Comparison
Framework vs ReflexMD
Independent, side-by-side. Same methodology, same sourcing standard, no payment accepted from either. Prices are observed market pricing (snapshot 2026-07-20); receipts are computed from sourced records.
| Framework | ReflexMD | |
|---|---|---|
| Verdict | Profile in progress | Profile in progress |
| Tirzepatide price | from $158/mo (6-mo titration pack) | Not tracked |
| Semaglutide price | from $88/mo (6-mo titration pack) | from $497/mo (monthly plan) |
| Pharmacy receipt | Fills through Absolute Pharmacy, Nova per market data (not the clinic's own disclosure). Pick your state to check licenses. | No pharmacy on our record — nothing we can verify stands behind the vial yet. |
| Care receipt | Care is outsourced to Beluga Health — a contract medical group named on the clinic's own site. The brand doesn't employ your clinician. | Care is outsourced to MD Integrations — a contract medical group named on the clinic's own site. The brand doesn't employ your clinician. |
| Review integrity | Review-integrity flag — 100% of its Trustpilot reviews are unprompted "organic" posts, past our 40% gaming threshold. | Review-integrity flag — 100% of its Trustpilot reviews are unprompted "organic" posts, past our 40% gaming threshold. |
| Company address | Its listed address is a registered-agent or mailbox service — no operating location stands behind the brand's listed address. | Its listed address is a registered-agent or mailbox service — no operating location stands behind the brand's listed address. |
| Pharmacy | In review | In review |
| Clinical support | In review | In review |
| Patient support | In review | In review |
| Value | In review | In review |
| Ships to | In review | 50 states |
| Pharmacy model | Compounded semaglutide and tirzepatide described as 'compounded medications prepared by licensed compounding pharmacies' that are not FDA-approved. Framework states it 'acts as a technology platform connecting users with Physicians and pharmacies' and 'is not a health care provider or pharmacy.' No specific compounding pharmacy partner is named on public pages reviewed. | ReflexMD does not name any compounding pharmacy partner anywhere on its public site. Its Terms state only that patients who receive a prescription 'will be assigned a pharmacy within our network to ship your prescription (collectively, the Pharmacies)'; a help-center article adds that the prescription is 'forwarded to one of our pharmacies or a pharmacy of your choice.' The compounded semaglutide and tirzepatide it sells include methylcobalamin (vitamin B12), per a help-center article explaining the medication's red color. No 503A/503B facility name, location, or accreditation is disclosed, so the supply chain behind its compounded products cannot be publicly verified from the company's own disclosures. |
| Red flags on file | 4 | 2 |
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Full profiles: Framework → · ReflexMD →
State-aware license reads: the tirzepatide price board →