Head-to-head · Cost-Efficiency Index
Alegro Health vs Shape Vantage
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 HealthShape Vantage
Cost-first shoppers who want the lowest flat tirzepatide sticker price, for shoppers comfortable with a site that names no prescriber or pharmacy anywhere.
Visit Shape VantageThe verdict
Alegro Health and Shape Vantage 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 #392) — Shoppers in the eligible 'select states' who want a low-commitment starter package to try semaglutide. But Shape Vantage 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 | Shape Vantage |
|---|---|---|
| Cost-Efficiency Index | 52/100 | 52/100 |
| Semaglutide / mo | $199/mo (starting dose, bundle, compounded) | Not disclosed |
| Tirzepatide / mo | Not disclosed | $133/mo (3-month plan, compounded) |
| Semaglutide / yr (modeled) | $2,388 | — |
| Tirzepatide / yr (modeled) | — | $1,596 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #385 | #392 |
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
Shape Vantage
52/100Where the value is
- Lowest all-in sticker price of the 12 sites researched: $399 flat for a full 3-month tirzepatide program, no separate monthly billing
- Simple single-price structure with no dose-tier hedging or 'starting at' language
- At least one verifiable legal anchor: Terms page confirms the entity name and California governing law
The tradeoffs
- No physician, nurse practitioner, medical director, or individually named prescriber is disclosed anywhere on the site — every informational sub-page (about, how-it-works, FAQ, refund policy) 404s
- No compounding pharmacy is named, and the site never uses the words 'compounded,' 'prescription,' or 'pharmacy' — marketing language ('formulation kit,' 'product') reads closer to a supplement than a physician-prescribed medication
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.