PlushCare vs RxSpan MD

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

PlushCare vs RxSpan MD: Overview

Choosing between PlushCare and RxSpan MD 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. RxSpan MD also provides both semaglutide and tirzepatide at $249/month with a 7.6/10 rating.

The price difference of $229/month is significant - PlushCare is the more budget-friendly option, while RxSpan MD positions itself as a premium service.

VERIFIED

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.

At a glance

Price Difference
$229/mo
Rating Difference
0.9
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

RxSpan MD

View full RxSpan MD review →
Rating
7.6/10
Monthly Price
$249
Medications
semaglutidetirzepatide

Pros

  • A full product price list is published rather than a single teaser figure: semaglutide injection $249, tirzepatide injection $329, semaglutide capsules $249 and tirzepatide capsules $349 for the first month (checked July 27, 2026)
  • Brand-name options are offered and priced openly too - Ozempic $1,299, Wegovy $1,349 and Zepbound $1,069
  • The plan ladder is shown with each rate: $249/mo monthly, $219/mo on 3 months, $199/mo on 6 months and $194/mo on 12 months
  • The price is stated to include the consult, medication, supplies, shipping and support, with no separate membership fee
  • Oral capsule versions of both semaglutide and tirzepatide are available for people who do not want injections
  • Plans can be cancelled or changed at any time
  • The site states plainly that 'Prescription is not guaranteed' rather than implying approval is automatic
  • A named, credentialled physician is associated with the service rather than an anonymous 'medical team'

Cons

  • Every headline price is labelled 'For the first month'. What you pay from month two is not shown anywhere on the product screen, so the ongoing cost is unknown until you are further into the funnel
  • You pay at checkout before a provider reviews your case - the site confirms 'After checkout, a provider will review your information to determine if treatment is right for you' - so your money goes first and eligibility is decided afterwards
  • There is no independent review signal at all: no Trustpilot profile, no BBB file, and no rating displayed on site
  • Brand-name pricing is far above the manufacturers' own direct-pay programmes - $1,349 for Wegovy and $1,069 for Zepbound against considerably cheaper NovoCare and LillyDirect routes
  • No customer phone number is published; the only contact is an email address
  • The supervising physician's board certification is in plastic surgery, not obesity medicine, endocrinology or internal medicine
  • The banner copy - 'No Hidden Fees', 'Free, Expedited Delivery', 'Doctor-led Plans & Coaching' - is word-for-word identical to TrimRx's, indicating a shared white-label funnel rather than an independently built service
  • Product prices only render once JavaScript loads; with scripts blocked the weight-loss category reads 'No products found for Weight Loss'
Choose RxSpan MD

Feature-by-feature comparison

FeaturePlushCareRxSpan MD
Monthly Price$20$249
Rating8.5/107.6/10
Medicationssemaglutide, tirzepatide, liraglutidesemaglutide, tirzepatide
Insurance AcceptedYesNo
Support HoursVideo visits available 24/7Not published
Live ChatNoNo
Free ShippingNoYes
Shipping SpeedFilled at your pharmacy; not shipped by PlushCareFree expedited delivery claimed; timeframe not published
Mobile AppAvailableNo
Dedicated CoachNot includedIncluded
Follow-up FrequencyOngoing management with a board-certified primary care physicianDoctor-led plans and coaching advertised; frequency not published
Money-back GuaranteeFull refund if the doctor is unable to treat you; medication and lab costs are never includedNone published; you are charged at checkout before a provider decides whether to prescribe
Cancellation PolicyCancel anytime, no minimum commitment; first month of membership is freeCancel or change plans at any time

Which should you choose?

Choose PlushCare if you:

  • Want to save $229/month with a more affordable option
  • Prefer a higher-rated service (8.5/10 vs 7.6/10)
  • 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

Choose RxSpan MD if you:

  • Want personalized coaching support included
  • Value: a full product price list is published rather than a single teaser figure: semaglutide injection $249, tirzepatide injection $329, semaglutide capsules $249 and tirzepatide capsules $349 for the first month (checked july 27, 2026)

Website previews

PlushCare

PlushCare website

RxSpan MD

RxSpan MD 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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