Last reviewed: September 4, 2026 Last updated: September 4, 2026

Written by: Jay Hastings, CEO of PlexusDx

Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations. He has more than 20 years of experience across healthcare innovation, genomics, laboratory operations, healthcare investing, and strategic finance. His work has included scaling healthcare startups, leading CLIA lab integrations, and helping expand consumer access to precision health tools.

Medically reviewed by: Jayden Lee, PharmD, EMBA

Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Science Liaison with a PharmD and MBA specializing in pharmacogenomics and clinical product development, with a proven ability to bridge the gap between genomic research and practical patient outcomes. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.

PlexusDx publishes this comparison and is one of the providers discussed. We use the same evidence rules for our own program and competing programs.

The short answer

10Rx charges $450 upfront every three months for compounded tirzepatide injection with B12—$150 per month when prepaid quarterly. That quarterly package covers medication, clinician consultation, next-day shipping, and ongoing support with no separate membership fee. Over 12 months the total is $1,800 (our calculation: $450 × 4 quarters). The prepaid structure means you commit $450 at signup and every 90 days thereafter; no documented evidence shows whether unused doses are refundable if you discontinue early. PlexusDx offers tirzepatide injection at $289 month-to-month or $269 per month on a three-month commitment ($3,228 over 12 months, our calculation), billed monthly rather than quarterly. 10Rx wins on headline per-month cost when you prepay; PlexusDx offers lower upfront commitment and monthly flexibility. Both hold price flat across all dose strengths.

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At-a-glance comparison

Item 10Rx Tirzepatide PlexusDx Tirzepatide
Billing model Prepaid quarterly ($450 every 3 months) Month-to-month or 3-month/6-month commitment, billed monthly
Upfront payment $450 at signup $289 (MTM), $269 (3-mo), $249 (6-mo) first month
Effective monthly (prepaid) $150/month over quarter
Monthly rate (MTM) $289/month
Monthly rate (3-mo commitment) $269/month
12-month total $1,800 (our calculation) $3,468 (MTM) / $3,228 (3-mo) / $2,988 (6-mo), our calculations
Medication Compounded tirzepatide injection + B12 Compounded tirzepatide injection
Clinician visit Included Included
Shipping Next-day, included Included
Membership fee $0 $0
Dose pricing Same price all strengths Same price all strengths
Trustpilot rating No profile located (captured 2026-09-04) 4.2 stars, 81% four stars or higher (captured 2026-09-04)

10Rx pricing verified September 4, 2026; primary pricing page confirms structure and inclusions, numeric package totals from secondary corroboration. PlexusDx pricing current as of publication. All 12-month totals are our calculations.

Breaking down the $450 quarterly charge

10Rx bills $450 every three months for tirzepatide injection. That single charge covers compounded medication with vitamin B12, an initial clinician evaluation, next-day shipping, and ongoing support. There is no separate monthly membership or per-visit fee. The quarterly prepayment structure means the effective monthly cost is $150 when you divide the package across three months, but the actual transaction is $450 charged upfront and then again every 90 days.

Because the entire quarter is prepaid, you commit $450 at signup. The captured evidence does not document refund terms for unused medication if you discontinue before the quarter ends. If you respond well and continue treatment for a full year, you pay $450 four times for a 12-month total of $1,800 (our calculation).

10Rx holds the $450 quarterly price flat across all tirzepatide dose strengths, so the package cost does not increase as your clinician titrates your dose upward. The same all-inclusive model applies to 10Rx semaglutide, billed at $299 per quarter ($99.67 per month when prepaid, $1,196 over 12 months by our calculation).

Like-for-like cost comparison: 10Rx vs PlexusDx tirzepatide

Comparing prepaid-quarterly and month-to-month models requires breaking down both the upfront commitment and the 12-month total. The table below normalizes the structures:

Provider & Plan Upfront Billing Cycle Monthly Equivalent 12-Month Total
10Rx Tirzepatide $450 Quarterly (prepaid) $150 (prepaid equiv.) $1,800
PlexusDx Tirzepatide (MTM) $289 Monthly $289 $3,468
PlexusDx Tirzepatide (3-month) $269 Monthly $269 $3,228
PlexusDx Tirzepatide (6-month) $249 Monthly $249 $2,988

All 12-month totals are our calculations. 10Rx effective monthly is prepaid quarterly total divided by three. PlexusDx bills monthly even on multi-month commitments.

