The honest headline first: TelosRX and Empire Health are not really competing for the same visit. Empire Health is a men's sexual wellness service built around compounded sublingual tablets for erectile function and desire. TelosRX is a weight management and longevity service that also runs a dedicated PT-141 desire protocol for men and women. The two overlap in exactly one place, bremelanotide, and everywhere else they solve different problems. Both are LegitScript certified, both are fully online, and both require a licensed provider to approve any prescription.
If you want an on-demand erectile-function tablet built on tadalafil or sildenafil, Empire Health is the one built for that job. TelosRX does not offer those medications at all. If you want weight management, a flat published monthly rate, or a standalone desire protocol available to men and women, TelosRX is the better fit. Read the fit question before the price question here.
Start your intake →Quick comparison: TelosRX vs Empire Health
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. The center of gravity is weight management, and around it sit two other prescription protocols: PT-141 for desire and sermorelin for the growth hormone pathway.
The model is asynchronous. You fill in a short intake online, a US-licensed provider from Arora Health Group reviews it, and there is no appointment to book. Medications are compounded by licensed US pharmacies, VialsRX and Jungle Jim's, and free 2-day shipping is included in the plan price if you are approved.
What is bundled matters as much as the headline number. Unlimited care-team messaging, provider-managed dose adjustments and quarterly labs are included, and the monthly rate does not move when your dose does. If a provider decides treatment is not appropriate for you, you are refunded in full. You can cancel in one click with no cancellation fee.
You can compare all four GLP-1 options side by side or read the PT-141 protocol page before you start.
What is Empire Health?
Empire Health is a men's health telehealth service operated by Offer Empire, LLC out of Sheridan, Wyoming. Its focus is single and tight: prescription sexual wellness, delivered as compounded sublingual and chewable tablets. Its own tagline is prescription men's health, compounded for your case.
The catalog is nine formulas. Each is a combination tablet rather than a single active, pairing one or two PDE5 inhibitors with supporting ingredients. Each is compounded to the prescribing physician's specification rather than dispensed as an off-the-shelf pill. Sublingual delivery is the design choice they lead with, since dissolving under the tongue bypasses first-pass metabolism.
Two things deserve genuine credit. Empire Health names its partners publicly: Rush Pharmacy as the state-licensed compounding pharmacy, and LocumTele as the provider network of US-licensed physicians who review intakes. Naming both the pharmacy and the clinician network is more disclosure than a lot of this category offers. It also carries a LegitScript certification with a live verification link on the page, which is the same independent standard TelosRX holds.
The intake is five questions and takes under a minute. A US-licensed physician reviews it, typically the same day, and if a prescription is issued the formula is compounded and shipped in unmarked packaging with no pharmacy branding. Empire Health states it is available in 47 states and does not currently serve California, South Carolina or New Jersey. Its support team is available Monday to Friday, 9am to 6pm ET.
Medications: what each platform offers
This is where the comparison stops being a comparison and becomes a fork in the road.
Empire Health builds its nine formulas on PDE5 inhibitors. Tadalafil, sildenafil and vardenafil work on the nitric oxide pathway to support vascular response. Several formulas add a central-pathway active: bremelanotide, a melanocortin receptor agonist, appears at 1mg in two of them, and apomorphine, a dopamine agonist, appears in one. The rest of each formula is supporting material such as pycnogenol, L-citrulline, caffeine, NMN, vitamin D3 and vitamin K2. TelosRX does not offer tadalafil, sildenafil or vardenafil in any form. If a PDE5 inhibitor is what you are after, this article ends here and Empire Health is your option.
TelosRX works in different categories. For weight management there is injectable semaglutide at $99 per month and injectable tirzepatide at $139 per month. There is also a needle-free oral GLP-1 at $269 per month, and a microdosed tirzepatide protocol at $116 per month for people who want to ease in at a lower dose. Semaglutide is a GLP-1 receptor agonist and tirzepatide is a dual GLP-1 and GIP agonist. For background on the drug class, see the NIH NIDDK overview.
The one place the two catalogs touch is bremelanotide. TelosRX runs it as PT-141, a standalone protocol at $138 per month with separate intake paths for men and women. Empire Health includes it as one ingredient inside two of its combination tablets. That is a different design decision rather than a worse one, since their formulas are built to address the vascular and central pathways in one tablet. Compounded medications from either platform are not FDA-approved and have not been evaluated by the FDA for safety, efficacy or quality.
Key takeaway: Empire Health wins outright on erectile-function tablets, because TelosRX does not sell them. TelosRX wins on weight management, on serving women as well as men, and on a monthly rate you can read before you buy and still recognize on your third refill.
Pricing and transparency
Both platforms publish prices openly, which is still not the norm in this category and is worth crediting on both sides.
TelosRX prices by monthly plan, with the visit, medication, shipping, labs and support included:
- Semaglutide, injectable: $99 per month
- Microdosed tirzepatide: $116 per month
- Standard injectable tirzepatide: $139 per month
- PT-141: $138 per month
- Sermorelin: $125 per month
- Oral, needle-free GLP-1: $269 per month
That figure does not move when your dose does. A dose increase is a clinical decision, not a billing event.
Empire Health lists a price on every product page, from $104.99 for its sildenafil and pycnogenol formula up to $169.99 for the three-active tadalafil, sildenafil and apomorphine tablet. Each is a 30-tablet supply, and the site shows a per-dose figure alongside, from $3.50 to $5.67. The two formulas containing bremelanotide list at $149.99 and $159.99.
