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PlushCare vs Refills

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

PlushCare vs Refills: Overview

Choosing between PlushCare and Refills for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

PlushCare offers both semaglutide and tirzepatide at $20/month with a rating of 8.5/10. Refills also provides both semaglutide and tirzepatide at $150/month with a 7.8/10 rating.

The price difference of $130/month is significant - PlushCare is the more budget-friendly option, while Refills positions itself as a premium service.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$130/mo

Rating Difference

0.7

Winner

PlushCare

Best For

Budget

PlushCare

View full PlushCare review →

Rating

8.5/10Better

Monthly Price

$20Cheaper

Medications

semaglutidetirzepatideliraglutide

Pros

✓Accepts insurance, which almost nothing else on this site does. Most in-network patients pay a copay of $30 or less for a visit
✓Membership is $19.99/month with the first month free, and there is no minimum commitment
✓Prescribes only FDA-approved medications - Zepbound, Wegovy, Saxenda, Contrave and Xenical - so no compounded product is involved
✓Care comes from board-certified primary care physicians rather than an asynchronous questionnaire review
✓A full refund is offered if the doctor is unable to treat you
✓Membership includes far more than weight care: 24/7 urgent care video visits, mental health support, discounted lab tests and free memberships for family
✓An in-app prescription discount card and HSA/FSA eligibility can reduce medication costs further
✓The site is candid that GLP-1s 'usually cost about $1000 per month out of pocket' and advises checking insurance coverage first, rather than hiding the real figure

Cons

✗The $19.99 membership buys access, not medication. Without insurance coverage the GLP-1 itself can run about $1,000 a month, which PlushCare states openly but which makes the headline price misleading if read as a treatment cost
✗Visits are charged on top of membership - $129 for an initial visit without in-network insurance
✗Trustpilot sits at 3.4 out of 5 across 2,735 reviews, the weakest score of any established provider we have reviewed here
✗Prescriptions are explicitly at the doctor's discretion, so paying for membership and a visit does not guarantee you leave with a GLP-1
✗This is a general telehealth service, so the weight-loss programme has less dedicated structure - no built-in coaching, food tracking or dose-titration support
✗Medication and lab costs are excluded from every advertised price, so your real monthly outlay depends entirely on your insurer
✗Contrave is offered as a $99 cash-pay alternative, but the cash cost of the GLP-1s themselves is not published
✗If you have no insurance and want a GLP-1, this route is likely to cost far more than the compounded providers listed elsewhere on this site

Choose PlushCare

Refills

View full Refills review →

Rating

7.8/10

Monthly Price

$150

Medications

semaglutidetirzepatide

Pros

✓The largest verifiable review base of any provider in this batch: the Trustpilot profile for refills.com showed a 4-star TrustScore from roughly 1,244 reviews when we checked
✓No membership or app fees, stated as a headline promise: "Never Pay for Monthly Memberships or App Fees"
✓All dosages cost the same - "We don't charge you based on dosage changes" - which removes the titration price trap that catches most compounded GLP-1 patients
✓Both a GLP-1 (semaglutide-class) and a GIP + GLP-1 (tirzepatide-class) injectable are offered
✓A published phone number, 888-458-5061, and support@refills.com, with 24/7 health-concierge support advertised
✓Free and discreet shipping on every order
✓Unusually candid disclaimers: it states plainly that compounded drug products are not approved or evaluated by the FDA, and that Refills Health is not a medical services provider but a technology platform
✓It names its clinical partners - Beluga Health, Bask Health and Wasef Health - rather than referring vaguely to "our providers"
✓Certificates of Analysis are available on request for any batch
✓LegitScript certification is displayed

Cons

✗Pricing is quoted per day, not per month. "GLP-1s from $5/day" reads as cheap but is $150 a month, and the site never states a monthly figure
✗Refills is a technology platform, not a medical provider. It does not manufacture or dispense medication and does not employ the clinicians who prescribe
✗All prescription sales are final. State and federal rules do not allow returns of dispensed prescription medication, and once your card is charged and the package is handed to the carrier there is no refund
✗Returns are only accepted on unopened, non-prescription items within 30 days, and you pay the return shipping
✗It does not ship refrigerated products, which the returns page presents as a benefit ("your product will not be affected by increased transit time") but which is worth understanding before you order
✗The medication is compounded, so it has not been evaluated by the FDA for safety, quality or efficacy
✗Available across the US but explicitly not in the District of Columbia
✗Before/after testimonials headline losses of 40 to 120 pounds. The disclaimer that results are not typical is present but far less prominent than the numbers

Feature-by-feature comparison

Feature	PlushCare	Refills
Monthly Price	$20	$150
Rating	8.5/10	7.8/10
Medications	semaglutide, tirzepatide, liraglutide	semaglutide, tirzepatide
Insurance Accepted	Yes	No
Support Hours	Video visits available 24/7	Company advertises free 24/7 support from a health concierge
Live Chat	No	No
Free Shipping	No	Yes
Shipping Speed	Filled at your pharmacy; not shipped by PlushCare	Free shipping; non-refrigerated products shipped via USPS, FedEx or UPS
Mobile App	Available	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Ongoing management with a board-certified primary care physician	Providers reassess and adjust dose, titration pace or treatment on request
Money-back Guarantee	Full refund if the doctor is unable to treat you; medication and lab costs are never included	None. All prescription sales are final once dispatched
Cancellation Policy	Cancel anytime, no minimum commitment; first month of membership is free	You can log in and cancel your subscription, change your address or change your payment method any time before the order is sent to the pharmacy

Which should you choose?

Choose PlushCare if you:

→Want to save $130/month with a more affordable option
→Prefer a higher-rated service (8.5/10 vs 7.8/10)
→Want more medication options to choose from
→Need insurance coverage for your treatment
→Value: accepts insurance, which almost nothing else on this site does. most in-network patients pay a copay of $30 or less for a visit

Get started with PlushCare

Choose Refills if you:

→Value: the largest verifiable review base of any provider in this batch: the trustpilot profile for refills.com showed a 4-star trustscore from roughly 1,244 reviews when we checked

Get started with Refills

Website previews

PlushCare

PlushCare website

Refills

Refills website

Our recommendation

PlushCare comes out ahead with a higher rating of 8.5/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with PlushCare

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