10Rx wins the 12-month total by a wide margin: $1,800 versus PlexusDx's $3,228 on a comparable three-month commitment (a $1,428 annual difference, our calculation) or $2,988 on a six-month commitment (a $1,188 annual difference, our calculation). The trade is upfront liquidity—10Rx requires $450 at signup, while PlexusDx month-to-month asks $289 in month one and can be paused or canceled before the next monthly charge.

If your timeline is uncertain—perhaps you are trialing GLP-1 therapy for the first time, or you have a history of intolerance to incretin medications—the monthly billing model spreads financial risk across smaller intervals. If you are confident in continuing treatment and can afford the quarterly lump sum, 10Rx's structure delivers lower annual cost.

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What the $450 package includes

The 10Rx tirzepatide quarterly package bundles four line items into the $450 charge:

  • Compounded tirzepatide injection with vitamin B12 for three months at your prescribed dose.
  • Clinician evaluation to determine eligibility and prescribe the medication.
  • Next-day shipping of the medication supply to your address.
  • Ongoing support during the quarter, with no documented per-message or per-contact fee.

No membership fee, consultation fee, or shipping surcharge appears as a separate line item. The same $450 quarterly price applies regardless of whether you are prescribed 2.5 mg, 5 mg, 7.5 mg, 10 mg, 12.5 mg, or 15 mg weekly tirzepatide (dose determined by your clinician based on response and tolerability). The inclusion of B12 is a formulation choice; whether that addition confers clinical benefit beyond standalone tirzepatide is not addressed in the captured evidence.

Evidence note: pricing verification

The $450 tirzepatide and $299 semaglutide quarterly totals are drawn from secondary corroboration in our dataset; 10Rx's primary pricing page (take10rx.com/pricing, captured September 4, 2026) confirms the quarterly prepaid structure, flat-dose pricing, and all-inclusive service model but suppresses the specific package dollar amounts in the captured snapshot. The $450 and $299 figures appear consistently across multiple secondary evidence rows captured the same day and align with the structure described on the primary page. We report them here with this caveat and recommend confirming the current quarterly price at checkout before committing payment.

Service quality and transparency considerations

10Rx had no Trustpilot profile as of September 4, 2026, and no aggregated review volume was located on other major platforms in our research. A Reddit discussion thread in the tirzepatide-compound subreddit references the 10Rx launch, clear pricing, and pharmacy partnerships, but no pattern of positive or negative user reports was captured in our evidence set.

PlexusDx holds a 4.2-star rating on Trustpilot, with 76 percent of reviews at five stars and 81 percent at four stars or higher (captured September 4, 2026). The established review record provides visibility into customer experience with medication delivery timelines, clinician responsiveness, and billing clarity. The absence of comparable third-party feedback for 10Rx does not imply poor service, but it does mean prospective patients have less external signal when weighing reliability and support quality.

Neither provider publishes refund terms for unused medication in the evidence we captured. If you prepay $450 for a 10Rx quarter and discontinue after four weeks due to side effects or lack of efficacy, it is unclear whether you recover the cost of the remaining eight weeks. Before committing the upfront payment, ask 10Rx directly about their refund or proration policy for early discontinuation.

Strengths and trade-offs

10Rx strengths

  • Lower 12-month cost: $1,800 annual total (our calculation) is $1,188 to $1,668 below PlexusDx options depending on commitment tier.
  • All-inclusive quarterly package: one charge covers medication, clinician visit, shipping, and support with no add-on fees.
  • Flat pricing across doses: the $450 quarterly rate does not increase as your dose escalates.
  • Next-day shipping: faster delivery than many telemedicine competitors that use standard ground.

10Rx trade-offs

  • High upfront commitment: $450 at signup and every 90 days; no documented monthly payment option.
  • Uncertain refund terms: evidence does not show whether unused medication is refundable if you stop early in the quarter.
  • No public review record: limited third-party visibility into support responsiveness, delivery reliability, or billing disputes as of September 2026.

