2026 Provider Review
We evaluated the major GLP-1 telehealth providers on cost, physician oversight, medication quality, and patient support. Here's what we found.
SkinnyRx offers physician-supervised compounded semaglutide and tirzepatide with nutritional coaching included. Their 503B pharmacy sourcing (highest FDA oversight tier for compounded medications) and transparent pricing make them our top pick for most patients.
What's Included
What to Know
MEDVi focuses on medically supervised weight loss with metabolic monitoring. Strong choice for patients who want closer medical oversight and tracking of metabolic markers alongside their GLP-1 prescription.
Strengths
Considerations
Elevate Health operates in all 50 states with one of the largest physician networks. A solid option for patients in states with limited telehealth options or those who prefer a broader network for follow-ups.
Strengths
Considerations
| Feature | SkinnyRx | MEDVi | Elevate Health |
|---|---|---|---|
| Starting price | $299/mo | $349/mo | $249/mo |
| Tirzepatide available | ✓ | ✓ | ✗ |
| Nutritional coaching | ✓ Included | Add-on | ✗ |
| 503B pharmacy | ✓ | ✓ | Varies |
| States covered | 48 states | 45 states | All 50 |
| Our score | 9.4 | 8.7 | 8.2 |
Weeks 1-4: Low dose, adjustment period
Starting dose is intentionally low. Most patients experience some nausea in weeks 2-4 as the body adjusts. Appetite begins to decrease.
Weeks 4-8: Dose escalation
Dose increases on schedule. Appetite suppression becomes more pronounced. Most patients begin seeing meaningful weight change.
Weeks 8-12: Stabilization
Side effects typically diminish. Eating patterns stabilize at lower intake. Average weight loss in clinical trials at 12 weeks: 4-6% of body weight.