RxSpan MD review

Most of this board sells you one thing and explains why the other is unavailable. RxSpan MD sells both: the compounded copy of semaglutide, in a weekly injection or a daily capsule at the same price, and the actual FDA-approved branded product, at branded pricing. Whether that second route is worth its cost is a real decision rather than a rhetorical one, and very few programmes on this board let you make it. It is also unusually forthcoming about the parts of a compounded prescription that are normally invisible — all four compounding pharmacies are named on the homepage with phone numbers, and the founding physician is named rather than an anonymous medical team, so the two questions readers most often cannot answer about a compounder are answerable here before you pay. What holds it back is the pricing display. Every product card labels its figure as a first-month price and stops there; the rate you keep paying only appears if you open the plan picker, and the cheaper numbers alongside it are commitment terms rather than discounts you carry forward. Nothing here is dishonest — the plan picker is one click away and the recurring rate is in it — but the number that catches your eye is not the number you should be comparing. Read the plan picker before you read the card, and this is a straightforward, well-disclosed programme with an unusually wide choice.

Every product card labels its price "(For the first month)" and says nothing about what month two costs — the recurring rate is only visible if you open the plan picker

RxSpan MD is a physician-led telehealth practice founded by Dr. John Diaz, a board-certified plastic surgeon, running weight loss alongside separate longevity, hair-loss and sexual-health lines. It compounds semaglutide and tirzepatide in two routes each — a weekly injection and a daily oral capsule, both priced the same within a molecule — and, unusually for this board, it will also dispense the genuine FDA-approved product: Ozempic, Wegovy, Zepbound and Mounjaro are all sold, at brand pricing, beside the compounded line. It names all four of its 503A compounding partners on the homepage with phone numbers, which most of this field does not, and it names the physician behind the practice rather than an anonymous medical team. Intake is a short online assessment with no labs and no video visit, it serves all 50 states, and it is LegitScript-certified. Two things to read carefully. Every product card shows its price labelled "(For the first month)" and does not say what month two costs — the recurring figure is inside the plan picker. And the cheaper numbers on the page are commitment rates: $194/mo semaglutide is twelve months paid up front, against $249 month to month.

Pricing structure

Varies by dose, plan or tier

Consult

Included in the price

Compounding pharmacy

Named: Belmar Pharmacy

Labs

Not required

Dietitian support

Included

Source and full evidence quote in our Provenance Register.

• ✓Sells the real FDA-approved product as well as the compounded copy — Ozempic, Wegovy, Zepbound and Mounjaro are all dispensed, so the choice is genuinely available rather than a marketing page
• ✓Names all four compounding pharmacies on the homepage with phone numbers — Belmar, Strive, Epiq Scripts and Casa Pharma Rx — so you can ring the pharmacy that would fill your order before you buy
• ✓Names the physician behind the practice, Dr. John Diaz, a board-certified plastic surgeon, instead of an unnamed medical team
• ✓Both routes are priced identically within a molecule — the daily oral capsule costs the same $249 as the weekly injection, so the needle question is not a pricing decision
• ✓A one-month plan genuinely exists at $249, so nothing forces a prepay to reach a usable price, and plans can be cancelled or changed at any time
• ✓Consultation, medication, supplies, shipping and unlimited 24/7 support are all inside the plan price — no membership fee and no separate visit fee
• ✓Registered-dietitian support is carried as a $0 line in its own catalogue rather than sold as an upsell
• ✓LegitScript-certified (#50405601) and available in all 50 states

• —The cheaper figures are commitment rates, not discounts you keep: $194/mo semaglutide means twelve months paid up front, and the rate you can buy a single month at is $249
• —At $249 the compounded line sits mid-to-high against the cheapest sellers on this board, and the brand-name route is priced steeply — Wegovy $1,349, Ozempic $1,299, Zepbound $1,069
• —Its two cheapest GLP-1 products — Semaglutide ODT at $179 and Tirzepatide ODT at $199 — exist in the site's own public product API but appear on no page a reader can reach, so they are not prices you can act on
• —Nothing on the site is legible without JavaScript: every product page returns "No products found" and "Total if prescribed $0" to a plain fetch, which is also what a screen reader or a slow connection may get
• —No labs or bloodwork are required or offered and no monitoring cadence is published, so this is a prescriber and a pharmacy rather than oversight
• —A multi-vertical practice — hair loss, sexual health, longevity and testosterone sit alongside weight loss — not a dedicated metabolic clinic
• —The legal entity behind the practice is not published anywhere on the site, so the only named party is the founding physician
• —Compounded semaglutide is not the FDA-approved product; the branded route here is a separate, much dearer purchase

Semaglutide is a prescription medicine, and the compounded version is not the same regulated product as brand-name Wegovy or Ozempic. Whatever you decide, decide it with a clinician who knows your history — and go into that conversation with real numbers.

• Getting semaglutide online
• Oral vs injectable semaglutide
• Where compounded semaglutide stands legally
• Wegovy cost calculator
• Dose and unit converter

RxSpan MD is one of 48 telehealth semaglutide programmes we track. The board puts every published price on one screen, ordered with the companies that pay us first — a mechanism we state there, on the page it applies to, rather than only in the small print.