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Head-to-head for women

Gala Health vs RxSpan MD

Gala Health and RxSpan MD both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.

Gala Health

Ranked #17 for women · Grade B

Best for: Women who want a low-cost compounded tirzepatide on-ramp nationwide, value having a brand-Ozempic escape hatch, and appreciate a provider that also treats the hormone side through its HRT and menopause line.

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vs

RxSpan MD

Ranked #11 for women · Grade B

Best for: Women who prioritize an accredited, brand-capable program with an oral route and don't mind paying at the higher end.

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The verdict for women

Gala Health and RxSpan MD tie on the Luna Fit Score at 86/100 apiece, so neither runs away with it. The right pick comes down to the factors that matter most to you — compare them below.

Side-by-side on the six factors

Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.

Gala Health RxSpan MD
PCOS & hormonal suitability8886
Gala
RxSpan
Clinical oversight & labs8288
Gala
RxSpan
Price transparency8780
Gala
RxSpan
Nationwide access9595
Gala
RxSpan
Ongoing support8584
Gala
RxSpan
Cancellation fairness8283
Gala
RxSpan

Price, access & features

DetailGala HealthRxSpan MD
Luna Fit Score86/100 · B86/100 · B
Overall rank#17#11
Semaglutide$1,299/mo$249/mo
Tirzepatide$179/mo$329/mo
CoverageAll 50 statesAll 50 states
Brand-name accessYesYes
Oral / sublingualInjection onlyYes

Gala Health

Ranked #17 · Grade B

What we like

  • Very low compounded entry — tirzepatide from $179, microdose from $149, three-month plans from $199
  • Available across all 50 states — a rare full-nationwide footprint
  • Offers a brand path (Ozempic) alongside compounded, so you aren't locked to one route

The caveats

  • Compounded medication is not FDA-approved the way brand Ozempic or Zepbound are
  • Brand-name access is very expensive — Ozempic runs about $1,299/mo
  • No oral or sublingual route yet — injections only for the needle-averse

RxSpan MD

Ranked #11 · Grade B

What we like

  • FDA-approved brand access, oral option, and both molecules on one account
  • LegitScript-accredited, nationwide across all 50 states
  • Comprehensive feature set for women who want every option available

The caveats

  • Highest-tier pricing among the accredited options — $249 semaglutide, $329 tirzepatide
  • General metabolic program, not hormone-specialized

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Luna Fit Score. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

More head-to-heads

Keep comparing Gala Health and RxSpan MD against other providers we review for women.

Or browse the full comparison hub.