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Head-to-head for women

RxSpan MD vs Sprout Health

RxSpan MD and Sprout Health 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.

RxSpan MD

Ranked #19 for women · Grade B−

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.

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Sprout Health

Higher score

Ranked #14 for women · Grade B−

Best for: Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding.

FDA warning letterSeptember 2025Read it ↗Visit Sprout Health

The verdict for women

Higher Luna Fit Score: Sprout Health

Sprout Health edges out RxSpan MD on the Luna Fit Score, 82 to 81 (B− vs B−). Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding. The reasoning behind that number is in our Sprout Health write-up for women.

RxSpan MD is still a genuine option — one of the very few programs here that will tell you who compounds your medication and who signs the prescription — four pharmacies named with phone numbers, two physicians named with NPIs that resolve — wrapped around a full menu that runs from compounded semaglutide to brand Zepbound. Weigh the six women's-health factors below against your own priorities; our RxSpan MD write-up for women goes through each of them, and if neither of these two is the one, the full field we rank against RxSpan MD 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.

RxSpan MD Sprout Health
PCOS & hormonal suitability7883
RxSpan
Sprout
Clinical oversight & labs8472
RxSpan
Sprout
Price transparency7689
RxSpan
Sprout
Nationwide access9282
RxSpan
Sprout
Ongoing support8285
RxSpan
Sprout
Cancellation fairness7683
RxSpan
Sprout

Price, access & features

DetailRxSpan MDSprout Health
Luna Fit Score81/100 · B−82/100 · B−
Overall rank#19#14
Semaglutide$249/mo month-to-month (3/6/12-month prepay: $219/$199/$194 per month, billed $657/$1,194/$2,327 up front)$299/mo
Tirzepatide$329/mo month-to-month (3/6/12-month prepay: $309/$289/$269 per month, billed $927/$1,734/$3,228 up front)$349/mo
CoverageAll 50 statesNot disclosed
Brand-name accessYesYes
Oral / sublingualYesInjection only

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

Sprout Health

Ranked #14 · Grade B−

What we like

  • LegitScript-certified with a listed address and contact line
  • Both compounded ($149 semaglutide / $199 tirzepatide) and a genuine brand-name Wegovy/Zepbound route
  • Low-friction intake — no labs and often no telehealth visit required

The caveats

  • Compounded semaglutide and tirzepatide are not FDA-approved
  • No oral or sublingual route — injectable only
  • Thin transparency — no named medical director, and state availability is quiz-gated

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 RxSpan MD nor Sprout Health is only worth comparing with the other. RxSpan MD is also written up against CoreAge Rx, 12 points apart on the Luna Fit Score — see the RxSpan MD–CoreAge Rx head-to-head. Sprout Health is also written up against CoreAge Rx, 11 points apart — see the Sprout Health–CoreAge Rx head-to-head.

Or browse the full comparison hub.