Price transparency
What is disclosed before intake, not a clinical rating.
RxSpan MD is a physician-founded telehealth practice that sells compounded semaglutide and tirzepatide as weekly injections or daily capsules, plus brand-name Ozempic, Wegovy and Zepbound. Month-to-month, compounded semaglutide is $249 and compounded tirzepatide injections are $329, with consult, medication, supplies and shipping in that price. Longer prepaid plans bring the monthly figure down, but you pay the whole term up front.
RxSpan MD pays us a commission if you sign up through our links. Partners are listed first on our rankings. Disclosure
RxSpan MD publishes its price before the medical intake — you can see what it costs without handing over your health history first.
On this page
RxSpan MD at a glance
- Price visibility
- Published before intake
- Pharmacy information
- 4 pharmacy partners named
- Where it operates
- All 50 states
The verdict
RxSpan MD shows its price before the medical intake and is clear about what that price covers and what conditions come with it. It ranks 21 of 65 among the programs we review on price transparency.
The score beside RxSpan MD's name rates how much it tells you before the medical intake — the price, the pharmacy and the terms — not how cheap it is.
Considering RxSpan MD?
Confirm the plan, billing terms and availability before you begin.
What do you get with RxSpan MD?
- Compounded semaglutide as a weekly injection or a daily capsule, $249 a month on the monthly plan
- Compounded tirzepatide as a weekly injection ($329 a month) or a capsule ($349 a month)
- Brand-name Ozempic ($1,299), Wegovy ($1,349) and Zepbound ($1,069) for the first month, if you want the FDA-approved product
- The physician consult, medication, syringes and supplies, and free expedited shipping in the plan price
- Unlimited messaging and appointments with the care team, which it says is available around the clock
- Separate longevity, hair-loss and sexual-health lines on the same account (NAD+, sermorelin, minoxidil, tadalafil and others)
How does RxSpan MD work?
Take the intake
A short online medical questionnaire about your health and goals. It takes about five minutes.
Clinician review
A licensed clinician from its medical group reviews your answers. Many people are approved without a call; if more information is needed, a short telehealth visit is scheduled.
Pick a plan and pay
Choose monthly, 3-, 6- or 12-month billing. Each plan is paid in full up front for its term.
Prescription to the pharmacy
Once approved, the prescription goes to one of its four partner pharmacies, which ships to your door.
Refills and check-ins
Your provider handles dose changes, refills and questions through ongoing check-ins.
How much does RxSpan MD cost?
$249/mo (month-to-month, compounded injection or oral capsule; $219 on 3 months, $199 on 6, $194 on 12)
$329/mo (month-to-month, compounded injection; $309 on 3 months, $289 on 6, $269 on 12 — oral capsules $349)
All 50 states
Compounded semaglutide is $249 a month and compounded tirzepatide injections are $329 a month on the monthly plan, with the consult, medication, supplies and shipping included. Prepaying longer lowers the monthly rate.
- Semaglutide injection plans: $249 monthly, $219 a month on 3 months, $199 a month on 6 months, and as low as $175 a month on 12 months ($2,094 paid at once, with its STARTNOW promo code applied).
- Tirzepatide injection: $329 monthly, as low as $243 a month on 12 months ($2,905 paid at once, promo applied). Tirzepatide capsules start at $349 a month.
- Semaglutide capsules are $249 monthly, as low as $162 a month on the 12-month plan with the promo.
- Longer plans auto-renew. The 3-, 6- and 12-month rates are charged as one payment, not monthly. It offers CareCredit financing if you want to spread a prepaid plan out.
- Brand-name prices shown are for the first month: Ozempic $1,299, Wegovy $1,349, Zepbound $1,069.
- Compounded semaglutide and tirzepatide are not FDA-approved finished drugs. They are not the same product as Ozempic, Wegovy or Zepbound.
Considering RxSpan MD?
Confirm the plan, billing terms and availability before you begin.
Who is RxSpan MD best for?
