RxSpan MD vs Ro: Which GLP-1 Clinic Is Better in 2026?
Short answer
Ro (Body by Ro) scores higher overall: 7.7/10 against 7.3/10 for RxSpan MD, mainly on medication options and clinical oversight. RxSpan MD costs $175/mo on a $2,094 upfront 12-month plan; Ro (Body by Ro) costs $74/mo membership on a plan prepaid annually, medication billed separately.
RxSpan MD · from $175/mo on a $2,094 upfront 12-month plan
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A brand-name GLP-1 service that publishes both of its bills: a Ro Body membership from $74/mo on a plan prepaid annually, and medication at the manufacturer's self-pay price from $149/mo. It is rated A+ and accredited by BBB, and its terms make the paid membership fee non-refundable.
from $74/mo membership on a plan prepaid annually, medication billed separately
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Both GLP-1 molecules in both routes plus three real brand names, and the most rigorously sourced medication-comparison page of any clinic we track. From a practice that publishes neither its pharmacy, nor the states it ships to, nor any refund terms behind a $2,094 upfront charge.
from $175/mo on a $2,094 upfront 12-month plan
Visit →Ro (Body by Ro) vs RxSpan MD, side by side
| Feature | Ro (Body by Ro) | RxSpan MD |
|---|---|---|
| Our score | 7.7/10 | 7.3/10 |
| Starting price | $74/mo membership on a plan prepaid annually, medication billed separately | $175/mo on a $2,094 upfront 12-month plan |
| Medication types | Wegovy, Wegovy Pill, Zepbound, Foundayo, Ozempic | compounded semaglutide, compounded tirzepatide, oral semaglutide capsules, oral tirzepatide capsules, brand-name Ozempic/Wegovy/Zepbound |
| Best for | — | — |
| Overall ranking | #8 | #21 |
| Price & Value (25%) | not scored (counted at 7.0) | 6.0 |
| Clinical Oversight (30%) | 8.5 | 8.0 |
| Medication Options (20%) | 8.0 | 9.0 |
| Transparency (25%) | 7.0 | 6.5 |
Sources: Ro (Body by Ro) pricing verified on ro.co, RxSpan MD pricing verified on rxspanmd.com
Ro (Body by Ro) vs RxSpan MD: what a year costs
Ro (Body by Ro): no verified non-sale 12-month semaglutide cost with a documented billing period is recorded.
Ro (Body by Ro): no verified non-sale 12-month tirzepatide cost with a documented billing period is recorded.
To get started, RxSpan MD asks for $249 (first payment, $249 a month, month to month); Ro (Body by Ro) publishes no first-month price we can set against it.
RxSpan MD: its /start page also shows a $194 first-month offer, not counted here.
Sources: ro.co, read October 25, 2026; rxspanmd.com, read October 1, 2026.
Which states Ro (Body by Ro) and RxSpan MD treat
Ro (Body by Ro) and RxSpan MD publish no list of states, so you have to check yours at the start of intake.
Sources: ro.co, read October 25, 2026; rxspanmd.com, read September 30, 2026.
Medications and doses: Ro (Body by Ro) vs RxSpan MD
Both list Zepbound KwikPen and Ozempic.
Only Ro (Body by Ro) lists Wegovy pill (oral semaglutide), Wegovy pen and Foundayo (orforglipron) pill (0.8, 2.5, 5.5, 9, 14.5 and 17.2 mg).
Only RxSpan MD lists compounded semaglutide injection, compounded tirzepatide injection, compounded semaglutide capsules and compounded tirzepatide capsules.
For Zepbound KwikPen, only Ro (Body by Ro) publishes doses (2.5, 5, 7.5, 10, 12.5 and 15 mg).
Sources: ro.co, read October 25, 2026; ro.co, read October 25, 2026; rxspanmd.com, read October 1, 2026; rxspanmd.com, read October 9, 2026; rxspanmd.com, read November 3, 2026.
Labs, fees and what Ro (Body by Ro) and RxSpan MD include
Ro (Body by Ro) bills a $149 monthly fee separately from the medication; RxSpan MD's plan prices include the medication.
Ro (Body by Ro) asks for labs only when the clinician needs them, and covers them; RxSpan MD does not say whether labs are required.
Sources: ro.co, read October 25, 2026; rxspanmd.com, read September 12, 2026; ro.co, read October 25, 2026; rxspanmd.com, read September 30, 2026.
Cancelling and refunds: Ro (Body by Ro) vs RxSpan MD
To stop the next charge, Ro (Body by Ro) needs 2 days' notice; RxSpan MD states no notice period.
If you are turned down, or cancel before a prescription is written, Ro (Body by Ro) gives a partial refund; RxSpan MD's pages do not say.
Sources: ro.co, read October 25, 2026; rxspanmd.com, read September 12, 2026.
