Independent GLP-1 cost & value lab · 2026

Run the numbers before you pick a GLP-1 provider.

We model the real monthly and annual cost of every major GLP-1 telehealth program, then rank them on The Cost-Efficiency Index — value for money, not the lowest teaser rate. 34 providers on the bench.

See the value leaderboard All cost calculators

34
Providers modeled: 6
Index factors: 0
Score points bought

Monthly Cost Calculator

Live model

Molecule

Provider

Modeled / month

$149

Modeled / year

$1,788

As CoreAge Rx publishes it: $149/mo

Lowest disclosed semaglutide on our board: Primary Clinic (Direct GLP) at $65/mo — but check the full Cost-Efficiency Index before you decide on price alone.

Start with CoreAge Rx Read the review →

Modeled from each provider's published monthly price at last review. Excludes shipping, labs, and consult fees where not bundled. Prices change — confirm on the provider's site. Not medical advice.

94/ 100Index

#1 by value — top of the Cost-Efficiency Index

CoreAge Rx

Best value on the board: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.

Specifically want FDA-approved brand tirzepatide instead of a compounded copy? See what Zepbound actually costs before you compare compounded prices.

The value leaderboard

Best-value GLP-1 providers, measured & ranked

Scored on six factors: normalized cost/month · price transparency · nationwide access · formulation options · clinical oversight · contract flexibility. Assume any provider we list may compensate us — see our disclosure. It never changes a Cost-Efficiency Index. In a hurry? Jump to the cheapest GLP-1 providers worth using, or if you already know your molecule, see the cheapest tirzepatide over a year.

#1 by value

94/ 100Index

Grade A

CoreAge Rx

Best value on the board: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.

Semaglutide: $149/mo
Tirzepatide: $349/mo
Coverage: All 50 states
Brand-name: Compounded only

Flat all-in monthly price — no intro rate that silently triples after month one, so the modeled annual cost is the real cost
Both compounded semaglutide and tirzepatide on one account at published prices
Available in all 50 states — no coverage gamble

Not the rock-bottom sticker price — cheaper teaser tiers exist (Direct GLP lists $65, Ondra $93 on semaglutide)
No FDA-approved brand-name option (compounded only)
Does not yet publicly name its 503A/B pharmacy partner

Visit CoreAge Rx Read the full review →

90/ 100Index

Grade A−

Ondra Health

A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it.

Semaglutide: $93/mo
Tirzepatide: $166/mo
Coverage: All 50 states
Brand-name: Yes

Among the lowest disclosed prices on the board — $93 semaglutide and $166 tirzepatide
Available in all 50 states with both molecules published for clean cost modeling
LegitScript-certified, and offers FDA-approved brand-name access alongside compounded

A newer, lower-profile operator without CoreAge's long flat-price track record
No oral/sublingual route

Visit Ondra Health Read the full review →

87/ 100Index

Grade B+

ShedRx (Shed)

The widest set of formats on the board — injection, drops, lozenges and a daily oral pill, plus a real brand Zepbound route — though its cheapest advertised rates need a year-long commitment.

Semaglutide: $199/mo ($159 on a 12-month plan)
Tirzepatide: $299/mo ($239 on a 12-month plan)
Coverage: All 50 states
Brand-name: Yes

Four routes to a GLP-1 — injection, liquid drops, lozenges and a daily oral pill
Brand Zepbound and Wegovy available alongside the compounded line
Available in all 50 states, with health coaching included and a published 120-day weight-loss guarantee

The advertised "as low as" prices ($159 semaglutide, $239 tirzepatide) require a TWELVE-MONTH commitment — month-to-month is $199 and $299
Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
The dispensing compounding pharmacy is not publicly named

Visit ShedRx (Shed) Read the full review →

87/ 100Index

Grade B+

Strut Health

The lowest true entry cost on this board — $99/month sublingual semaglutide — and the only place selling the same molecule as a lozenge or an injection at one price.

