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Ranked #19 for women · Grade B−

RxSpan MD review

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.

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Semaglutide
$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 (3/6/12-month prepay: $309/$289/$269 per month, billed $927/$1,734/$3,228 up front)
Coverage
All 50 states
Brand-name
Yes

The Luna Fit scorecard

RxSpan MD scored on our six women's-health factors. See the methodology.

PCOS & hormonal suitability78/100
Clinical oversight & labs84/100
Price transparency76/100
Nationwide access92/100
Ongoing support82/100
Cancellation fairness76/100

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
  • Four routes on one account: compounded semaglutide and tirzepatide by injection, plus oral capsules of both, at $249 and $349 a month
  • The quoted price includes the consultation, the medication, the injection supplies, shipping and ongoing support, with no separate membership fee, and it claims all 50 states
  • A longevity line priced as openly as the weight line — NAD+ injections from $150 a month on the longest plan, NAD+ nasal spray and tablets, sermorelin as an injection or a dissolving tablet

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
  • It runs on the same white-label platform as Synergy Rx and Bodybuilding Health+, and names the same prescribers and the same pharmacies as both — so if you are cross-shopping those three, you are looking at one operation behind three storefronts rather than three independent opinions
  • One of the four pharmacies it names, Belmar, holds an FDA warning letter of its own — issued in March 2023 to Belmar Pharma Solutions, Drug Depot, LLC., dba APS Pharmacy. The FDA closed that letter out on 30 October 2023, and RxSpan MD itself carries no warning letter under any name we screened
  • The compounded prices are at the upper end of this ranking: $249 semaglutide and $329 tirzepatide month-to-month, against a compounded median nearer $199
  • One of the two named prescribers is licensed in only two states, which is thin for a desk that claims all 50 — and the asynchronous, email-based consultation is itself "not available in all states"
  • No PCOS, perimenopause or menopause program, and the hormone products on its longevity menu are the male-facing ones — the wider catalog is NAD+, sermorelin and peptides, not women's hormonal care

The bottom line

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. 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.

Ranked #19 of 67 providers we reviewed for women — see our #1 pick, CoreAge Rx, for comparison. Price transparency is where RxSpan MD scores lowest, at 76/100. If that is your sticking point, start with our ranked shortlist of RxSpan MD alternatives.

Compare with other providers

All 66 other providers we've reviewed for women, in our overall ranking order. One of those comparisons is written out in full: the RxSpan MD–CoreAge Rx head-to-head, 12 points apart on the Luna Fit Score. Directly below RxSpan MD sits Effecty at #20 with 87/100 — see what women pick instead of Effecty if that is the band you are shopping in.

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

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