Ranked above it
Care Bare Rx
Tells you exactly what you're buying — but $199 is a starting point, not a rate.
#1 on our tirzepatide provider ranking, above Lean Meds at #26.
Read the Care Bare Rx review →LM
Provider review
Lean Meds cost: $109/mo tirzepatide
Four pharmacies named, and a headline price that is a twelve-month rate.
Lean Meds names four compounding pharmacies with addresses and phone numbers and assigns them a 503A category — more disclosure than almost any provider here manages. Its homepage then advertises $49 a month beside the words "first order & every order after", and $49 is the twelve-month tier.
Verified September 2026
Reviewed by Marcus Webb
Transparency scorecard
3 of 4 disclosed openly
What Lean Meds discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Disclosed
Names its compounding pharmacy and states a federal regulatory category (503A/503B), sourced to its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Not disclosed
The advertised price requires a prepay, auto-refill, or other commitment we found and named.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
At a glance
Visit Lean MedsPharmacy
503A pharmacy
Labs
Not published as a requirement, cost or cadence.
States
All 50 states
On this page
What it actually costs
- Tirzepatide$109/mo
- Semaglutide$79/mo
What this price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Not confirmed
The catch — The advertised $49 is the twelve-month semaglutide tier and it is advertised as though it were a rolling rate. The homepage prints "Starting at $49 /mo" directly above "Same price every month, first order & every order after" — a sentence about dose stability that reads as a sentence about term. Paying a month at a time costs $79, which is 61% more, and the tirzepatide equivalent is $109 against the $95 its other landing page leads with.
See plans at Lean MedsPrices read from Lean Meds's own site · September 2026
What they advertise
"Starting at $49 /mo — Same price every month, first order & every order after" on the homepage. The plan pages carry the real ladder: semaglutide at $79, $76, $73 and $49 a month for one, three, six and twelve months, and tirzepatide at $109, $105, $100 and $95.
What you actually pay
$79/mo compounded semaglutide and $109/mo compounded tirzepatide on the one-month plan, flat at every dose — its own words are "Same price, every dose, All doses". Everything else on the ladder buys a three-, six- or twelve-month commitment.
Money you will meet later
- Once the medical intake is submitted the order is treated as in process and becomes non-refundable.
- Canceling requires 48 hours' notice before the processing date; refunds outside medical ineligibility or a billing error are not offered, and a request must come within 28 days of the payment.
The bottom line
Lean Meds is a Boca Raton service that sells a nutritionist as hard as it sells a prescription — "Your meds, your nutritionist" is the homepage headline, and every plan includes a one-to-one care coach. Its pharmacy disclosure is genuinely among the best here: four compounding pharmacies named with street addresses and phone numbers, and a 503A category stated in the footer of every page. Compounded semaglutide is $79 a month and tirzepatide $109, flat at every dose, with the consultation, medication, supplies, shipping and support inside the figure. What the homepage advertises is $49, and $49 buys a twelve-month commitment.
Lean Meds appears on our tirzepatide provider ranking, our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- You want to know which pharmacies could fill your prescription — it names four, with addresses and phone numbers, and states the 503A category.
- You want a registered nutritionist and a one-to-one coach inside the plan rather than sold as an add-on.
- You want one price at every dose, with the visit, the medication, the supplies and the shipping all inside it.
Look elsewhere if
- You take the homepage figure at face value. $49 requires a twelve-month plan; a month at a time is $79 for semaglutide and $109 for tirzepatide.
- You want to know whether a longer plan is prepaid or billed monthly before you commit — the plan pages say only "Billing cycle Per month" and the Terms defer the answer to checkout.
- You are shopping for sermorelin: it is discussed in the FAQ and has a landing page with a heading and nothing under it, and no price anywhere.
What Lean Meds offers
Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.
Who fills your prescription
503A pharmacy
Lean Meds names the pharmacy that fills your prescription.