Semaglutide: From $99/mo sublingual, $149/mo injectable
Tirzepatide: From $199/mo either route
Coverage: 49 states (not Arkansas)
Brand-name: Compounded only

Cheapest disclosed monthly cost here at $99/mo for sublingual semaglutide; tirzepatide $199 either route
Sublingual lozenges for both molecules at the same price as the injection
Free physician visit, free shipping and free follow-up care included rather than billed separately

The $99 and $149 headline figures require auto-refill — a one-off order costs more, so the true cost depends on staying subscribed
Asynchronous by design: their FAQ notes some states need no phone consultation, so you may never speak to the prescriber
Compounded only, with no brand-name route and no published lab programme

Visit Strut Health Read the full review →

86/ 100Index

Grade B

Breeze Meds

The most transparent operator in our partner tier — all-50 compounded GLP-1 with NPI-verifiable named physicians, named pharmacies and LegitScript backing, so you can actually audit who's behind the script.

Semaglutide: $199/mo
Tirzepatide: $399/mo
Coverage: All 50 states
Brand-name: Compounded only

Best transparency of this partner batch — NPI-verifiable named physicians (Lion MD group), named dispensing pharmacies, and LegitScript certification
All 50 states, with injectable semaglutide from $199/mo plus oral semaglutide (~$299) and oral tirzepatide (~$399) for the needle-averse
FSA/HSA eligible, which trims the effective monthly cost

Mid-to-higher per-month pricing — tirzepatide and the oral routes carry a premium over the cheapest all-50 rivals
Compounded only — not FDA-approved brand-name medication

Visit Breeze Meds Read the full review →

86/ 100Index

Grade B

Sesame Care

The widest real brand-name GLP-1 access on the board — a LegitScript- and BBB-recognized national marketplace running since 2018 that dispenses FDA-approved Wegovy, Zepbound, Ozempic, Mounjaro and Rybelsus, not compounded copies.

Semaglutide: $149/mo (brand)
Tirzepatide: Brand (Zepbound)
Coverage: Nationwide
Brand-name: Yes

Widest brand-name formulary we list — Wegovy pen and pill, Zepbound, Ozempic, Mounjaro and oral Rybelsus, all FDA-approved rather than compounded
Established national marketplace operating since 2018, with LegitScript certification and BBB recognition
Wegovy pill starts around $149/mo, and oral routes are available for the needle-averse

Two-part cost — the medication price is separate from a platform subscription, so the all-in monthly runs above the $149 headline
A generalist telehealth marketplace, not a dedicated GLP-1 program

Visit Sesame Care Read the full review →

88/ 100Index

Grade B+

Found

The cheapest identical price on both molecules nationwide — unbeatable raw cost-per-month, capped only by a coaching subscription you can't fully unbundle.

Semaglutide: $129/mo
Tirzepatide: $129/mo
Coverage: All 50 states
Brand-name: Compounded only

Lowest cost-per-month on the board — identical $129 on both molecules
Nationwide
Strong behavior-change program adds value

Coaching subscription can't be unbundled, which reduces contract flexibility
Compounded only

Visit Found Read the full review →

88/ 100Index

Grade B+

Invigor Medical

Solid mid-market cost on both molecules from an established operator — good value if you also want a broader metabolic and hormone catalog.

Semaglutide: $199/mo
Tirzepatide: $339/mo
Coverage: Not disclosed
Brand-name: Compounded only

Competitive mid-market pricing on both semaglutide and tirzepatide
Long-running operator with a broad catalog that can consolidate spend
Both molecules published up front for easy cost modeling

Does not publish an explicit states-served list, so access is a variable in the model
Compounded only

Visit Invigor Medical Read the full review →

85/ 100Index

Grade B

Sprout Health

Low-friction and well-priced — $149 compounded semaglutide and $199 tirzepatide from a LegitScript-certified operator, with a brand Wegovy/Zepbound path if you want to step up.

