Head-to-head · Cost-Efficiency Index
Alegro Health vs PCOS Sisters
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
Alegro Health
Shoppers in the eligible 'select states' who want a low-commitment starter package to try semaglutide.
Visit Alegro HealthPCOS Sisters
Cost-first shoppers who want women with PCOS who want GLP-1 prescribing folded into a specialty metabolic-care membership.
Visit PCOS SistersThe verdict
Alegro Health and PCOS Sisters tie on the Cost-Efficiency Index at 52/100, so neither wins outright on the numbers. For most shoppers we'd start with Alegro Health (ranked #385, a hair above #390) — Shoppers in the eligible 'select states' who want a low-commitment starter package to try semaglutide. But PCOS Sisters is a genuine coin-flip alternative here.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Alegro Health.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Alegro Health | PCOS Sisters |
|---|---|---|
| Cost-Efficiency Index | 52/100 | 52/100 |
| Semaglutide / mo | $199/mo (starting dose, bundle, compounded) | Not disclosed |
| Tirzepatide / mo | Not disclosed | Not disclosed |
| Semaglutide / yr (modeled) | $2,388 | — |
| Tirzepatide / yr (modeled) | — | — |
| Coverage | Coverage not published | 12 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #385 | #390 |
Alegro Health
52/100Where the value is
- Clear, low upfront starter price ($199 for 8 weeks including B12)
- Claims 'all-inclusive pricing, one payment, no hidden charges' for the starter package
- Texas-based practice using nurse practitioner-led telehealth per its own description
The tradeoffs
- Starter price is explicitly '*Select States' only -- not available to all shoppers
- No tirzepatide pricing published at all
PCOS Sisters
52/100Where the value is
- Dedicated PCOS specialty model with a metabolic weight-loss program and fitness app bundled into the membership
- Two named pharmacy partners with full addresses published (Strive Pharmacy, Gilbert AZ; Striker Pharmacy, Katy TX)
- LegitScript and BBB verification badges both present on-site
The tradeoffs
- The advertised $150/month does NOT include the GLP-1 medication itself — the site's own FAQ confirms medication is billed separately by the pharmacy, so the real all-in cost is higher and undisclosed
- Only 11 states served (not 12), with no public timeline for expansion beyond 'working to expand our coverage'
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.