- walked the public signup
- tracked the real cost
- read the fine print
Rixa Health review
Nobody else shows their working like this: every level, every dose, every price. Semaglutide goes $195, $225, $265, $290, $310. Then I noticed two of those five levels cover five weeks, not four — which makes level three cheaper per week than level two, even though the dose is higher. And the sentence right above the table says the prices cover four weeks.
- HSA / FSA-eligible
- Walked the public signup
- No insurance needed
Rixa Health at a glance
- Semaglutide
- $195 per 4 weeks at the lowest dose, rising to $310
- Tirzepatide
- $280 per 4 weeks at the lowest dose, rising to $525
- Coverage
- Published per provider, not site-wide; one is listed for Michigan and Ohio
- Brand-name
- Compounded only
How I scored Rixa Health
Every factor here comes from Rixa Health's own pricing, its disclosures and the signup I walked, and the six add up to the 55/100 Mom-Tested Score on the same weighted six-factor method I use on every provider — never nudged by whether a provider pays us.
Scores low: pinning down the real ongoing number takes work.
Scores low: whether it reaches you is the open question.
Scores low on choice — the medication menu is narrower here.
Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.
Scores low here: getting started asks more of your week than most.
Support is the weakest part of this provider's score.
How I verified this review
- Last verified
- August 2026
- Confidence
- high
- Primary source
- rixahealth.com/pricing
I read this on 18 August 2026. Rixa Health publishes the most detailed pricing I have found anywhere on this site: a level-by-level ladder with the milligrams attached. Semaglutide runs $195, $225, $265, $290 and $310, and tirzepatide $280, $355, $430, $475, $495 and $525 from 2.5 to 15 mg a week. Two things need reading slowly. The billing period is not the same all the way up — semaglutide levels three and four cover five weeks while the rest cover four — so the cost per week works out at $48.75, $56.25, $53.00, $58.00 and $77.50, which means level three is cheaper per week than level two despite the bigger dose. And the sentence introducing the table says the prices cover four weeks, which is wrong for two of its five rows. The tirzepatide ladder also nearly doubles as you titrate, so a budget built on level one comes up about 88% short at level six. There is one clear mistake in the oral table: all three 90-day semaglutide rows read "2mg/0.5mg" at $295, $395 and $575. On the good side the price includes medicine, shipping and provider contact between refills, there are no contracts, HSA and FSA are accepted, and coverage is published per provider instead of claimed for the whole site. It came back clean on the FDA's warning-letter list.
What to expect when you sign up
I walked Rixa Health's public signup funnel (August 2026) — a first-hand look at the flow. I don't create accounts, enter medical info, or check out, so this is what any visitor sees, not a patient outcome.
- 1The signup call to action leaves rixahealth.com for RixaHealth.intakeq.com, a separate host
- 2The intake responded HTTP 200 when checked on 2026-08-21
- 3Walked to the intake entry only. No personal information was submitted, so nothing past the entry screen is asserted here
What I noticed
- The intake runs on IntakeQ rather than on the provider's own software
- No monthly price is visible on the public homepage; the number appears only after you begin the intake
- Intake is hosted on RixaHealth.intakeq.com, so the company you fill the form in with is not the domain you started on
Pricing
Prices re-verified
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $195 | Level 1, 0.3 mg/week — per 4 weeksThe ladder runs $195, $225, $265, $290, $310. ⛔ Levels 3 and 4 cover FIVE weeks rather than four, so cost per week is not monotonic: Level 3 is $53.00/week against Level 2's $56.25 despite the higher dose. |
| Compounded tirzepatide | $280 | Level 1, 2.5 mg/week — per 4 weeksSix levels, all per four weeks: $280, $355, $430, $475, $495, $525 at 2.5 to 15 mg weekly. ⛔ The price nearly doubles as you titrate, so a budget built on Level 1 will be about 88% short at Level 6. |
| Oral semaglutide | $140 | Semaglutide/B12 oral dissolving tablet, 30 days, 2 mg30-day ODT rows run $140 (2 mg), $180 (5 mg) and $225 (12 mg). ⛔ All three 90-day rows read "2mg/0.5mg" at $295, $395 and $575 — three prices for one product description. |
HSA and FSA usually work for this — worth checking your own plan. The prices here are what Rixa Health's public disclosures showed at last review, and they change often; confirm the current number on Rixa Health's own site.
What I like
- A full ladder with the milligrams on it — five semaglutide levels and six for tirzepatide
- The price is said to include the medicine, the shipping and any provider contact between refills
- No contracts, no long-term commitment, and HSA or FSA cards work
- The nurse practitioner is named with her board certification
- It publishes licensure per provider instead of claiming coverage it does not have
- Oral dissolving tablets for both molecules, at 30 and 90 days
The caveats
- ⛔ The billing period changes partway up — levels three and four cover five weeks — so the cost per week does not climb evenly
- The line above the table says the prices cover four weeks, which is wrong for two of its own rows
- ⛔ Tirzepatide nearly doubles as you go up: $280 to $525 per four weeks
- All three 90-day oral rows say "2mg/0.5mg" at $295, $395 and $575
- There is no one state list, so it depends which provider you get
- No company named in the legal pages
What I actually think of Rixa Health
Nobody else shows their working like this: every level, every dose, every price. Semaglutide goes $195, $225, $265, $290, $310. Then I noticed two of those five levels cover five weeks, not four — which makes level three cheaper per week than level two, even though the dose is higher. And the sentence right above the table says the prices cover four weeks. It runs about $195/4 weeks.