PlexusDx strengths

  • Month-to-month flexibility: $289 monthly (or $269/$249 on commitment plans) with no quarterly lump sum required.
  • Established review record: 4.2-star Trustpilot rating with over three-quarters of reviews at four stars or higher provides visibility into customer experience.
  • Transparent clinical model: licensed provider visit, same-price-all-doses, no membership fee, same structural clarity as 10Rx but with monthly liquidity.

PlexusDx trade-offs

  • Higher 12-month cost: $3,228 on a three-month commitment (our calculation) is $1,428 more annually than 10Rx.
  • No B12 formulation option: compounded tirzepatide is standalone; B12 supplementation would be separate if desired.

Choose 10Rx if…

10Rx makes sense when annual cost is your primary decision variable and you are confident in continuing tirzepatide for at least a full year. The $1,800 total (our calculation over 12 months) represents meaningful savings—enough to fund two additional quarters of treatment compared to higher-priced competitors. The quarterly prepayment model works well if you have the upfront liquidity and prefer fewer billing transactions per year.

The flat-dose pricing is a hedge against cost uncertainty: if your clinician titrates you from 5 mg to 12.5 mg over several months, your quarterly bill remains $450 rather than stepping up with each dose increase. The next-day shipping inclusion is valuable if you are switching from another provider and want minimal gap between approval and first injection.

Before committing, confirm the current package price at checkout (our evidence notes the $450 figure is secondary corroboration rather than primary capture), and ask 10Rx directly about refund or proration terms if you discontinue mid-quarter. The absence of a public review record is not disqualifying, but it does mean you are weighing price advantage against less external visibility into service reliability.

Choose PlexusDx if…

PlexusDx fits when you prioritize billing flexibility, lower upfront commitment, or visible service accountability. The month-to-month option charges $289 in month one with no quarterly lump sum; you can pause or cancel before the next billing cycle if the medication does not suit you or if your financial situation changes. The three-month commitment ($269/month, $807 over three months by our calculation) and six-month commitment ($249/month, $1,494 over six months by our calculation) still bill monthly rather than requiring prepayment, spreading cost across smaller intervals.

The 4.2-star Trustpilot record with 81 percent of reviews at four stars or higher (captured September 4, 2026) provides third-party signal on delivery speed, clinician responsiveness, and billing transparency—particularly valuable if this is your first telemedicine GLP-1 program and you want external validation of service quality. The same-price-all-doses model mirrors 10Rx, eliminating dose-escalation cost uncertainty, and the licensed-provider visit is included in every monthly charge just as it is in 10Rx's quarterly package.

The higher 12-month cost—$3,228 on a three-month commitment versus 10Rx's $1,800 (our calculations)—is the trade for monthly liquidity and established accountability. If a $119 monthly difference ($1,428 annual gap divided by twelve) fits your budget and you value the flexibility to adjust or exit on a monthly cadence, PlexusDx's structure may be worth the premium.

Semaglutide cost comparison

10Rx also offers compounded semaglutide injection with B12 at $299 per quarter ($99.67 per month when prepaid, $1,196 over 12 months by our calculation). PlexusDx semaglutide injection is priced at $189 month-to-month, $169 per month on a three-month commitment, or $149 per month on a six-month commitment. Over 12 months the totals are $2,268 (month-to-month), $2,028 (three-month), or $1,788 (six-month) by our calculations.

The dynamic mirrors tirzepatide: 10Rx semaglutide wins on annual cost by $592 to $1,072 depending on PlexusDx commitment tier (our calculations), but requires $299 upfront every quarter. PlexusDx semaglutide offers monthly billing and the same 4.2-star review record, at a higher 12-month total. If you are starting with semaglutide rather than tirzepatide, the same trade-off applies—prepaid annual savings versus monthly liquidity and service visibility.

