MedLeanRx review
A Texas-only practice that is unusually careful about the distinction most sellers blur: its Wegovy Pill tier reads "$99/mo + medication cost", saying outright that the fee is the service and the drug is extra. Compounded semaglutide is $149 a month as either a weekly vial or a needle-free daily tablet. Brand-name Wegovy and Zepbound sit alongside, which is rare at this price, though their medication costs are not published.
- 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.
MedLeanRx at a glance
- Semaglutide
- $149/mo for the compounded vial or tablets
- Tirzepatide
- Brand-name Zepbound offered; price not published
- Coverage
- Texas only
- Brand-name
- Yes
How we scored MedLeanRx
Each score comes out of MedLeanRx's published pricing, disclosures and oversight, and the six combine into the 55/100 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
Prices26 on MedLeanRx's own pages. It serves Texas only. Compounded semaglutide is $149 a month as either a weekly vial or a needle-free daily tablet, and brand-name Wegovy and Zepbound are offered alongside — though their medication costs are not published. Its Wegovy Pill tier is listed as "$99/mo + medication cost", which states outright that the fee is for the service and the drug is billed on top; that disclosure appears on the card itself, which is more than several sellers on our list manage. No compounded tirzepatide is offered, no compounding pharmacy is named, and the practice publishes a named physician and a street address in Spring, Texas.
Before you sign up
We opened MedLeanRx'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
Pricing
| Medication | Price | Plan |
|---|---|---|
| Compounded semaglutide | $149 | Weekly vial"Semaglutide Vial $149 /mo", described as the most popular option. |
| Oral semaglutide | $149 | Daily tablets"Needle-Free Daily Oral Semaglutide — Semaglutide Tablets $149 /mo." Same price as the injection. |
| Brand semaglutide | $99 | Wegovy Pill — service fee only"Wegovy® Pill $99 /mo + medication cost." The $99 is the service fee; the medication is billed on top and its price is not published. |
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 MedLeanRx's public disclosures at last review and change often; confirm the current number on MedLeanRx's own site.
What we like
- Says plainly that the Wegovy tier is "$99/mo + medication cost" rather than implying the fee covers the drug
- Offers FDA-approved Wegovy and Zepbound alongside the compounded options
- A needle-free daily oral semaglutide at the same $149 as the weekly injection
- Names its physician and publishes a street address in Spring, Texas
- "No Hidden Fees · Free Shipping · Cancel Anytime", with insurance discussed rather than dismissed
The caveats
- Texas only — the narrowest coverage on this page
- The brand-name medication costs are not published, so the total for Wegovy or Zepbound is unknown up front
- Tirzepatide appears only as brand-name Zepbound; no compounded tirzepatide price is given
- The $99 tier is a service fee, and a reader skimming the grid could read it as the cheapest medication
- No compounding pharmacy is named
- Prices are "starting at", so dose may move them
Is MedLeanRx worth it?
Expect to pay around $149/month with MedLeanRx, cheaper than most of the providers we've reviewed. Where it earns its score is price transparency. Where it loses ground is fit around family life.
It offers brand-name pens as well as compounded medication, so you can choose between the two on one account.
What MedLeanRx actually costs
- Compounded semaglutide — Weekly vial: $149/mo
- Oral semaglutide — Daily tablets: $149/mo
- Brand-name semaglutide — Wegovy Pill — service fee only: $99/mo
The typical price among the providers we've reviewed is about $196/month, so MedLeanRx saves you real money over a year. A full year at the regular rate comes to roughly $1,788.
The price covers the clinician consult and the medication.
The medications MedLeanRx prescribes
MedLeanRx prescribes semaglutide and tirzepatide. Tirzepatide often suits women whose weight is tied to insulin resistance — common after PCOS or gestational diabetes — so having both options on one account is useful. 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.
There's also an oral or under-the-tongue option for mothers who'd rather skip injections. Keep expectations modest: these forms have far less research behind them than the weekly shot.
Signing up with MedLeanRx
It doesn't treat patients everywhere (Texas only), so check your state first. You can see the price before you share any health history, so comparing it takes minutes, not an evening.
Alternatives to MedLeanRx
If you're weighing MedLeanRx, these are priced nearby:
- Center for Medical Weight Loss — $149/mo, semaglutide and tirzepatide, same price at every dose
- OrderlyMeds — $149/mo, semaglutide and tirzepatide, same price at every dose, brand-name pens available
- Peter MD — $149/mo, semaglutide and tirzepatide, same price at every dose
Who MedLeanRx suits, and who should look elsewhere
Worth it if…
- You want a clinician who actually reads your history, not a quiz that approves everyone.
- You're watching the family budget and need a price you can plan around.
- 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.
Give it a miss if…
- You live outside its service area (Texas only).
- You're breastfeeding or trying to conceive and want a prescriber to weigh in on timing — see CoreAge Rx, a featured partner.
Trust, safety, and oversight
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.
Weight-loss treatment is not recommended during pregnancy. If you are breastfeeding or planning pregnancy, discuss the exact medicine, formulation and timing with your own clinician; limited milk-transfer data do not establish infant safety.
Should you sign up?
MedLeanRx is one of the more affordable options we've reviewed, which makes it worth a place on your shortlist. For a second option, see our review of CoreAge Rx, a featured partner.
The bottom line for mothers
Best for: A Texas family that wants a compounded option and a brand-name route from the same practice.
Alternatives to MedLeanRx
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 Luvo Health
Luvo Health publishes a standing price for every program before asking you for anything, and sells almost everything: semaglutide as an injection at $209 or tablets at $259, tirzepatide at $249, a low-dose microdosing tier at $179, and real FDA-approved Ozempic and Zepbound at $1,299 and $1,399 for anyone who wants the on-label product — all per four weeks, with the first four weeks half price on the main programs. Its LegitScript certification is real — the seal ID returns a live image where an invented one errors — and it commits to not charging you if a clinician decides you aren't eligible. Two things hold it back. It never names the pharmacy that compounds any of this, which is a step behind the providers that do.
- Visit ShedRx
The highest-paying program on our list advertises a prepaid rate as if it were the price, promises a flat dose price its own help center contradicts, and bills every 28 days whether or not the medicine arrives. The blog on nursing is better than the company behind it.
Providers like MedLeanRx
Keep comparing MedLeanRx
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
MedLeanRx, answered
- How much does MedLeanRx cost?
- When we last checked, the lowest eligible ongoing compounded price at MedLeanRx worked out to an estimated $149 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 MedLeanRx safe to use while breastfeeding?
- Discuss breastfeeding with your prescriber before starting treatment through MedLeanRx. 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 MedLeanRx offer both semaglutide and tirzepatide?
- MedLeanRx discloses semaglutide; tirzepatide access is not confirmed in our current records. Confirm the exact product and current availability before choosing a plan.
- Where does MedLeanRx rank for mothers?
- MedLeanRx takes 55/100 in our Editors' Rating, placing it #173. 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 MedLeanRx'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.