LMy Longevity Picks

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

31 clinics scoredPrices checked weekly0 paid rankings

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Short answer

He & She MD wins overall, scoring 6.8/10 vs 6.1/10. Mainly on real monthly cost and what they disclose. If price is your priority, RxSpan MD is cheaper at $150/mo on a prepaid 12-month plan ($249 month to month).

Our pick: He & She MD

He & She MD wins overall, scoring 6.8/10 vs 6.1/10. If price is your priority, RxSpan MD is cheaper at $150/mo on a prepaid 12-month plan ($249 month to month).

Winner
#19 of 31

He & She MDHe & 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 on a monthly plan ($139/mo on the annual plan)

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#26 of 31

RxSpan MD

6.1

Eight longevity treatments priced, and not one ongoing price.

from $150/mo on a prepaid 12-month plan ($249 month to month)

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He & She MD vs RxSpan MD, side by side

FeatureHe & She MDRxSpan MD
Our score6.8/106.1/10
Starting price$229/mo on a monthly plan ($139/mo on the annual plan)$150/mo on a prepaid 12-month plan ($249 month to month)
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#19#26
Real monthly cost (25%)7.06.0
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)
  • + 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 Prescriber & follow-up (5.5/10)
  • − Weaker on Real monthly cost (6.0/10)

The bottom line

After scoring all 31 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 (6.1/10). But the right choice still depends on what matters most to you.

Choose He & She MD if you want this option. From $229/mo on a monthly plan ($139/mo on the annual plan).

Read Review →

Choose RxSpan MD if you want this option. From $150/mo on a prepaid 12-month plan ($249 month to month).

Visit →

Editor's overall pick

Not sold on either? Our highest-rated clinic overall is HealthRX (8.5/10) from $161/mo on a 1-month plan, renewing monthly. Read the review →

Ready to start longevity care?

Our verdict for this matchup is He & She MD.

He & She MDRead Review
RxSpan MD · from $150/mo on a prepaid 12-month plan ($249 month to month)Visit →
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Frequently asked questions

Which is better, He & She MD or RxSpan MD?
He & She MD scores higher overall (6.8/10 vs 6.1/10) and is our recommended pick for most people. If price is the priority, RxSpan MD starts at $150/mo on a prepaid 12-month plan ($249 month to month).
How much does He & She MD cost vs RxSpan MD?
He & She MD is from $229/mo on a monthly plan ($139/mo on the annual plan) and RxSpan MD is from $150/mo on a prepaid 12-month plan ($249 month to month). 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, #19 of 31) and RxSpan MD (6.1/10, #26 of 31) 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 MD→HealthRX vs RxSpan MD→MadeMed vs He & She MD→MadeMed vs RxSpan MD→Ivy Rx vs He & She MD→Ivy Rx vs RxSpan MD→
Ranked by score

Top picks

HealthRXfrom $161/mo on a 1-month plan, renewing monthly

Published prices on every product

Paid link · ranks 1 of 31 on our methodology either way
Visit →Read review
MadeMedfrom $169/mo on a 6-month plan billed $1,014

Best for clinical specificity

Ranks 2 of 31 · no commercial relationship
Read the MadeMed review
Ivy RxIvy Rxfrom $175 with no billing period stated

Best named clinical oversight

Ranks 3 of 31 · no commercial relationship
Read the Ivy Rx review

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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” links may be affiliate links that support our work. Educational information only. Not medical advice.