MyFastRx review
Order by order, flat price
A self-pay telehealth platform selling compounded semaglutide at $139 a month and tirzepatide at $199 at every dose, paid one order at a time with no automatic billing, plus NAD⁺.
Our verdict
MyFastRx keeps the money side simple. A month of compounded semaglutide costs $139 and tirzepatide $199, the price doesn't change when your dose goes up, and the provider review and express shipping are included. Each order is a one-time payment rather than a subscription, so nothing renews behind your back; you reorder through a short refill intake when you need more. A $70-off first month brings the entry price to $69 or $129, and plans paid three, six or twelve months up front cut the monthly equivalent to as little as $79 or $124. The trade-offs are what it doesn't tell you before you pay: it doesn't name its pharmacy partners or the clinician group that prescribes, and you're charged when you place the order, before a provider has looked at your intake, though you're refunded if you aren't approved. For a buyer who wants a compounded GLP-1 without a recurring charge, it's a clear, predictable option.
Disclosure: Aminoscope is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. Partners are listed first; a commission never changes what we write about a provider. How we make money.
At a glance
- Category
- GLP-1 telehealth
- Access
- Compounded semaglutide $139/mo, tirzepatide $199/mo at every dose ($69/$129 first month); one-time orders, no automatic billing
- Medications
- Compounded semaglutide · Compounded tirzepatide
- Insurance
- Cash-pay, no insurance
- Visit
- Quiz intake / Async intake
- LegitScript
- Claimed by provider
Partner alternative
Enhance MD
Lab-guided treatment under ongoing physician oversight
Check Enhance MD availability →What it is
MyFastRx is an online telehealth platform run by MyFastRx Health LLC, which lists a mailing address in Boca Raton, Florida and a support line at 689-400-7481. It connects patients with licensed U.S. medical providers who review an online intake and, where they judge it appropriate, prescribe compounded semaglutide or compounded tirzepatide for weight loss. Prescriptions are filled by licensed U.S. pharmacies, which it doesn't name; the FAQ says the pharmacy depends on the treatment, your location and availability. Beyond weight loss it sells compounded NAD⁺ as an injection or nasal spray, and sermorelin is listed as coming soon. It's self-pay only and doesn't take insurance, though some HSA and FSA cards may work depending on the issuer. The site displays a numbered LegitScript certification seal, and it says it doesn't prescribe controlled substances for weight loss.
How it works
You choose a medication, complete a short online intake that the site says takes about a minute, and upload a photo ID and a picture of yourself for identity checks. A licensed provider usually reviews the intake within 24 hours, and some states or treatments call for a follow-up video visit, phone call or secure message. You can ask for a specific dose; higher-dose requests may need proof such as a photo of your current prescription or vial. If you're approved, the prescription goes to a partner pharmacy and ships Monday through Thursday in discreet, cold-chain packaging, and the FAQ says most patients have their medication within five to seven days of finishing the intake. Dose changes the provider approves are included, and switching between semaglutide and tirzepatide means placing a new order and telling the provider your current dose. Medication isn't refilled automatically: you log in and complete a refill intake, which a provider may review before the next order.
Pricing transparency
Compounded semaglutide is $139 a month and compounded tirzepatide $199 a month, the same at every dose, with the provider review, medication and express shipping included and no membership fee. New customers get $70 off the first month, making it $69 for semaglutide and $129 for tirzepatide. Multi-month plans are billed up front: semaglutide is $297 for three months ($99 a month), $534 for six ($89) and $948 for twelve ($79); tirzepatide is $498, $894 and $1,488, or $166, $149 and $124 a month. Medication on those plans ships in three-month supplies. The product pages say there's no subscription or automatic billing, and the FAQ confirms you pay when you place each order. You can cancel before an order is sent to the pharmacy for a refund; once it's processed or shipped it can't be canceled or returned. On a multi-month plan you can cancel the unfilled part, and the medication you've already received is recalculated at the shorter plan's price, with no extra cancellation fee. If a provider doesn't approve you, the order is refunded.
