RxSpan MD vs Hims & Hers: Which GLP-1 Clinic Is Better in 2026?
Short answer
RxSpan MD is the better pick: it scores 7.3/10 against 6.2/10 for Hims & Hers, mainly on transparency and medication options. RxSpan MD costs $175/mo on a $2,094 upfront 12-month plan; Hims & Hers costs $149/mo membership, with medication billed separately.
RxSpan MD · from $175/mo on a $2,094 upfront 12-month plan
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RxSpan MD wins overall, scoring 7.3/10 vs 6.2/10.
RxSpan MD · from $175/mo on a $2,094 upfront 12-month plan
Seeing a Black Friday price? Our GLP-1 Black Friday deals page shows each partner's sale, who it applies to and what the plan costs once it ends.
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
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Hims & Hers
A household-name telehealth brand, now selling only brand-name GLP-1s: Wegovy, Zepbound, Ozempic, Mounjaro and Foundayo, with named medical groups and pharmacies. A $149 monthly membership sits on top of every medication price, and it holds two open FDA warning letters and a pending FTC lawsuit.
from $149/mo membership
Read Review →RxSpan MD vs Hims & Hers, side by side
| Feature | RxSpan MD | Hims & Hers |
|---|---|---|
| Our score | 7.3/10 | 6.2/10 |
| Starting price | $175/mo on a $2,094 upfront 12-month plan | $149/mo membership |
| Medication types | compounded semaglutide, compounded tirzepatide, oral semaglutide capsules, oral tirzepatide capsules, brand-name Ozempic/Wegovy/Zepbound | Wegovy, Wegovy Pill, Ozempic, Ozempic Pill, Zepbound, Mounjaro, Foundayo |
| Best for | — | — |
| Overall ranking | #21 | #56 |
| Price & Value (25%) | 6.0 | not scored (counted at 4.0) |
| Clinical Oversight (30%) | 8.0 | 8.5 |
| Medication Options (20%) | 9.0 | 8.0 |
| Transparency (25%) | 6.5 | 4.0 |
Sources: RxSpan MD pricing verified on rxspanmd.com, Hims & Hers pricing verified on hims.com
RxSpan MD vs Hims & Hers: what a year costs
Hims & Hers: no verified non-sale 12-month semaglutide cost with a documented billing period is recorded.
Hims & Hers: 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); Hims & Hers 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: rxspanmd.com, read October 1, 2026; hims.com, read October 25, 2026.
Which states RxSpan MD and Hims & Hers treat
RxSpan MD and Hims & Hers publish no list of states, so you have to check yours at the start of intake.
Sources: rxspanmd.com, read September 30, 2026; hims.com, read October 25, 2026.
Medications and doses: RxSpan MD vs Hims & Hers
Both list Ozempic and Zepbound.
Only RxSpan MD lists compounded semaglutide injection, compounded tirzepatide injection, compounded semaglutide capsules and compounded tirzepatide capsules.
Only Hims & Hers lists Wegovy pill (oral semaglutide) (1.5, 4, 9 and 25 mg), Wegovy pen (0.25 mg up to 7.2 mg), Foundayo (orforglipron) pill, Ozempic pill and Mounjaro.
For Zepbound, only Hims & Hers publishes doses (2.5 to 15 mg).
Sources: rxspanmd.com, read October 1, 2026; rxspanmd.com, read October 9, 2026; rxspanmd.com, read November 3, 2026; hims.com, read October 25, 2026; hims.com, read October 25, 2026; hims.com, read October 25, 2026; hims.com, read October 25, 2026; hims.com, read October 25, 2026; hims.com, read October 25, 2026.
Labs, fees and what RxSpan MD and Hims & Hers include
Hims & Hers bills a $149 monthly fee separately from the medication; RxSpan MD's plan prices include the medication.
Neither RxSpan MD nor Hims & Hers says whether labs are required or what they cost.
Sources: rxspanmd.com, read September 12, 2026; hims.com, read October 25, 2026; rxspanmd.com, read September 30, 2026; hims.com, read October 25, 2026.
