Compounded semaglutide
Lean Rx review
Compounded semaglutide from Lean Rx costs $299 a vial on the recurring plan, and a new vial is charged and shipped every 28 days. Averaged over a calendar month, you pay close to $325. Before any of that, a provider meets you on video. Once you subscribe, the first 24 weeks are a firm commitment.
Is it right for you?
Worth a look if
- You want a real conversation with a prescriber before choosing a plan, not just a form.
- You already expect to use semaglutide for six months or longer.
- You'd like free overnight shipping without prepaying for months up front.
Skip it if
- You want to try one month and walk away if it doesn't suit you.
- You're looking for a monthly figure that already covers doses above 50 units a week.
- You'd want a refund on a vial you decide not to use, since Lean Rx treats all sales as final.
What's included
Pay As You Go sends one vial of semaglutide every four weeks for $299, with free shipping and the syringes and alcohol wipes you need. The medicine is compounded with vitamin B-12 and glycine. Lean Rx adds these to every vial, citing energy, blood sugar support and muscle retention.
A one-off 4-week purchase is also sold, at a higher price plus a shipping charge. Prepaid 12-week and 48-week packages cut the average cost per vial. Lean Rx's FAQ says its medicine is made in sterile compounding pharmacies licensed by state boards, or in FDA-registered 503B outsourcing facilities.
From sign-up to refills
- Schedule a consultation from Lean Rx's site. It costs one dollar and usually takes around 15 minutes.
- Complete the short medical history form you receive by email once the call is booked.
- Talk with the provider over video. If semaglutide makes sense for you, choose your plan and pay after the call.
- Expect the first vial within 7 to 10 days, since the prescription needs about a week to process before it ships overnight.
- From then on, each new vial ships on its own and your card is charged every 28 days.
What's good, what isn't
What's good
- Lean Rx's semaglutide plan includes free overnight shipping in a cold pack with every vial.
- You speak with a board-certified Lean Rx provider by video before paying, and that consultation is priced at one dollar.
- Lean Rx accepts HSA and FSA cards, so pre-tax health money can cover the $299 charge.
What isn't
- Canceling Pay As You Go is only possible after an initial 24-week run of six vials.
- Lean Rx's shipping and returns policy makes every medication sale final, with no refunds.
- Needing more than 50 units a week means buying an extra vial every four weeks at additional cost.
Read these terms first
- Six vials before you can stop
- Lean Rx's payments FAQ describes the recurring plan as a 24-week commitment. Plan for six charges of $299 at minimum.
- Your likely dose
- The recurring price assumes up to 50 units a week. Ask on your video call whether your dose is likely to go higher.
- What's mixed in
- Every vial contains vitamin B-12 and glycine alongside the semaglutide. Mention any concern about either to the provider.
Price
Lean Rx costs $325 a month for compounded semaglutide. It advertises $299. The card is charged $299 every 4 weeks. That is the starting dose; it rises to $488 at the top of its range.
How we got $325
The arithmeticOne month = 30.4375 days
Lean Rx advertises
Read on Lean Rx's own site
$299.00
The card is charged $299.00 — exactly what it advertises
+ $0.00
And it is charged every 4 weeks, not every month
13.04 charges a year, not twelve.
+ $26.03
A real month$325.03
A real month costs $26.03 more than the figure advertised.
The price above is the starting dose, and it rises as your dose does. At the top of the range this seller publishes, a month costs $488.
Where it sits, and what costs less
$54median $199$325+
359 cheaper · 95%10 dearer · 3%
The most expensive 10 sellers charge between $325 and $540 a month.
- Fidelity Medical Clinicstarting dose$54
- Collective$76
- NextMeds$79
- Lean Meds$79
- RxPepsDirectstarting dose$80
- Lean Rx$325
Another 354 sellers are cheaper than Lean Rx. The whole cheapest list →
What else this seller sells
The same seller appears in our data for one other medication.
- tirzepatide — $488 a month
Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.
Common questions about Lean Rx
- Is Lean Rx legit for semaglutide?
- Lean Rx runs a telehealth weight-loss program in which a board-certified provider sees you on video before prescribing. Its semaglutide is compounded by licensed compounding pharmacies or 503B facilities. That means it isn't Wegovy or Ozempic and has no FDA approval, and Lean Rx says so in its own FAQ.
- How much does Lean Rx semaglutide cost?
- $299 per vial on Pay As You Go, with a vial every four weeks. That averages about $325 per calendar month, shipping included. Tirzepatide from Lean Rx averages $488 a month.
- Does Lean Rx accept insurance?
- Lean Rx doesn't bill insurance. You can pay with an HSA or FSA card or a major credit card.
- How do I cancel Lean Rx?
- Contact Lean Rx once you've passed the 24-week minimum on Pay As You Go. Its terms say the subscription renews automatically until it receives your cancellation. Vials already sent are not refundable.