LevelsRx review

What it is

LevelsRx is the trading name of Trinity HealthCare Supply, LLC, which runs the technology platform and the administrative side: sign-up, billing, care coordination and pharmacy logistics. It doesn't practice medicine or employ the clinicians. Medical care comes from Usable Health, PC and its affiliated practices, whose physicians, physician assistants and nurse practitioners are licensed in your state; its site also credits OpenLoop Health with the screening criteria the intake applies, and it names three physicians on its home page. Prescriptions are filled by independent 503A compounding pharmacies its terms list as RedRock Pharmacy in St. George, Utah, Health Warehouse in Florence, Kentucky, Precision Compounding Pharmacy in Bellmore, New York, and Triad Rx in Daphne, Alabama. It says the membership is available in all 50 states. Support is by email and phone, with replies to general questions within 48 hours, and the patient portal is the fastest route for account and prescription questions.

How it works

You start with a free online assessment that takes about two minutes. A licensed provider then reviews your health history in a telehealth consultation, which may be a live video visit or an asynchronous review depending on your state's rules and the provider's judgment. If treatment is appropriate, the prescription goes to a partner pharmacy, and processing and delivery take about four to five business days. Each shipment comes with vials, syringes, alcohol pads and step-by-step instructions, or the oral liquid with a dropper. From there, the membership includes ongoing clinician support with messaging and check-ins, a personalized dosing plan, and the home page advertises a free dietitian consultation and meal options. The provider may ask for lab work, which is handled by an outside lab. If your weight falls toward the low end of the healthy range, the provider may move you to a maintenance dose or pause treatment, and if you stop, they can suggest a taper.

Pricing transparency

The home page lists starting prices of $249 a month for compounded semaglutide injections, $349 for compounded tirzepatide and $269 for the oral semaglutide liquid, and runs time-limited sales below those prices. It says the price is the same at every dose, with the provider review, plan, medication and shipping included and no separate membership fee; a comparison table on the same page gives a different starting figure, $99, so check the plan you're offered. Its terms say you're charged for the first billing cycle when you submit your intake, and refunded in full if a provider finds you medically ineligible before services begin. The subscription renews automatically at the interval shown at registration. To cancel, you must call support, at least seven days before your next billing date; email and chat requests aren't accepted. Fees are non-refundable once a cycle starts, including if you stop mid-cycle, and shipped medication can't be returned; a damaged or wrong shipment is replaced. Missed or late-canceled appointments can carry a fee. Disputes go to individual arbitration under California law.

Branded vs compounded

LevelsRx offers compounded semaglutide and compounded tirzepatide as weekly injections, and compounded semaglutide as an oral liposomal liquid taken by dropper. It states plainly that these compounded versions are not FDA-approved and haven't been evaluated by the FDA for safety, effectiveness or quality, and that they're prepared by state-licensed 503A pharmacies under USP 797 sterile standards. Brand-name Wegovy, Ozempic, Zepbound and Mounjaro aren't offered. The oral liquid is a convenience for people who dislike needles, but oral compounded semaglutide has no trial data of its own, and the brand-name oral form depends on a specific absorption enhancer, so expect results to differ from the injections. Its headline results, such as 18 percent average weight loss, come from members' self-reported data rather than clinical trials, which its own disclaimer notes. A search of the FDA warning-letter database found no letter addressed to LevelsRx.

Pros and watch-outs

The evidence behind what LevelsRx prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• What the semaglutide weight-loss trials actually showed

  STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.

• Tirzepatide vs semaglutide for weight loss: what the trials actually support

  Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.

• Compounded vs branded GLP-1: regulatory status, sourcing and the evidence

  Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.

How LevelsRx compares

A few alternatives worth a look, depending on what you’re optimizing for.

• Gala Health

  A guided, program-style GLP-1 weight-care experience

  See Gala Health →
• Direct Meds

  Straightforward compounded GLP-1 without an insurance requirement

  See Direct Meds →
• KIN Health

  Cash buyers who want a low monthly compounded GLP-1 with named pharmacies and a monthly check-in, and may add NAD⁺ or sermorelin later

  See KIN Health →

More GLP-1 telehealth reviews: JM Integrated Health · JumpstartMD · Lemonaid Health · LillyDirect · LIV by WellNow · NovoCare Pharmacy