Semaglutide: $149/mo
Tirzepatide: $199/mo
Coverage: Most states
Brand-name: Yes

Well-priced compounded — $149 semaglutide / $199 tirzepatide — with LegitScript certification behind it
Low-friction intake: no labs and often no synchronous visit required
Offers a brand-name Wegovy/Zepbound path alongside the compounded 503A route

No named medical director published, so clinical oversight is harder to attribute
Availability is quiz-gated by state, so nationwide access isn't guaranteed until you qualify
Injectable only — no oral/sublingual route

Visit Sprout Health Read the full review →

#10

85/ 100Index

Grade B

Trimi Health

The board's cheapest all-50 combined ticket — $99 semaglutide and $125 tirzepatide, both disclosed up front so the year-one math is clean. The catch is a thinner oversight paper trail, which is exactly why it sits mid-pack rather than higher.

Semaglutide: $99/mo
Tirzepatide: $125/mo
Coverage: All 50 states
Brand-name: Compounded only

Lowest combined all-50 sticker we model — $99 semaglutide and $125 tirzepatide on one account
Both molecules published, so annual cost is fully modelable before you sign up
Flat, teaser-free pricing that holds its value across a full year of treatment

No public LegitScript certification, so pharmacy oversight is harder to independently verify — the main reason it scores below the verified value tier
Compounded only — no FDA-approved brand-name or oral/sublingual route
Lower-profile operator with a thin public track record

Visit Trimi Health Read the full review →

#11

87/ 100Index

Grade B+

Vitara RX

$99 semaglutide and $149 tirzepatide, all-50 and LegitScript-verified — the rare budget roster spot that undercuts the field without dropping a molecule or its pharmacy credentials.

Semaglutide: $99/mo
Tirzepatide: $149/mo
Coverage: All 50 states
Brand-name: Compounded only

$99 semaglutide and $149 tirzepatide — among the lowest combined prices on the board, and cheaper on tirzepatide than most sub-$100-sema rivals
Nationwide all-50 access with both molecules disclosed for clean year-one cost modeling
LegitScript-certified — budget pricing without the unverified-pharmacy asterisk that dogs the cheapest tier

Compounded only — no FDA-approved brand-name or oral/sublingual route
Lower-profile newcomer without a long public track record

Visit Vitara RX Read the full review →

#12

87/ 100Index

Grade B+

NewSelf

$100 semaglutide and $144 tirzepatide, nationwide and LegitScript-verified — near-identical value to the cheapest verified names, with the tirzepatide price a hair lower than most.

Semaglutide: $100/mo
Tirzepatide: $144/mo
Coverage: All 50 states
Brand-name: Compounded only

$100 semaglutide / $144 tirzepatide — one of the cheapest verified combined prices on the board
Nationwide all-50 coverage with both molecules published up front
LegitScript-certified pharmacy behind the low price

Compounded only — no brand-name or oral option
Newer consumer brand with a thin public track record

Visit NewSelf Read the full review →

#13

87/ 100Index

Grade B+

Gimme Care

Low, fully-disclosed pricing on both molecules nationwide from a LegitScript-verified operator — strong dollar-for-dollar value.

Semaglutide: $130/mo
Tirzepatide: $163/mo
Coverage: All 50 states
Brand-name: Compounded only

Low published prices on both molecules — $130 semaglutide / $163 tirzepatide
Nationwide all-50 availability with both molecules disclosed
LegitScript-certified pharmacy behind the program

Compounded only — no brand-name or oral options
Lower-profile brand with a thinner public track record

Visit Gimme Care Read the full review →

#14

87/ 100Index

Grade B+

Precision Telemed

Both molecules at flat, modelable prices nationwide, backed by LegitScript verification — a clean, no-surprises value pick.