Branded vs compounded
The weight-loss options are compounded semaglutide and compounded tirzepatide, prescribed as injections from a U.S.-licensed compounding pharmacy; the FAQ notes some compounded GLP-1s include vitamin B12, which can tint the liquid red or pink. MyFastRx states plainly that compounded medications are not FDA-approved and haven't been reviewed by the FDA for safety, effectiveness or quality, and it doesn't offer brand-name Wegovy or Zepbound. NAD⁺ is sold separately as a subcutaneous injection kit or nasal spray at the same price, $139 for 30 days or $297 for 90; injected or inhaled NAD⁺ has no controlled human outcome trials behind its energy and focus claims.
Pros and watch-outs
What we like
- Flat $139 or $199 a month at every dose, medication included
- One-time payments with no automatic billing
- Provider review within about 24 hours
- No cancellation fee on multi-month plans
- Numbered LegitScript certification seal
- NAD⁺ by injection or nasal spray on the same account
Watch-outs
- Pharmacy partners and prescribing group aren't named
- Charged at order, before provider review
- Medication can't be returned once dispensed
- No brand-name GLP-1 option or insurance
Best for
Cash buyers who want compounded semaglutide or tirzepatide one month at a time, at a flat price, without a recurring subscription.
Who should look elsewhere
Anyone who wants brand-name medication or to use insurance, or a buyer who wants to know the dispensing pharmacy before paying.
The evidence behind what MyFastRx 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.
- NAD+ precursors (NR and NMN): what the human trials actually show
They raise NAD+ and look safe short-term, but human evidence is surrogate-marker level, and no trial shows they extend healthspan.
How MyFastRx compares
A few alternatives worth a look, depending on what you’re optimizing for.
MadeMedGLP-1 paired with NAD⁺ and sermorelin under one account
See MadeMed →
ShedA wide range of GLP-1 formats (injection, drops, lozenges, microdose)
See Shed →
LumiMedsCash buyers comfortable committing to a fixed-term compounded GLP-1 plan who want a low first month and HSA/FSA or Klarna payment
See LumiMeds →
More GLP-1 telehealth reviews: TrimRxaltRxFridaysWeight Watchers Med+JRNYSBreeze Meds
Access & cost
How we assessed this. This review reflects Aminoscope’s own read of MyFastRx’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- How much does MyFastRx cost?
- Compounded semaglutide is $139 a month and tirzepatide $199 a month at every dose, with provider review, medication and shipping included. New customers pay $69 or $129 for the first month, and prepaid multi-month plans bring the monthly equivalent down to $79 or $124.
- Is MyFastRx a subscription?
- No. Each order is a one-time payment and medication isn't refilled automatically. You reorder by completing a short refill intake in your account.
- Can I cancel a MyFastRx order?
- Yes, before it's sent to the pharmacy, for a refund. On a multi-month plan you can cancel the unfilled portion; medication already received is recalculated at the shorter plan's price, with no cancellation fee.
- Does MyFastRx take insurance?
- No. It's self-pay only, though some HSA or FSA cards may work depending on your card issuer.
- Does MyFastRx sell NAD⁺?
- Yes. It sells compounded NAD⁺ as an injection or nasal spray at the same price: $139 for a 30-day supply or $297 for 90 days, with no recurring billing.
- Is MyFastRx legit?
- MyFastRx is a GLP-1 telehealth service you reach through an online questionnaire and an online intake a clinician reviews. The medications it names are Compounded semaglutide and Compounded tirzepatide. What it publishes up front: Compounded semaglutide $139/mo, tirzepatide $199/mo at every dose ($69/$129 first month); one-time orders, no automatic billing. It is cash-pay and states it does not bill insurance. It shows a LegitScript seal. Ask the company for its certificate number before you rely on it. Before you pay, ask in writing about which states it serves.
- Is MyFastRx expensive compared with other GLP-1 telehealth providers?
- MyFastRx publishes a starting figure of $139/mo. Across the 112 GLP-1 telehealth providers we review that publish a single monthly figure, those run $49 to $399 with a median of $179, which puts MyFastRx below the median, toward the cheaper end. The other 173 GLP-1 telehealth providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.