Our assessment
Rx.com sells compounded semaglutide and tirzepatide at one price for every dose, and it names the pharmacy that fills them. The visit, supplies and shipping sit inside that price, with no membership fee on top. The problem is consistency. Its own pages disagree about whether a plan renews, whether the medication ships cold, and how the program is priced. Settle the renewal question before you pay.
One price, whatever the dose
Each product page offers a one-month, three-month and six-month plan. Longer plans cost less per month, and each plan is charged as a single payment.
The price does not move with the dose. Semaglutide runs from its starting dose to its highest on the same plan price, and tirzepatide does the same.
That matters more than it sounds. On a plan priced by strength, the first month is the cheapest one. Here the month you start on costs the same as the month you reach your top dose.
Two answers on renewal
The homepage says plans renew automatically at the same price until you cancel. The product pages and the program FAQ say the opposite: no automatic renewals.
The FAQ adds that your care team checks in before each refill, and nothing ships or is charged until you confirm. It also says you can pause or cancel from your account at any time, with no fees.
Both statements are live on the site today. Ask which one applies to your plan, and keep the answer in writing.
A second price list for the same program
The main weight-loss page links to a separate program page for its full FAQ. That page prices the program differently.
It shows an unnamed compounded GLP-1 and a dual-action option, each with a cheaper first month and a higher monthly rate after it. It describes a four-week supply rather than plan lengths, and it never names the molecule.
The coupon page for Zepbound adds a third reading. Its promotional box puts the semaglutide starting figure beside compounded tirzepatide.
The prices shown with this review come from the semaglutide and tirzepatide product pages. Those are the pages that name the drug they price.
The pharmacy and the prescribers are named
Rx.com names Manifest Pharmacy in Greer, South Carolina, as the pharmacy that dispenses its medications. The footer gives its street address, the FAQ adds a phone number, and the terms tie it to the weight-loss program.
The provider network is MD Integrations. For patients in California, Massachusetts, Rhode Island and Vermont, the FAQ names the two physicians who will be assigned, with a license number for each state. Elsewhere, no individual prescriber is named.
Rx.com calls itself a marketplace platform. Its terms say it does not practice medicine or dispense medication, and that independent providers make every clinical decision.
Shipping, refunds and three addresses
The product pages promise cold-packed, discreet delivery with no shipping charge. The refund policy says orders typically ship within two to four business days of approval and arrive in three to seven.
That same policy says the company does not currently ship refrigerated products. It sits badly beside the cold-pack promise, and the site does not reconcile the two.
Medication cannot be returned once your card is charged and the package is with the carrier. If a provider decides not to treat you, you get a full refund. Lost packages are reshipped.
The terms give a San Antonio address, the FAQ an Orlando one, and the refund policy the pharmacy's address in South Carolina. The terms apply Georgia law and send disputes to arbitration in San Diego.
Where it operates, and a page that sends you elsewhere
Rx.com serves every state except Alaska, and its FAQ lists them by name. Some states require a short video visit during intake.
The program is for adults with a BMI of 30 or more, or 27 or more with a weight-related condition. A provider makes the final call.
The same site also runs a GLP-1 comparison page that ranks a different company's program first. That page discloses that some of its links pay Rx.com a commission. It is worth knowing which kind of page you are on.
Rx.com's published pricing
Prices re-verified September 2026
| Medication | Price |
|---|---|
| MedicationSemaglutide (compounded) — weekly injection, 0.25 mg to 2.4 mg, one price at every dose; 1-month plan | Price$175/mothe 1-month plan, charged as one payment; the 3-month plan is $165 a month ($495 in one payment) and the 6-month plan $146 a month ($875 in one payment). Every plan covers the provider visit, the medication at any prescribed dose, supplies and shipping. The product page says plans do not renew automatically; the homepage says they renew at the same price until you cancel |
| MedicationTirzepatide (compounded) — weekly injection, 2.5 mg to 15 mg, one price at every dose; 1-month plan | Price$285/mothe 1-month plan, charged as one payment; the 3-month plan is $265 a month ($795 in one payment) and the 6-month plan $259 a month ($1,550 in one payment). Every plan covers the provider visit, the medication at any prescribed dose, supplies and shipping. The product page says plans do not renew automatically; the homepage says they renew at the same price until you cancel |
Compare GLP may earn a commission when a reader signs up with a provider through a link on this site. 28 of the 420 providers reviewed here are paid partners today; the other 392 are not. See how this works.
See Rx.com's current price →Who Rx.com suits
Good fit if
- Readers who want the same price at every dose, so a dose increase never raises the bill.
- Buyers who want the dispensing pharmacy named before they order.
- People who prefer one all-in price with no membership fee added.
- Shoppers comparing compounded semaglutide and tirzepatide on one site, each priced by plan length.
Look elsewhere if
- Anyone who needs clear renewal terms before paying. The site states them two ways.
- Readers in Alaska, where the program is not offered.
- Buyers who want brand-name Wegovy or Zepbound. The program sells compounded versions only.
- Anyone who wants to know which physician will prescribe, outside the four states where one is named.
