# TelosRX vs Orvi Health: Which Provider Is Right for You? **By TelosRX Editorial Team** · 2026-09-01 **Choosing between [TelosRX](https://www.telosrx.com) and Orvi Health for GLP-1 weight loss comes down to what you pay each month and what that payment covers. Orvi Health publishes its weight-loss program at $349 per month for a starting protocol and $399 per month for a maintenance protocol. TelosRX is as low as $99 per month, and that rate holds as your dose is titrated. Both are LegitScript-certified. Both require a licensed provider to approve any prescription.** The short answer Want a physician-led program that names its refund milestones, its provider network and its pharmacy? **Orvi Health** is a credible option. Want a lower monthly rate that stays flat at every dose, more ways to take a GLP-1, and quarterly labs in the plan? **TelosRX** is the better fit. Both are certified, and both run on a short online intake. [Start your intake →](https://start.telosrx.com/start-online-visit/weightloss) ## Quick comparison: TelosRX vs Orvi Health Feature TelosRX Orvi Health Starting price ✓ As low as $99 per month for semaglutide, all-inclusive $349 per month for the starting protocol, $399 per month for the maintenance protocol How the price moves ✓ Flat rate at every dose Steps up from the starting protocol to the maintenance protocol, exact price confirmed at intake GLP-1 formats ✓ Four paths: semaglutide, tirzepatide, oral tirzepatide, microdosed tirzepatide Compounded semaglutide, listed in injectable and oral formulations, and compounded tirzepatide Lab testing ✓ Quarterly labs included with plans Baseline labs ordered at Quest or LabCorp when a physician considers them indicated Ongoing support ✓ Unlimited care-team messaging, dose adjustments included Scheduled physician check-ins and protocol adjustments through the platform Review speed ✓ Provider review usually within hours, no appointment Physician review within 24 business hours, plus two to four business days if labs are ordered State availability Confirmed during your online intake ✓ Publishes its exclusions up front: not California, South Carolina or New Jersey Named clinical partners ✓ Arora Health Group providers, VialsRX and Jungle Jim's pharmacies ✓ Names LocumTele as its provider network and Rush Pharmacy as its dispenser LegitScript certification ✓ Certified ✓ Certified, seal displayed on its site Compounded medications are not FDA-approved. Any prescription is subject to medical approval by a licensed provider, and approval is not guaranteed. Individual results vary. ## What is TelosRX? TelosRX is an online-first, LegitScript-certified telehealth service built around GLP-1 weight management. The process is asynchronous. You complete a short intake online, and a US-licensed provider reviews it, usually within hours. There is no appointment to schedule and no video call to sit through. Medications are compounded by licensed US pharmacies and shipped free within 48 hours if approved. Unlimited messaging with your care team, provider-managed dose adjustments and quarterly labs are included at no extra cost. Your monthly price does not change as your dose is titrated, and you can cancel in one click with no cancellation fee. Compare [all four GLP-1 options side by side](https://www.telosrx.com/pages/glp-1-options), or [start your treatment](https://start.telosrx.com/start-online-visit/weightloss). ## What is Orvi Health? Orvi Health is a cash-pay telehealth platform that runs three programs: a metabolic health program built on GLP-1 medications, a men's ED program, and a physician-prescribed anti-parasitic protocol. Its structure is worth understanding before you enroll. Orvi Health, Inc. describes itself as a non-clinical technology and operational platform rather than a medical practice. Clinical decisions are made by independent, physician-owned practices, and Orvi names its provider network publicly as LocumTele. It also names Rush Pharmacy as the licensed US pharmacy that fills its prescriptions. Three things stand out. First, the disclosure is unusually plain. On the weight-loss page itself, Orvi states that its compounded semaglutide and tirzepatide are not FDA-approved. It also says that completing an intake does not guarantee approval, and that the company does not practice medicine. Plenty of platforms bury that in a footer. Second, it publishes where it does not operate. Orvi says it serves patients in most US states but not in California, South Carolina or New Jersey. Naming the gaps up front is a small thing that saves people time. Third, its refund policy is written milestone by milestone. If a physician does not approve you, the program fee is refunded in full. After approval, the refund is prorated by what has actually been delivered, with the consultation, any lab panel and any shipped medication deducted. That level of specificity is rare and reader-friendly, even where the terms themselves are strict. The intake takes about five to ten minutes. A physician reviews it within 24 business hours, and medication ships within one to two business days of approval, with two-day delivery. Orvi does not