Methodology and freshness

Pricing and service details for 10Rx were captured September 4, 2026. The $450 tirzepatide and $299 semaglutide quarterly package totals are drawn from secondary corroboration in our research dataset; 10Rx's primary pricing page (take10rx.com/pricing) captured the same day confirms the quarterly prepaid structure, all-inclusive service model, and flat pricing across dose strengths but suppresses the specific dollar package amounts in the snapshot we obtained. We report the $450 and $299 figures with that evidence limitation noted and recommend confirming current pricing at checkout.

PlexusDx pricing is current as of publication. The 4.2-star Trustpilot rating, 76 percent five-star reviews, and 81 percent four-stars-or-higher figure for PlexusDx were verified September 4, 2026. The absence of a 10Rx Trustpilot profile was confirmed by search on the same date.

All 12-month cost totals, effective monthly equivalents for prepaid plans, and cost-difference figures are our calculations derived from the captured per-period rates. We used simple multiplication (quarterly rate × 4 or monthly rate × 12) and division (quarterly total ÷ 3 for effective monthly) with no discount projections or promotional arithmetic. Where we state a calculation is ours, the underlying per-period rate comes from the provider's captured pricing and the arithmetic is transparent.

Compounded medications are not FDA-approved. The FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. A licensed clinician determines whether a prescription is appropriate for an individual patient. This article does not guarantee eligibility, medication type, dose, results, or side-effect outcomes for any individual.

Frequently Asked Questions

Does 10Rx require a membership fee on top of the $450 quarterly charge?

No. The $450 tirzepatide package is all-inclusive: medication, clinician evaluation, next-day shipping, and support are bundled into the single quarterly payment with no separate membership or subscription fee documented in the evidence captured September 4, 2026.

Can I pay monthly instead of quarterly with 10Rx?

The captured evidence shows only a quarterly prepaid billing model—$450 charged upfront and then every 90 days. No monthly installment or payment-plan option was documented. If monthly billing is important, confirm directly with 10Rx or consider a provider that bills monthly.

What happens if I stop tirzepatide halfway through a 10Rx quarter?

The evidence does not document refund or proration terms for early discontinuation. Because the $450 covers three months and is charged upfront, it is unclear whether you recover unused medication cost if you stop after four or eight weeks. Ask 10Rx about their refund policy before committing the quarterly payment.

Does the $450 price increase when my tirzepatide dose goes up?

No. 10Rx holds the $450 quarterly package price flat across all tirzepatide strengths (2.5 mg through 15 mg weekly). Your clinician may titrate your dose upward over time based on response and tolerability, but the quarterly charge remains $450 regardless of prescribed strength.

How does 10Rx compare to PlexusDx over a full year?

10Rx tirzepatide totals $1,800 over 12 months when you prepay $450 every quarter (our calculation). PlexusDx tirzepatide month-to-month is $3,468 annually, the three-month commitment is $3,228, and the six-month commitment is $2,988 (our calculations). 10Rx delivers $1,188 to $1,668 in annual savings but requires higher upfront payment each quarter; PlexusDx bills monthly and has an established 4.2-star Trustpilot record.

Sources

  • 10Rx pricing page (take10rx.com/pricing), structure and inclusions verified, numeric package totals from secondary corroboration – captured September 4, 2026
  • 10Rx service details and medication formulation – captured September 4, 2026
  • Trustpilot search for 10Rx profile – captured September 4, 2026
  • Reddit discussion (r/tirzepatidecompound) – captured September 4, 2026
  • PlexusDx pricing (plexusdx.com) – captured July 17–23, 2026 and verified current as of publication
  • PlexusDx Trustpilot rating (4.2 stars, review distribution) – captured September 4, 2026

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Compounded medication disclosure: Compounded medications are not FDA-approved. The FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. A licensed clinician determines whether a prescription is appropriate for an individual patient. PlexusDx works with licensed 503A compounding pharmacies.

Medical and Editorial Standards

Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims.

Sources and evidence: PlexusDx educational content is developed using peer-reviewed research, clinical literature, reputable medical references, and, where applicable, public health or regulatory guidance. References are included at the end of the article when scientific, medical, or health-related claims are discussed.

Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services. Product mentions are intended to help readers understand available options and should not be interpreted as medical advice.

Important disclaimer: PlexusDx educational content is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about medications, supplements, genetic testing, lab testing, or health-related care.

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