RxSpan MD review

RxSpan MD publishes an all-inclusive price — consult, medication, supplies, shipping and support in one number — which removes the stacking that makes several cheaper-looking programmes here more expensive in practice. It is led by a named, board-certified physician, prescribes in all 50 states, and carries both an injectable and a genuine oral capsule route alongside an advertised microdosing lane. The published ladder covers the compounded line only; brand-name pricing is not itemised, and a prescription is not guaranteed until a provider reviews you after checkout.

The published prices cover the compounded line — brand-name pricing isn't itemized upfront

RxSpan MD (rxspanmd.com) is a physician-led telehealth practice founded by Dr. John Diaz, a board-certified plastic surgeon. It runs an unusually broad menu: compounded semaglutide and tirzepatide in both injectable and oral-capsule form, an advertised brand-name GLP-1 lane, and a microdosing lane — the last two directly relevant to a start-low approach — alongside longevity (NAD+/sermorelin/glutathione), hair-loss, and sexual-health lines. Pricing is published transparently on its own product pages and is all-inclusive: compounded semaglutide runs from $194/mo on the 12-month plan (up to $249 month-to-month), compounded tirzepatide is $329/mo, and semaglutide oral capsules are $249/mo, with the consult, medication, supplies, shipping, and support all folded into that single price. Plans can be changed or cancelled anytime, and RxSpan prescribes in all 50 states.

Pricing structure

Varies by dose, plan or tier

Consult

Included in the price

Compounding

Not publicly identified

Labs

Optional

Dietitian support

Not included

• Transparent, all-inclusive published pricing — consult, medication, supplies, shipping, and support in one price — with a low annual entry from ~$194/mo compounded semaglutide and change-or-cancel-anytime flexibility
• Prescribes in all 50 states — one of the widest footprints in this list
• Both an injectable and a real oral (capsule) route, plus compounded, advertised brand-name, and microdosing lanes suited to a start-low approach
• Founded and led by a named, board-certified physician (Dr. John Diaz), with 24/7 unlimited messaging plus coaching and free shipping

• Compounded semaglutide/tirzepatide are not FDA-approved and are not the same as Wegovy/Ozempic/Zepbound; intentional microdosing is off-label and unproven
• A prescription isn't guaranteed — a provider reviews eligibility after checkout

Intentional GLP-1 microdosing is off-label and unproven — no randomised trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.

• Oral semaglutide (Rybelsus)
• What microdosing GLP-1 costs
• What the evidence actually shows
• Microdose & reconstitution calculator
• Titration planner

RxSpan MD is one of 24 low-dose GLP-1 providers we track. The board lists 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.