Comparing TelosRX and NuviaRx for GLP-1 weight loss comes down to what you pay each month and how many ways you can take the medication. NuviaRx lists compounded semaglutide as low as $140 a month and compounded tirzepatide as low as $170 a month, both injectable. TelosRX is as low as $99 a month for semaglutide and $139 for injectable tirzepatide, with a needle-free option and quarterly labs included. Both platforms display LegitScript certification. Both hold every prescription behind a licensed provider's review.
If you want your partner pharmacies named on the website and the option to route your prescription to a local pharmacy instead, NuviaRx is a genuinely transparent choice. If you want a lower monthly rate, a needle-free route and quarterly labs folded into the plan, TelosRX is the better fit. Both are certified, and both run on a short online intake with no waiting room.
Start your intake →Quick comparison: TelosRX vs NuviaRx
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, typically within about four hours. There is no appointment to schedule and no waiting room.
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, so a dose increase is a clinical decision rather than a billing event.
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What is NuviaRx?
NuviaRx is a Florida-based telehealth platform that describes itself as a technology platform rather than a medical provider, connecting patients with US-licensed physicians who prescribe when it is clinically appropriate.
Its weight management program is built on two compounded medications, semaglutide and tirzepatide, both given as a once-weekly injection. NuviaRx says it compounds with B12, which it positions as support for patients new to GLP-1 therapy, people on plant-based diets and adults over 60. Programs are aimed at adults 18 and over with a BMI of 27 or higher.
Two things stand out. First, NuviaRx publishes the names and addresses of the partner pharmacies that may fill a prescription. It also names the individual physicians assigned to patients in California, Massachusetts, Rhode Island and Vermont, license numbers included. Publishing that level of detail is unusual in this category and deserves credit.
Second, NuviaRx will send your prescription to your own local pharmacy if you prefer, while noting that its affiliated pharmacy network is the cheaper and more convenient route. Most GLP-1 telehealth platforms do not offer that choice at all.
NuviaRx does not bill insurance, ships free, and lets you cancel, pause or switch programs from your account at any time. You are billed when the medication ships. It displays a LegitScript seal with a live verification link in its footer.
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 agonist. These ingredients form the basis of FDA-approved brands and are widely studied for weight management. For background, see the NIH NIDDK overview and the FDA announcement on tirzepatide for weight management.
NuviaRx offers compounded semaglutide and compounded tirzepatide as once-weekly injections, each compounded with B12. Its published catalog does not list an oral or sublingual GLP-1, and it does not list brand-name products for sale.
TelosRX offers injectable semaglutide and injectable tirzepatide, plus a needle-free oral GLP-1 taken as a daily dose under the tongue, where the tirzepatide formulation includes ondansetron to help with nausea. There is also a 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: NuviaRx wins on published pharmacy detail and the option to use your own local pharmacy. TelosRX wins on the monthly rate for both molecules, on format choice including a needle-free route, and on what is bundled in, including quarterly labs.
Pricing and transparency
Both platforms publish their prices openly, which is still uncommon in this category and worth crediting. Both also hold the price flat as the dose is titrated, so neither charges you more for moving up a step.
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: $269 per month
NuviaRx lists compounded semaglutide as low as $140 per month and compounded tirzepatide as low as $170 per month. Its product page notes that those rates apply with an annual plan. The price covers the medication, the physician consultation, monthly provider check-ins and free delivery, with no membership fee and no separate hidden charges.
On the two products that line up directly, TelosRX is lower: $99 against $140 on semaglutide, and $139 against $170 on injectable tirzepatide. The picture flips on the needle-free route, where the TelosRX oral GLP-1 costs more than either NuviaRx injection, because you are paying for a daily sublingual format rather than a weekly shot. If needles are not a concern for you, that gap matters less.
Neither platform bills insurance. Start your intake to see your TelosRX plan in minutes.
How the process works
The two are close here, and both deserve credit for keeping it simple.
TelosRX is a guided, fully asynchronous program. The intake takes about five minutes. A US-licensed provider reviews it without an appointment, typically within about four hours, and approved medication ships with free 48-hour delivery. If a provider decides treatment is not right for you, you are refunded in full.
