CoreAge Rx Review 2026: Cost, Plans and Refunds

CoreAge says it prices by medication and plan length, not by dose: “Dose changes do not affect your price.” Its pages show three sets of figures for the standard-dose programs:

• $79 semaglutide and $129 tirzepatide a month on the offer page, for doses up to 1.0 mg and 7.5 mg — 12-month rates, paid in full up front.
• “Starting at $99 per month” and “Starting at $149 per month” on the semaglutide and tirzepatide product pages.
• A 1-month supply that can begin “for $340”, on CoreAge's reviews page — the only 1-month price we found.

Sale pricing. The offer page shows its rates under a “SUMMER SALE” banner, and its fine print says “Prices shown are starting at”, so confirm the figure on the day you order.

Monthly versus up front. The help center warns that “The price shown in an ad or promotion may be a per-month breakdown of a multi-month plan.” Its own example: “$149/month” on a 3-month plan “means you are charged $447 upfront for the full 3 months”.

Every plan below is a prescription product, and a licensed clinician has to decide it is appropriate for you. Compounded products are not FDA-approved: the FDA says it does not review them for safety, effectiveness or quality before they are marketed, and that companies may not describe a compounded drug as a generic version of, or the same as, an FDA-approved drug.

These are the terms to read before you pay, because payment is taken at checkout.

• Before the provider reviews you, the pages disagree on the fee. One help article says: “If you change your mind before the doctor reviews your intake, you can request a cancellation and full refund.” The cancellation article says “Provider consultation fees ($50–$100) are non-refundable regardless of cancellation status.” Ask for the refund amount in writing before you cancel.
• If you are not approved, the pages give two answers. The FAQ says “we automatically issue a 100% refund.” The refund policy returns the medication portion but says “Any applicable provider consultation fee of $50–$100 is non-refundable.” Work to the stricter version.
• Once the prescription reaches the pharmacy, the sale is final. “ALL PRESCRIPTION SALES ARE FINAL once your prescription has been approved by a licensed medical provider and transmitted to the pharmacy for fulfillment.” That applies “even if the medication has not yet shipped.”
• Thirty days is a hard stop. “Once 30 calendar days have passed from the date of purchase, no refund will be issued for any reason.” The refund policy applies that even if “The prescription has not yet been sent to the pharmacy.”
• A long plan ended early is re-priced. Medication already shipped on a 6- or 12-month plan is charged at the 3-month rate.
• Renewals: switch them off in writing. The refund policy describes “subscription plans with automatic renewals”, while the pricing article says “You are never charged automatically.” To stop renewals, the help center says to email support@coreagerx.com and ask for automatic renewals to be turned off. Its cancellation article adds: “Wait for confirmation — do not assume your order is canceled until you receive written confirmation.”

Damaged or wrong medication is handled separately: CoreAge asks you to report visible damage “within 48 hours with photos”, and says pharmacy errors are corrected at no cost. Disputes go to binding arbitration in San Diego under the Terms.

These are the public records to read before you choose a plan length. All figures below were read on September 30, 2026.

• BBB rating: F, not accredited. The profile is for CoreAge Rx at a Wichita Falls, Texas address, alternate name DSO Fine Shrimp LLC. BBB reports that the address belongs to an unaffiliated package-forwarding business.
• BBB complaints: 74 in the last three years, 28 of them about delivery. On March 3, 2026 BBB identified a pattern of complaints under three headings — “Failure to Deliver Products/Extreme Delivery Delays”, “Inability to Reach Customer Support/AI-Only Communication” and “Unauthorized or Premature Charges/Difficulty Obtaining Refunds” — and closed its inquiry on March 31, 2026 as “Failed to Respond”. BBB states: “BBB strongly urges caution before Consumers attempt to conduct business with this entity.”
• BBB customer reviews: removed. BBB has removed all customer reviews for the business because it could not confirm their authenticity.
• The operator's own BBB profile: A-. A separate profile for DSO Fine Shrimp LLC in Sheridan, Wyoming shows an A- based on time in business, with one complaint.
• Trustpilot: no TrustScore. The coreagerx.com page reads “This company’s rating is unavailable due to a breach of our guidelines” and “We’ve removed a number of fake reviews for this company”, and lists 2,749 reviews. The offer page linked from this review displays a Trustpilot badge reading “4.6 out of 5 · 2,500+ verified reviews”; Trustpilot's own page did not show that rating when we read it.

FDA and FTC: no warning letter or action found. We searched the FDA warning letter database on September 30, 2026 for CoreAge, CoreAgeRx, coreagerx.com and Fine Shrimp and found no letter, and a search of ftc.gov found no action naming the company or its operator. CoreAge displays a LegitScript seal, and its offer page states that the operator “is LegitScript-certified”; the public LegitScript lookup requires a CAPTCHA step we did not complete, so we could not confirm the certification either way.