What stands out about Rx.com
Strengths
- Charges the same price at every dose, so a step up the dose ladder does not raise the bill, and says so on each product page
- Names the dispensing pharmacy, Manifest Pharmacy in Greer, South Carolina, with a street address and phone number, in its footer, FAQ and terms
- Names its provider network, MD Integrations, and two physicians with state license numbers for patients in California, Massachusetts, Rhode Island and Vermont
- Prints every plan length for both drugs with the per-month rate and the one-payment total side by side
- States in so many words that there is no membership fee and no separate medication bill
- Lists its service area by name: every state except Alaska
- No FDA warning letter identified for this company in our September 2026 search
Trade-offs
- Contradicts itself on renewal: the homepage says plans renew automatically until you cancel, while the product pages and FAQ say nothing renews automatically
- A second program page, linked from the main weight-loss page, prices an unnamed compounded GLP-1 and a dual-action option with a cheaper first month and a higher rate after it, a structure the product pages do not use
- Its refund policy says it does not ship refrigerated products, while every product page promises cold-packed delivery
- The promotional box on its Zepbound coupon page puts the semaglutide starting figure beside compounded tirzepatide
- Gives three different business addresses across its terms, FAQ and refund policy, and its terms apply Georgia law with arbitration in California
- Also runs a GLP-1 comparison page that ranks a different company first and discloses affiliate links
- Medication is final once charged and handed to the carrier; the only refund stated is for a provider decision not to treat
- Compounded semaglutide and tirzepatide are not FDA-approved; no brand-name product is sold through the program
How this review was verified
- The semaglutide and tirzepatide product pages each price a one-month, three-month and six-month plan, with one price across the dose range.
- The homepage says plans renew automatically; the product pages and the program FAQ say they do not.
- A separate program page, linked from the main weight-loss page, prices an unnamed compounded GLP-1 with a cheaper first month.
- The footer, FAQ and terms name Manifest Pharmacy as the dispensing pharmacy and MD Integrations as the provider network.
- The FAQ lists every state served by name and names two physicians for four of them.
- The refund policy states the return, refund and shipping terms, including that the company does not currently ship refrigerated products.
- No FDA warning letter under Rx Platform LLC or the Rx.com name. Untitled letters are published separately and were not searched.
Where Rx.com ranks
Rx.com qualifies for 3 of the 6 boards on this site. A board only ranks the providers that meet its own condition, so a missing board means Rx.com does not publish what that board sorts on.
- Semaglutide — #53 of 334
- Tirzepatide — #52 of 319
- Cheapest Overall — #56 of 396
Compare Rx.com directly
Compare GLP may earn a commission when a reader signs up with a provider through a link on this site. 28 of the 420 providers reviewed here are paid partners today; the other 392 are not. See how this works.
| Provider | Score | From/mo | Full review | Action |
|---|---|---|---|---|
| Belle Health | 10.0/10 | From/mo$109Advertised monthly equivalent for a twelve-month supply; not a verified monthly installment. Six-month rate $119, two-month rate $135, one-month rate $199. Confirm the upfront payment and refill schedule. | Full reviewRead the Belle Health review | Visit |
| Midi Health | 10.0/10 | From/mo$164for a 4-week supply, the lowest of four published dose tiers, including shipping | Full reviewRead the Midi Health review | Visit |
| altRx | 8.6/10 | From/mo$89/moadvertised monthly starting price for a multi-dose vial; confirm plan length and checkout total | Full reviewRead the altRx review | Visit |
Frequently asked questions
Does the price go up as my dose increases?
No. Each product page says the plan price is the same at every dose. Only the plan length changes the price.
Is there a membership fee?
No. The weight-loss page says there is no membership fee and no separate medication bill. The plan price covers the visit, the medication, supplies and shipping.
Will my plan renew automatically?
The site gives two answers. The homepage says plans renew at the same price until you cancel. The product pages and the FAQ say there are no automatic renewals. Confirm before you pay.
Which pharmacy fills the prescription?
Manifest Pharmacy in Greer, South Carolina. The footer, the FAQ and the terms all name it.
Who writes the prescription?
A provider from the MD Integrations network. In California, Massachusetts, Rhode Island and Vermont, the FAQ names the two assigned physicians. Elsewhere, no individual is named.
Can I get a refund?
Only if a provider decides not to treat you, in which case you get a full refund. Medication is final once your card is charged and the package ships.
Does it serve my state?
Every state except Alaska. The FAQ lists all 49 by name.
Does Rx.com have an FDA warning letter?
No. Both the company name, Rx Platform LLC, and the Rx.com name were checked against the FDA's public database and returned nothing. Untitled letters are published separately and were not searched.
Ready to compare directly?
Rx.com scores 7.1/10 on this site's rubric. Review the published prices and their conditions above, then confirm your total with the provider. Visiting its site does not commit you to treatment.
Compare GLP may earn a commission when a reader signs up with a provider through a link on this site. 28 of the 420 providers reviewed here are paid partners today; the other 392 are not. See how this works.
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