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RNK Health at a Glance
- What it is
- A money-back guarantee that needs six months of time-stamped evidence, on a subscription customers say they cannot cancel
- Medication type
- Compounded only
- Medications offered
- Compounded semaglutide — injectable and oral
- Compounded tirzepatide
- NAD+ (injectable, nasal and liposomal), sermorelin and enclomiphene — none of which are GLP-1s
- Pricing
- Compounded semaglutide from $197/mo (injectable or oral); tirzepatide from $297/mo
- Insurance
- Cash-pay. Compounded medication is never covered by insurance.
- Date reviewed
- August 7, 2026
How we scored it
Scores follow the published rubric in our provider comparison methodology.
Medical Disclaimer
We're not doctors, and this review is not medical advice. GLP-1 medications are prescription-only and require evaluation by a licensed healthcare provider. What works for one person may not work for another, and only a clinician who knows your history can determine whether a medication is appropriate for you. See our full medical disclaimer.
What Is RNK Health?
RNK Health is a combined GLP-1 and longevity platform, with medical operations in Des Moines, Iowa and pharmacy fulfilment in Springville, Utah. Alongside compounded semaglutide and tirzepatide it sells NAD+ in three formats, sermorelin, enclomiphene and a DNA test panel. Naming where its pharmacy fulfilment sits is more than many competitors offer, though it does not name the pharmacy itself.
Pricing is mid-market: compounded semaglutide from $197/month, available as an injection or orally, and compounded tirzepatide from $297/month. Against Ondra Health at $96 or Trimi at $99 that is not competitive on cost, though the oral option has value for anyone blocked by needles.
The guarantee is where the marketing and the terms diverge. RNK advertises a "100% Money-Back Guarantee", but it applies only to GLP-1 medications — not to sermorelin, NAD+, the DNA testing or anything else — and it requires documented adherence across six months supported by time-stamped evidence. That is a demanding evidentiary bar. Most people who abandon a treatment at month three, which is when most people abandon treatments, will not clear it.
The complaint record is what moves this provider down rather than the pricing. Customers describe a subscription that is nearly impossible to cancel, money taken after completing the intake questionnaire with bank fraud claims needed to recover it, a three-month NAD+ supply paid for at $378 and never delivered, and injectable product arriving hot with refunds and replacements refused. A recurring theme is receiving a lower-dose shipment — commonly 1,000mg — than the up-to-2,400mg tier advertised.
How the Program Works
- Consultation process
- Online medical questionnaire with clinician review. Note that complaints include money being taken at this stage before treatment was established.
- Eligibility
- Clinician-assessed at intake. RNK does not publish a BMI threshold or a list of states it serves.
- Provider involvement
- Licensed clinicians prescribe, with medical operations based in Des Moines, Iowa. RNK does not name a medical director.
- Lab requirements
- Not published as a universal requirement, though it sells a DNA Blueprint test panel as a separate product.
- Pharmacy fulfillment
- Fulfilment is stated as being in Springville, Utah — a more specific disclosure than most — but the pharmacy itself is not named. Temperature handling on injectable shipments appears repeatedly in complaints.
- Shipping frequency
- Monthly on subscription. Multiple customers report product arriving hot, and dose shortfalls against the advertised tier.
- Support services
- Clinician access and ongoing management. Support and cancellation are the weakest part of this offer by a distance.
RNK Health Pricing
- Membership fee
- None published separately.
- Medication fee
- Compounded semaglutide from $197/month, offered both as an injection and orally. Compounded tirzepatide from $297/month. NAD+, sermorelin, enclomiphene and DNA testing are priced separately.
- Cancellation policy
- The dominant complaint. Customers describe the subscription as nearly impossible to cancel once started. The published requirement is two days' notice before your billing date — set a calendar reminder at least three days ahead, cancel in writing, and keep confirmation.
- Refund policy
- Restrictive and, per customer accounts, difficult to obtain. The GLP-1 guarantee needs six months of time-stamped adherence evidence. Separate accounts describe refunds refused on injectable product that arrived warm, and customers filing bank fraud claims to recover money after charges they disputed.
- Insurance
- Cash-pay. Compounded medication is never covered by insurance.
- HSA / FSA
- Not published. Confirm with your plan administrator.
Pricing details worth knowing
- The "100% Money-Back Guarantee" covers GLP-1 medications only, and requires documented adherence over six months with time-stamped evidence. Read that as a marketing device rather than a safety net.
- It does not extend to sermorelin, NAD+, DNA testing or any other RNK service.