I look at Rixa Health the way moms actually have to — not just the real monthly number, but nursing and pregnancy timing and canceling without a fight. That's the stuff a generic weight-loss review skips right over.
What Rixa Health really costs
- Compounded semaglutide — Level 1, 0.3 mg/week — per 4 weeks: $195/4 wks
- Compounded tirzepatide — Level 1, 2.5 mg/week — per 4 weeks: $280/4 wks
- Oral semaglutide — Semaglutide/B12 oral dissolving tablet, 30 days, 2 mg: $140/4 wks
That's about in line with the ~$179/month middle of my shortlist.
Which meds Rixa Health prescribes
Rixa Health prescribes semaglutide and tirzepatide — the two with the strongest published weight-loss numbers, and having both on one account genuinely matters if insulin resistance is in the mix (which it often is with PCOS or after gestational diabetes), because that's when tirzepatide tends to be the better fit. These are compounded from a licensed pharmacy — that's why the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are, and it's worth knowing that going in.
There's a needle-free sublingual option too, which is a relief if injections are the thing stopping you — just set expectations honestly: the under-the-tongue versions are far less studied than the shots the trials actually used.
Who Rixa Health is — and isn't — for
A good fit if…
- you might need to move between semaglutide and tirzepatide as your body and hormones shift.
Look elsewhere if…
- you specifically want an FDA-approved brand pen with its own pregnancy and lactation labeling.
- you'd rather a prescriber actually talk through nursing and pregnancy timing with you — that's what my #1 pick, CoreAge Rx, is built to do.
Can you trust it?
I'm confident in the public facts on Rixa Health — pricing, pharmacies, and the clinical network all checked out when I last looked. With any compounded GLP-1, the most useful thing you can do is confirm which licensed pharmacy fills it and what's actually in the formulation — I explain how I weigh oversight in the scoring method.
One line that's true of every provider on this site: no GLP-1 is established as safe in pregnancy or while breastfeeding, and the labels say don't. This is me reviewing a commercial signup, not giving you a green light — the timing call is yours and your clinician's.
So, would I use it?
Rixa Health is a reasonable option — weigh it against the picks below on nursing and pregnancy timing and canceling without a fight. For most moms, CoreAge Rx is still the stronger all-round fit — and you can see them side by side in this head-to-head.
The bottom line for moms
Best for: A mom who will read the ladder down to the dose she thinks she will end up on, and wants each step priced.
If Rixa Health isn't the one
Providers I have a referral relationship with, ordered by Mom-Tested Score — highest first. A fee never moves a score, but it does decide who shows up in this box, so it isn't everyone: my full ranking has every provider, paid or not.
- Visit CoreAge RxMom-Tested Score94/100ACoreAge RxMy #1 pick
The one I'd point a friend to first: I finished the intake in a single nap, the price on screen was the price I'd actually pay, and both semaglutide and tirzepatide were right there on one account.
- Visit Pallas HealthMom-Tested Score86/100B+
Pallas is one of the few places that will sell you either the cheap compounded route or the real brand-name pen without making you pick a provider first — compounded semaglutide works out to about $199 a month and tirzepatide about $299, while actual Zepbound, Ozempic, Wegovy and Mounjaro sit alongside them at cash-pay prices from $1,069. The price genuinely doesn't climb as you titrate, Pallas says so plainly on its own site, and the clinician, dose adjustments, check-ins and messaging are all inside that one number with no membership fee stacked on top. Two clinicians are named and both check out in the federal NPI registry, the LegitScript badge it displays is a real one, and it publishes an actual refund policy — full refund if a clinician turns you down, and a $5 processing fee if you cancel a qualifying payment — which is more paperwork than most of this market bothers with. The two things to know before you commit: it bills every 12 weeks in $597 and $897 chunks rather than monthly, and it never names its compounding pharmacy.
- Visit Trimi HealthMom-Tested Score85/100B
The price-first pick: some of the lowest flat, all-inclusive pricing I found, in all 50 states — great if the monthly number is your whole decision and you read the annual-prepay fine print before you sign.
Keep comparing Rixa Health
Head-to-head & alternatives
Rixa Health, answered
- How much does Rixa Health cost?
- As I last checked, Rixa Health's pricing starts around $195/month ($195 per 4 weeks at the lowest dose, rising to $310 semaglutide, $280 per 4 weeks at the lowest dose, rising to $525 tirzepatide). Confirm the current, all-in number on Rixa Health's own site before you commit — these move.
- Is Rixa Health okay to use while I'm breastfeeding?
- No — and that's true of every GLP-1, compounded or brand: none is established as safe in pregnancy or breastfeeding, and the labels say don't. Rixa Health is no exception. Plan any GLP-1 for after weaning and talk the timing through with your own clinician. I'm a mom, not a doctor.
- Does Rixa Health have both semaglutide and tirzepatide?
- Yes — Rixa Health offers both. Tirzepatide's dual GIP/GLP-1 action is often the one clinicians reach for when insulin resistance drives weight, which matters if you've got PCOS or a history of gestational diabetes.
- Where does Rixa Health land on your list?
- Rixa Health scores 55/100 on the Mom-Tested Score (ranked #204), which weights the six things that actually matter when you're doing this around kids. My #1 pick, CoreAge Rx, leads the list — worth seeing how they stack up.
Pricing, states and verification reflect Rixa Health's public disclosures at last review; the Mom-Tested Score is one mom's editorial judgment per the published method. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See my medical disclaimer and how I'm funded.