A good fit if
- People who want a real monthly option they can stop after one month
- Anyone who wants to choose between injections and capsules
- Shoppers who want brand-name and compounded options from the same practice
- People who like knowing which pharmacy may fill the prescription
Look elsewhere if
- Budget shoppers. At $249 and $329 a month, the monthly rates sit above many compounded programs
- Anyone who wants the low advertised rate without paying a year up front
- People who want a weight-loss-only clinic rather than a multi-service practice
Considering RxSpan MD?
Confirm the plan, billing terms and availability before you begin.
What are RxSpan MD's pros and cons?
Pros
- Full price ladder for each medication is on the weight-loss page before any intake
- Consult, medication, supplies and shipping are inside the plan price, with no separate membership fee
- Names its four partner pharmacies (Belmar, Strive, Epiq Scripts and Casa Pharma Rx) and its medical group, Lion MD, with two named lead physicians
- Founded and led by a named physician, Dr. John Diaz, a board-certified plastic surgeon
- Serves all 50 states, with no long-term commitment on the monthly plan
Cons
- The "as low as" figures are 12-month plans paid in one lump sum, with a promo code applied, and they auto-renew
- Monthly rates are mid-to-high for compounded GLP-1s
- It names four possible pharmacies but does not say which one fills a given order
- Brand-name drugs are listed at a first-month price only, and they cost four to five times the compounded line
The pharmacy behind the medicine
It names its pharmacy. RxSpan MD discloses Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx as its compounding partners. That matters more here than the price does: a compounded medicine is only as good as the pharmacy that made it, and a company willing to name one is a company you can go and check.
A compounded drug is mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed for safety, effectiveness or quality. That is true of every compounded program, including the highest-scoring ones.
What else do people ask about RxSpan MD?
How much does RxSpan MD cost per month?
On the monthly plan, compounded semaglutide is $249 and compounded tirzepatide injections are $329. Tirzepatide capsules are $349. Prepaid 3-, 6- and 12-month plans cost less per month but are charged up front.
Is there a long-term contract?
No. It says you can cancel or change plans at any time. Longer plans are prepaid for their term and auto-renew, so turn renewal off if you only want one term.
Which pharmacies fill RxSpan MD prescriptions?
Its FAQ lists four partner pharmacies: Belmar Pharmacy, Strive Pharmacy, Epiq Scripts and Casa Pharma Rx. It does not say which one will fill your particular order.
Do I have to talk to a doctor?
Not always. Many members are approved from the questionnaire alone. If the clinician needs more information, a brief telehealth visit is scheduled. Care is provided through the Lion MD medical group.
Does RxSpan MD sell brand-name GLP-1s?
Yes. It lists Ozempic, Wegovy and Zepbound, priced at $1,299, $1,349 and $1,069 for the first month.
Which states does it serve?
It says all 50 states, though some services can vary by state because of provider licensing rules.
Sources for this review
Company information and terms used for this review. These sources describe the service; they do not establish treatment outcomes.
How it compares
RxSpan MD ranks 21 of 65 on our price-transparency score. Every prescription GLP-1 program we review is scored on the same question: can you see the price before you hand over your health history? The full list is on the prescription GLP-1 review index.
Because RxSpan MD shows a price before the intake, it is also ranked on our GLP-1 telehealth ranking, our compounded semaglutide ranking and our compounded tirzepatide ranking.
$179/mo month-to-month (compounded weekly injection — $141.50/mo on the twelve-month bundle, the one rung on this site where a longer term really is cheaper)Show the full pricing note
$99/mo all-inclusive (compounded weekly injection, the same price at every dose, no membership fee)
From $79/mo (compounded weekly injection, the same price at every dose; its homepage banner still reads "from $99/mo")
$199/mo at the 0.25 mg tier (compounded weekly injection; $249 at 0.5 and 1 mg, $299 at 1.5 and 2 mg)
$199/mo month-to-month (compounded weekly injection; the 3-month bundle is $748, or $249/mo — dearer, not cheaper; sublingual tablets $299/mo)Show the full pricing note
Read this before you start
Prices change — confirm on RxSpan MD's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug, and whether one suits you is a decision for a licensed clinician who knows your history. How we choose what appears here, and what we are paid for, is set out in our editorial policy.
Ready to see what RxSpan MD charges you?
Check the current price, and whether RxSpan MD serves your state, before you start the intake.



