Start eligibility at no cost. You are not charged for ongoing program care until you review and accept your enrollment summary.
Clear Pricing
$0 to start. Itemized quote before you pay.
Review due today, recurring terms, consultation fees, prescription costs, labs, shipping, and cancellation policy in one enrollment summary — before confirming care.
Prescription treatment is not guaranteed. You are charged for ongoing program care only after you review and accept your enrollment summary.
How pricing works
See every charge before you enroll.
Nexa Rx separates clinical program care from partner pharmacy fulfillment. You review a full itemized summary — due today, recurring terms, labs, and supplies — before confirming enrollment.
If a clinician determines you are not eligible, you are not enrolled in ongoing program billing.
Due today, recurring amount, consultation terms, medication, labs, shipping, and cancellation policy appear in one summary.
Subscription frequency, renewal amount, and how to cancel are shown before payment — the same standard used by leading telehealth platforms.
Clinical program care
Evaluation, messaging, refill coordination, and follow-up cadence.
- Licensed clinician evaluation when medically appropriate
- Secure clinical messaging during active care
- Refill review and treatment monitoring
Prescription & pharmacy
Billed through the applicable licensed U.S. pharmacy channel.
- Prescription cost varies by therapy and dosage
- 503A or 503B fulfillment as applicable to your plan
- Discreet delivery where legally available
Labs & supplies
Shown in your enrollment summary when clinically required.
- Baseline and follow-up labs when indicated
- Administration supplies when part of your plan
- Shipping terms confirmed before enrollment
Check Eligibility
Prescription treatment is not guaranteed. Pricing varies by program, therapy, pharmacy, and state. Confirm your itemized quote during eligibility review.
Before you pay
Every charge appears in your enrollment summary.
Like leading telehealth platforms, Nexa Rx shows a full itemized breakdown before you confirm enrollment — not after.
- Due today amount
- Monthly recurring program fee and billing frequency
- Clinical evaluation / consultation terms
- Prescription and pharmacy cost
- Lab fees and frequency (if required)
- Supplies and shipping
- Follow-up visits and clinical messaging
- Cancellation timing and any non-refundable fees
- State, therapy, and eligibility limitations
Compare programs
What's included — at a glance.
No monthly dollar amounts until your personalized quote is ready.
| Semaglutide | Tirzepatide | |
|---|---|---|
| Due today to start | $0 | $0 |
| Clinical evaluation | Included if prescribed* | Included if prescribed* |
| Ongoing messaging | Yes | Yes |
| Refill coordination | Monthly review | Monthly review |
| Labs | When indicated | When indicated |
| Prescription cost | Separate line item | Separate line item |
| Monthly total | Personalized quote | Personalized quote |
Program care + partner pharmacy
Semaglutide Therapy
Clinician-guided weight management with semaglutide when clinically appropriate
Due today$0
Charged for ongoing care only after you review and accept your enrollment summary.
Included in program
- Clinical evaluation when prescribed
- Ongoing messaging and refill coordination
- Follow-up visits when clinically appropriate
Shown before enrollment
- Prescription cost (partner pharmacy)
- Labs when clinically required
- Monthly program total in enrollment summary
Monthly total depends on
View full pricing breakdown
Recurring amountPersonalized monthly total shown before enrollment
Clinical evaluation / consultationIncluded when prescribed. A non-refundable evaluation fee applies only if a clinician determines you are not eligible — amount shown before checkout.
Prescription costSeparate line item based on prescribed semaglutide product, dosage, and pharmacy.
Lab diagnostic feesShown before enrollment when ordered through the partner clinical network.
Supplies & shippingDiscreet delivery and supplies included when listed in your enrollment summary.
Follow-up care & messagingOngoing follow-up visits, clinical titration planning, clinical messaging, and monthly refill support when clinically appropriate.
Cancellation policyCancel anytime via the Patient Center prior to your next recurring billing cycle.
Limitations & availabilityAvailability varies by state, clinical evaluation outcome, prescribed therapy, and applicable pharmacy rules.
Program care + partner pharmacy
Tirzepatide Therapy
Clinician-guided weight management with tirzepatide when clinically appropriate
Due today$0
Charged for ongoing care only after you review and accept your enrollment summary.
Included in program
- Clinical evaluation when prescribed
- Ongoing messaging and refill coordination
- Follow-up visits when clinically appropriate
Shown before enrollment
- Prescription cost (partner pharmacy)
- Labs when clinically required
- Monthly program total in enrollment summary
Monthly total depends on
View full pricing breakdown
Recurring amountPersonalized monthly total shown before enrollment
Clinical evaluation / consultationIncluded when prescribed. A non-refundable evaluation fee applies only if a clinician determines you are not eligible — amount shown before checkout.
Prescription costSeparate line item based on prescribed tirzepatide product, dosage, and pharmacy.
Lab diagnostic feesShown before enrollment when ordered through the partner clinical network.
Supplies & shippingDiscreet delivery and supplies included when listed in your enrollment summary.
Follow-up care & messagingOngoing follow-up visits, clinical titration planning, clinical messaging, and monthly refill support when clinically appropriate.
Cancellation policyCancel anytime via the Patient Center prior to your next recurring billing cycle.
Limitations & availabilityAvailability varies by state, clinical evaluation outcome, prescribed therapy, and applicable pharmacy rules.
State Availability
Program availability by state
Availability is updated by clinical operations and may change based on licensure, pharmacy rules, and prescribed therapy. Confirm your state and program during eligibility review.
Direct Telehealth Fulfillment
Clinical Review Required
Not Currently Serviced
Care Program
Select ProgramSemaglutide
Broad availability across the U.S. with state-specific prescribing and pharmacy rules.
Available(51 states)
Direct Telehealth & Pharmacy FulfillmentALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYDC
Care Program
Select ProgramTirzepatide
Broad availability across the U.S. with state-specific prescribing and pharmacy rules.
Available(51 states)
Direct Telehealth & Pharmacy FulfillmentALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYDC
*Clinical evaluation is included when prescribed. If you are not eligible, ongoing program billing does not begin. Monthly totals vary by therapy, dosage, pharmacy, shipping, and state.