Semaglutide: $149/mo
Tirzepatide: $199/mo
Coverage: All 50 states
Brand-name: Compounded only

Both molecules disclosed at flat prices — $149 semaglutide / $199 tirzepatide — easy to model for a year
Nationwide all-50 coverage
LegitScript-certified for verified oversight

Compounded only — no brand or oral route
Mid-market pricing, not the cheapest on the board

Visit Precision Telemed Read the full review →

#15

86/ 100Index

Grade B

Effecty

Mid-market compounded pricing plus FDA-approved brand access and LegitScript verification, nationwide — value with a safety-net formulary.

Semaglutide: $160/mo
Tirzepatide: $240/mo
Coverage: All 50 states
Brand-name: Yes

Both molecules disclosed at competitive prices with all-50 access
Offers FDA-approved brand-name access alongside compounded
LegitScript-certified pharmacy

Per-month cost is mid-market, not budget-tier
No oral/sublingual option

Visit Effecty Read the full review →

#16

86/ 100Index

Grade B

Eden

You pay a premium per month, but you buy back certainty: all-50 access and high-disclosure clinical oversight that hold their value.

Semaglutide: $239/mo
Tirzepatide: $349/mo
Coverage: All 50 states
Brand-name: Compounded only

High transparency — clear supply-chain and clinician disclosure lowers hidden-cost risk
Nationwide availability with both molecules disclosed
Strong clinical oversight adds value beyond the raw price

Premium per-month cost drags its normalized value score
Compounded only — no brand-name access

Visit Eden Read the full review →

#17

86/ 100Index

Grade B

Kongo

$119 semaglutide nationwide from a LegitScript-verified pharmacy — a genuinely cheap all-50 entry point, though the $229 tirzepatide pulls the combined value back to mid-pack.

Semaglutide: $119/mo
Tirzepatide: $229/mo
Coverage: All 50 states
Brand-name: Compounded only

Low $119 semaglutide with nationwide all-50 access and both molecules disclosed
LegitScript-certified — verified oversight at a budget semaglutide price
Flat published pricing that's easy to model for a year

$229 tirzepatide is mid-market — weaker value if tirzepatide is your molecule
Compounded only — no brand-name or oral route

Visit Kongo Read the full review →

#18

83/ 100Index

Grade B

Oak

One of the two cheapest published prices on the board for both molecules, and it holds at every dose — undercut only by what the site itself publishes elsewhere, in three different numbers.

Semaglutide: $119/mo (same price at every dose)
Tirzepatide: $185/mo (same price at every dose)
Coverage: 45 states (list not published)
Brand-name: Compounded only

$119 semaglutide and $185 tirzepatide — both among the lowest published on this board, and published before the intake rather than after it
"ONE PRICE · ALL DOSAGES · NO SUBSCRIPTIONS" — the price does not climb as your dose does, which is where most flat-looking programs quietly get expensive
A non-injectable route as well as the two weekly injections: sublingual drops or tablets targeting the GLP-1 pathway

It publishes three different prices for the same product: $119 in the homepage hero, $167 in the homepage comparison table and on /product, and $190 in the /weightloss comparison table
The "$200 OFF — NEW PATIENT OFFER" and "SUMMER SALE — Save up to 60% vs. retail pricing" banners carry no terms, no code and no resulting price anywhere on the site
45 states per its own Terms of Use — not all 50 — and it never publishes which 45

Visit Oak Read the full review →

#19

85/ 100Index

Grade B

Curex

Identical $199 on both molecules nationwide, with an oral route and LegitScript verification — simple, predictable, verified.

Semaglutide: $199/mo
Tirzepatide: $199/mo
Coverage: All 50 states
Brand-name: Compounded only

Identical $199 price on both molecules makes cost modeling trivial
Nationwide all-50 access plus an oral/sublingual route
LegitScript-certified

$199 is mid-market, beaten by several all-50 rivals on raw cost
No FDA-approved brand-name access

Visit Curex Read the full review →

#20

85/ 100Index

Grade B

AgelessRx

The lowest published semaglutide cost among our partners, with some brand-name access — but an undisclosed tirzepatide price leaves a hole in the value model.

