DrBrainRx review
Scroll the homepage and compounded semaglutide costs $129 a month. Click through to the product and month-to-month it costs $199 — the $129 is what six months works out to when you pay $774 up front. Neither figure includes the $25 monthly Care Access fee you must hold to buy at all. Underneath that is something rather good: one flat price for every dose, and refills you ask for rather than ones that arrive on a card statement.
- Six-factor Editors' Rating
- Source-based review
This review draws on the provider’s public pricing, terms and disclosures. No one on this desk is your clinician.
DrBrainRx at a glance
- Semaglutide
- $224/mo all-in
- Tirzepatide
- $324/mo all-in
- Coverage
- Prescribes in 21 states: CA, CO, FL, IN, KY, MA, ME, MI, MN, MT, NC, NE, NH, NV, NY, OH, RI, SC, TX, UT, WY
- Brand-name
- Yes
How we scored DrBrainRx
Each score comes out of DrBrainRx's published pricing, disclosures and oversight, and the six combine into the 47/100 Editors' Rating on our weighted six-factor framework. A commission never changes a provider's score.
The headline rate obscures a plan requirement or a hidden step-up.
Cost is unpredictable, premium, or hides behind a plan commitment.
Little here is shaped around a mother's week or her life stage.
Support is thin once the prescription ships.
Oversight and lab support fall short of the best we track — the review below says exactly where.
Leaving costs you — notice windows, minimum terms or fees you don't get back.
How we verified this review
- Primary source
- The company's own site
Verified October 2026. The compounded semaglutide vial is $199 and tirzepatide $299 month to month, both flat across the whole dose range, and buying either requires a $25 monthly Care Access fee the product page names outright — so the working figures are $224 and $324. The $129 and $249 on the homepage are six-month prepaid rates ($774 and $1,494 up front); three months costs $495 or $807. Several other figures on the site look like medication prices and are not: a $99 insurance prior-authorization service, a $99 Medicare Bridge paperwork fee, amounts the site says go directly to Lilly Direct, and four brand-name products sitting in the catalog at $0.00. Two details in the buyer's favor are worth keeping: the price does not rise with the dose, and refills are requested rather than auto-charged. Siavoshi, Inc., the operating entity, has no FDA warning letter on file. It prescribes in 21 states and does not name its compounding pharmacy.
Before you sign up
We opened DrBrainRx's signup and stopped at the first screen that asked for personal details, so we can't tell you what comes after it. Here's what's worth knowing before you start.
These signup observations are from . The flow and offers may have changed; use the current pricing and terms in this review.
Worth knowing
- A monthly price is visible on the public homepage before any intake — you do not have to hand over information to see a number
- Intake is hosted by Aesthetic Record, so the form you fill in is not on DrBrainRx's own site
Pricing
| Medication | Price | Plan |
|---|---|---|
| Compounded semaglutide | $224 | Monthly Flex vial — flat across all doses$199 for the vial plus the $25/month Care Access fee the product page says is required. Flat from 0.25 mg to 2.5 mg weekly, and refills are requested rather than auto-charged. |
| Compounded semaglutide | $154 | 6-month prepaid plan$774 up front, which the product page calls $129/month — the homepage's $129 — plus the $25/month Care Access fee. The 3-month plan is $495 up front ($165/month). |
| Compounded tirzepatide | $324 | Monthly Flex vial — flat across all doses$299 plus the required $25/month Care Access fee. Flat from 2.5 mg to 15 mg weekly. |
| Compounded tirzepatide | $274 | 6-month prepaid plan$1,494 up front, which the product page calls $249/month — the homepage's $249 — plus the $25/month Care Access fee. The 3-month plan is $807 up front ($269/month). |
| Brand tirzepatide | $398 | Zepbound via Lilly Direct — 2.5 mg$99/month membership plus $299 paid directly to Lilly Direct, per the site. Higher doses are listed at $399-$449, so 5-15 mg runs $498-$548 all-in. |
Swipe the table to see plan details →
GLP-1 telehealth is usually HSA- and FSA-eligible, so check your own plan. Everything above comes from DrBrainRx's public disclosures at last review and change often; confirm the current number on DrBrainRx's own site.
What we like
- The price does not move as the dose climbs, which is where most compounded plans quietly get expensive
- Nothing renews on its own: refills are requested, not billed automatically
- The membership requirement appears on the product page, not at checkout
- Its operating entity is named openly in the privacy policy
- Offers a brand-name route and says clearly that the Lilly Direct portion is paid to the manufacturer
The caveats
- The homepage shows $129 and $249 without saying those are six-month prepaid rates; month to month it is $199 and $299
- The $25 monthly Care Access fee is compulsory, so the working figures are $224 and $324
- Prepaid bundles cannot be combined with the $50 new-patient code
- Several $99 charges on the storefront buy paperwork or belong to another company entirely
- The compounding pharmacy is not named
DrBrainRx in short
Expect to pay around $224/month with DrBrainRx, close to the typical price. In our scoring it does best on flexibility to pause or cancel and worst on value for a family budget.
It offers brand-name pens as well as compounded medication, so you can choose between the two on one account.
What DrBrainRx actually costs
- Compounded semaglutide — Monthly Flex vial — flat across all doses: $224/mo
- Compounded semaglutide — 6-month prepaid plan: $154/mo
- Compounded tirzepatide — Monthly Flex vial — flat across all doses: $324/mo
- Compounded tirzepatide — 6-month prepaid plan: $274/mo
- Brand-name tirzepatide — Zepbound via Lilly Direct — 2.5 mg: $398/mo
That's close to the roughly $196/month most providers we've reviewed charge. A full year at the regular rate comes to roughly $2,688. A prepaid plan lowers the monthly equivalent to about $154 — worth it only if you're sure you'll stay.