NuviaRx runs a similar flow. You choose your therapy, answer a short set of medical questions, and hear back from a US-licensed physician in approximately 24 hours. NuviaRx notes that in certain states a video consultation or live chat is required before the consultation can be finalized, and a provider will reach out to arrange it. You may also be asked to submit a photo ID and a self-taken photo, which NuviaRx explains is a state regulatory requirement. Medication then ships from the dispensing pharmacy, typically within two to four business days.
The practical difference is speed and predictability. TelosRX turns intake around in hours with no appointment anywhere in its service area. NuviaRx turns it around in about a day, and some patients will need to make time for a live conversation depending on where they live.
Neither platform prescribes automatically. Any medication is subject to medical approval by a licensed provider. Begin your TelosRX intake 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.
NuviaRx includes access to its care team for questions and support, and its GLP-1 program describes monthly provider check-ins as part of the monthly price. Scheduled check-ins are a real feature rather than a marketing line, and they suit people who would rather be prompted than have to reach out. NuviaRx also says its care team is available seven days a week.
The gap is bloodwork. NuviaRx does not describe an included lab program in its published materials, so if periodic panels matter to you, ask before enrolling. TelosRX builds quarterly labs into the plan. See what your TelosRX plan includes.
Safety and medical oversight
Both platforms display LegitScript certification, both dispense through licensed US pharmacies, and both require provider review before any prescription is issued. NuviaRx also publishes a clear regulatory disclaimer stating that compounded medications are not FDA-approved, and points patients to FDA MedWatch for adverse event reporting, which is the correct guidance.
GLP-1 medications are not right for everyone. Providers screen for issues including a personal or family history of medullary thyroid cancer, multiple endocrine neoplasia type 2, 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. Note that NuviaRx serves the United States only and says state restrictions are confirmed as part of the intake process, so availability depends on where you live.
Which service is right for you?
Best if you want a lower monthly rate on either molecule. You also get choice in format, including a needle-free oral route and a microdosed protocol, quarterly labs included, and a provider decision in hours.
Best if you want to know exactly which pharmacy fills your prescription, would rather use your own local pharmacy, or like the idea of scheduled monthly provider check-ins alongside a B12 formulation.
If pharmacy transparency and the freedom to use a local pharmacy are what you care about most, NuviaRx is a credible, certified option that publishes more operational detail than most of its peers. If you would rather pay less each month, have a needle-free route available, and get quarterly labs folded into one flat price, TelosRX is the more complete program.
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 NuviaRx LegitScript certified?
NuviaRx displays a LegitScript certification seal in its website footer, linked to a live LegitScript verification page for nuviarx.com. You can check the current status yourself through that link before enrolling.
How much does TelosRX cost compared to NuviaRx?
TelosRX plans are as low as $99 per month for injectable semaglutide, $116 for microdosed tirzepatide and $139 for standard injectable tirzepatide, with the oral GLP-1 at $269 per month, and the visit, medication, shipping, labs and support included. NuviaRx lists compounded semaglutide as low as $140 per month and compounded tirzepatide as low as $170 per month, with those rates tied to an annual plan.
Does either service offer a needle-free GLP-1?
TelosRX offers an oral, under-the-tongue GLP-1 as a needle-free alternative to injections, plus a microdosed tirzepatide protocol. NuviaRx lists once-weekly injectable semaglutide and tirzepatide only, with no oral or sublingual GLP-1 in its published catalog.
Can I use my own pharmacy with NuviaRx?
Yes. NuviaRx says its physicians can send your prescription to your local pharmacy if you prefer. It notes that its own affiliated network is usually cheaper and more convenient, and that it cannot guarantee pricing at an outside pharmacy.
Who is NuviaRx best for?
NuviaRx suits someone who wants partner pharmacies named openly, would like the option of filling at a local pharmacy, and is comfortable with a once-weekly injection and a roughly 24-hour provider review. If you want a lower monthly rate, a needle-free option 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. NuviaRx details, including pricing, catalog and policies, were checked against its public website in September 2026 and may change.
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