There is one detail worth reading carefully before you compare those numbers to anything. Empire Health's own pricing note says the prices shown reflect first-order introductory pricing and that refills bill at the standard member rate. That standard member rate is not published on the site. So the number on the product page is what you pay once, not what you pay ongoing. The struck-through original prices give a hint of the range, but they are not stated as the refill rate. If you go with Empire Health, ask what your refill will cost before you order.
The TelosRX equivalent is simpler to read: one rate, published, and the same rate on refill. Neither platform bills insurance. Start your intake to see your plan.
How the process works
The two are close here, and both deserve credit for keeping it short.
TelosRX is fully asynchronous. The intake takes about five minutes, a US-licensed provider reviews it without an appointment, and approved medication ships with free 2-day delivery. If you are not approved, you are refunded in full and you pay nothing.
Empire Health is also fully asynchronous, and its intake is even shorter at five questions in under a minute. A physician reviews it the same day, the formula is compounded overnight, and it ships within 24 hours. The company puts the whole thing at 2 to 3 business days from intake to doorstep. That is a genuinely fast pipeline and they should be credited for it.
The difference is what happens if the answer is no. Empire Health states that the consultation is free for approved and completed orders, and that a $40 minimum consultation fee applies to declined or incomplete orders. TelosRX refunds you in full if a provider declines you. Neither platform prescribes automatically, and on both, approval rests with an independent licensed clinician.
One more practical note. Charges at TelosRX are final once a prescription has been transmitted to the pharmacy, so the window to change your mind is before that hand-off.
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, and bloodwork is part of the program rather than an add-on you have to remember to arrange.
Empire Health runs a patient portal for managing subscriptions, order history and prescription details. Its support team is reachable Monday to Friday, 9am to 6pm ET, with responses stated within one business day. Its terms allow you to pause, skip or cancel at any time from the dashboard with no cancellation fee, which is a fair, low-friction arrangement.
Empire Health does not describe an included lab program or an ongoing coaching layer in its published materials, which is a reasonable scope decision for an on-demand tablet service. If periodic bloodwork matters to you, that is a real difference to weigh. See what your TelosRX plan includes.
Safety and medical oversight
Both platforms are LegitScript certified, both dispense through licensed US compounding pharmacies, and both require an independent licensed clinician to review your intake before any prescription is issued. Neither can guarantee you a prescription, and both say so plainly.
Empire Health publishes clear safety guidance on its site. It warns against combining PDE5 inhibitors with nitrates such as nitroglycerin or isosorbide, and tells patients to disclose all medications at intake, particularly blood pressure medications. That is the right disclosure to lead with for this drug class, and it is good to see it stated rather than buried.
The same principle applies on either platform. Share your full medical history at intake, including every prescription, over-the-counter medication and supplement you take, so the reviewing clinician can screen properly. Compounded medications are prepared for the patient named on the label and should never be shared. For background on how compounded drugs are regulated, see the FDA's compounding questions and answers.
Which service is right for you?
Best if you want weight management, a desire protocol available to men and women, or a published monthly rate that is the same on your first order and your fifth, with quarterly labs, care-team messaging and free 2-day shipping folded in.
Best if you are a man looking specifically for a compounded erectile-function tablet, want combination formulas in one sublingual dose, and value a named pharmacy partner, a very fast turnaround and unmarked packaging.
This one really does come down to fit rather than a scorecard. If sexual wellness is the whole reason you are shopping and you want a PDE5-based tablet, Empire Health is a certified, transparent option built for exactly that. TelosRX cannot serve you there. If you want weight management, a standalone PT-141 protocol, care that includes women, or a price you can predict past month one, TelosRX is the more complete program.
Frequently Asked Questions
Is TelosRX legitimate?
Yes. TelosRX is a LegitScript-certified telehealth service. Providers come from Arora Health Group, medications are compounded by licensed US pharmacies, and every prescription is subject to medical approval by a licensed provider.
Is Empire Health LegitScript certified?
Yes. Empire Health displays a LegitScript certification seal with a live verification link on its website, and its terms of service include a section on that certification. It is the same independent standard TelosRX holds.
Does Empire Health offer GLP-1 medications for weight loss?
No. Empire Health's published catalog is nine compounded sexual wellness formulas and does not include semaglutide, tirzepatide or any other GLP-1 medication. TelosRX offers four GLP-1 paths: injectable semaglutide, injectable tirzepatide, a needle-free oral GLP-1 and a microdosed tirzepatide protocol.
Does TelosRX offer tadalafil or sildenafil?
No. TelosRX does not offer PDE5 inhibitors in any form. Its overlap with Empire Health is bremelanotide, which TelosRX offers as a standalone PT-141 protocol at $138 per month with separate intake paths for men and women.
How much does Empire Health cost compared to TelosRX?
Empire Health lists $104.99 to $169.99 for a 30-tablet supply depending on the formula, and its own pricing note says those figures are first-order introductory rates with refills billed at a standard member rate that is not published on the site. TelosRX publishes one monthly rate per protocol: $99 for semaglutide, $116 for microdosed tirzepatide, $125 for sermorelin, $138 for PT-141, $139 for injectable tirzepatide and $269 for the oral GLP-1, and that rate holds on refill.
Who is Empire Health best for?
Empire Health suits a man who wants a compounded erectile-function tablet, likes the idea of several actives in one sublingual dose, and values a named compounding pharmacy, a same-day physician review and discreet unmarked packaging. If you want weight management, care available to women, quarterly labs or a rate that stays the same after the first order, 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. Empire Health details, including its catalog, pricing, state availability and policies, were checked against its public website in September 2026 and may change.
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