Nurx Weight Loss Reviews – 567 BBB Complaints and Counting

Nurx (nurx.com) is a San Francisco-based telehealth platform that originally focused on birth control and STI testing before expanding into weight loss. They offer brand-name GLP-1 medications like Wegovy and Zepbound, but at staggering costs — up to $1,300/month for Wegovy without insurance — plus a $59/month provider support fee just to message a clinician. With a 2.1 Trustpilot rating across 1,323 reviews, a 1.09/5 BBB customer rating, and 567 total BBB complaints, Nurx has one of the worst reputations we have reviewed. Here is our complete analysis.

What Is Nurx?

Nurx is a telehealth platform based in San Francisco, California, that launched as an online birth control and STI testing service. Over time, they expanded into weight management, offering brand-name GLP-1 injectable medications alongside oral weight loss options and lifestyle counseling. Unlike most GLP-1 telehealth providers we review, Nurx does not ship medications directly — patients receive prescriptions that must be filled at a local pharmacy.

This distinction matters. Most competing platforms handle the entire process from consultation to doorstep delivery. With Nurx, you pay a $49 initial consultation fee and a $59/month ongoing provider support fee, but you are still responsible for picking up your medication at a pharmacy and dealing with insurance coverage yourself. The provider fee essentially pays for the ability to message a clinician through their platform — a service that many competitors include at no additional charge.

The fact that Nurx originated as a birth control platform is relevant. Their weight management program feels bolted on rather than purpose-built. Multiple reviewers describe the platform as "incredibly confusing and buggy," with workflows that clearly were not designed around the complexities of GLP-1 prescribing, insurance navigation, and ongoing dosage management.

What They Offer

• Wegovy (semaglutide) — brand-name only, ~$1,300/month without insurance
• Zepbound (tirzepatide) — brand-name only, ~$1,000/month without insurance
• Ozempic and Mounjaro — brand-name prescriptions filled at local pharmacies
• Oral weight loss medications — $60-$329/month
• 3-in-1 pill — $75/month
• Lifestyle counseling included with provider support
• No compounded medications — brand-name only
• Prescriptions filled at local pharmacy — not shipped by Nurx
• $49 initial consultation fee
• $59/month provider support fee for ongoing messaging access

Nurx Pricing

Nurx's pricing structure is one of the most confusing and expensive we have encountered. The platform charges multiple fees at different stages, and the total cost depends heavily on whether your insurance covers GLP-1 medications.

Even with insurance covering the medication itself, you are still paying $59/month ($708/year) just for provider messaging access. Many competitors — including CoreAge Rx, Hims, and Ro — include provider consultations and ongoing support in their base pricing. The $59/month fee feels especially excessive given the quality of support patients actually receive, which we will address in the experience section below.

For patients without insurance coverage for GLP-1 medications, the math is brutal. CoreAge Rx offers compounded semaglutide at $99/month all-inclusive — medication, consultation, shipping, and ongoing provider support. At Nurx, the same active ingredient in brand-name form could cost you $1,359/month. Even the oral medication options at $60-$329/month are significantly more expensive when you add the $59 provider fee on top.

My Experience With Nurx

I tested Nurx to evaluate their weight loss program firsthand. The experience confirmed what hundreds of reviewers have reported — a frustrating platform with poor communication and questionable value.

Sign-Up Process

The sign-up process was immediately confusing. The platform asks for health information, insurance details, and medication preferences, but the workflow is disjointed. Multiple reviewers describe the interface as "incredibly confusing and buggy," and I experienced the same. Form fields were unclear about what was required, insurance verification steps seemed to loop, and the overall user experience felt dated compared to competitors.

After completing the intake and paying the $49 consultation fee, I waited for a provider to review my information. The initial consultation was asynchronous — no phone or video call — which is standard in the industry, but given the $49 fee and the additional $59/month for "provider support," I expected a more thorough interaction than what I received.

Customer Support

This is where Nurx completely falls apart. The customer service experience is, by far, the worst we have encountered among GLP-1 providers. Patients consistently report 7-10 day response times for basic inquiries. Multiple BBB complaints describe being "ghosted" by the platform — messages sent to providers going unanswered for weeks, sometimes indefinitely.

