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The short version
- HealthRX sells compounded semaglutide and tirzepatide only, as weekly injections; no brand-name or oral GLP-1s.
- Its pricing page lists every plan: semaglutide runs $165/mo on a monthly subscription down to about $97/mo on a 12-month plan; tirzepatide runs $214/mo down to about $177/mo.
- There's no separate visit or membership fee, and you get a full refund if a provider doesn't approve you.
- Subscriptions auto-renew; you cancel future renewals by emailing support. Dispensed medication can't be returned.
- HealthRX publishes a LegitScript certificate number but doesn't name its 503A pharmacy.
HealthRX is a cash-pay telehealth service that sells compounded semaglutide and compounded tirzepatide with one of the clearer price tables in the category. Every plan length is listed with its total and per-month cost, there's no membership or visit fee on top, and you get a full refund if a provider doesn't approve you. The main gaps are that the dispensing pharmacy isn't named and the site doesn't say whether lab work is ever required. For someone who has settled on compounded treatment and wants predictable pricing, it's one of the easier programs to evaluate.
We haven't been HealthRX patients. This review is built from the company's published pricing, policies, pharmacy disclosures, and regulatory records as of October 2026.
What HealthRX offers
HealthRX.com lists two weight-loss medications, both once-weekly compounded injections:
- Compounded semaglutide
- Compounded tirzepatide, dosed from 2.5 mg to 15 mg weekly per its product page
It doesn't sell Wegovy, Ozempic, Zepbound, or Mounjaro, and says it isn't affiliated with the companies that make them. It doesn't list an oral GLP-1. Outside weight loss, HealthRX also offers sexual health, hair loss, and longevity treatments.
HealthRX's own disclosure says compounded medications aren't reviewed or approved by FDA for safety or efficacy, and that it doesn't manufacture them. If you're still choosing between compounded and brand-name treatment, read our comparison of the two pathways first.
Pricing, plan by plan
HealthRX's pricing page lists one-time purchases and Subscribe & Save plans for each drug. The page doesn't show different prices by dose. These are the figures it listed in late October 2026:
Compounded semaglutide
| Plan | One-time total | Subscription total | Subscription per month |
|---|---|---|---|
| 1 month | $190 | $165 | $165 |
| 3 months | $399 | $374 | about $125 |
| 6 months | $714 | $689 | about $115 |
| 12 months | $1,188 | $1,163 | about $97 |
Compounded tirzepatide
| Plan | One-time total | Subscription total | Subscription per month |
|---|---|---|---|
| 1 month | $239 | $214 | $214 |
| 3 months | $627 | $602 | about $201 |
| 6 months | $1,194 | $1,169 | about $195 |
| 12 months | $2,148 | $2,123 | about $177 |
The monthly subscription plan shows a lower introductory charge for the first month on both drugs, then bills at the monthly rate above. HealthRX's refund policy says that introductory price applies only to the first payment.
The 6- and 12-month plans are charged up front. They lower the monthly average, but you're paying for months of medication before you know how you'll tolerate it. Many people start with the 1- or 3-month plan and move to a longer one once their dose is stable.
What the price includes
HealthRX says every plan includes an online consultation and provider review (typically within about 24 hours), the prescription when clinically appropriate, the medication, free overnight shipping with no signature required, provider messaging, dose management, and refill coordination. It says there are no separate visit or membership fees, and that plans are HSA- and FSA-eligible. No insurance is required or billed.
Two things it doesn't spell out: whether lab work is ever required, and whether syringes are included. The tirzepatide page suggests asking the pharmacy which injection supplies come with your prescription.
Eligibility and states
HealthRX's eligibility page lists adults 18 and older with a BMI of 30 or higher, or a BMI of 27 to 29.9 with at least one weight-related condition such as prediabetes, type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, or fatty liver disease. It lists exclusions including a personal or family history of medullary thyroid carcinoma or MEN-2, a history of severe pancreatitis, pregnancy or breastfeeding, and severe gastrointestinal disease. A provider makes the final call.
The eligibility page says service is available in all 50 states, and HealthRX says its clinicians are licensed in the state where you live. Our eligibility guide explains how these BMI thresholds compare across providers.
Renewals, cancellation, and refunds
- One-time purchases are billed once and don't renew.
- Subscriptions renew automatically at the price and interval shown at checkout until you cancel. If the renewal price or billing period changes, HealthRX says it will email you first.
- To cancel, email support@healthrx.com. The refund policy doesn't state a notice period, and the pricing page says any unshipped dose is refunded.
- If you aren't approved, you get a full refund to your original payment method, with no consultation charge.
- Dispensed prescriptions can't be returned. Lost packages are reshipped rather than refunded.
The terms of service, updated October 21, 2026, send disputes to JAMS arbitration in San Diego. Like a few other telehealth terms we've read, they cite Georgia law in one section and California law in the arbitration section. That's a drafting inconsistency, not something most patients will run into.
Cancellation is by email only. Send it from the address on your account, keep the sent message, and ask support to confirm the cancellation in writing.
