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 Rx.com at #54.
Read the Care Bare Rx review →RC
Provider review
Rx.com cost: $285/mo tirzepatide
Names its pharmacy and its prescriber, then contradicts itself on auto-renewal.
It names the dispensing pharmacy with a street address and a phone number, names the clinician network, and cites the federal section its compounding falls under — then tells you on one page that plans never auto-renew and on another that they renew automatically until you cancel.
Verified September 2026
Reviewed by Marcus Webb
Transparency scorecard
3 of 4 disclosed openly
What Rx.com 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 Rx.comPharmacy
503A pharmacy
Labs
Not required and not priced
States
Published state list
On this page
What it actually costs
- Tirzepatide$285/mo
- Semaglutide$175/mo
What this price covers
Medication
Included
Provider visits
Included
Shipping
Not confirmed
Lab work
Not required
Coaching
Not confirmed
The catch — The advertised figure is a six-month commitment charged as one payment. $146 a month means $875 today, for medication at doses a clinician has not prescribed yet, on a product whose sales are final once it ships. The "Lifetime Offer / For life" badge sits on the same rate, which reads as a permanent price and is the condition of a six-month plan.
See plans at Rx.comPrices read from Rx.com's own site · September 2026
What they advertise
"$146/mo" in the page title, in the sticky banner and in every call to action, badged "Exclusive Lifetime Offer" and "For life", with "*on a 6-month plan" beneath it. Tirzepatide is advertised the same way, "From $259/month".
What you actually pay
$175 a month for compounded semaglutide and $285 for compounded tirzepatide, buying one month at a time. Both product tables print all three tiers honestly side by side — for semaglutide, $175 monthly, $495 for three months and $875 for six; for tirzepatide, $285, $795 and $1,550 — so the real rate is never hidden, only out-shouted.
Money you will meet later
- Once a package is handed to the carrier, all sales are final — prescription medication cannot be returned once dispensed.
- Some states require a short video visit before a prescription is written, handled during intake.
The bottom line
Rx Platform LLC sells compounded semaglutide at $175 a month and compounded tirzepatide at $285, with the provider visit, injection supplies and cold shipping in the price and the same rate at every dose. Its disclosure is the best in its class: Manifest Pharmacy is named with an address and a phone number, the clinician network is named, and its Terms cite Section 503A directly rather than gesturing at "licensed pharmacies". Two things to know before you buy. The number it advertises everywhere, $146, is a six-month plan paid in one $875 charge. And its own two pages disagree about whether a plan renews on its own — an eight-word sentence on the homepage contradicts four separate statements on the weight-loss page, and the Terms settle nothing.
Rx.com 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 pharmacy fills it: Manifest Pharmacy, with a street address, a phone number and staffed hours, is named in its Terms.
- You want one price at every dose, with the visit, syringes and cold shipping in it — that is what the monthly figure covers.
- You would rather be refused than upsold: if a provider decides treatment is not appropriate, no prescription is written and the medication charge is refunded in full.
Look elsewhere if
- You are shopping on the advertised price. $146 buys six months at once, in a single $875 charge; one month at a time is $175.
- You need to know whether you will be billed again automatically — its own pages answer that question both ways.
- You live in Alaska, the one state it does not serve.
What Rx.com 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
Rx.com names the pharmacy that fills your prescription.
What its own site says
Named, addressed and categorized, which almost nobody here manages all three of. Its Terms state that weight-loss prescriptions are dispensed by Manifest Pharmacy, at 1018 S. Batesville Road, Greer, South Carolina, with a phone number and staffed hours; that compounded medications are prepared by pharmacies complying with Section 503A of the Federal Food, Drug, and Cosmetic Act; and that clinical care comes from the MD Integrations provider network. It also states plainly that it is a marketplace, does not dispense medication, does not provide medical services, and that payment does not guarantee a prescription.
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
Published state list
Forty-nine, stated as an exclusion rather than a count: it serves every state except Alaska, and says so in the same words on its weight-loss page and in its homepage fine print. Some states require a short video visit, which happens during intake.
The honest cons
The part they would rather you skipped
Rx.com cannot decide whether it is a subscription. Its weight-loss page says plans do not renew automatically four times — under the tirzepatide plan table, under the semaglutide plan table, in the FAQ ("Your plan does not renew automatically. Before each refill your care team checks in with you, and nothing ships or is charged until you confirm"), and again in the page's closing disclaimer. Its homepage, under the same semaglutide plan table, ends the fine print with: "Plans renew automatically at the same price until you cancel." Those cannot both be true, and the document that should settle it does not: the Terms of Use never mention subscriptions, renewal, recurring charges or billing at all. For a buyer the difference is $875 — whether a six-month plan quietly bills again at month seven, or stops. Around that sits the second thing: the $146 the whole site advertises is that six-month plan, badged "Exclusive Lifetime Offer" and "For life", and the money is due up front on a product that cannot be returned once it ships.
- Its homepage and its weight-loss page give opposite answers on automatic renewal, and its Terms are silent on billing entirely — see this review's knock.
- The advertised $146 and $259 figures are both six-month plans charged as a single payment, $875 and $1,550.
- Medication sales are final once the package is handed to the carrier.
- Not available in Alaska.
- Its LegitScript badge links to a keyword search rather than to a seal with an id, so the certification cannot be checked from the page.
- The same company runs a prescription discount-card business alongside the telehealth one, and carries an Amazon affiliate disclosure in the footer of the pages selling both.
None of this is unique to Rx.com — the whole category shares it.
How it compares
The providers we rank on our tirzepatide provider ranking — the most specific board Rx.com 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.
149 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 Rx.com's current pricing before you decide. Ours was read from their own site in September 2026.
Facts on this page reflect Rx.com's own public disclosures when we last checked them, in September 2026. Prices and terms change without notice — confirm on Rx.com'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.
Rx.com
2 compounds from $175/mo