Semaglutide: $139/mo
Tirzepatide: Not disclosed
Coverage: Not disclosed
Brand-name: Yes

Low disclosed semaglutide price at $139/mo
Offers some brand-name access
Established longevity brand

Tirzepatide price not disclosed — you can't fully model total cost
States-served not disclosed

Visit AgelessRx Read the full review →

#21

85/ 100Index

Grade B

PepHaūs

Mid-market $152/$246 pricing on both molecules, all-50 and LegitScript-verified — a clean, verified nationwide option that trades rock-bottom cost for a dependable pharmacy.

Semaglutide: $152/mo
Tirzepatide: $246/mo
Coverage: All 50 states
Brand-name: Compounded only

Both molecules disclosed at flat prices with nationwide all-50 access
LegitScript-certified pharmacy behind the program
Predictable pricing that's straightforward to model for a year

$152/$246 is mid-market — undercut on raw cost by several verified all-50 rivals
Compounded only — no brand-name or oral option

Visit PepHaūs Read the full review →

#22

84/ 100Index

Grade B

Alan Meds

Rock-bottom $99 semaglutide with an oral option and all-50 access — strong on price, but not LegitScript-verified.

Semaglutide: $99/mo
Tirzepatide: $145/mo
Coverage: All 50 states
Brand-name: Compounded only

$99 semaglutide and $145 tirzepatide — among the cheapest disclosed on the board
Nationwide all-50 access with an oral/sublingual option
Both molecules published for straightforward cost modeling

Not LegitScript-certified — oversight harder to verify
Compounded only — no brand-name access

Visit Alan Meds Read the full review →

#23

84/ 100Index

Grade B

bmiMD

Very low $99/$139 pricing on both molecules nationwide — excellent sticker value, though without LegitScript verification.

Semaglutide: $99/mo
Tirzepatide: $139/mo
Coverage: All 50 states
Brand-name: Compounded only

Very low prices on both molecules — $99 semaglutide / $139 tirzepatide
Nationwide all-50 access with both molecules disclosed
Strong raw cost-per-month

Not LegitScript-certified
Compounded only — no oral or brand option

Visit bmiMD Read the full review →

#24

84/ 100Index

Grade B

Ro

The widest formulary — brand-name and oral access — but opaque compounded pricing means you can't model the value until you're already in the funnel.

Semaglutide: Not disclosed
Tirzepatide: Not disclosed
Coverage: Multi-state
Brand-name: Yes

Brand-name access and insurance support
Oral options widen the formulary
Polished, well-funded platform

Does not publish compounded pricing up front — a blind spot in any cost model
Premium positioning

Visit Ro Read the full review →

#25

83/ 100Index

Grade B

Hims & Hers

Nationwide reach and a slick app at a mid-market semaglutide price — but an undisclosed tirzepatide price leaves part of the value equation blank.

Semaglutide: $199/mo
Tirzepatide: Not disclosed
Coverage: All 50 states
Brand-name: Compounded only

Nationwide
Slick app experience
Semaglutide priced up front for modeling

Tirzepatide pricing not consistently disclosed
Compounded supply has drawn industry-wide regulatory scrutiny

Visit Hims & Hers Read the full review →

#26

80/ 100Index

Grade B−

Care Bare Rx

A LegitScript-certified, HIPAA-compliant multi-service platform that bundles weight loss with hair, TRT, sexual health and NAD+ — with both oral (Rybelsus and oral tirzepatide) and injectable compounded routes — but it won't show you a price until you're inside the intake.

