MedLeanRx review
Texas only, starting dose
$149 buys the starting dose of compounded semaglutide in Texas, and what a maintenance dose costs is not published anywhere.
Our verdict
MedLeanRx prices three compounded products at $149, $149 and $269 a month, then attaches a footnote saying the figure covers the starting dose and may vary with dosage. No dose ladder follows that footnote, so the cost at a maintenance dose stays unknown until after an assessment. Service stops at the Texas state line, which puts every figure here out of reach for a buyer in the other 49 states. The four brand-name options carry a $99 monthly program fee plus an unstated medication cost, which is a fee rather than a price.
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At a glance
- Category
- compounded semaglutide
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection · Oral
- States
- 1
- From
- $149/mo
- Dose published
- No
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Pharmacy
- Not named
- Labs
- Not stated
- Availability
- Texas only
- Updated
- September 2026
What it is
A Texas-only telehealth weight loss service selling compounded semaglutide and compounded tirzepatide, alongside a prescribing pathway to brand Wegovy, Zepbound and Foundayo for a separate monthly fee.
How it works
An online health assessment goes to a licensed physician, with review stated at 24 to 48 hours. Approved medication ships to the patient's home, and structured follow-up check-ins are built into the program. There are no clinic visits, shipping is free, and the site states that a plan can be canceled at any time.
Pricing transparency
Compounded semaglutide vials and compounded semaglutide tablets are both $149 a month. Compounded tirzepatide injections are $269 a month. A footnote under those cards states that plans start at $149 a month for the starting dose, and that pricing may vary based on prescribed medication, dosage and individual treatment needs. No dose-by-dose table appears to give that caveat a number. Brand Wegovy in pill and injection form, Zepbound and Foundayo are each listed at $99 a month plus the cost of medication, and that medication cost is not published. Two Texas-only promotions run beside the standing rates: an eight-week supply of compounded tirzepatide at 2 mg weekly for $325, and a two-month supply of compounded semaglutide for $300, both while supplies last.
Branded vs compounded
Compounded semaglutide as a weekly vial and as a daily oral tablet, plus compounded tirzepatide injections. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety, efficacy or quality before dispensing. MedLeanRx states that disclaimer on its own product page. It also lists Wegovy, Zepbound and Foundayo as FDA-approved brand products, sold at a program fee plus a medication cost it does not state. The compounding pharmacy is not named. The only milligram figure published against a price sits on the promotions page, not on the product cards.
Pros and watch-outs
What we like
- Three compounded products carry a published monthly rate
- The starting-dose caveat is printed under the prices rather than omitted
- Free shipping, and no membership or consult fee charged separately
- Physician review is promised within 24 to 48 hours
Watch-outs
- No price is published for any dose above the starting dose
- Service is limited to Texas
- Brand options are quoted as a fee plus an unstated medication cost
- The compounding pharmacy is not named
Best for
Texas buyers starting at the lowest semaglutide dose.
Who should look elsewhere
Anyone outside Texas, or anyone who needs the maintenance-dose price settled first.
How MedLeanRx compares
A few alternatives worth a look, depending on what you’re optimizing for.
- SkinnyRx
A discounted rate, if it lasts
See SkinnyRx → - Bodybuilding Health+
A headline that is the month-to-month rate
See Bodybuilding Health+ → - Oak
Flat dose pricing without a subscription
See Oak →
More compounded semaglutide sellers reviews: The EditTMatesTrellis VitalityTrimRxTru2uTry Ageless
Pricing & provider data · Reviewed and last verified September 2026
How we assessed this. This review reflects GLP Loss’s own read of MedLeanRx’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- Is MedLeanRx $149 a month?
- $149 covers the starting dose of compounded semaglutide, either as a weekly vial or as a daily tablet. The site adds that pricing may vary based on prescribed medication, dosage and individual treatment needs. What a higher dose costs is never stated, so $149 describes an entry point rather than a settled monthly rate.
- Can someone outside Texas use MedLeanRx?
- No. MedLeanRx describes itself as a telehealth platform providing physician-guided care to patients in Texas, and its service pages are built around Houston, Dallas, Austin and San Antonio. Every figure on the site is therefore a Texas price with no out-of-state equivalent.
- What does the $325 tirzepatide offer include?
- An eight-week supply of compounded tirzepatide at a 2 mg weekly dose, with physician-guided care included and shipping within two business days of approval. It is restricted to Texas clients and runs while supplies last. Eight weeks is shorter than two calendar months, so the effective rate is about $177 a month rather than the $163 that halving $325 suggests.
- What do the brand-name options cost?
- Wegovy in pill and injection form, Zepbound and Foundayo are each listed at $99 a month plus the cost of medication. That medication cost appears nowhere on the product page. A buyer choosing one of those four therefore learns the program fee and not the total.
- Is MedLeanRx legit?
- MedLeanRx is a compounded semaglutide sellers service. Its stated availability: Texas only. What our record does not establish: whether it bills insurance and how its intake works. Ask for those in writing before you pay.
- Is MedLeanRx expensive compared with other compounded semaglutide sellers providers?
- MedLeanRx publishes a starting figure of $149/mo. Across the 115 compounded semaglutide sellers providers we review that publish a single monthly figure, those run $76 to $369 with a median of $170, which puts MedLeanRx below the median, toward the cheaper end. The other 5 compounded semaglutide sellers providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.