RxSpan MD review
RxSpan MD is a physician-led telehealth practice founded by Dr. John Diaz, a board-certified plastic surgeon, selling compounded semaglutide and tirzepatide as injections or oral capsules from $249 and $329 a month, alongside a genuine brand-name route (Ozempic, Wegovy, Zepbound and Mounjaro) and separate longevity, hair-loss and sexual-health lines — with all four of its compounding pharmacies named in its homepage FAQ and its prices readable before any intake.
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
- Semaglutide
- $249/mo (month-to-month, compounded injection or oral capsule; $219 on 3 months, $199 on 6, $194 on 12)
- Tirzepatide
- $329/mo (month-to-month, compounded injection; $309 on 3 months, $289 on 6, $269 on 12 — oral capsules $349)
- Coverage
- All 50 states
- Price visible
- Before intake
The verdict
RxSpan MD prints its price before the medical intake and holds up under the rest of the same question — what the figure is attached to, who compounds the medicine, and whether the seller stands behind the number it advertises. That puts it at 9 of 31 on this page.
The number beside RxSpan MD's name answers one question — can you find out what this costs before you hand over your medical history? — and it is dominated by that. A program is credited for naming the pharmacies that compound its medicine and for a certification whose seal actually resolves, and docked when the advertised rate needs a commitment, when a second fee sits outside it, when the seller's own terms say the published figure is not what it will charge, and when the FDA has a warning letter on file. What the price turns out to be is not an input at all, which is why a cheaper program can sit below a dearer one here.
Who it is for, and who it is not
A good fit if
You want to compare before you hand anything over
RxSpan MD publishes what it charges before the medical intake, so you can weigh it against anything else on this page without first giving a company your health history.
You want to know who makes the medicine
It names Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx publicly. 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.
You want the openest option rather than the cheapest
It is in the top band of this page on the question we score, which is about what you can find out before you commit rather than about what the medicine costs.
You weigh the operator as well as the price
Its operating record scores 93 out of 100 in the dataset behind this page — reported here, and deliberately kept out of the score beside its name, which is about price transparency and nothing else.
What it actually costs
Both figures below are reproduced exactly as we recorded them, with every condition attached. They are long on purpose: a monthly rate quoted without the term that buys it, the cadence it is billed on, or the dose it applies to is the single most common way a price on a page like this turns out to be untrue.
$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
RxSpan MD pays us a commission if you start care through this link — as does every company with a review here, which is what decides who gets one, so this is not a survey of the market. See our disclosure, and weigh the trade-offs above against the evidence rather than taking our word for it. RxSpan MD sells a prescription medicine, not a probiotic; this site's ranked shelf is the metabolic probiotic ranking, and a supplement is a different decision from a drug.
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 on this page, including the ones that score highest, and it is the most important sentence on it.
The honest read
What it does well
- Prints a seven-product price menu and the full plan ladder on its weight-loss page before any quiz answer, name, email or health history — the rule this site admits providers under
- Publishes a real brand-name route beside the compounded line — Ozempic, Wegovy, Zepbound and Mounjaro — so the FDA-approved option is genuinely on the menu rather than implied
- Names the physician behind the practice, Dr. John Diaz, a board-certified plastic surgeon, rather than an anonymous "medical team"
- One of the few paths here carrying real FDA-approved brand-name GLP-1 — Ozempic, Wegovy, Zepbound and Mounjaro — beside the compounded line, so the choice is actually available
- A one-month plan genuinely exists at $249, so nothing forces a prepay to reach a usable price, and the terms allow canceling or changing plans at any time
- Consult, medication, supplies, shipping and 24/7 unlimited support are all inside the plan price — no membership fee and no separate visit fee
- LegitScript-certified (#50405601) and available in all 50 states
What to check first
- Every product card labels its price "(For the first month)" and does not say what month two costs — the recurring rate only appears if you open the plan picker
- The cheaper figures are all prepaid terms, not discounts you keep: $194/mo semaglutide is twelve months paid up front, and the month-to-month rate is $249
- At $249 semaglutide and $329 tirzepatide the compounded line sits mid-to-high against the cheapest telehealth options, and the brand-name route is steep — Wegovy $1,349, Ozempic $1,299, Zepbound $1,069
- Its cheapest GLP-1 SKUs — Semaglutide ODT at $179 and Tirzepatide ODT at $199 — exist in the site's public product API but appear on no reader-facing page we could reach, so they are not filed here as prices you can buy
- The four pharmacies it names are real but not an independent disclosure: Belmar, Strive, Epiq Scripts and Casa Pharma Rx are the same four published by Care Bare Rx, Synergy Rx, Breeze Meds and Sunlight off one shared CareValidate backend, so it is one bench rather than four separate attestations — and the names live in a collapsed homepage FAQ while the Terms, read alone, say only "licensed pharmacies"
- None of the four is classified — no compounding-facility class is stated for any of them, on any page or in the data its FAQ loads from — so you know who may fill the prescription but not to what standard
- Belmar, one of the four pharmacies it names, received an FDA warning letter addressed to Belmar Pharma Solutions, Drug Depot, LLC., dba APS Pharmacy in March 2023, and the FDA closed it out in October 2023, so there is no open letter against the pharmacy; RxSpan MD itself has no FDA warning letter, and we screened the live index for the company and for its Care360 platform vendor
- A multi-vertical practice (hair loss, sexual health, longevity and TRT alongside weight loss), not a weight-loss-only clinic
- The legal entity behind the practice is not published anywhere on the site
- Compounded semaglutide and tirzepatide are not FDA-approved and are not Ozempic, Wegovy or Zepbound — the brand-name products are sold separately and priced accordingly
- Compounded medications are not FDA-approved finished products
How it compares
RxSpan MD sits at 9 of 31 on this page. Every prescription GLP-1 program this site links out to 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 prints a figure before the intake rather than after it, it is also a ranked row on our GLP-1 telehealth ranking, our compounded semaglutide ranking and our compounded tirzepatide ranking. Each is this same question narrowed to the programs that answer it, with every figure printed as we recorded it and its conditions attached rather than trimmed to fit a column.
- YourEra review
From $179/mo (all doses, compounded)
- Pallas Health review
$199/mo average (compounded weekly injection; no monthly option — $597 billed every 12 weeks, after $139 for the first 4 weeks)Show the full pricing note
- CoreAge Rx review
From $99/mo (compounded, prescribed by US-licensed clinicians; its own hero banner says "from $199/mo" for the same two drugs and nothing on the page reconciles the two)Show the full pricing note
- Care Bare Rx review
$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)
- Synergy Rx review
$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
Checked on RxSpan MD's own site on . 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.