LMy Longevity Picks

He & She MD vs RxSpan MD: Which longevity Clinic Is Better in 2026?

21 clinics scoredPrices checked weekly0 paid rankings

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Short answer

He & She MD wins overall, scoring 6.8/10 vs 6.0/10 — mainly on real monthly cost and what they disclose. If price is your priority, RxSpan MD is cheaper at $149/mo.

Our pick: He & She MD

He & She MD wins overall, scoring 6.8/10 vs 6.0/10. If price is your priority, RxSpan MD is cheaper at $149/mo.

Winner
#12 of 21

He & She MD

6.8

Publishes the whole ladder and the dose — then quotes a different annual price on its own two longevity pages.

from $229/mo

Visit He & She MD
#17 of 21

RxSpan MD

6.0

The widest longevity menu here, and not one ongoing price.

from $149/mo

Visit RxSpan MD

He & She MD vs RxSpan MD, side by side

FeatureHe & She MDRxSpan MD
Our score6.8/106.0/10
Starting price$229/mo$149/mo
Medication typesnad-injection, nad-nasal-spray, nad-cream, sermorelin-injection, glutathione-injection, glutathione-creamnad-injection, nad-nasal-spray, nad-tablet, sermorelin-odt, glutathione, ghk-cu, mic-b12, methylene-blue
Best for
Overall ranking#12#17
Real monthly cost (25%)7.05.5
Prescriber & follow-up (30%)6.05.5
What they can prescribe (20%)8.58.5
What they disclose (25%)6.05.0

Sources: He & She MD pricing verified on heandshemd.com, RxSpan MD pricing verified on rxspanmd.com

Pros & cons

He & She MD

Pros

  • + Full commitment ladder published before intake, all four tiers
  • + NAD+ dose published (1000 mg), which most of this set does not
  • + Six longevity products across injection, cream and nasal spray

Cons

  • Weaker on Prescriber & follow-up (6.0/10)
  • Weaker on What they disclose (6.0/10)
  • Weaker on Real monthly cost (7.0/10)

RxSpan MD

Pros

  • + Eight longevity treatments, each with a figure attached
  • + Price is stated to include consult, medication, supplies, shipping and support
  • + Says plainly that a prescription is not guaranteed

Cons

  • Weaker on What they disclose (5.0/10)
  • Weaker on Real monthly cost (5.5/10)
  • Weaker on Prescriber & follow-up (5.5/10)

The bottom line

After scoring all 21 clinics on our 4-criterion rubric (real monthly cost, prescriber & follow-up, what they can prescribe and what they disclose), He & She MD (6.8/10) comes out ahead of RxSpan MD (6.0/10) — but the right choice still depends on what matters most to you.

Choose He & She MD if you want this optionfrom $229/mo.

Visit He & She MD

Choose RxSpan MD if you want this optionfrom $149/mo.

Visit RxSpan MD

Editor's overall pick

Not sold on either? Our highest-rated clinic overall is HealthRX (8.5/10) from $161/mo — read the review →

Ready to start longevity care?

Our verdict for this matchup is He & She MD.

Frequently asked questions

Which is better, He & She MD or RxSpan MD?
He & She MD scores higher overall (6.8/10 vs 6.0/10) and is our recommended pick for most people. If price is the priority, RxSpan MD starts at $149/mo.
How much does He & She MD cost vs RxSpan MD?
He & She MD is from $229/mo and RxSpan MD is from $149/mo. Both are typically cash-pay; HSA/FSA funds are often eligible. We run an automated check against each clinic's own live pricing page every week; a price left unconfirmed for 45 days shows as unverified rather than staying marked as current.
What is the difference between He & She MD and RxSpan MD?
He & She MD (6.8/10, #12 of 21) and RxSpan MD (6.0/10, #17 of 21) are scored independently across our 4 criteria: real monthly cost, prescriber & follow-up, what they can prescribe and what they disclose. See the detailed score breakdown above for the criterion-by-criterion comparison.
Does He & She MD or RxSpan MD take insurance?
Neither He & She MD nor RxSpan MD typically accepts insurance for longevity treatment. Both operate on a cash-pay model, though HSA and FSA funds are often eligible. Confirm at checkout.

Related comparisons

HealthRX vs He & She MDHealthRX vs RxSpan MDMadeMed vs He & She MDMadeMed vs RxSpan MDPallas Health vs He & She MDPallas Health vs RxSpan MD
Ranked by score

Top picks

HealthRXfrom $161/mo

Best for published pricing

Paid link · ranks 1 of 21 on our methodology either way
Go to HealthRXRead review
MadeMedfrom $169/mo

Best for clinical specificity

Ranks 2 of 21 · no commercial relationship
Read the MadeMed review
Pallas Healthfrom $189/mo

Best for explaining the category

Paid link · ranks 3 of 21 on our methodology either way
Go to Pallas HealthRead review

2 of these earn us a commission if you sign up. Scores and rank are unaffected. How this works →

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How we score: every clinic is rated on five weighted criteria from documented evidence. Prices checked weekly— see each review for that clinic's own verification status. Scores are never influenced by affiliate commissions. “Visit”/“Try” links may be affiliate links that support our work. Educational information only — not medical advice.

Top Pick · $161/mo

HealthRX

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$161/mo is a real, ongoing rate on the plan it applies to — our evidence shows no sign it's a promotional rate that rises later.