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Rank #22 for first-timers · Grade C

Rx.com review

Semaglutide $175/mo with no commitment; the advertised $146 is $875 prepaid for six months. Nothing renews on its own.

$175/mo
Flat price · any dose
Consult Medication Shipping Coaching
Meet Rx.com
  • HSA / FSA eligible
  • Independently scored
  • No insurance needed
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Written by Camila Rael, editora mom, not a clinician treating youReviewed

Our medical guides link to published research and official medication information. Provider reviews compare published costs and terms. These source checks do not replace clinical review or advice from your healthcare professional.

Other providers to compare with Rx.com

Providers to compare, with referral partners listed first. Placement and score are separate; some links earn MamaGLP a commission.

  • Compounded semaglutide and tirzepatide with advertised flat prices; clarify the offer and renewal rules before paying.

    Meet CoreAge Rx
  • Semaglutide $175/mo and tirzepatide $235/mo; no dose surcharge within your plan. Annual savings require prepayment and strict refund limits.

    Meet Trimi Health
  • Coaching and compounded or brand options in 50 states; confirm the total, minimum term and membership fee before paying.

    Meet ShedRx

Rx.com at a glance

Semaglutide
$175/mo
Tirzepatide
$285/mo
Coverage
49 states — all but Alaska, per its own FAQ
Brand-name
Compounded only

How we scored Rx.com

Each factor is judged from Rx.com's actual pricing, disclosures and support, then combined into the Mama-Match Score of 78/100 using the same weighted six-factor framework we apply to every provider — never influenced by whether a provider pays us.

Getting started78/100 · Fair

Considers the intake steps, payment timing and information available before enrollment.

Price transparency74/100 · Fair

Considers the full treatment cost, introductory offers and billing commitments.

Clinical support72/100 · Weak

Considers the described clinical team, appointment access and ways to contact a prescriber.

State availability82/100 · Solid

Considers published state coverage and treatment-specific eligibility limits.

Ongoing support78/100 · Fair

Considers follow-up appointments, refill reviews and access to ongoing clinical support.

Cancellation terms85/100 · Very good

Considers cancellation deadlines, refund limits and prepaid commitments.

How we verified this review

Last reviewed
September 2026
Confidence
High
Primary sources

Company website

$175 and $285 month to month, the same price at any dose, with the visit, syringes and cold shipping inside. The advertised $146 is the six-month plan: $875 in one go. Nothing renews on its own. And it is 49 states, not 50 — Alaska is out.

Another option to compare

Visit Found Health

We may earn a commission if you sign up through this link.

Pricing

Prices re-verified

  • Compounded semaglutide

    $175

    Plan

    Any dose, month to month

    The one-month plan, no commitment: $175 in a single payment. It is the figure you can pay month to month without putting anything up front.

  • Compounded semaglutide

    $165

    Plan

    Any dose, 3-month plan

    $495 in one go. Not a monthly price: a prepayment for three months.

  • Compounded semaglutide

    $146

    Plan

    Any dose, 6-month plan

    ⛔ THIS IS THE ADVERTISED $146. It is $875 in one payment for six months, not $146 a month. The homepage calls it an “Exclusive Lifetime Offer” without saying on the same line that you prepay the half-year.

  • Compounded tirzepatide

    $285

    Plan

    Any dose, month to month

    The one-month plan: $285 in a single payment.

  • Compounded tirzepatide

    $265

    Plan

    Any dose, 3-month plan

    $795 in one go.

  • Compounded tirzepatide

    $259

    Plan

    Any dose, 6-month plan

    $1,550 in one go. The $259 that shows up in comparisons comes from here.

HSA/FSA is usually accepted for GLP-1 telehealth — check your plan. Prices reflect what Rx.com disclosed publicly at our last review and change often; confirm the current number on Rx.com's site.

What we like

  • The entire price table is published before any intake
  • The same price at any dose, with the milligram range published
  • Nothing renews on its own: they ask you before every refill
  • The visit, the syringes, the cold shipping and the messaging are inside the price
  • It says which state is excluded instead of promising all fifty

The caveats

  • The advertised $146 is the six-month plan, $875 in one payment
  • The homepage badge promises all 50 states and its own FAQ says 49
  • Alaska is excluded, and some states require a video visit
  • Medication cannot be returned once shipped
  • Nothing about postpartum, or how long to wait after giving birth

Rx.com for moms: our verdict

Semaglutide $175/mo with no commitment; the advertised $146 is $875 prepaid for six months. Nothing renews on its own. It runs about $175/mo, flat across every dose.

