Last reviewed: September 7, 2026 Last updated: September 7, 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 delivers a lower 12-month total through prepaid quarterly billing: $1,196 per year for semaglutide ($299 every three months) and $1,800 per year for tirzepatide ($450 every three months), both advertised as per-month equivalents of $99.67 and $150 respectively. PlexusDx charges $189 monthly for semaglutide and $289 monthly for tirzepatide with no prepayment—$2,268 and $3,468 over twelve months. If you are comfortable committing three months of payment upfront every quarter and want the lowest annual spend, 10Rx offers a clear price advantage. If you prefer monthly billing with no quarterly commitment, PlexusDx provides flexibility at a higher per-month rate. Both programs include clinician evaluation, medication, and shipping in their published prices with no separate membership fees.

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At-a-glance comparison

Feature 10Rx PlexusDx
Semaglutide $299 every three months (prepaid quarterly) $189 monthly
Tirzepatide $450 every three months (prepaid quarterly) $289 monthly
Billing model Prepaid quarterly (full three months upfront) Month-to-month (no prepay required)
Membership fee $0 $0
Included Clinician evaluation, medication with B12, next-day shipping, support Online provider visit, prescription, medication, shipping
Dose pricing Flat across strengths Flat at every dose
Trustpilot rating No profile located (September 4, 2026) 4.3 stars; 79% five-star, 83% four-star or higher (September 9, 2026)

Normalized 12-month cost comparison

10Rx and PlexusDx use different billing cycles, so we normalize both to a 12-month window to produce an apples-to-apples annual total. All figures below are our calculations based on the published rates captured September 4, 2026 for 10Rx and September 7, 2026 for PlexusDx.

10Rx: prepaid quarterly model

10Rx charges one upfront payment every three months. You pay the full quarterly amount at the start of each period, receiving a three-month supply of medication.

  • Semaglutide: $299 per quarter × 4 quarters = $1,196 per year ($99.67/month prepaid quarterly equivalent)
  • Tirzepatide: $450 per quarter × 4 quarters = $1,800 per year ($150/month prepaid quarterly equivalent)

The advertised per-month equivalents ($99.67 for semaglutide, $150 for tirzepatide) reflect dividing the quarterly total by three; the actual billing event is $299 or $450 every three months.

PlexusDx: month-to-month model

PlexusDx bills monthly with no prepayment required. The same price applies every month regardless of dose.

  • Semaglutide injection: $189/month × 12 months = $2,268 per year
  • Tirzepatide injection: $289/month × 12 months = $3,468 per year

Side-by-side annual totals

Medication 10Rx (prepaid quarterly) PlexusDx (month-to-month) Difference
Semaglutide $1,196 ($99.67/mo equiv) $2,268 ($189/mo) $1,072 lower with 10Rx
Tirzepatide $1,800 ($150/mo equiv) $3,468 ($289/mo) $1,668 lower with 10Rx

10Rx's prepaid quarterly structure delivers a substantially lower 12-month total for both medications. The savings come from the lower per-unit cost, but require paying for three months at a time every quarter.

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Evidence quality and pricing-source note

10Rx's primary pricing page (captured September 4, 2026) confirms the quarterly billing structure, inclusions, and flat-across-strengths policy but does not display numeric package totals on the public page. The $299 semaglutide and $450 tirzepatide quarterly figures come from secondary corroboration captured the same day. PlexusDx pricing is verified from primary product pages captured July 17–23, 2026 and confirmed September 7, 2026. We classify the 10Rx evidence as mixed primary-secondary and recommend confirming the exact quarterly total at checkout before committing.

What the pricing structures mean in practice

10Rx's prepaid quarterly commitment

Every three months you pay $299 (semaglutide) or $450 (tirzepatide) in a single transaction and receive a three-month supply. If you stop before the quarter ends, you have already paid for medication you may not use. The model rewards members who are confident in continuing for at least one full quarter and want the lowest per-month equivalent. Next-day shipping and clinician support are included; no membership fee sits on top of the medication cost.

PlexusDx's month-to-month flexibility

You are billed $189 or $289 each month with no prepayment. If you choose to pause or discontinue, you stop paying that month rather than forfeiting prepaid quarters. The trade-off is a higher per-month rate and a higher 12-month total if you continue for a full year. The monthly model suits members who value billing flexibility, are exploring tolerance and response, or prefer predictable recurring charges over periodic lump sums.

Dose escalation and flat pricing

Both programs use flat pricing across dose strengths: you pay the same amount whether you are on an initial low dose or a higher maintenance dose. This removes mid-treatment price surprises as your clinician adjusts your prescription. It also means you pay the full rate even during the lowest-dose introductory phase, when some competitors charge less.

Inclusions, fees, and add-ons

Neither program charges a separate membership fee. 10Rx bundles clinician evaluation, compounded medication with B12, next-day shipping, and ongoing support into its quarterly package price. PlexusDx includes the online provider visit, prescription, medication, and shipping in its monthly rate. Both models are all-inclusive at the published price—no surprise consultation fees, no shipping upgrades, no platform subscriptions.

