RxSpan MD vs Fella Health
Two GLP-1 desks, one scoreboard. We put RxSpan MD and Fella Health head-to-head on the published Brief Score — the same six factors, scored the same way, no pay-to-win placement.
RxSpan MD
The verdict
RxSpan MD takes this head-to-head.
RxSpan MD scores 87 to 81 on our six-factor Brief Score — A full-service, LegitScript-certified desk with brand access, an oral route and all-50-state reach — at a premium.
That doesn't make Fella Health a bad call — it's best for men in one of its ~20 served states who want a male-focused metabolic program. Weigh the six factors below against your own priorities before you decide.
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Brief Score.
Factor by factor
Both desks scored on the six published Brief Score factors. The higher score in each row is marked. See the methodology.
Price, coverage & the tracker
| RxSpan MD | Fella Health | |
|---|---|---|
| Brief Score | 87/100 (B+) | 81/100 (B−) |
| Semaglutide | $249/mo | $165/mo |
| Tirzepatide | $329/mo | $399/mo |
| Coverage | All 50 states | 20 states |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Yes | Injection only |
| On the tracker | Stableprice stable | Stableprice stable |
RxSpan MD: $249 sema / $329 tirz premium line; brand + oral + LegitScript, all 50 states.
Fella Health: $165 sema but $399 tirz — one of the higher tirz lines; ~20 states, no accreditation.
● Not sold on either?
CoreAge Rx tops the whole board at 94/100.
The steadiest desk on the board: one flat, no-step-up price on both molecules, nationwide, and it hasn't moved.
Pricing, states and access reflect each provider's public disclosures at last review; the Brief Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.