Temi vs. TelyRx: your pharmacy or theirs
Medically reviewed by Kevin Brandstetter, M.D.Last reviewed September 28, 2026
TelyRx is a mail-order pharmacy with an independent doctor review attached: a flat $22 review per order, its own medication price, and $12.99 to $34.99 shipping, with no insurance accepted [2] [3]. Temi charges $15 to review a refill and sends it to whichever pharmacy you already use [1].
The core difference
The deciding line is who dispenses. TelyRx does. "TelyRx pharmacy delivers your medications directly to your doorstep" from licensed pharmacies in Clearwater, Florida and Dallas, Texas [3] [2]. Your bill is TelyRx's price for the drug, a flat $22 independent doctor review per order, and shipping from $12.99 for three to five business days up to $34.99 for next business day [2] [3]. Insurance never enters it: "All prescriptions fulfilled by TelyRx are processed without health insurance" [3].
Temi does not dispense or ship. "You tell us where to send it. We do not dispense or ship medication" [1]. The $15 fee covers the physician's review, and the medication is then a separate purchase at the counter of your choice — with your insurance, a discount code or a cash price [4].
So the comparison is less about the review fee than about the medication. If TelyRx's listed price beats your copay, its model wins. If your plan or a low-cost pharmacy already makes the drug cheap, keeping your pharmacy keeps that saving. Temi's separate TelyRx alternative guide runs worked examples with real medications.
Side by side
| Feature | Temi | Competitor |
|---|---|---|
| Who dispenses | Your pharmacy; Temi never ships [1] | TelyRx's own pharmacies in Clearwater, FL and Dallas, TX [2] |
| Review fee | $15 per refill, $0 on Temi Care [1] | Flat $22 per order, one medication or several [2] |
| Shipping | None — you collect at your pharmacy [1] | $12.99 standard, $19.99 two-day, $34.99 next business day [3] |
| Insurance | Service is cash-pay; insurance usable on the medication at your pharmacy [4] | Not accepted on any order; HSA and FSA cards accepted [3] |
| Review time | Within 48 hours, often sooner [1] | Usually same day; "allow up to 16 hours" [3] |
| States | 10 states including North Carolina [5] | All states except North Carolina and Arkansas, plus Puerto Rico [3] |
| Compounded GLP-1s | Compounded semaglutide and tirzepatide (not FDA-approved) [6] | "No compounds" — FDA-approved products only [2] |
| Transferring an existing prescription | Not needed; the prescription goes to the pharmacy you name [1] | Supported; "may take up to 48 hours" [3] |
| Controlled substances | Not prescribed [1] | "Only non-controlled substances" [3] |
| Subscription | None required; $449 a year optional [1] | "No subscriptions, no hidden fees" [2] |
Pricing side by side
| Medication | Temi | Competitor |
|---|---|---|
| Clinical review of a refill | $15, or $0 on the $449-a-year Temi Care plan [1] | $22 flat per order [2] |
| Getting it to you | $0 — pharmacy pickup or your pharmacy's own delivery [1] | $12.99 to $34.99 depending on speed [3] |
| Generic maintenance medication | Your pharmacy's price, with insurance or a discount code [4] | TelyRx's listed price, shown before you create an account [2] |
| New prescription | $79 review [4] | The same $22 review [2] |
| Compounded semaglutide (not FDA-approved) | From $59.99 per 7.5 mg vial, plus $39 prescription service [6] | Not offered — "no compounds" [2] |
Where the other provider offers more
TelyRx is the stronger choice when you have no insurance, no cheap pharmacy nearby, or several prescriptions to refill at once. The $22 review covers every medication in the order, so four refills together cost one fee where Temi charges $15 each [2] [1]. You can see the medication price before creating an account [2]. Its review is usually done the same day, and next-business-day delivery is available [3]. It is LegitScript certified, dispenses only FDA-approved products from licensed US wholesalers, has pharmacists to call after delivery, and ships in unbranded packaging [2] [3]. On Trustpilot it held a 4.7 TrustScore from 4,137 reviews when we checked [7]. If you would rather never stand at a pharmacy counter, delivery is the point of the service.