The price covers the clinician consult, the medication, and shipping.
The medications DrBrainRx prescribes
DrBrainRx prescribes semaglutide and tirzepatide — the two GLP-1 medications with the strongest evidence. If insulin resistance is part of your story (PCOS, a history of gestational diabetes), tirzepatide is often the better fit, and you won't need a new provider to try it. Brand-name pens are available too, and their official labeling on pregnancy and breastfeeding is easier to discuss with an OB than a compounded vial.
Getting started
You can see the price before you share any health history, so comparing it takes minutes, not an evening.
Similar providers
If you're weighing DrBrainRx, these are priced nearby:
- Emerge Weight Loss — $224/4 wks, tirzepatide
- SurpassMD — $219/mo, semaglutide and tirzepatide, same price at every dose
- Direct Meds — $249/mo, semaglutide and tirzepatide
Who DrBrainRx suits, and who should look elsewhere
Worth a look if…
- You'd like the option to move to tirzepatide (or back) without changing providers.
- You want to see the price before you share any health information.
Probably not for you if…
- You're breastfeeding or trying to conceive and want a prescriber to weigh in on timing — see CoreAge Rx, a featured partner.
Can you trust it?
It's fair to ask any compounded provider two things: which pharmacy makes the medication, and what's in it. Our Editors' Rating methodology explains how we score oversight.
For mothers, pregnancy plans and breastfeeding deserve a separate clinical discussion. Weight-loss treatment is not recommended during pregnancy, while breastfeeding advice depends on the medicine and formulation. Ask your clinician to assess your treatment needs and your infant’s circumstances.
Should you sign up?
DrBrainRx is a reasonable choice at a typical price. It's strongest on flexibility to pause or cancel, so that's the reason to pick it. If you're still choosing, compare it with CoreAge Rx, a featured partner.
The bottom line for mothers
Best for: Anyone who titrates slowly and hates surprise charges — provided she checks the cart total before she agrees to anything.
Alternatives to DrBrainRx
These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.
- Visit CoreAge RxCoreAge RxFeatured partner
The one program on our list whose number still makes sense at the top of the dose. A flat, all-in monthly price on both molecules, no teaser rate to expire, and a cancel button you can actually find — the closest thing to a family-budget guarantee we've reviewed.
- Visit Gala Health
One price at every dose: $249 for semaglutide or $299 for tirzepatide month to month, falling to $199 on three months and $129 or $179 on a prepaid year — a reasonable all-doses-included option, if you can live with a pharmacy the marketing never names.
- Visit RxSpan MD
RxSpan MD is a genuinely well-disclosed service wrapped in marketing that undercuts it. The disclosure: four compounding pharmacies named with phone numbers, two lead physicians named with NPI numbers that verify as active MDs, flat pricing posted before any intake, both compounded and real FDA-approved brand GLP-1s on one platform, and oral capsules for anyone who won't inject. Compounded semaglutide is $249 a month and tirzepatide $329, with brand Zepbound at $1,069, Ozempic at $1,299 and Wegovy at $1,349. The marketing is the problem. Its testimonials still name a different company — one patient describes what she 'expected from CareGLP' — and the doctors quoted in them are not the clinicians the same page names as its medical team. The homepage is built around a board-certified plastic surgeon who founded the practice but is licensed in California only and isn't the prescriber. Its compounded prices also sit above the median price on our list, and the oral capsules cost the same or more than the injections.
Providers like DrBrainRx
Keep comparing DrBrainRx
Head-to-head & alternatives
Ranked boards
- The 2026 guide to the best GLP-1 for moms
- Best GLP-1 for women — PCOS & menopause
- Best GLP-1 for first-timers & beginners
- Cheapest GLP-1 without insurance
- Best GLP-1 after baby — postpartum providers ranked
- Best GLP-1 with insurance & coverage help
- Best GLP-1 providers for PCOS
- Best GLP-1 for perimenopause & menopause
- Cheapest tirzepatide online, month to month
- Cheapest semaglutide online, month to month
Related reading for mothers
DrBrainRx, answered
- How much does DrBrainRx cost?
- When we last checked, the lowest eligible ongoing compounded price at DrBrainRx worked out to an estimated $224 per calendar month. This is a monthly budget equivalent; the actual charge and billing interval may differ. Confirm today's all-in invoice amount, renewal dates and dose-specific rate before signing up.
- Is DrBrainRx safe to use while breastfeeding?
- Discuss breastfeeding with your prescriber before starting treatment through DrBrainRx. Advice depends on the exact medicine and formulation, your treatment needs and your infant's circumstances; limited milk data do not establish infant safety. Oral and injectable products can have different labeling, and a compounded preparation needs its own assessment. Tell the clinician if you are pregnant or planning pregnancy so treatment and any stopping interval can be planned individually.
- Does DrBrainRx offer both semaglutide and tirzepatide?
- DrBrainRx discloses both semaglutide and tirzepatide options. Confirm the specific product, formulation, current availability in your state and eligibility with the provider; a listed menu does not mean either medicine is appropriate for you.
- Where does DrBrainRx rank for mothers?
- DrBrainRx takes 47/100 in our Editors' Rating, placing it #253. Six factors chosen for mothers feed that number. CoreAge Rx, a featured partner, is worth a side-by-side look.
Pricing, states and verification reflect DrBrainRx's public disclosures at last review; the Editors' Rating is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.