yours.
Choose Lean Meds if…
Anyone who wants to see the full price and the dispensing pharmacy before starting a questionnaire.
$79/mo sema · $109/mo tirz · All 50 states
Choose NextMeds if…
First-time patients who want an all-inclusive monthly price with coaching built in and no commitment — the $79 and $109 monthly rungs, not the advertised annual figures.
$79/mo sema · $109/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 write about a provider reads the same either way. Read full breakdowns: Lean Meds · NextMeds.
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 Meds
- CoreAge Rx vs NextMeds
- Lean Meds vs yourEra
- NextMeds vs yourEra
- Lean Meds vs Sunlight
- NextMeds vs Sunlight
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.