FDA warning letters: Ro (Body by Ro) and RxSpan MD
Neither Ro (Body by Ro) nor RxSpan MD appears as the recipient of an FDA warning letter in FDA's database, searched October 25, 2026.
We searched FDA's database for "Roman Health" and "Ro Health" (Ro (Body by Ro)) and "RxSpan" (RxSpan MD).
Sources: fda.gov, read October 25, 2026; fda.gov, read November 4, 2026.
Independent review data: Ro (Body by Ro) vs RxSpan MD
Trustpilot: Ro (Body by Ro), 3.9 out of 5 from 7,150 reviews (read October 14, 2026); RxSpan MD, no reading.
Better Business Bureau: Ro (Body by Ro), rated A+ (read October 14, 2026); RxSpan MD, no reading.
Sources: trustpilot.com, read October 14, 2026; bbb.org, read October 14, 2026.
Who each one suits
Ro (Body by Ro) suits you if
- you want Wegovy pill (oral semaglutide), Wegovy pen and Foundayo (orforglipron) pill.
RxSpan MD suits you if
- you want compounded semaglutide injection, compounded tirzepatide injection, compounded semaglutide capsules and compounded tirzepatide capsules.
- you want one price that includes the medication, with no separate $149 monthly fee.
Verdict from the data
Ro (Body by Ro) leads on none of the facts above. RxSpan MD comes out ahead on medication choice and an all-in price.
Pick RxSpan MD if medication choice and an all-in price matter most to you. For everyone else our overall pick is Ro (Body by Ro) (7.7/10 against 7.3), a score that also weighs clinical oversight and transparency.
Pros & cons
Ro (Body by Ro)
Pros
- + Publishes all four membership plan lengths ($74, $89, $99 and $149 a month) and the starting medication price for each drug before any intake, under the heading "Two separate charges"
- + Names its own pharmacy (Roman Health Pharmacy LLC) in its terms, with care from affiliated physician practices and ongoing check-ins, provider messaging and dose adjustments described as part of the membership
- + Brand-name Wegovy® (pen and pill), Zepbound®, Foundayo® and Ozempic®, with a free insurance check and prior-authorization help for the pens
Cons
- − Weaker on Medication Options (8.0/10 vs 9.0)
RxSpan MD
Pros
- + Semaglutide and tirzepatide in injection AND oral-capsule form, plus cash-pay Ozempic, Wegovy and Zepbound
- + Founding physician named and independently verifiable. Dr. John Diaz, MD, FACS, board-certified by the American Board of Plastic Surgery
- + Publishes the pre-discount rate next to the promo rate, and the full plan grid with the actual upfront dollar amount for each term
Cons
- − Weaker on Clinical Oversight (8.0/10 vs 8.5)
- − Weaker on Transparency (6.5/10 vs 7.0)
The bottom line
After scoring all 61 clinics on our 4-criterion rubric (price & value, clinical oversight, medication options and transparency), Ro (Body by Ro) (7.7/10) comes out ahead of RxSpan MD (7.3/10). But the right choice still depends on what matters most to you.
Ro (Body by Ro). From $74/mo membership on a plan prepaid annually, medication billed separately.
Read Review →RxSpan MD. From $175/mo on a $2,094 upfront 12-month plan.
Visit →Editor's overall pick
Not sold on either? Our highest-rated partner clinic outside this pair is Wellorithm (7.9/10) from $247/mo after month 1. Read the review →
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Ro (Body by Ro) scores higher on our rubric. It is not one of our partners.
Frequently asked questions
Which is better, Ro (Body by Ro) or RxSpan MD?
Ro (Body by Ro) scores higher overall (7.7/10 vs 7.3/10) on our rubric.
How much does Ro (Body by Ro) cost vs RxSpan MD?
Ro (Body by Ro) is from $74/mo membership on a plan prepaid annually, medication billed separately and RxSpan MD is from $175/mo on a $2,094 upfront 12-month plan. Both are typically cash-pay; HSA/FSA funds are often eligible. We run an automated check against each clinic's own live pricing page every week; a price left unconfirmed for 45 days shows as unverified rather than staying marked as current.
What is the difference between Ro (Body by Ro) and RxSpan MD?
Ro (Body by Ro) (7.7/10, #8 of 61) and RxSpan MD (7.3/10, #21 of 61) are scored independently across our 4 criteria: price & value, clinical oversight, medication options and transparency. See the detailed score breakdown above for the criterion-by-criterion comparison.
Does Ro (Body by Ro) or RxSpan MD take insurance?
Insurance terms differ by clinic and by drug: some clinics are cash-pay only, and some help with insurance for brand-name drugs. Each clinic's review says what it publishes. HSA and FSA funds are often eligible. Confirm at checkout.
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How we score: every clinic is rated on 4 weighted criteria from documented evidence. Prices checked weekly. See each review for that clinic's own verification status. Scores are never influenced by affiliate commissions. “Visit” links may be affiliate links that support our work. Educational information only. Not medical advice.