Read September 2026Lean Rx review
Four-week fills, 24-week lock
Every plan bills in four-week fills, and the lower-priced recurring card holds a buyer for 24 weeks.
What Lean Rx charges, and what it bills
One row per molecule and delivery route. Where the two figures differ, the struck number is what Lean Rx leads with and the figure under it is what a buyer cannot get below. Both are published by the seller; neither is a walked checkout.
| Product | Per month | 6 months | As the dose rises |
|---|---|---|---|
| Semaglutide, injectionRead September 2026The seller does not state what happens as the dose rises. | $3,150 | The seller does not state what happens as the dose rises. | |
| Tirzepatide, injectionRead September 2026The seller does not state what happens as the dose rises. | $4,122 | The seller does not state what happens as the dose rises. |
- Semaglutide, injection: $450 buys four weeks of medication paid in full, and the $35 overnight shipping that card requires brings it to $485 per four weeks; thirteen fills a year is $525.42 a calendar month. Six months comes to $3,150 rather than $2,700, a difference of $450.
- Tirzepatide, injection: $599 buys four weeks paid in full, and the required $35 shipping brings it to $634 per four weeks; thirteen fills a year is $686.83 a calendar month. Six months comes to $4,122 rather than $3,594, a difference of $528.
The 6-month column is the billed monthly figure multiplied by 6. It is arithmetic on published prices, not a forecast of a bill: a real six months also carries dose changes, labs and shipping, and those are covered below where Lean Rx states them.
The bottom line
$525 a calendar month is what semaglutide costs here without a commitment. That is the $450 four-week card plus $35 required shipping. Tirzepatide on the same terms is $687. A cheaper auto-billed card exists, but it cannot be canceled for 24 weeks.
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What the figure does not cover
Fees, terms and cancellation at Lean Rx
- Outside the headline
- The four-week card adds $35 overnight shipping to every fill. A dose above 50 units a week adds a surcharge per extra vial.
- Prepay
- Pay as you go bills every four weeks at a lower figure. It cannot be canceled before 24 weeks, which is six fills. The 12-week and 48-week packs are paid in full up front.
- Shipping
- The four-week card charges $35 overnight shipping. Every other card ships free.
Pricing transparency
How Lean Rx publishes its prices
The four-week card is $450 for semaglutide. It adds $35 overnight shipping, so each fill is $485. Thirteen fills a year makes that $525 a calendar month. Tirzepatide is $599 plus $35, or $687 a calendar month. The pay-as-you-go card costs less per fill and ships free. It carries a 24-week minimum. Longer prepaid packs lower the average per vial further. A dose above 50 units a week adds a charge per extra vial.
At a glance
- Category
- compounded GLP-1 sellers
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection
- From
- $525/mo
- Dose published
- No
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Not named
The seller
What Lean Rx is
LeanRx sells compounded semaglutide and tirzepatide injections online. It offers only compounded medications. Each product page carries four cards: pay as you go, one four-week fill, 12 weeks and 48 weeks.
How it works
A buyer books a short online consultation first. A medical history follows. A licensed provider then holds a telehealth call and prescribes if appropriate. The buyer picks a program length and pays after that call.
Branded or compounded
Both drugs are compounded in state-licensed sterile pharmacies or 503(b) outsourcing facilities, per the FAQ. The seller states they are not FDA-approved. No pharmacy is named. No milligram dose is printed; the dose threshold is given in units.
Where the money holds, and where it moves
Predictable
- Every card printed with its own figure
- A no-commitment four-week option exists
- Free shipping on the longer plans
- Says outright that it compounds
Moves, or is not stated
- Cheapest card locks in for 24 weeks
- No-commitment card adds $35 shipping per fill
- Four-week billing means 13 charges a year
- Higher doses cost extra per vial
Who this is worth it for
A buyer who wants one four-week fill before committing.
Who should price elsewhere
Anyone expecting a monthly charge that can stop at any time.
Priced against
Sellers to price beside Lean Rx
SpryReaders who want a fast decision and can budget for a charge every four weeks
See Spry →
Premium HealthA buyer who wants one monthly charge for the visit, the drug and delivery
See Premium Health →
LibertyA buyer who checks which plan card is already selected before clicking through
See Liberty →
More GLP-1 telehealth sellers priced end to end: TeleClinicTeleHealth MedTeleHealth Weight SolutionsTelePeptideTeleSlim ClinicTeleZen MD
Sponsored alternative
SkinnyRx
Buyers choosing tirzepatide who want its standing rate before an intake
Check SkinnyRx availability →Frequently asked
What does one month of semaglutide cost with no commitment?
Why not rank the cheaper pay-as-you-go card?
Is a higher dose extra?
Is Lean Rx expensive compared with other GLP-1 telehealth sellers providers?
Or go back to the price desk and compare Lean Rx against every seller on it.