If you go ahead, plan around CoreAge's longer “~7–14 business days from completed intake” estimate, keep written confirmation of any cancellation or renewal change, and note that card charges appear under the DSO Fine Shrimp name.

The argument for CoreAge is the shape of the bill. CoreAge says dose increases happen at provider check-ins and that its price does not follow them: the offer page gives one figure for semaglutide up to 1.0 mg and one for tirzepatide up to 7.5 mg. That helps most if your provider moves your dose up during the plan. Above those limits we found no published price, so ask first.

Where it stops working is the prepayment. The lowest rates need the longest plan paid up front, an early exit re-prices shipped medication at the 3-month rate, and refunds end at 30 days. Weigh that against the public record above before you choose the plan length.

If that record rules CoreAge out for you, the alternatives at the end of this page are checked against the same six criteria, as is every clinic in our side-by-side comparison of compounded GLP-1 clinics. Before paying anywhere, run through our before-you-pay checklist and guide to how GLP-1 pricing works.

CoreAge's weight-loss program is compounded injectable semaglutide and tirzepatide, shipped as vials. CoreAge's help center says the order includes the “Medication vial(s)”, “Syringes with attached needles — Enough for your full supply (typically 4 per vial for monthly dosing)”, alcohol swabs, a dosing card and cold packaging. It says a sharps container is not included.

Dosing is set by the provider at check-ins rather than on a timer: “dosage increases happen at check-ins, not automatically.” CoreAge says that if nausea is a problem, the provider can prescribe an anti-nausea medication to a pharmacy near you, billed separately from the plan.

One piece of wording to read carefully. CoreAge's help center says its compounded semaglutide and tirzepatide “use the same active pharmaceutical ingredients found in brand-name drugs.” The FDA's guidance is that compounded drugs are not FDA-approved, and that some salt forms, such as semaglutide sodium and semaglutide acetate, “are different active ingredients than are used in the approved drugs”. It is worth asking the provider which form your vial contains.

CoreAge sells other treatment lines too; this review covers the GLP-1 weight-loss program only.

CoreAge Rx is the platform; separate medical groups provide the care. Card charges appear under the name DSO Fine Shrimp: the LLC doing business as CoreAge Rx, with an address at 1309 Coffeen Avenue, Suite 1200, Sheridan, Wyoming. CoreAge's footer says the platform “does not provide medical services, does not employ healthcare providers, does not participate in clinical decisions, and does not practice medicine.” Care comes from “the Professional Entities (M & D Integrations Inc d/b/a MD Integrations, MDI Medical Group P.C., and MD Integrations & Wellness Provider Group P.A.), which are independently owned and operated”.

One transparency point stands out. The FAQ names the physicians assigned in four states — Dr. Jeffrey Shellenberger in California, Massachusetts and Vermont, and Dr. Marc Serota in Rhode Island — with license numbers. We did not check those numbers against the state boards. For everyone else, the FAQ says: “Each doctor you interact with is licensed to prescribe medicine and treat patients in the state you live in.”

The gap is the pharmacy. CoreAge says it “works with a network of licensed compounding pharmacies across the United States”, matched to “a pharmacy that is licensed to ship to your state”, and describes them as 503A pharmacies. We found no pharmacy named on the pages we read, and CoreAge says assignment is automatic.

Can you choose your own? The pages differ: the FAQ says prescriptions “must be filled through CoreAge Rx's network of affiliated pharmacies”, while the Terms say a patient “has the ability to direct their prescription to any pharmacy of their choosing.” Our 503A and 503B guide explains why the pharmacy matters; it is a one-line question to ask before you order.

On data, CoreAge publishes a privacy policy and a HIPAA notice. The notice lists the Privacy Officer at a separate company, Tuzu LLC, in Lewes, Delaware.

CoreAge serves the United States only, and the Terms add US territories. The FAQ says that “based on the therapy and medication being prescribed, there may be restrictions based on state”, which are “disclosed and confirmed per therapy and as part of the intake process.” One help article says “CoreAge Rx ships to all 50 U.S. states.” We found no list of excluded states, so ask about yours before you pay.

You must be 18 or older. The intake asks for a photo of your ID and of yourself, because “State regulations require that our medical providers see who we are treating.”

The review is asynchronous — messaging “similar to email” rather than a booked call — with a video consultation or live chat in states that require one. On shipping, one help article says medication ships “via 2-day air service”, another that it comes with insulated packaging and cold packs, and the FAQ that “a signature is not required.” The refund policy instead describes “Standard shipping through USPS, UPS, FedEx, or another designated carrier”, and says standard shipping is included.

Timing is where the company's estimates spread widest. Its pages give pharmacy processing of 1–3 and 3–5 business days, and totals from “approximately 5–7 business days” to “~7–14 business days from completed intake”. Plan around the longer figure if you are timing a first dose.