Semaglutide: Not disclosed
Tirzepatide: Not disclosed
Coverage: Multi-state
Brand-name: Yes

LegitScript-certified and HIPAA-compliant, with both oral (Rybelsus, oral tirzepatide) and injectable options
One platform for weight loss plus hair, TRT, sexual health and NAD+ if you want to consolidate care

No published pricing — you can't model monthly or annual cost until you're inside the intake funnel
No named clinicians, founding year or parent company disclosed, so transparency is thin
Compounded medications are not FDA-approved finished drugs

Visit Care Bare Rx Read the full review →

#27

82/ 100Index

Grade B−

Live Vital

A very low $99 semaglutide nationwide, with tirzepatide disclosed too — cheap and all-50, but without LegitScript verification.

Semaglutide: $99/mo
Tirzepatide: $183/mo
Coverage: All 50 states
Brand-name: Compounded only

$99 semaglutide — among the lowest on the board
Nationwide all-50 access with both molecules disclosed
Strong raw cost-per-month on semaglutide

Not LegitScript-certified
Compounded only; tirzepatide is pricier relative to its semaglutide

Visit Live Vital Read the full review →

#28

82/ 100Index

Grade B−

Piper

$135 semaglutide and $199 tirzepatide nationwide — fair, fully-disclosed mid-market pricing, but without LegitScript verification to back the oversight claim.

Semaglutide: $135/mo
Tirzepatide: $199/mo
Coverage: All 50 states
Brand-name: Compounded only

Both molecules disclosed — $135 semaglutide / $199 tirzepatide — for clean cost modeling
Nationwide all-50 access with predictable flat pricing
Straightforward to model for a full year

Not LegitScript-certified, so pharmacy oversight is harder to verify
Compounded only — no brand-name or oral route
Mid-market cost, beaten by cheaper verified all-50 rivals

Visit Piper Read the full review →

#29

81/ 100Index

Grade B−

Henry Meds

A transparent flat-fee pioneer — the pricing is clean and modelable, but it now sits at the higher end, so the value per dollar has slipped.

Semaglutide: $249/mo
Tirzepatide: $349/mo
Coverage: Multi-state
Brand-name: Compounded only

Simple, transparent flat-fee model that's easy to model
Well-established brand
Both molecules disclosed

Higher per-month cost than many newer entrants weakens value
Compounded only

Visit Henry Meds Read the full review →

#30

79/ 100Index

Grade C

NP2GO

$150 semaglutide and $250 tirzepatide across 40 states — solid regional reach and full price disclosure, but the coverage gap and missing LegitScript verification cap the value.

Semaglutide: $150/mo
Tirzepatide: $250/mo
Coverage: AK, AZ, AR, CA, CO, CT, DE, DC, FL, HI, ID, IL, IA, KS, KY, ME, MD, MA, MI, MN, MT, NE, NV, NH, NJ, NM, NY, ND, OK, OR, PA, RI, SD, TX, UT, VT, VA, WA, WV, WY
Brand-name: Compounded only

Both molecules disclosed — $150 semaglutide / $250 tirzepatide — for straightforward cost modeling
Broad 40-state footprint — wider than most non-nationwide operators
Flat, predictable pricing

40 states, not all 50 — a coverage gamble that dents its access score
Not LegitScript-certified — oversight harder to verify
Compounded only, at mid-market pricing — no brand or oral option

Visit NP2GO Read the full review →

#31

77/ 100Index

Grade C

Primary Clinic (Direct GLP)

The cheapest sticker price on the board — $65 semaglutide, $110 tirzepatide — but only 10 states and no LegitScript verification cap its real value.

Semaglutide: $65/mo
Tirzepatide: $110/mo
Coverage: WA, NM, AZ, UT, FL, DC, KS, OK, VA, GA
Brand-name: Compounded only

The lowest disclosed sticker prices anywhere on the board — $65 semaglutide / $110 tirzepatide
Both molecules published for clear cost modeling
Exceptional raw cost-per-month if you live in a served state

Only 10 states served — a coverage gamble that guts its nationwide-access score
Not LegitScript-certified
Compounded only — no brand or oral option

Visit Primary Clinic (Direct GLP) Read the full review →

#32

71/ 100Index

Grade C

Synergy Rx

Brand Wegovy, Ozempic or Mounjaro when clinically appropriate, with unlimited round-the-clock clinical contact — at prices its own site never shows.