Cancelling and refunds: RxSpan MD vs Hims & Hers
To stop the next charge, Hims & Hers needs 2 days' notice; RxSpan MD states no notice period.
If you are turned down, or cancel before a prescription is written, Hims & Hers gives a partial refund; RxSpan MD's pages do not say.
Sources: rxspanmd.com, read September 12, 2026; hims.com, read October 25, 2026.
FDA warning letters: RxSpan MD and Hims & Hers
Hims & Hers' company has received 2 FDA warning letters, most recently on September 9, 2025, with no closeout letter posted. RxSpan MD appears in none, searched November 4, 2026.
Hims & Hers' letters: September 9, 2025, to Hims & Hers Health, Inc. dba Hims, "Unlawful Sale of Unapproved and Misbranded Drugs to United States Consumers Over the Internet (Telehealth)"; September 9, 2025, to Hims & Hers Health, Inc. dba Hers, "Unlawful Sale of Unapproved and Misbranded Drugs to United States Consumers Over the Internet (Telehealth)".
We searched FDA's database for "RxSpan" (RxSpan MD) and "Hims & Hers Health" and "Hims" (Hims & Hers).
Sources: fda.gov, read November 4, 2026; fda.gov, read October 25, 2026.
Independent review data: RxSpan MD vs Hims & Hers
Trustpilot: RxSpan MD, no reading; Hims & Hers, 2.9 out of 5 from 9,542 reviews (read October 11, 2026).
Better Business Bureau: RxSpan MD, no reading; Hims & Hers, not rated by the BBB (not enough information to issue a rating).
Sources: trustpilot.com, read October 11, 2026; bbb.org, read October 11, 2026.
Who each one suits
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.
- an FDA warning letter rules a clinic out for you (Hims & Hers has 2 FDA warning letters, RxSpan MD none).
Hims & Hers suits you if
- you want Wegovy pill (oral semaglutide), Wegovy pen, Foundayo (orforglipron) pill, Ozempic pill and Mounjaro.
Verdict from the data
RxSpan MD comes out ahead on an all-in price and a clean FDA record. Hims & Hers comes out ahead on medication choice.
Pick Hims & Hers if medication choice matters most to you. For everyone else our overall pick is RxSpan MD (7.3/10 against 6.2), a score that also weighs clinical oversight and transparency.
Pros & cons
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)
Hims & Hers
Pros
- + Brand-name, FDA-approved medications only, as pills, pens and vials, with each drug's approved use stated next to it
- + Names its eight medical groups and its dispensing pharmacies in its Terms, and runs an established prescribing operation at national scale
- + Prices for every medication and the membership are public before signing up, and the medication fee is FSA and HSA eligible
Cons
- − Weaker on Transparency (4.0/10 vs 6.5)
- − Weaker on Medication Options (8.0/10 vs 9.0)
The bottom line
After scoring all 61 clinics on our 4-criterion rubric (price & value, clinical oversight, medication options and transparency), RxSpan MD (7.3/10) comes out ahead of Hims & Hers (6.2/10). But the right choice still depends on what matters most to you.
RxSpan MD. From $175/mo on a $2,094 upfront 12-month plan.
Visit →Hims & Hers. From $149/mo membership.
Read Review →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 →
Ready to start GLP-1 weight loss?
Our verdict for this matchup is RxSpan MD.
Frequently asked questions
Which is better, RxSpan MD or Hims & Hers?
RxSpan MD scores higher overall (7.3/10 vs 6.2/10) and is our recommended pick for most people.
How much does RxSpan MD cost vs Hims & Hers?
RxSpan MD is from $175/mo on a $2,094 upfront 12-month plan and Hims & Hers is from $149/mo membership. 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 RxSpan MD and Hims & Hers?
RxSpan MD (7.3/10, #21 of 61) and Hims & Hers (6.2/10, #56 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 RxSpan MD or Hims & Hers 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.