Pharmacy, LegitScript, and the company
Pharmacy
HealthRX says prescriptions are filled by a US-licensed Section 503A compounding pharmacy and that packaging varies by dispensing pharmacy. It doesn't name the pharmacy. Its terms say you may direct your prescription to a pharmacy of your choice by emailing support before ordering. Either way, ask which pharmacy will fill your order and look up its license; our pharmacy verification guide walks through it.
LegitScript
HealthRX displays LegitScript certificate #50087439. Publishing the number is useful because you can match it against LegitScript's own lookup.
Regulatory record
We did not find an FDA warning letter addressed to HealthRX in what we reviewed, and we found no state enforcement action. That check is limited to public records available to us in October 2026; FDA's warning letter database is searchable if you want to confirm.
The company
The terms name HealthRX.com LLC at a registered-agent address in Sheridan, Wyoming, and say care is provided by independently licensed providers through the HealthRX patient portal. No medical group is named. Don't confuse HealthRX.com with similarly named services such as healthrx.online or Personalized Health Rx, which are different businesses.
Your first three months, compared
Three months is a useful comparison window because many compounded programs either bill or commit you in three-month blocks. Using each provider's published prices, here is roughly what three months of compounded tirzepatide costs before any discount codes:
| Provider | Three months of tirzepatide | Notes |
|---|---|---|
| HealthRX, 3-month subscription | $602 | Same price at any dose; renews unless canceled |
| HealthRX, 3-month one-time | $627 | Doesn't renew |
| GobyMeds, 3-month starter bundle | $399 | First-time patients; later bundles cost more at higher doses |
| Biltrx | $387 in medication, plus about $30 in membership | Consult fee not published |
HealthRX isn't the cheapest in month one. Its advantage shows up later: the price doesn't change as your dose rises, and there's nothing else to add. If you expect to reach a higher maintenance dose, compare month-six costs too, not just the starter price.
When a longer plan makes sense
The 6- and 12-month plans are cheaper per month, but they're charged up front and dispensed medication can't be returned. They make the most sense once you've been on the drug long enough to know you tolerate it and your prescriber expects you to continue. If you might stop for surgery, pregnancy planning, or a switch to insurance-covered brand medication, a shorter plan keeps you flexible. Our guide to 90-day supplies and longer plans covers the trade-offs.
Who HealthRX fits
HealthRX
HealthRX fits someone who wants compounded semaglutide or tirzepatide, no insurance involvement, and a price they can see in full before starting. It's less suited to anyone who wants brand-name medication, an oral option, or a named pharmacy before paying.
- Complete plan-by-plan price table
- No visit or membership fee; full refund if not approved
- One-time option with no auto-renewal
- LegitScript certificate number published
- Dispensing pharmacy not named
- Compounded only; no brand or oral
Alternatives
- Brand-name options: GobyMeds and Biltrx list Wegovy and Zepbound alongside compounded drugs.
- Lowest listed compounded medication price: Biltrx lists lower medication prices but adds a membership and separate consult fees.
- The bigger picture: our 15-provider cost comparison and telehealth platform roundup.
Getting started without surprises
- Pick the shortest plan that makes sense. One month or three months is enough to learn how you tolerate the drug.
- Decide one-time vs. subscription deliberately. One-time costs more but never renews; a subscription saves money and needs a calendar reminder.
- Ask two questions up front. Which pharmacy will fill your order, and are syringes included?
- Have your history ready. Current medications, past pancreatitis or gallbladder issues, and any thyroid cancer history in the family. Answer the intake honestly.
- Leave dosing to the prescriber. Use provider messaging for dose questions. Severe abdominal pain, persistent vomiting, signs of dehydration, or an allergic reaction need prompt in-person care.
Frequently asked questions
How much is HealthRX tirzepatide per month?
HealthRX's pricing page lists compounded tirzepatide at $214 a month on a monthly subscription, about $201 a month on a 3-month plan, about $195 on a 6-month plan, and about $177 on a 12-month plan. One-time purchases cost more and don't renew.
Does HealthRX charge a membership or visit fee?
HealthRX says no. Its pricing page states there are no separate visit or membership fees, and the plan price covers the provider review, medication, and overnight shipping.
How do I cancel HealthRX?
Email support@healthrx.com to cancel future renewals. Medication that's already been dispensed can't be returned, but HealthRX says any unshipped dose is refunded.
Is HealthRX the same as healthrx.online or Personalized Health Rx?
No. This review covers HealthRX.com, operated by HealthRX.com LLC. Other companies use similar names, so make sure you're on healthrx.com before you enter payment details.
Does HealthRX need lab work?
HealthRX's pages don't say labs are required. A provider may still ask for them based on your history, so have any recent bloodwork handy.
Sources
Keep reading
Medical disclaimer: This article is general health information, not medical advice. It does not replace a conversation with a licensed clinician who knows your history. If you have severe or worsening symptoms, contact your prescriber or seek urgent care.