For a medical service where patients may have urgent questions about side effects, dosing, or drug interactions, this level of unresponsiveness is not just inconvenient — it is potentially dangerous. You are paying $59/month specifically for provider messaging access, yet the providers frequently do not respond. Several reviewers report being charged the monthly fee while receiving zero communication from their assigned clinician.

BBB complaints also describe unauthorized charges appearing on accounts, random cancellations of prescriptions without explanation, and incorrect insurance billing that left patients with unexpected costs. One pattern that emerges repeatedly is patients discovering charges they did not authorize and being unable to reach anyone at Nurx to resolve the issue.

Pros and Cons

Is Nurx Legit?

Nurx is a legitimate, BBB-accredited business — but legitimate does not mean good. The company holds an A rating from the BBB based on its accreditation status and business practices. However, the customer-facing reality is starkly different: a 1.09/5 customer review rating on the BBB and 567 total complaints paint a picture of a company that has failed to deliver on its promises at scale.

The 2.1/5 Trustpilot rating across 1,323 reviews is classified as "Very Poor" by Trustpilot's own standards. To put this in perspective, most GLP-1 providers we review carry Trustpilot ratings between 3.5 and 4.8. Nurx is an extreme outlier on the negative end. The sheer volume of complaints — 567 on BBB alone, with 144 in just the past 12 months — suggests systemic issues rather than isolated incidents.

Common complaint themes across both platforms include: providers not responding to messages for days or weeks, unauthorized charges on credit cards, prescriptions being cancelled without explanation or warning, insurance claims being filed incorrectly, and a general inability to reach anyone who can resolve problems. For a medical service, these are serious operational failures.

• BBB A rating — accredited business since establishment
• 1.09/5 BBB customer review rating — near the absolute floor
• 567 total BBB complaints — an enormous volume
• 144 BBB complaints in past 12 months — problems are ongoing
• 2.1/5 Trustpilot rating — classified as "Very Poor"
• Licensed providers — prescriptions are from real clinicians
• Originally a birth control platform — weight loss is a newer addition

Who Is Nurx Best For?

Honestly, it is difficult to recommend Nurx for weight loss to anyone. The combination of poor customer reviews, expensive pricing, and a platform that was not originally designed for weight management makes it a hard sell regardless of your situation.

The only scenario where Nurx might make sense is if you have excellent insurance that fully covers brand-name GLP-1 medications like Wegovy or Zepbound, and you specifically need a telehealth platform to write the prescription. In that case, the $59/month provider fee is your primary cost. But even then, you would need to accept the risk of poor communication and potential billing issues that hundreds of patients have reported.

Nurx is not the right fit if: You are paying out of pocket for GLP-1 medications (the costs are astronomical compared to compounded alternatives), you value responsive customer support, you want a seamless platform experience, or you prefer having medications shipped directly to your door rather than picking them up at a pharmacy.

Final Verdict: Is Nurx Worth It?

We cannot recommend Nurx for weight loss. The data speaks for itself: a 2.1 Trustpilot rating, a 1.09 BBB customer rating, and 567 BBB complaints represent one of the worst track records among the providers we have reviewed. These are not cherry-picked numbers — they reflect the experiences of thousands of real patients.

The pricing model compounds the problem. Charging $59/month for "provider support" while patients routinely wait 7-10 days for responses — or get ghosted entirely — is indefensible. When you add the cost of brand-name medications without insurance, the total expense can exceed $1,300/month for a service that competitors like CoreAge Rx deliver for $99/month all-inclusive.

Nurx was built as a birth control platform and it shows. The weight management experience feels like an afterthought — confusing workflows, buggy interfaces, and support infrastructure that cannot handle the complexity of GLP-1 prescribing and insurance navigation. The 567 BBB complaints are not growing pains; they are evidence of systemic failure.

Our recommendation: Skip Nurx entirely. For compounded semaglutide, CoreAge Rx at $99/month offers vastly better value, responsive support, and direct medication delivery. If you specifically need brand-name medications, work with your primary care physician or a provider with a proven track record of customer satisfaction.

The Bottom Line

Nurx has one of the worst customer satisfaction records among GLP-1 telehealth providers. With a 2.1 Trustpilot rating, 567 BBB complaints, a $59/month fee for unresponsive provider support, and brand-name medication costs that can exceed $1,300/month, there is simply no compelling reason to choose Nurx over better-reviewed, more affordable alternatives. Save your money and your sanity — look elsewhere.