- Cancellation reportedly requires two days' notice before your billing date. Set a reminder at least three days ahead.
- Customers report receiving 1,000mg NAD+ shipments against an advertised up-to-2,400mg tier — check what you actually receive against what you bought.
- At $197 for semaglutide this is roughly twice the cheapest published compounded rates.
Prices change. Every figure above was taken from RNK Health's published pages or the named sources at the bottom of this review, as of August 7, 2026. Telehealth pricing in this market changes frequently, and promotional rates expire. Confirm your actual cost at checkout before enrolling.
Pros and Cons
Pros
- Offers compounded semaglutide both as an injection and orally, useful if needles are the barrier
- States where pharmacy fulfilment takes place (Springville, Utah), which most competitors do not
- Trustpilot sits in the four-star range across more than 400 reviews
- A broad catalogue if you want GLP-1s and longevity products from one account
Cons
- The money-back guarantee needs six months of time-stamped adherence evidence and covers GLP-1s only
- Customers describe the subscription as nearly impossible to cancel
- Reports of paid orders never delivered, and of bank fraud claims needed to recover money
- Reports of injectable product arriving hot, with refunds and replacements refused
- Reports of receiving a lower NAD+ dose than the tier advertised
- Mid-market pricing — roughly double the cheapest compounded providers
Who RNK Health May Be Best For
Few readers, given the cancellation and fulfilment complaints. Providers with comparable pricing and far better service records are covered elsewhere on this site.
Anyone who specifically wants oral compounded semaglutide and has read the complaint record
Limitations
Do not enrol on the strength of the money-back guarantee. Six months of time-stamped adherence evidence is a bar most people will not clear, and it excludes everything except the GLP-1.
Set a cancellation reminder three days before your billing date, cancel in writing, and keep confirmation. Cancellation difficulty is the single most reported problem here.
Inspect shipments on arrival for both temperature and dose. Both appear in complaints, and a warm GLP-1 shipment is a real clinical issue rather than an inconvenience.
If you compete in any sport under anti-doping rules, note that sermorelin appears on the WADA 2026 Prohibited List. Discuss it with your clinician and your sport's anti-doping authority before starting.
About Compounded GLP-1s
The FDA declared the tirzepatide shortage resolved in December 2024 and the semaglutide shortage resolved in February 2025, which ended the window for compounding pharmacies to make large volumes of copies of those drugs (503A pharmacies had until April 22, 2025; 503B outsourcing facilities until May 22, 2025). Many telehealth companies continue to offer compounded GLP-1s prescribed for an individual patient — often as a personalized dose, a microdose, or a formulation combined with a vitamin such as B12 or B6. That practice sits in a contested legal area, and the FDA has continued to act. In a Federal Register notice published on May 1, 2026, the FDA proposed not to include semaglutide, tirzepatide or liraglutide on the 503B bulks list, saying it had not identified sufficient evidence of a clinical need for outsourcing facilities to compound them from bulk substances; the comment period was extended to July 30, 2026. Separately, in February 2026 the FDA issued warning letters to 30 telehealth companies over false or misleading claims about compounded GLP-1s, and it has continued: a further round dated 8 June 2026 — 25 warning letters, posted publicly on 16 June 2026 — reached companies including Medica Weight Loss, FITISH and Roen Health (RoenRx), again over false or misleading claims about compounded semaglutide and tirzepatide that the FDA said made the products misbranded under sections 502(a) and 502(bb) of the FD&C Act. The claims cited included suggesting the products were FDA-approved, implying equivalence to Ozempic, Wegovy, Mounjaro or Zepbound, and asserting the "same active ingredient" or "same results" as the approved drugs. Compounded medications are not FDA-approved, which means they have not gone through the same review as the brand-name products.
None of that is specific to RNK Health — it applies to every provider offering compounded medication. We cover the trade-offs in detail in our guide to brand-name versus compounded GLP-1s.
Alternatives to RNK Health
Sunlight
Names six compounding pharmacies, ships refrigerated, and requires lab work
Read review →Ondra Health
Half the price at $96/mo with all five pharmacies named
Read review →Willow
The other oral-semaglutide option, at a flat $299/mo
Read review →vs. CoreAge RX, our top-rated platform
Across the platforms we've reviewed, CoreAge RX remains our highest-rated option for cash-pay patients, with compounded semaglutide from $99/month and tirzepatide from $149/month including free two-day shipping. Whether it beats RNK Health for you depends on the things this review has covered — insurance, medication type, and how much support you actually want.
