MyStart Health vs Telos RX: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated August 14, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

54 providers verified independently·Independent research·How we rank →

Short answer: MyStart Health scores higher on our rubric, 7.7/10 against 4.9/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit Telos RX - published $99/mo; total not verified →or find your match

MyStart Health beats Telos RX overall, scoring 7.7/10 vs 4.9/10. Published pricing is not a like-for-like monthly comparison: MyStart Health is from $299/mo; Telos RX is published $99/mo; total not verified. Choose MyStart Health for users who want a monthly price that stays locked as their dose increases, backed by a money-back weight-loss guarantee. Choose Telos RX for people who want one care team across weight loss, longevity and recovery and will verify plan, consultation, lab and early-cancellation charges before paying.

A side-by-side look at MyStart Health and Telos RX to help you decide. We compare them on:

•Starting price per month
•Our overall score, out of 10
•Medication type, brand-name or compounded
•Whether they accept insurance
•Who each one is best for

Higher Rated

MyStart Health

#17 of 54

7.7/10

GLP-1 provider offering a unique money-back guarantee and price-lock protection for long-term cost certainty.

Visit MyStart Health

Telos RX

#51 of 54

4.9/10

Telos RX rebuilt itself between our July and August 2026 checks, from a four-SKU compounded GLP-1 storefront into a multi-category telehealth platform covering weight loss, longevity, recovery and sexual health. On the GLP-1 side it prescribes compounded tirzepatide, semaglutide, oral (under-the-tongue) tirzepatide formulated with ondansetron, and a microdosed tirzepatide tier. It says medication pricing does not rise with clinician-directed titration, a physician typically reviews intake within four hours, and clinical messaging is unlimited and 24/7. But the August 1 terms say consultations and ordered labs may be charged separately, including after a prescription-ineligible decision, so the $99 floor is not a verified all-in total. Prescriptions run through Arora Health Group and named pharmacies; the operating entity is Superior Health Solutions LLC.

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Feature	MyStart Health	Telos RX
Our Score	7.7/10	4.9/10
Headline Price	from $299/mo	published $99/mo; total not verified
Medication Type	Compounded	Compounded
Insurance Accepted	No	No
Best For	Users who want a monthly price that stays locked as their dose increases, backed by a money-back weight-loss guarantee	People who want one care team across weight loss, longevity and recovery and will verify plan, consultation, lab and early-cancellation charges before paying
Watch out for	Cash-pay only, no insurance accepted. If your plan covers GLP-1s, price that route first; HSA/FSA cards do work here	'Cancel anytime, no penalties' on the product pages is contradicted by the terms. Cancel a multi-month plan early and the months you already used are re-rated to the shortest plan that covers them, and you are billed the difference as a one-time charge. Their own worked example: leave a 12-month plan after three months and you are re-rated to the 3-month price
Ranking	#17	#51
Get started	Visit MyStart Health	Visit Telos RX

Pros & Cons Compared

MyStart Health

Pros

+Price Lock Guarantee ensures your monthly rate never increases even as your GLP-1 dose escalates, a genuine differentiator
+Competitive pricing at $149-$179/mo for compounded semaglutide with free shipping included
+Access to 600+ board-certified doctors with unlimited clinician messaging at no additional cost
+HSA/FSA eligible, can use pre-tax health savings to pay for treatment

Cons

−Cash-pay only, no insurance accepted. If your plan covers GLP-1s, price that route first; HSA/FSA cards do work here
−Select states only, not all 50, and the exact list isn't published. Confirm your state during the intake quiz before paying
−Compounded medications only, no brand-name GLP-1 option on the menu

Telos RX

Pros

+Flat pricing that does not increase as your dose is titrated, which is the opposite of how most compounded programs bill
+A physician typically reviews the intake within four hours, and labs can be ordered when clinically appropriate
+24/7 unlimited messaging with the clinical team, published as a standing commitment rather than a business-hours window
+Both pharmacies are named with full addresses: VialsRX at 6220 Westpark Dr, Houston TX 77057, and F&F Pharmacies Inc dba Jungle Jim's Pharmacy. Most competitors name none
+Oral tirzepatide comes formulated with ondansetron, an anti-nausea medication, built into the same dose rather than sold as a separate add-on
+Four GLP-1 formats including a needle-free daily option and a microdose tier, plus free 48-hour shipping and FSA/HSA eligibility on every plan
+One care team across metabolic, longevity, recovery and sexual health, so a patient who starts on a GLP-1 does not need a second provider later

Cons

−'Cancel anytime, no penalties' on the product pages is contradicted by the terms. Cancel a multi-month plan early and the months you already used are re-rated to the shortest plan that covers them, and you are billed the difference as a one-time charge. Their own worked example: leave a 12-month plan after three months and you are re-rated to the 3-month price
−The plan pricing that used to be fully public is now behind intake. The page shows 'as low as $99' against a struck-through $299, says your price depends on plan length, and exposes no plan selector. The month-to-month rate is not published anywhere
−The August 1 terms say consultations and ordered labs may be separately payable. Those charges may remain due even when a clinician decides you are not eligible for a prescription, so the medication floor is not an all-in quote
−LegitScript certification is claimed 22 times across the site, including in the footer trust bar, but a search of LegitScript's own registry for telosrx returned no matching record on August 12, 2026
−The homepage advertises 'Trustpilot Rated 4.9'. The actual Trustpilot profile is 4.4 from 11 reviews. The direction of the gap is small but it is the second time we have caught this same overstatement on this site
−Fees already paid are non-refundable and dispensed medication cannot be returned, exchanged or credited, including an unopened subscription cycle that has already shipped
−Availability is still unresolved. Marketing implies broad access; the terms say only that 'certain of our Services are currently only available to individuals located in certain states', with no list
−No individual clinician is named anywhere. 'Board-certified medical team' is as specific as it gets, and prescriptions route through Arora Health Group with no named medical director
−Shares the Arora Health Group medical group with Trimi Health, a white-label backend relationship neither brand discloses on its own site

Our Verdict

MyStart Health edges out Telos RX with a score of 7.7/10 vs 4.9/10. Published pricing is not a like-for-like monthly comparison: MyStart Health is from $299/mo; Telos RX is published $99/mo; total not verified.