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Ranked #145 · Grade C

ElixaMD review

ElixaMD is a doctor-guided online weight-loss telehealth offering compounded semaglutide injections from $179 the first month, with free shipping, no membership, no contract, and no insurance required.

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Semaglutide
From $179/mo (starting dose, first-month rate, compounded)
Tirzepatide
Not disclosed
Coverage
Not disclosed
Brand-name
Compounded only

The scorecard

ElixaMD scored on our six published factors. See the methodology.

Real-world results69/100
Price honesty64/100
Prescriber access59/100
Formulary choice58/100
Cancellation fairness92/100
Member support89/100

What we like

  • Compounded semaglutide from $179 first month with free shipping, no membership, no contract, and no insurance required
  • Genuinely all-inclusive: 1:1 physician guidance, free dietician visits and care coaching, 24/7 support, and an all-in-one patient portal
  • Names its compounding pharmacies (RedRock Pharmacy, Beaker Pharmacy) — more transparent than most compounded sellers
  • HSA/FSA eligible; full legal suite (Terms, Privacy, Privacy Practices, Refund, Medical Consent, California Bill of Rights)

The caveats

  • $179 is a first-month/intro price — ongoing monthly cost is higher (tiers to ~$249-$299)
  • Compounded semaglutide is not FDA-approved (the site discloses this) — not brand Wegovy or Ozempic
  • Appears to offer compounded semaglutide only — tirzepatide is not advertised
  • Displays a generic LegitScript Certified badge but no verifiable seal/listing; state-availability list not published

The verdict

Best for: Shoppers wanting low-cost compounded semaglutide with free dietician and coaching included. ElixaMD is a doctor-guided online weight-loss telehealth offering compounded semaglutide injections from $179 the first month, with free shipping, no membership, no contract, and no insurance required.

Ranked #145 of 499 providers we have reviewed — for comparison, read what CoreAge Rx scores, and why, our #1 pick. On the board it sits between Dr. Arevitalize, 70/100 above and Healthicare at 70/100 below, with the iThriveMD ruling the next one down.

ElixaMD is one of 499 rulings on this board, which makes the fair next question who sits above it — our shortlist of ElixaMD alternatives answers it in order, with every score shown. We have also ruled on it directly: CoreAge Rx vs ElixaMD goes to CoreAge Rx, 94/100 to 70/100.

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Compare with other providers

All 498 other providers we've reviewed, in our overall ranking order.

Every other program we track (492)

Pricing, states and verification reflect ElixaMD's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on ElixaMD's site. Not medical advice; see our disclosure.

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