We looked at Rx.com the way moms actually have to: not just the monthly cost, but the right timing around pregnancy and nursing and honest, clear pricing from the start — the parts a generic weight-loss review skips.

What Rx.com actually costs

  • Compounded semaglutide — Any dose, month to month: $175/mo
  • Compounded semaglutide — Any dose, 3-month plan: $165/mo
  • Compounded semaglutide — Any dose, 6-month plan: $146/mo
  • Compounded tirzepatide — Any dose, month to month: $285/mo
  • Compounded tirzepatide — Any dose, 3-month plan: $265/mo
  • Compounded tirzepatide — Any dose, 6-month plan: $259/mo

That's roughly in line with our list's median of ~$179/mo.

Rx.com prices flat across doses, so it doesn't climb as your dose does — which matters, because most women spend months titrating up.

That price covers the consult, the medication, shipping and coaching.

The medications Rx.com prescribes

Rx.com lists semaglutide and tirzepatide. Offering both gives a prescribing clinician options, but PCOS or a history of gestational diabetes alone does not establish which medication is right for you. Compounded GLP-1s are not FDA-approved finished products. Confirm the exact formulation and dispensing pharmacy; an approved brand’s trial results do not establish the quality or equivalence of a compounded product.

Where it operates. Rx.com lists its coverage as: 49 states — all but Alaska, per its own FAQ.

Where Rx.com fits — and where it doesn't — for moms

A good fit if…

  • the monthly cost is a real barrier and you want a low, predictable number.
  • you want to discuss both semaglutide and tirzepatide with your prescribing clinician.

Look elsewhere if…

  • you specifically want an FDA-approved brand-name pen with its own pregnancy and breastfeeding label.
  • you need to discuss the right timing around pregnancy and nursing with your treating clinician before choosing. If comparing prices with CoreAge Rx, request the offer and terms separately from that clinical decision.

Trust, safety and oversight

Before choosing Rx.com, confirm the dispensing pharmacy and the clinician responsible for your prescription. Public information alone does not establish the quality of care you will receive. As with any compounded GLP-1, the most useful thing moms can do is confirm which licensed pharmacy fills the prescription and what's in the formula — we explain how we score oversight in our scoring methodology.

Pregnancy and breastfeeding need separate discussions with your clinician. GLP-1 weight-loss treatment is not recommended during pregnancy. During breastfeeding, the exact drug and formulation matter: Wegovy tablets are not recommended because of the SNAC absorption ingredient. Injectable semaglutide and tirzepatide labels call for weighing benefits, risks and the limits of infant-safety data; they do not establish that treatment is safe for every nursing parent. Compounded products do not inherit FDA approval from the branded drug. Discuss your own medication and timing before starting or changing treatment.

The bottom line

Rx.com is a reasonable option — weigh it on the right timing around pregnancy and nursing and honest, clear pricing from the start against the alternatives below. For moms comparing another compounded offer, CoreAge Rx describes prices and terms to confirm for the selected dose and plan.

The bottom line

Best for: A mom who wants the full price table before she gives out a single detail, and who cares more about never being auto-charged than about the lowest figure.

Keep comparing Rx.com

Rx.com, answered

Is it really $146 a month?
Only if you prepay half a year. The $146 is the six-month plan, billed as $875 in a single payment. If you want to pay month to month, semaglutide is $175 and you can stop whenever you like. The advertised figure is real, but it is an $875 decision, not a monthly one.
Will I get charged automatically every month?
No, and it is one of the few that says so this plainly. Its own page states that the plan does not renew automatically and that nothing ships or is charged until you confirm with the care team before each refill. Canceling costs nothing. The only thing with no way back is medication already shipped.
Does the price go up when my dose does?
No. It is the same price from 0.25 to 2.4 mg on semaglutide and from 2.5 to 15 mg on tirzepatide, and they say so outright. That matters most at the start, because the dose almost always climbs over the first months and elsewhere the bill climbs with it.
Is this okay if I'm pregnant or nursing?
No. Its own safety information excludes pregnancy, breastfeeding and anyone trying to conceive, and the same is true of every GLP-1 we cover. If you are in any of those three situations, this is not the conversation: the conversation is with your OB or your pediatrician first.

Prices, states and verification reflect what Rx.com disclosed publicly at our last review; the Mama-Match Score is our editorial judgment under the published methodology. This is background information, not medical advice. Pregnancy and breastfeeding guidance depends on the drug and formulation. Read the current Wegovy label and Zepbound label. See our medical disclaimer and how we're funded.

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