Provider review
ElixaMD review
Names two real compounding pharmacies — but $179 is a first-month price only
The $179 is a first-month price; ongoing runs $249 to $299. What you get for it is genuinely all-inclusive — physician time, dietitian visits, coaching — and it names both pharmacies. Semaglutide only; tirzepatide is not offered.
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On this page
The verdict
ElixaMD is a doctor-guided telehealth service offering compounded semaglutide injections from $179 the first month, with free shipping, no membership, no contract, and no insurance required. Plans are genuinely all-inclusive — 1:1 physician guidance, free dietitian visits, care coaching, 24/7 support, and a patient portal — and it publishes a full legal suite (Terms, Privacy, Privacy Practices, Refund, Medical Consent, California Bill of Rights). It names its compounding pharmacies outright, RedRock Pharmacy and Beaker Pharmacy, more transparency than most competitors. But $179 is a first-month/intro price; ongoing monthly cost tiers to roughly $249-$299. It appears to offer compounded semaglutide only — tirzepatide isn't advertised — and displays a generic LegitScript badge with no verifiable seal or listing behind it, and state availability isn't published.
ElixaMD is not ranked on any of our rankings. This is a standalone read of what the company publishes about itself — the providers we do rank in this category are on our semaglutide provider ranking. Nothing on this page is a performance claim — see the evidence review for what these compounds do and do not do.
Who it is for, and who it is not
A good fit if
- You want named, checkable compounding pharmacies (RedRock, Beaker)
- You want a genuinely all-inclusive plan — physician guidance, dietitian visits, care coaching
- You want a full published legal suite before enrolling
Look elsewhere if
- You want the $179 figure to be the ongoing rate — it's first-month only; expect $249-$299 after
- You want tirzepatide as an option — semaglutide only here
- You want an independently verifiable LegitScript seal, not a generic badge
What it actually costs
What they advertise
Compounded semaglutide "$179" first month, per elixamd.com.
What you actually pay, month to month
The $179 figure is explicitly a first-month/intro price; ongoing monthly cost tiers to roughly $249-$299.
The commitment trap
The $179 figure is a first-month rate; ongoing cost tiers to roughly $249-$299/month, not stated in the headline.
Checked live on ElixaMD's own site at https://elixamd.com/ in August 2026. Prices change without notice — confirm before you buy. Work out what a vial actually gives you with our peptide dose calculator.
What is included
The cheapest headline number in this category is often the one with the least attached to it. Here is what ElixaMD bundles in, and what it does not.
Clinician consult
1:1 physician guidance is included, per the homepage.
Bloodwork / labs
Not published.
Follow-ups and dose changes
Care coaching and 24/7 support, per the homepage.
Human support
Free dietitian visits and care coaching, per the homepage.
Injection supplies
Not itemized.
Shipping
Free shipping, per the homepage.
Pharmacy, labs and oversight
The pharmacy
Two named compounding pharmacies: RedRock Pharmacy and Beaker Pharmacy.
Oversight
Care coaching and 24/7 support, per the homepage.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Our guide to verifying a certificate of analysis covers what to ask for.
Where you can get it
Not published.
The honest cons
The part they would rather you skipped
The $179 headline is a first-month price only; a reader budgeting off that figure would be surprised when the ongoing rate tiers up to roughly $249-$299 — a real gap the homepage doesn't state plainly next to the number that draws readers in.
- Advertised $179 is first-month only; ongoing cost tiers to ~$249-$299
- Semaglutide only — tirzepatide not advertised
- Generic LegitScript badge with no verifiable seal or listing
- State-availability list not published
None of this is unique to ElixaMD — the whole category shares it. What we hold against a provider is the part it hides, and the ways vendors hide things are cataloged in our vendor red-flags guide.
How it compares
The providers we rank on our semaglutide provider ranking, in the order that ranking ranks them. ElixaMD is not among them: it is reviewed here, not ranked there, and we would rather show you the comparison than pretend the two are the same thing.
- COCollectiveThe cheapest medication price here, on a membership the headline omits
- CoreAge RxOne price that does not move when your dose does
- BHBodybuilding Health+The deep peptide catalog is gone; the GLP-1 pricing got better
- RxSpan MDOral tablet only, at a real $179 monthly rate
- Enhance MDWrites a flat-price-at-every-dose policy down — and charges near the top for it
- Found HealthInsurance-integrated, unlike every cash-only compounder here — but $99 needs a prepay
- Direct MedsThe plainest price mechanics on either ranking, from a company with an FDA warning letter
- Synergy RxPublishes a starting number, and nothing about what it commits you to
13 more providers rank on our semaglutide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
Facts on this page reflect ElixaMD's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on ElixaMD's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.