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Head-to-head dispatch

NiceRx vs StackMD

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 #79Desk pick
NiceRx

NiceRx offers compounded semaglutide at $199/month and compounded tirzepatide at $299/month, each with a discounted first month, and prints the standing rate beside the promotional one on every card.

$199/mo month-to-month (compounded); $99 for the first month sema · $299/mo month-to-month (compounded); $199 for the first month tirz · Verified August 29, 2026

Marked down on: New York was dropped from the service area since our last read, with no notice anywhere on the site; also unavailable in Alaska, Mississippi, New Jersey and Kansas

vs
Dispatch #153
StackMD

StackMD is a New York telehealth platform (Medical 360 HC PLLC) selling compounded semaglutide and tirzepatide, both formulated with B12 and glycine, alongside NAD+, sermorelin and other longevity peptides.

$199 on the product page (the home card says $125 and the same page's own block says $99/mo; no billing cycle stated at checkout, compounded) sema · $299 on the product page (the home card says $199; no billing cycle stated at checkout, compounded) tirz · Verified August 29, 2026

Marked down on: ⛔ Four different semaglutide figures across two pages on 2026-08-29 — $125 and $125/month on the home page, $199 and $99/month on the product page — under a header that promises 'Transparent Pricing'

NiceRx takes this head-to-head with the higher Desk Score, 78/100 (C+) against 69/100 (C) for StackMD. StackMD 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.

NiceRx

78/100

C+

Overall

StackMD

69/100

C

Price transparency

78
48

State access

78
86

Molecule range

66
66

Onboarding speed

78
80

Support responsiveness

80
74

Licensing & trust

93
70

The spec sheet

FieldNiceRxStackMD
Semaglutide$199/mo month-to-month (compounded); $99 for the first month$199 on the product page (the home card says $125 and the same page's own block says $99/mo; no billing cycle stated at checkout, compounded)
Tirzepatide$299/mo month-to-month (compounded); $199 for the first month$299 on the product page (the home card says $199; no billing cycle stated at checkout, compounded)
Coverage45 statesAll 50 states
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forPatients seeking batch-tested compounded GLP-1 with transparent entity disclosure.A patient who has already chosen StackMD for another reason and is prepared to discover the real charge at checkout — not for anyone shopping on price.
Desk Score78/100C+69/100C

The verdict

Desk pick — NiceRx

NiceRx takes this head-to-head with the higher Desk Score, 78/100 (C+) against 69/100 (C) for StackMD. StackMD still holds its ground where its strengths line up with yours.

Choose NiceRx if…

Patients seeking batch-tested compounded GLP-1 with transparent entity disclosure.

$199/mo month-to-month (compounded); $99 for the first month sema · $299/mo month-to-month (compounded); $199 for the first month tirz · 45 states

Choose StackMD if…

A patient who has already chosen StackMD for another reason and is prepared to discover the real charge at checkout — not for anyone shopping on price.

$199 on the product page (the home card says $125 and the same page's own block says $99/mo; no billing cycle stated at checkout, compounded) sema · $299 on the product page (the home card says $199; no billing cycle stated at checkout, compounded) 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: NiceRx · StackMD.

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: one price at every dose, both molecules, all 50 states — but the $99 and $149 figures are 12-month plans paid up front, not a monthly bill.

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.