Cancellation, refund, and flexibility gaps

We found no documented cancellation or refund policy for 10Rx in the sources captured September 4, 2026. If you need to stop mid-quarter, confirm whether the remaining prepaid months are refunded, credited, or forfeited. PlexusDx's month-to-month billing eliminates prepaid loss exposure: you simply do not renew the following month if you choose to discontinue.

Service reputation and review record

PlexusDx holds a 4.3-star rating on Trustpilot, with 79% of reviews at five stars and 83% at four stars or higher, captured September 9, 2026. We did not locate a Trustpilot profile for 10Rx as of the same date. The absence of a public review record does not imply poor service—it may reflect the program's operational timeline—but it leaves prospective members without third-party feedback on fulfillment speed, clinician responsiveness, or issue resolution. If review visibility matters to your decision, PlexusDx offers an established track record; if price is your primary filter, 10Rx's lower 12-month total may outweigh the review-data gap.

Choose 10Rx if…

  • You are comfortable paying $299 or $450 every three months in a single transaction.
  • You want the lowest 12-month GLP-1 total and are confident in continuing for multiple quarters.
  • You prefer bundled next-day shipping and do not need month-to-month cancellation flexibility.
  • The absence of a public review profile does not concern you, and you are willing to confirm cancellation terms at signup.

Choose PlexusDx if…

  • You prefer predictable monthly billing with no quarterly lump sum or prepayment.
  • You want the flexibility to pause or stop without forfeiting prepaid medication.
  • You value a documented Trustpilot rating and third-party service feedback.
  • You are exploring GLP-1 therapy for the first time and want low financial commitment while assessing tolerance and response.

Methodology and freshness

We captured 10Rx pricing and plan details from its public pricing page and secondary corroborating sources on September 4, 2026. The primary page confirmed the quarterly structure, inclusions, and flat pricing policy; numeric quarterly totals ($299 semaglutide, $450 tirzepatide) come from secondary corroboration and should be verified at checkout. PlexusDx pricing is drawn from product pages captured July 17–23, 2026 and confirmed September 7, 2026. The 12-month cost calculations and prepaid quarterly equivalents are our calculations based on those published rates. We searched Trustpilot and Reddit for 10Rx reviews on September 4, 2026; PlexusDx's Trustpilot rating was captured the same day. No promotional codes, first-month discounts, or limited-time offers are included in this comparison. Compounded medications are not FDA-approved; the FDA does not review compounded drugs before marketing for safety, effectiveness, or quality, and a licensed clinician determines whether a prescription is appropriate for an individual patient. PlexusDx works with licensed 503A compounding pharmacies.

Frequently Asked Questions

Does 10Rx require a membership fee on top of the quarterly medication cost?

No. The quarterly package price ($299 for semaglutide, $450 for tirzepatide) includes clinician evaluation, medication with B12, next-day shipping, and support with no separate membership fee. PlexusDx also charges no membership fee; the monthly rate covers the provider visit, prescription, medication, and shipping.

Can I pay monthly with 10Rx instead of every three months?

The evidence we captured shows 10Rx operates on a prepaid quarterly billing cycle—one payment every three months for a three-month supply. We did not find a monthly payment option documented as of September 4, 2026. Confirm available billing frequencies at signup if monthly payments are important to you. PlexusDx bills month-to-month with no quarterly commitment required.

What happens if I want to cancel 10Rx mid-quarter?

We found no documented cancellation or refund policy for 10Rx in the sources captured September 4, 2026. Because you prepay the full three months upfront, clarify whether the provider refunds, credits, or retains the remaining balance if you stop before the quarter ends. PlexusDx's monthly billing eliminates prepaid loss: you simply do not renew the next month if you discontinue.

Does the price increase when my clinician raises my semaglutide or tirzepatide dose?

No. Both 10Rx and PlexusDx use flat pricing across dose strengths—you pay the same quarterly or monthly rate regardless of whether you are on an introductory low dose or a higher maintenance dose. This removes mid-treatment cost surprises as your prescription is adjusted for tolerance and response.

How much do I save over a full year by choosing 10Rx's prepaid quarterly plan?

For semaglutide, 10Rx costs $1,196 over twelve months versus PlexusDx's $2,268 month-to-month—a difference of $1,072 (our calculation). For tirzepatide, 10Rx totals $1,800 per year versus PlexusDx's $3,468—a difference of $1,668. The savings require paying $299 or $450 every three months rather than spreading the cost across monthly bills, and you lose flexibility to cancel without forfeiting prepaid medication.

Sources

  • PlexusDx semaglutide injection product page, plexusdx.com/products/semaglutide-injection, accessed July 17–23, 2026; confirmed September 7, 2026.
  • PlexusDx tirzepatide injection product page, plexusdx.com/products/tirzepatide-injection, accessed July 17–23, 2026; confirmed September 7, 2026.
  • 10Rx pricing page and secondary corroborating sources, captured September 4, 2026 13:49:55 UTC.
  • Trustpilot search for 10Rx and PlexusDx profiles, performed September 4, 2026.
  • Reddit search for 10Rx discussion, performed September 4, 2026.

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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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