Head-to-head comparison
RxSpan MD vs VivioMD
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
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
Desk Score
VivioMD is a 50-state telehealth weight-loss program selling compounded semaglutide and compounded tirzepatide — by weekly injection or in an oral form — alongside a brand-name lane, with no price published before the assessment.
Marked down on: No price appears anywhere before the medical assessment — the homepage promises "Transparent Pricing, No Hidden Fees" without printing a figure
FDAWarning letter issued to VivioMD Group LLC dba VivioMD in June 2026. See the FDA warning-letter database.
RxSpan MD takes this head-to-head with the higher Desk Score, 88/100 (B+) against 64/100 (C) for VivioMD. VivioMD 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.
RxSpan MD
88/100
B+
VivioMD
64/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | RxSpan MD | VivioMD |
|---|---|---|
| Semaglutide | $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 | Not listed on VivioMD's site (checked August 2026) |
| Tirzepatide | $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 | Not listed on VivioMD's site (checked August 2026) |
| Coverage | All 50 states (varies by provider licensure; no state list published) | All 50 states |
| Brand-name | Yes | Yes |
| Oral option | Yes | Yes |
| Best for | Patients who want a broad, physician-led menu across GLP-1 routes and adjacent longevity care, with transparent all-inclusive pricing and nationwide reach. | People who want compounded semaglutide or tirzepatide, injected or oral, with free shipping and a refund if a provider declines them — and who do not mind that the price appears only after the assessment. |
| Desk Score | 88/100B+ | 64/100C |
The verdict
Desk pick — RxSpan MDRxSpan MD takes this head-to-head with the higher Desk Score, 88/100 (B+) against 64/100 (C) for VivioMD. VivioMD still holds its ground where its strengths line up with yours.
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)
Choose VivioMD if…
People who want compounded semaglutide or tirzepatide, injected or oral, with free shipping and a refund if a provider declines them — and who do not mind that the price appears only after the assessment.
All 50 states
FDAWarning letter issued to VivioMD Group LLC dba VivioMD in June 2026. See the FDA warning-letter database.
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: RxSpan MD · VivioMD.
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.