Head-to-head comparison
Midi Health vs RxSpan MD
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
Midi Health is a nationwide 50-state menopause and perimenopause telehealth platform whose weight-management lane prices a compounded GLP-1 and GLP-1/GIP menu dose by dose, by injection or sublingually, without ever naming the molecule.
Marked down on: Never names the molecule: the entire compounded menu is sold as "GLP-1" and "Dual-Action GLP-1/GIP", so you cannot tell what you are being prescribed before the visit
Desk Score
A physician-founded desk with one of the widest menus in the ranking — compounded and brand-name GLP-1 across injectable and oral routes, microdosing, plus longevity, hair, and sexual-health lines — with transparent, all-inclusive pricing across all 50 states.
$249/mo sema · $329/mo tirz · Verified August 2026
Marked down on: You pay before a clinician reads your intake, and RxSpan MD publishes no refund policy — the word "refund" appears nowhere on the site, and the terms of service say only that you agree to pay all fees. The cheapest advertised rate is a single upfront payment of $2,094 for a year of semaglutide, and the plan card says it auto-renews
RxSpan MD takes this head-to-head with the higher Desk Score, 88/100 (B+) against 72/100 (C) for Midi Health. Midi Health 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.
Midi Health
72/100
C
RxSpan MD
88/100
B+
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Midi Health | RxSpan MD |
|---|---|---|
| Semaglutide | Not listed on Midi Health's site (checked August 2026) | $249/mo$249/mo month-to-month (compounded injection; $219/mo on a 3-month plan, $199/mo on 6 months, $175/mo on the 12-month plan billed as one payment of $2,094 up front with the sitewide STARTNOW code); oral capsules $249/mo on the same ladder, as low as $162/mo billed $1,933 up front |
| Tirzepatide | Not listed on Midi Health's site (checked August 2026) | $329/mo$329/mo month-to-month (compounded injection; $243/mo on the 12-month plan billed as one payment of $2,905 up front with the STARTNOW code); oral capsules $349/mo |
| Coverage | All 50 states | All 50 states (varies by provider licensure; no state list published) |
| Brand-name | Yes | Yes |
| Oral option | Yes | Yes |
| Best for | Readers in perimenopause or menopause who want weight care from a women's-health clinician, with visits billed to commercial insurance and compounded medication from $164 per 4-week supply. | Patients who want a broad, physician-led menu across GLP-1 routes and adjacent longevity care, with transparent all-inclusive pricing and nationwide reach. |
| Desk Score | 72/100C | 88/100B+ |
The verdict
Desk pick — RxSpan MDRxSpan MD takes this head-to-head with the higher Desk Score, 88/100 (B+) against 72/100 (C) for Midi Health. Midi Health still holds its ground where its strengths line up with yours.
Choose Midi Health if…
Readers in perimenopause or menopause who want weight care from a women's-health clinician, with visits billed to commercial insurance and compounded medication from $164 per 4-week supply.
All 50 states
Choose RxSpan MD if…
Patients who want a broad, physician-led menu across GLP-1 routes and adjacent longevity care, with transparent all-inclusive pricing and nationwide reach.
$249/mo sema · $329/mo tirz · All 50 states (varies by provider licensure; no state list published)
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: Midi Health · RxSpan MD.
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.
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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.