Nurx review
Prescriber only, pharmacy pays the rest
A women's-health telehealth service that prescribes brand-name GLP-1s for pickup at your own pharmacy, or a mailed oral plan, for a $79 consult and $79 a month in care fees.
Our verdict
Nurx is a well-established women's-health telehealth brand, owned by Thirty Madison, and its weight program works differently from most on this list. Its providers prescribe brand-name GLP-1s, including Zepbound and Wegovy, but Nurx doesn't sell or ship them: you fill the prescription at a pharmacy of your choice and pay there, through insurance if your plan covers it. What you pay Nurx is a $79 consultation fee and a $79 monthly provider-support fee, neither of which insurance covers. That makes it good value mainly for someone whose insurance already covers a GLP-1 and who wants an online prescriber with regular check-ins. Without coverage, Nurx's own estimate puts the drug at $650 to $1,300 a month at the pharmacy counter, plus its fees, which is more than the manufacturers charge self-pay patients through their own programs. Its oral plans, built on naltrexone, bupropion, metformin and topiramate, are far cheaper at $60 to $329 a month, but those drugs have more modest effects than a GLP-1.
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At a glance
- Category
- GLP-1 telehealth
- Access
- $79 consultation + $79/mo provider support; brand-name GLP-1 paid at your pharmacy (about $650–$1,300/mo without insurance); oral plans $60–$329/mo
- Medications
- Branded
- Insurance
- Works with insurance
- Visit
- Async intake
Partner alternative
Enhance MD
Lab-guided treatment under ongoing physician oversight
Check Enhance MD availability →What it is
Nurx is run by NURX Inc., part of Thirty Madison, which also owns Keeps and Cove. It began with birth control and now covers menopause, mental health, acne, dermatology, sexual health and weight management, with care built around women's health; it says it has served more than 2 million patients. The weight program pairs prescription medication with check-ins, progress tracking, diet and exercise guidance and side-effect support, and includes unlimited messaging with the care team. Some medications are mailed from its partner pharmacy with free shipping; brand-name GLP-1s are not and must be filled locally. Nurx accepts most major private insurance for medications, including Aetna, Anthem, Blue Cross Blue Shield, Cigna and CVS Caremark plans, but its care fees are cash only. Services aren't offered in every state, and care is in English only.
How it works
You complete an online consultation covering your health history, weight goals and medication preferences. A provider licensed in your state reviews it, may ask follow-up questions, and prescribes a treatment plan if it's clinically appropriate. People with a history of eating disorders, or who are pregnant or breastfeeding, aren't eligible. Oral medications are mailed to you; brand-name GLP-1 prescriptions go to the pharmacy you choose, and for insurance coverage your provider may need to get prior authorization, which the site warns can take weeks and is often refused when the drug is prescribed for weight alone. A provider checks in about two weeks after you start, then regularly after that, adjusting doses and prescribing side-effect treatment where appropriate. You can message the team any time and pause or cancel whenever you like.
Pricing transparency
Everyone who requests weight treatment pays a $79 consultation fee, and patients who start treatment pay a recurring $79 monthly provider-support fee; insurance isn't billed for either. Brand-name GLP-1s are paid at the pharmacy. Nurx's own estimates without insurance are about $1,000 a month for Zepbound pens, $1,300 for Wegovy and from $650 for Saxenda, Ozempic, Mounjaro or Victoza, at the lowest dose, and it tells you to confirm the price with your pharmacy. With coverage, you pay your plan's copay. The oral plans are cash or insurance: naltrexone with bupropion at $60 a month, a three-in-one low-dose capsule from $75 a month, metformin at $15 and topiramate at $15 to $30, with the total running $60 to $329 a month depending on the combination. Oral medications ship free and are billed monthly or quarterly with your subscription. Nurx doesn't prescribe phentermine, Qsymia or other controlled weight-loss drugs.
Branded vs compounded
Injectable options are brand-name only: Zepbound and Wegovy, which are FDA-approved for weight management, and Saxenda, plus Ozempic, Mounjaro and Victoza, which are approved for type 2 diabetes, so prescribing them for weight is off-label, as Nurx's own footnotes state. Nurx doesn't sell compounded semaglutide or tirzepatide. The oral plan starts with naltrexone and bupropion, and providers can add metformin or topiramate or switch to its three-in-one low-dose capsule; none of these is FDA-approved on its own for weight loss, and the site says so in its footnotes. Oral GLP-1s such as the Wegovy pill aren't among the listed options. A search of the FDA warning-letter database under Nurx and Thirty Madison returned no letters.
Pros and watch-outs
What we like
- Prescribes brand-name Zepbound and Wegovy
- Works with your insurance for the medication
- Low-cost oral plans that ship free
- Unlimited messaging and regular provider check-ins
- Established women's-health service, cancel anytime
Watch-outs
- $79 consult plus $79 a month, never covered by insurance
- Without coverage, brand-name GLP-1s cost $650 to $1,300 a month
- Brand-name GLP-1s aren't shipped; you pick them up
- Prior authorization can take weeks and is often denied
- No compounded or oral GLP-1 option
Best for
Women whose insurance covers a brand-name GLP-1 and who want an online prescriber with regular check-ins, or anyone wanting a low-cost non-GLP-1 oral plan.
Who should look elsewhere
Self-pay buyers looking for the lowest price on a GLP-1, anyone who wants medication shipped to the door, or people who want a compounded option.
The evidence behind what Nurx 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.
How Nurx compares
A few alternatives worth a look, depending on what you’re optimizing for.
FoundCompounded GLP-1 with the drug included, and insurance for the visits
See Found →
WellMedRxCompounded GLP-1s by injection or tablet, with a named clinician network and pharmacy
See WellMedRx →
ZealthyPeople with insurance who want help getting a brand-name GLP-1 covered, with a compounded fallback while they wait
See Zealthy →
More GLP-1 telehealth reviews: ShapelySteady State HealthSurpassMDTeleSlim ClinicThe Aesthetic ConciergeThe Virtual NP
Peptides & longevity
How we assessed this. This review reflects Aminoscope’s own read of Nurx’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 Nurx weight management cost?
- A $79 consultation fee, then $79 a month for provider support, neither covered by insurance. Medication is extra: brand-name GLP-1s are paid at your pharmacy (about $650 to $1,300 a month without coverage), and oral plans cost $60 to $329 a month.
- Does Nurx ship Wegovy or Zepbound?
- No. Brand-name GLP-1s are sent to a pharmacy of your choice, where you pick them up and pay. Only certain oral medications are mailed by Nurx's partner pharmacy.
- Does Nurx take insurance for GLP-1s?
- Your insurance can be used for the medication at the pharmacy if your plan covers it, often after prior authorization. Nurx's own consultation and monthly fees are cash only.
- Does Nurx sell compounded semaglutide or tirzepatide?
- No. Its injectable options are brand-name only. Its cheaper alternative is an oral plan using naltrexone, bupropion, metformin or topiramate.
- Who owns Nurx?
- Nurx is part of Thirty Madison, the company that also runs Keeps and Cove.
- Is Nurx legit?
- Nurx is a GLP-1 telehealth service you reach through an online intake a clinician reviews. The medications it names are branded medication. What it publishes up front: $79 consultation + $79/mo provider support; brand-name GLP-1 paid at your pharmacy (about $650–$1,300/mo without insurance); oral plans $60–$329/mo. It states it works with insurance. Before you pay, ask in writing about which states it serves and a single monthly price you can check before an intake.