Frequently Asked Questions
How much does RNK Health cost?
Compounded semaglutide starts at $197/month, available as an injection or orally, and compounded tirzepatide at $297/month. NAD+, sermorelin, enclomiphene and its DNA test panel are priced separately. That places RNK in the middle of this market — Ondra Health publishes $96/month and Trimi $99/month annually for compounded semaglutide.
Is RNK Health's money-back guarantee real?
It exists, but the conditions are demanding enough that most people will never qualify. The "100% Money-Back Guarantee" applies exclusively to GLP-1 medications — not to sermorelin, NAD+, DNA testing or any other service — and it requires documented adherence across a full six months supported by time-stamped evidence. If a guarantee is part of why you are signing up, get the exact evidentiary requirements in writing first and start collecting from day one.
Can I cancel an RNK Health subscription?
Customers report significant difficulty, and it is the most common complaint against the company — several describe it as nearly impossible once started. The stated requirement is two days' notice before your billing date. Practically: set a calendar reminder at least three days ahead, cancel in writing rather than through a portal alone, and keep the confirmation. Some customers have reported needing to raise fraud claims with their bank to stop charges.
Why do customers say they received a lower dose than advertised?
A recurring theme in RNK's public reviews is receiving NAD+ shipments at around 1,000mg against an advertised tier of up to 2,400mg. We cannot adjudicate individual orders, but the pattern is frequent enough to be worth checking: compare the strength printed on what arrives against what you actually purchased, and raise any discrepancy immediately rather than after the return window.
Is sermorelin a problem for athletes?
Yes — sermorelin appears on the WADA 2026 Prohibited List. If you compete in any sport governed by anti-doping regulations, that matters regardless of how the product is marketed. Discuss it with both the prescribing clinician and your sport's anti-doping authority before starting, not after a test.
Who should not use RNK Health?
Anyone who may need to cancel, obtain a refund, or rely on a delivery arriving correctly and cold — those are precisely the areas its complaint record concentrates in. Anyone shopping on price. Separately, GLP-1 medications are not appropriate if you have a personal or family history of medullary thyroid carcinoma or MEN 2, if you are pregnant or trying to conceive, or if you have had pancreatitis. Common side effects include nausea, vomiting, diarrhoea and constipation during titration. A licensed clinician who knows your history should decide.
The Verdict
RNK Health sells compounded semaglutide from $197/month — injectable or oral — and compounded tirzepatide from $297/month, alongside a peptide and longevity range. Its headline "100% Money-Back Guarantee" applies only to GLP-1s and requires documented adherence across six months with time-stamped evidence. The complaint record is the bigger problem: customers describe being unable to cancel, shipments that never arrived, and refunds refused on product that arrived warm.
Opens RNK Health's official site · Verify current pricing there
Compare Every Provider Side by Side
See how RNK Health stacks up against every platform we've reviewed on price, medication type, and what's actually included.
How We Researched This Review
We compiled this review on August 7, 2026 from RNK Health's own published pages plus independent reporting. We have not signed up for this service ourselves, and we say so rather than implying firsthand testing. Where RNK Health does not publish a detail — refund terms, lab requirements, pharmacy partners — we've said that plainly instead of guessing.
Sources
- Third-party reporting on RNK Health's catalogue and pricing: compounded semaglutide from $197/month (injectable and oral), compounded tirzepatide from $297/month, plus NAD+ (injectable, nasal, liposomal), sermorelin, enclomiphene and a DNA Blueprint test panel; medical operations in Des Moines, Iowa and pharmacy fulfilment in Springville, Utah
- Reporting on the "100% Money-Back Guarantee" applying exclusively to GLP-1 medications and requiring documented adherence over six months with time-stamped evidence, and not extending to sermorelin, NAD+, DNA testing or other services; cancellation requiring two days' notice before the billing date
- Trustpilot — a rating in the four-star range across more than 400 reviews as of early July 2026, with recurring reports of lower-dose shipments than the advertised tier and of shipping and temperature-handling problems on injectables
- Customer accounts describing a subscription that is nearly impossible to cancel, money taken after intake requiring bank fraud claims to recover, a three-month NAD+ supply paid at $378 and never delivered, and product arriving hot with refund and replacement refused
- Note that sermorelin appears on the WADA 2026 Prohibited List
- Note on access: myrnk.com returned no readable page content to our direct requests, so figures above are attributed to third-party reporting rather than pages we loaded ourselves (checked August 7, 2026)
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