bill insurance, though itemized receipts are available for HSA or FSA submission. ## Medications: what each platform offers Both platforms work with the same drug class. Semaglutide is a GLP-1 receptor agonist. Tirzepatide is a dual GLP-1 and GIP receptor agonist. Both act on appetite signaling and gastric emptying. For background, see the [NIH NIDDK overview](https://www.niddk.nih.gov/health-information/weight-management/prescription-medications-treat-overweight-obesity) and the [FDA announcement on tirzepatide for weight management](https://www.fda.gov/news-events/press-announcements/fda-approves-new-medication-chronic-weight-management). Orvi Health lists compounded semaglutide, which it describes as available in injectable and oral formulations, and compounded tirzepatide through its partner compounding pharmacy. Its published catalog does not describe a microdosed protocol. Which medication you receive is decided by the reviewing physician rather than picked from a menu. TelosRX offers injectable [semaglutide](https://www.telosrx.com/pages/semaglutide) and injectable [tirzepatide](https://www.telosrx.com/pages/tirzepatide), plus needle-free [oral tirzepatide](https://www.telosrx.com/pages/oral-tirzepatide). There is also a [microdosed tirzepatide](https://www.telosrx.com/pages/microdosed-tirzepatide) protocol for people who want to ease in at a lower dose. Compounded medications from either platform are not FDA-approved and have not been evaluated by the FDA for safety, efficacy or quality. **Key takeaway:** Orvi Health wins on plain-spoken disclosure, named clinical partners and a refund policy you can actually parse. TelosRX wins on the monthly rate, on holding that rate flat through titration, on format choice and on what comes bundled in, including quarterly labs. ## Pricing and transparency Both platforms publish prices openly, which is still uncommon in this category and worth crediting. TelosRX prices by monthly plan, with the visit, medication, shipping, labs and support included: - Semaglutide, injectable: as low as $99 per month - Microdosed tirzepatide: as low as $116 per month - Standard injectable tirzepatide: as low as $139 per month - Oral, needle-free GLP-1: as low as $269 per month That figure does not move when your dose does. A dose increase is a clinical decision, not a billing event. Orvi Health uses a two-step shape for its weight-loss program. The starting protocol is $349 per month and the maintenance protocol is $399 per month, each covering the physician consult, the medication, pharmacy fulfillment and shipping. Orvi notes that exact pricing is confirmed at intake, based on the dose your physician prescribes. Its other programs are priced separately. The men's ED program runs $149 or $199 per month depending on dose count. The anti-parasitic protocol is a one-time charge of $299 introductory or $349 standard. So the gap is meaningful and it widens over time. On semaglutide, TelosRX is as low as $99 per month against Orvi's $349 starting protocol. Move to Orvi's $399 maintenance protocol and the gap holds. TelosRX injectable tirzepatide is as low as $139 per month, and the needle-free oral GLP-1 is as low as $269 per month. Both sit under either Orvi tier. Neither platform bills insurance, and both accept FSA and HSA funds. [Start your intake](https://start.telosrx.com/start-online-visit/weightloss) to see your TelosRX plan in minutes. ## How the process works The two are structurally similar, and both deserve credit for keeping the path short. TelosRX is a guided, fully asynchronous program. The intake takes about five minutes. A US-licensed provider reviews it without an appointment, usually within hours, and approved medication ships with free 48-hour delivery. If a provider decides a GLP-1 is not right for you, you pay nothing. Orvi Health runs a six-step flow. Online intake, then physician review within 24 business hours. Baseline labs at Quest or LabCorp follow if the physician considers them indicated. Then the prescription goes to the pharmacy, shipping happens within one to two business days, and follow-up and refills are scheduled from there. The lab step is clinically driven, so it can add two to four business days. If you are not approved, Orvi says you are not charged for medication and refunds the program fee. Neither platform prescribes automatically. Any medication is subject to medical approval by a licensed provider. [Begin your TelosRX intake](https://start.telosrx.com/start-online-visit/weightloss) to see if you qualify. ## Support and ongoing care TelosRX includes unlimited messaging with your care team, provider-managed dose adjustments and quarterly labs in every plan. Because pricing is flat, titration never changes what you pay. Orvi Health handles follow-up through scheduled physician check-ins on the platform, where your physician reviews your response and may adjust dosing or the protocol. Follow-up is conducted online with no office visit. There is no minimum commitment, and cancellations take effect at the end of the billing period. Support is physician-led rather than coach-led, which some people prefer. The clearest