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Paloma Health vs TelyRx: Which Is Better?

Head-to-head comparison of Paloma Health and TelyRx based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

TelyRx scores higher overall in our independent evaluation (72.3/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $22.99/mo), so the better value depends on which treatment you need.

A niche telehealth brand built specifically around hypothyroidism and Hashimoto's care, pairing at-home lab testing with endocrinology-informed treatment.

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72
TelyRx
Good

TelyRx is a publicly listed online pharmacy platform where patients choose from 500+ generic and branded medications and pay a one-time $22 provider-review fee for an asynchronous prescription from an independent, state-licensed clinician.

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Score Breakdown

DimensionPaloma HealthTelyRx
Overall Score57.7/10072.3/100 ✓
Trust & Safety30%58/10070/100 ✓
Value25%62/10072/100 ✓
Experience20%55/10074/100 ✓
Product Range15%55/10080/100 ✓
Reputation10%55/10065/100 ✓

At a Glance

Founded2018—
HeadquartersNew York, NYClearwater, FL
Publicly tradedNoYes (TSX: TELY)
Treatment categories27
Treatments listed39
Starting price$20/mo$22.99/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryPaloma HealthTelyRx
Primary Care$75–$99
At-Home Thyroid Test Kit
$99.99–$129.99
Varenicline (generic Chantix)

Paloma Health

+Narrow clinical focus on hypothyroidism/Hashimoto's with endocrinologist-informed care teams and integrated at-home lab testing, nutritionist visits, and medication management in one program.
+Transparent flat membership pricing ($20/mo billed $240/yr) that bundles two test kits and two visits per year.
+One of the only brands to specialize specifically in DTC thyroid care rather than treating it as one line item among many.
−Trustpilot rating is weak (2.6/5, though based on a very small sample of 4 reviews) with recurring complaints of care that didn't match advertised 'integrative'/'holistic' positioning.
−At least one reported case of a patient with clearly abnormal labs (TSH of 58) alleging the prescribing clinician disregarded their reported symptoms before prescribing a medication that caused adverse reactions — a serious quality-of-care concern for a specialty-clinical brand.
−Reviewers report membership fees and per-visit charges stacking in ways that felt like hidden costs.
Read the full Paloma Health review →

TelyRx

+Every catalog price is visible before signup; the only clinical fee is a one-time $22 provider review
+Owns its licensed retail pharmacies, so fulfilment and pharmacist support stay in-house
+Very broad catalog (500+ medications) that includes chronic-condition generics such as lisinopril, albuterol and metformin, plus birth control, ED and hair loss
−Branded GLP-1s are priced near list (Wegovy from $1,399.99), well above manufacturer self-pay programs
−Prescribing is questionnaire-only and done by independent providers, with no ongoing clinical relationship
−Recurring complaints about shipping delays and refills charged without the patient's authorization
Read the full TelyRx review →

Paloma Health vs TelyRx — FAQ

Is Paloma Health better than TelyRx?

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TelyRx scores higher overall in our independent evaluation (72.3/100 vs 57.7/100), leading on trust & safety, value, experience, product range, reputation. Paloma Health has the lower entry price (from $20/mo vs $22.99/mo), so the better value depends on which treatment you need.

Is Paloma Health or TelyRx cheaper?

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Paloma Health has the lower starting price (from $20/mo vs $22.99/mo for TelyRx). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Paloma Health and TelyRx both offer?

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Both platforms treat Primary Care. Paloma Health covers 2 treatment categories total and TelyRx covers 7.

Still deciding?