Frequently asked questions
Is TelyRx legit?
Yes, by the usual checks. TelyRx says it is LegitScript certified, dispenses from licensed pharmacies in Clearwater, Florida and Dallas, Texas, and ships only FDA-approved medication from US wholesalers [2]. On Trustpilot it held a 4.7 TrustScore from 4,137 reviews when we checked [7]. The complaints that do appear there centre on unexpected refill charges and shipping that arrived later than the paid speed.
Does TelyRx take insurance?
No. Its help centre says "All prescriptions fulfilled by TelyRx are processed without health insurance", and presents that as a privacy benefit: no explanation of benefits in the mail [3]. You can pay with a card linked to an HSA or FSA [3]. Temi does not bill insurance for its $15 review either, but your plan still works on the medication at your own pharmacy [4].
How much does TelyRx cost?
Three parts: TelyRx's price for the medication, a flat $22 independent doctor review per order, and shipping of $12.99, $19.99 or $34.99 depending on speed [2] [3]. A single refill therefore starts at about $35 before the drug. You are charged when the order ships, not when you place it [3]. Temi's equivalent is $15, with the drug paid at your pharmacy [1].
Does TelyRx ship to North Carolina?
No. TelyRx "currently services all U.S. states except North Carolina and Arkansas", and also serves Puerto Rico [3]. North Carolina is one of the 10 states where Temi currently operates, alongside California, Texas, Florida, New York, Pennsylvania, Ohio, Michigan, Delaware and Wisconsin [5]. Arkansas residents are served by neither today.
How long does TelyRx take to deliver?
A doctor reviews the order, usually the same day but "allow up to 16 hours", and TelyRx processes it within 24 hours on weekdays [3]. Delivery then takes three to five business days on standard shipping, two on the $19.99 option, or one on the $34.99 option if ordered by 2pm Eastern [3]. Pickup after a Temi review depends on your pharmacy's own queue.
Can I use my own pharmacy with TelyRx?
No. TelyRx fulfils every order itself and delivers it to your door [3]. Temi works the opposite way: you name the pharmacy and Temi sends the prescription there, never handling the medication [1]. If you want to keep a pharmacist who knows your full medication list, or use a low-cost pharmacy such as Cost Plus, that decides it.
Does TelyRx sell compounded semaglutide or tirzepatide?
No. TelyRx says it ships only FDA-approved medication — "no compounds, no overseas products" [2]. Temi prescribes compounded semaglutide from $59.99 per 7.5 mg vial plus a $39 prescription service [6]. Compounded medications are not FDA-approved; they are prepared by a pharmacy for an individual prescription, which is a different regulatory category from a branded product.
What is the best TelyRx alternative?
If you want to keep your pharmacy and your insurance, a prescriber that does not dispense is the closer fit. Temi reviews refills for $15 and sends them wherever you choose [1]. Our TelyRx alternative guide compares total costs for common medications. If you have no insurance and several prescriptions, TelyRx's single $22 fee may still come out cheaper.
Sources
- Temi — prescription refills: $15 fee, eligibility, pharmacy choice (verified 28 September 2026)
- TelyRx — What makes TelyRx legit: $22 review fee, pharmacies, FDA-approved only (verified 28 September 2026)
- TelyRx — Help Center FAQ: insurance, states, shipping prices, transfers, review time (verified 28 September 2026)
- Temi — get prescribed: $79 new prescription, paying at the pharmacy (verified 28 September 2026)
- Temi — states served and waitlist (verified 28 September 2026)
- Temi — compounded semaglutide injectable pricing (verified 28 September 2026)
- Trustpilot — TelyRx reviews, TrustScore 4.7 from 4,137 reviews (checked 28 September 2026)
Compounded semaglutide and compounded tirzepatide are not FDA-approved generics of the brand-name products. A licensed 503A compounding pharmacy prepares each one for a single prescription.
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