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Head-to-head for women
Good Girl Rx vs RxSpan MD
Good Girl Rx 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.
Good Girl Rx
Ranked #60 for women · Grade C
Luna Fit
Best for: Women who want injectable, microdose, sublingual and brand-name routes on one account and are reading the safety page as carefully as the price page.
FDA warning letterFebruary 2026Read it ↗Visit Good Girl RxRxSpan MD
Higher scoreRanked #19 for women · Grade B−
Luna Fit
Best for: Women who want to be able to check the pharmacy and the prescriber before they buy, and who may want to move between compounded, oral and brand-name options on one account — provided they pick the Monthly plan themselves rather than accepting the prepay the funnel has already selected.
Visit RxSpan MDThe verdict for women
RxSpan MD edges out Good Girl Rx on the Luna Fit Score, 81 to 76 (B− vs C). Women who want to be able to check the pharmacy and the prescriber before they buy, and who may want to move between compounded, oral and brand-name options on one account — provided they pick the Monthly plan themselves rather than accepting the prepay the funnel has already selected. The reasoning behind that number is in our RxSpan MD write-up for women.
Good Girl Rx is still a genuine option — a women-first brand with the clearest contraception guidance we found anywhere in this ranking — and an FDA warning letter for how it labeled its compounded products, which is the reason it does not rank higher. Weigh the six women's-health factors below against your own priorities; what we found reviewing Good Girl Rx goes through each of them, and if neither of these two is the one, our ranked shortlist of Good Girl Rx alternatives widens the field.
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.
Price, access & features
| Detail | Good Girl Rx | RxSpan MD |
|---|---|---|
| Luna Fit Score | 76/100 · C | 81/100 · B− |
| Overall rank | #60 | #19 |
| Semaglutide | $179/mo month-to-month (from $134/mo on a 12-month prepay) | $249/mo month-to-month (3/6/12-month prepay: $219/$199/$194 per month, billed $657/$1,194/$2,327 up front) |
| Tirzepatide | $329/mo month-to-month (from $235/mo on a 12-month prepay) | $329/mo month-to-month (3/6/12-month prepay: $309/$289/$269 per month, billed $927/$1,734/$3,228 up front) |
| Coverage | All 50 states | All 50 states |
| Brand-name access | Yes | Yes |
| Oral / sublingual | Yes | Yes |
Luna Fit
Good Girl Rx
Ranked #60 · Grade C
What we like
- The best contraception guidance in the ranking: a two-month semaglutide washout before a planned pregnancy, and a warning that tirzepatide can blunt oral contraceptives for four weeks after starting AND after every dose increase
- Four routes for each molecule — injection, microdose, sublingual dissolving tablet and brand — so a switch does not mean changing provider
- Publishes a full per-plan price table for every product rather than one headline figure
The caveats
- Every advertised 'from' price is a 12-month plan paid upfront, and dispensed prescriptions are final sale — a year's commitment with no way back
- The microdose one-month rate is HIGHER than the standard injection one-month rate; the microdose discount exists only on prepay
- Prices are described as an 'average monthly cost', so the flat-looking tiers may not be flat
Luna Fit
RxSpan MD
Ranked #19 · Grade B−
What we like
- Four dispensing pharmacies named outright, with phone numbers — Belmar, Strive, Epiq Scripts and Casa Pharma Rx — where most of this ranking says only "our partner pharmacies"
- The prescribing group is named too, and checkable: Lion MD, led by Dr Ana Lisa Carr, MD (NPI 1689841744) with Dr Kelly Tenbrink, MD (NPI 1346482684). Both resolve as active physicians in the federal NPPES registry
- A real brand-name lane with prices on the page rather than an enquiry form — Ozempic $1,299, Wegovy $1,349 and Zepbound $1,069 a month — alongside the compounded line, so switching does not mean switching provider
The caveats
- The plan selector arrives with the 3-month prepay already chosen, not Monthly, and badges the 3-, 6- and 12-month tiers alike as "Max Saving" — so the default path takes $657 up front rather than $249, and the headline figures are footnoted "(For the first month)"
- Its FAQ says "no long-term commitments" on the same site where the 12-month semaglutide plan is a single $2,327 charge and the 12-month tirzepatide plan is $3,228. The freedom is real on the monthly plan; it is not what the prepay tiers are
- Brand-name bundles carry a $50 medical review fee if a clinician does not end up prescribing for you — worth knowing before you start an intake for Wegovy or Zepbound
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. 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
Neither Good Girl Rx nor RxSpan MD is only worth comparing with the other. Good Girl Rx is also written up against CoreAge Rx, 17 points apart on the Luna Fit Score — see how Good Girl Rx and CoreAge Rx compare on the Luna Fit Score. RxSpan MD is also written up against CoreAge Rx, 12 points apart — see the RxSpan MD–CoreAge Rx head-to-head.
- Good Girl Rx vs CoreAge Rx
- Good Girl Rx vs Enhance MD
- Good Girl Rx vs Eden
- RxSpan MD vs yourEra
- RxSpan MD vs Sesame Care
- RxSpan MD vs HealthRX
Or browse the full comparison hub.