Semaglutide: From $199/mo
Tirzepatide: From $349/mo
Coverage: Not disclosed
Brand-name: Yes

Prescribes FDA-approved brand Wegovy, Ozempic and Mounjaro when clinically appropriate, not compounded only
Unlimited appointments, unlimited messaging and 24/7 access to a dedicated clinical team
A $100 welcome credit applied at checkout, and FSA/HSA eligible

Publishes no GLP-1 price anywhere on its own site, so total cost cannot be modelled before an enquiry
At $349/mo tirzepatide sits roughly $100 above the compounded median we track
Does not publish which states it serves

Visit Synergy Rx Read the full review →

#33

71/ 100Index

Grade C

Gala Health

Every dose at one published price, with the whole price list visible before you hand over an email — but the only terms it sells on are a yearly subscription at $179 or a three-month plan at $199, so there is no monthly number here to compare with anyone else's.

Semaglutide: $179/mo (yearly subscription)
Tirzepatide: Not disclosed
Coverage: 50 states claimed, no list published
Brand-name: Yes

$179/mo on a yearly subscription, with every dose included, so the price does not climb as you titrate — dose escalation is where most flat-looking programmes quietly get expensive
The price list is PUBLIC and un-gated: the weight tier, the $149 microdosing tier and the brand tier are all printed before any quiz, intake or email capture
Both compounded molecules — semaglutide and tirzepatide — prescribable on one account

No month-to-month price exists anywhere on the site. "FROM $179/month" sits directly above "All doses included. Yearly subscription.", and the cheapest alternative the FAQ names is "$199 per month (with a 3-month plan)" — three months is the shortest published commitment there is
$179/mo is $2,148 committed for the year, and that total is printed nowhere: the site quotes a monthly figure for a purchase it only sells annually, which is the single hardest cost on this board to compare against a rate you can cancel next month
No tirzepatide price is published at all — "FROM $179" is a floor across the line, so we model no tirzepatide figure for Gala rather than assume one

Visit Gala Health Read the full review →

#34

71/ 100Index

Grade C

Direct Meds

The widest set of routes on this board — sublingual and injection on both semaglutide and tirzepatide, every SKU priced in the open — sold well above the median, on a plan that only ever bills against a 90-day supply.

Semaglutide: $249/mo (sublingual, 90-day supply billed monthly)
Tirzepatide: $299/mo (sublingual, 90-day supply billed monthly)
Coverage: Not disclosed
Brand-name: Compounded only

Sublingual AND injection on BOTH molecules — four GLP-1 SKUs, the widest formulation range of any provider on this board
Every price is published per SKU in a public shop, with no quiz, intake or email capture in front of it
Each product page prints a per-day equivalent beside the monthly rate ($8.03/day at $249), which is unusually concrete for this category

$249/mo sublingual is well above this board's ~$144 median, and the injection route is $297 — the cheapest thing here is dearer than most rows' headline price
The only purchasable option on every product page is a 90-DAY SUPPLY billed monthly, so three months is the smallest unit sold — there is no month-to-month rate to compare against the rows beside it
Every headline figure is framed "AS LOW AS", yet the only available option shows "0% OFF" — the framing implies a cheaper tier that is not actually on sale

Visit Direct Meds Read the full review →

Pricing, states and verification facts reflect each provider's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on the provider's site. Not medical advice.

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Value, not teaser price

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Honest low scores

Opaque pricing and coverage gaps drag scores down, and we say exactly why. A leaderboard that flatters everyone is useless.

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Read the full Cost-Efficiency Index methodology →