- RedRock Pharmacy · 503A pharmacy
- Health Warehouse · 503A pharmacy
- Precision Medicine · 503A pharmacy
- Triad Rx · 503A pharmacy
What its own site says
Named, with addresses, and given a category. Its FAQ names four compounding pharmacies that fill for its members — RedRock Pharmacy in St. George, Utah; Health Warehouse in Florence, Kentucky; Precision Medicine in Bellmore, New York; and Triad Rx in Daphne, Alabama — each with a street address, a phone number and a website, and the footer of every page calls them state-licensed 503A compounding pharmacies. That is more than almost any provider here publishes. Medical services come from OpenLoop Healthcare Partners, PC; no individual clinician is named and no NPI is published.
What's the difference between 503A and 503B?
A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.
Where you can get it
All 50 states
Three answers are published and they disagree about one jurisdiction. Its FAQ says all 50 states; its Terms say all fifty states and the District of Columbia; its refund policy says the 50 United States; and the intake's own state list offers 50 with no District of Columbia among them. No per-state list is published.
The honest cons
The part they would rather you skipped
Lean Meds advertises a price that requires a year's commitment as though it were the price of a month, and it uses a sentence about dose stability to do it. The homepage reads "Starting at $49 /mo" and, immediately beneath, "Same price every month, first order & every order after" — which is true about doses and false about terms. $49 is the twelve-month semaglutide tier. A customer buying a month at a time pays $79, and the tirzepatide equivalent is $109 against the $95 headline on its other landing page. Sitting on the same homepage is a badge reading "No auto rebill", while the Terms authorize automatic charging at recurring intervals until you cancel and the refund policy is written around a monthly subscription. A countdown clock warns that the price increases in five days, with no date behind it, and it has been counting for weeks. Separately, its intake submits to a service operated under the name altRx — a business that holds a June 2026 FDA warning letter over claims made about compounded semaglutide and tirzepatide. Lean Meds' Terms named that operator as recently as August and name OpenLoop Health today; whether the relationship ended or the paperwork changed is not something the site says, and we are not claiming either.
- Its advertised $49 is a twelve-month tier presented as a monthly rate — see this review's knock.
- A "No auto rebill" badge sits on the same page as Terms authorizing automatic recurring charges until you cancel.
- A countdown clock warns of a price increase with no date attached.
- Whether the three-, six- and twelve-month plans are prepaid or billed monthly against a commitment is not stated on any page you can read before signing up.
- Its sermorelin page has a heading and no content, and the FAQ discussing it still shows an unfilled template token where the brand name belongs.
- Its refund policy signs off as both Leanmeds, Inc. and Leanmeds LLC, two lines apart.
- An "Eligible for Insurance" badge sits against an FAQ calling it a self-pay service and Terms barring reimbursement from any payor.
- Two different support phone numbers are published on the same site.
None of this is unique to Lean Meds — the whole category shares it.
How it compares
The providers we rank on our tirzepatide provider ranking — the most specific board Lean Meds sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- Care Bare RxTells you exactly what you're buying — but $199 is a starting point, not a rate.
- SnagRx"Locked-In... for Life" pricing sits beside a countdown claiming otherwise.
- Breeze MedsNames the exact compound in its nav — then hides the price behind a quiz.
- Sprout HealthNames both pharmacies and a real 44-state list — but every price is a starting floor.
- TrimiNames its two pharmacies outright — then headlines a price that needs a year upfront.
- HealthRXStructured, disclosed pricing — but no legal entity is named anywhere on the site.
- SkinnyRxInjectable and oral tirzepatide — but the advertised price is a floor, not what you pay.
- Enhance MDHonest pricing and a real 503A claim — but it isn't in all 50 states, whatever it says.
139 more providers rank on our tirzepatide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.
Ready to get started?
Prices and plans in this category change often — check Lean Meds's current pricing before you decide. Ours was read from their own site in September 2026.
Facts on this page reflect Lean Meds's own public disclosures when we last checked them, in September 2026. Prices and terms change without notice — confirm on Lean Meds's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.
Lean Meds
2 compounds from $79/mo