difference is bloodwork cadence. Orvi's labs are baseline and ordered only when a physician considers them indicated, and its own refund policy treats the lab panel as a separate cost. TelosRX builds quarterly labs into the plan at no extra charge. If periodic monitoring matters to you, that is worth weighing. [See what your TelosRX plan includes](https://start.telosrx.com/start-online-visit/weightloss). ## Safety and medical oversight Both platforms are LegitScript-certified, both dispense through licensed US pharmacies, and both require physician review before any prescription is issued. Orvi displays a LegitScript seal with a live verification link on its homepage, and it names Rush Pharmacy as its dispensing partner. TelosRX works with VialsRX and Jungle Jim's for compounding and with Arora Health Group for clinical review. Both ship temperature-sensitive medications with cold-chain packaging, and both are cash-pay with itemized receipts available for FSA or HSA use. GLP-1 medications are not right for everyone. Providers screen for issues including a personal or family history of medullary thyroid cancer, pancreatitis and pregnancy. Side effects are most often digestive, especially early on, and typically ease with gradual dose titration. Share your full medical history during intake on either platform, since approval is subject to medical review and is not guaranteed. ## Which service is right for you? Recommended TelosRX Best if you want a lower monthly rate that stays flat at every dose, plus choice in how you take a GLP-1: needle-free oral tirzepatide, a microdosed option, quarterly labs, unlimited care-team messaging and free 48-hour shipping. Orvi Health Best if you want physician-led follow-up, named clinical partners you can look up, a published refund policy broken down by milestone, and a platform that also covers men's ED and anti-parasitic care. Orvi Health says exactly who prescribes, who dispenses, where it does not operate and what a refund looks like at each stage. That makes it a certified and unusually candid option. If you would rather pay less each month, hold that rate flat as your dose rises, and have labs, messaging and a needle-free route in one price, TelosRX is the more complete program. [Start your treatment →](https://start.telosrx.com/start-online-visit/weightloss) ## Frequently Asked Questions ### Is TelosRX legitimate? Yes. TelosRX is a LegitScript-certified telehealth service. Medications are compounded by licensed US pharmacies, and every prescription is subject to medical approval by a licensed provider. ### Is Orvi Health LegitScript certified? Yes. Orvi Health displays a LegitScript certified seal with a live verification link on its homepage. It also names LocumTele as its provider network and Rush Pharmacy as the licensed US pharmacy that fills its prescriptions. ### How much does TelosRX cost compared to Orvi Health? TelosRX plans are as low as $99 per month for injectable semaglutide, $116 for microdosed tirzepatide, $139 for standard injectable tirzepatide and $269 for the needle-free oral GLP-1, with the visit, medication, shipping, labs and support included. Orvi Health lists its weight-loss program at $349 per month for a starting protocol and $399 per month for a maintenance protocol, with exact pricing confirmed at intake. ### Does either service offer a needle-free GLP-1? Both do. TelosRX offers a needle-free oral GLP-1, including oral tirzepatide, alongside a microdosed tirzepatide protocol. Orvi Health describes its compounded semaglutide as available in injectable and oral formulations. Its published catalog does not describe a microdosed option. ### What states does Orvi Health serve? Orvi Health says it serves patients in most US states but does not currently offer services in California, South Carolina or New Jersey. It also notes that availability of specific treatments can vary by state and is confirmed during intake. TelosRX confirms your state during your online intake as well. ### Who is Orvi Health best for? Orvi Health suits someone who wants physician-led follow-up and clinical partners named openly. It also offers a refund policy broken down by delivery milestone, plus men's ED and anti-parasitic care on the same platform. If you want a lower flat monthly rate, more GLP-1 formats and quarterly labs included, TelosRX is the closer fit. _TelosRX is LegitScript-certified. Compounded medications from either platform are not FDA-approved and have not been evaluated by the FDA for safety, efficacy or quality. Any prescription is subject to medical approval by a licensed provider, and approval is not guaranteed. Individual results vary. TelosRX operates as an online-first, asynchronous telehealth service. Orvi Health details, including pricing, catalog, state availability and policies, were checked against its public website in September 2026 and may change._ Start your private evaluation at [TelosRX](https://www.telosrx.com). **Tags:** compounded GLP-1, GLP-1, Orvi Health, semaglutide, telehealth comparison, tirzepatide, weight loss --- > Source: [Telos RX](https://www.telosrx.com/blogs/glp1/telosrx-vs-orvi-health)