US Scripts MD vs Lttl

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

US Scripts MD vs Lttl: Overview

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

US Scripts MD offers both semaglutide and tirzepatide at $299/month with a rating of 7/10. Lttl also provides both semaglutide and tirzepatide at $129/month with a 7.9/10 rating.

The price difference of $170/month is significant - Lttl is the more budget-friendly option, while US Scripts 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
$170/mo
Rating Difference
0.9
Winner
Lttl
Best For
Budget

US Scripts MD

View full US Scripts MD review →
Rating
7/10
Monthly Price
$299
Medications
liraglutidesemaglutide

Pros

  • One of very few telehealth providers offering liraglutide, which suits people who cannot tolerate weekly dosing or who need a shorter-acting GLP-1
  • No price increase as your dose rises: "we keep our prices as low as possible and don't increase prices for high doses"
  • Free consultation, prescription, ongoing support and shipping are all bundled into the programme price
  • Free overnight, temperature-controlled shipping - genuine cold-chain handling rather than "ships fast"
  • An injection kit with spare syringes is included in every shipment
  • Anti-nausea medication is included with your first order, which is a thoughtful touch given how common GI side effects are
  • 24/7 access to board-certified doctor support is advertised
  • You can cancel any time before your order ships, and there is a full refund if the providers decide you are not a fit for the programme
  • A $100 discount on the first month of weight-loss treatment

Cons

  • Expensive, and it gets more expensive: $299 for the first month, then $349/month thereafter
  • The alternative framing - "starter doses as low as $9.97/day" - is a per-day figure that works out to roughly $300 a month, which is not obviously cheap
  • Liraglutide is a daily injection and produced around 8% mean weight loss in the SCALE trial, meaningfully less than semaglutide or tirzepatide achieved in theirs
  • The medication is compounded and not FDA-approved
  • The refund guarantee only covers being declined - there is no satisfaction refund once you are on treatment
  • The dispensing pharmacy is not named
  • No insurance billing, and HSA/FSA acceptance is not stated
  • No published phone number
Choose US Scripts MD

Lttl

View full Lttl review →
Rating
7.9/10Better
Monthly Price
$129Cheaper
Medications
semaglutidetirzepatidesermorelinNAD+glutathione

Pros

  • The pricing page shows the complete ladder rather than a teaser, and says so explicitly: 'Every price. Every commitment length. No hidden fees, no starting at, no surprises'
  • Compounded tirzepatide runs $279/mo on rolling monthly billing, $249/mo over 3 months, $229/mo over 6 and $199/mo over 12, against a stated full price of $339/mo (checked July 28, 2026)
  • Weight loss plans start at $129/mo, longevity at $79/mo and microdose at $109/mo
  • 'Same price, every dose' - your rate is locked from day one and does not rise as you titrate up. That is a genuine differentiator; several competitors we cover more than double the price between the starting and top dose
  • The compounding disclosure correctly separates 'FDA-registered facility' from 'FDA-approved drug', and states plainly that the medication has not been evaluated by the FDA for safety, efficacy or quality
  • A published phone number, a real California street address, an email address and a help centre - the full set, which is unusual in this category
  • No contracts, cancel anytime, free shipping, and medication prescribed and shipped within 48 hours
  • The assessment is free, takes about two minutes and requires no card up front
  • Longevity and peptide options (sermorelin, NAD+, glutathione, MIC B12) sit alongside the GLP-1 line at lower price points

Cons

  • The advertised '4.9 from 12,000+ Members' does not match the Trustpilot profile, which showed 4.3 from 8 reviews. Displaying that figure beside a Trustpilot badge implies a source it does not have
  • 'Average Lttl members lose 32 lbs in first 6 months' and 'Top responders lose 55+ lbs in 12 months' are given without sample size, methodology or whether the weights were self-reported
  • '#1 RATED FOR RESULTS' and '62% of Lttl members choose this plan' carry no source at all
  • The 'Join 500,000+ others' figure is the company's own with no independent corroboration
  • The best rate requires committing to 12 months billed as $2,388 annually, and prescription medication cannot be returned or refunded once it ships - so that is a large non-recoverable commitment
  • Consultation fees are 'generally non-refundable once a provider has reviewed' your case, meaning you can pay and still be declined
  • Microdose plans are sold as a distinct tier at $109/mo, but microdosing is not an evidence-based protocol - the trials behind these drugs used full therapeutic doses
  • Compounded semaglutide and tirzepatide are not FDA-approved, and the weight-loss figures associated with these molecules come from trials of the branded products
  • GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy. Pancreatitis and gallbladder disease are recognised risks
Choose Lttl

Feature-by-feature comparison

FeatureUS Scripts MDLttl
Monthly Price$299$129
Rating7/107.9/10
Medicationsliraglutide, semaglutidesemaglutide, tirzepatide, sermorelin, NAD+, glutathione
Insurance AcceptedNoNo
Support HoursCompany advertises 24/7 access to partnering board-certified doctorsUnlimited 24/7 support advertised
Live ChatNoNo
Free ShippingYesYes
Shipping SpeedFree overnight shipping in temperature-controlled packagingPrescribed and shipped within 48 hours, free shipping
Mobile AppNoNo
Dedicated CoachNot includedNot included
Follow-up Frequency24/7 access to partnering board-certified doctors for questions and supportUnlimited 24/7 care team support advertised
Money-back GuaranteeFull refund if the medical providers determine you are not a fit for the programmeNone. Prescription medication is non-returnable once shipped; damaged or incorrect orders replaced if reported within 7 days
Cancellation PolicyCancel any time before your order ships; no contractsNo contracts, cancel anytime; longer commitments are billed upfront and medication already shipped is non-refundable

Which should you choose?

Choose US Scripts MD if you:

  • Value: one of very few telehealth providers offering liraglutide, which suits people who cannot tolerate weekly dosing or who need a shorter-acting glp-1

Choose Lttl if you:

  • Want to save $170/month with a more affordable option
  • Prefer a higher-rated service (7.9/10 vs 7/10)
  • Want more medication options to choose from
  • Value: the pricing page shows the complete ladder rather than a teaser, and says so explicitly: 'every price. every commitment length. no hidden fees, no starting at, no surprises'

Website previews

US Scripts MD

US Scripts MD website

Lttl

Lttl website

Our recommendation

Lttl comes out ahead with a higher rating of 7.9/10. It also provides multiple medication options including both semaglutide and tirzepatide.
Get started with Lttl

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