Head-to-head · Cost-Efficiency Index
Alloy vs Coby Health
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.
Alloy
Cost-first shoppers who want women who want menopause care and GLP-1 weight management under the same physician, and don't mind a recurring care-fee structure.
Visit AlloyCoby Health
Cost-first shoppers who want wanting real per-dose, pay-as-you-go pricing with no forced subscription, accepting that price rises with dose.
Visit Coby HealthThe verdict
Alloy and Coby Health tie on the Cost-Efficiency Index at 58/100, so neither wins outright on the numbers. For most shoppers we'd start with Alloy (ranked #281, a hair above #283) — Cost-first shoppers who want women who want menopause care and GLP-1 weight management under the same physician, and don't mind a recurring care-fee structure. But Coby Health 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 Alloy.
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 | Alloy | Coby Health |
|---|---|---|
| Cost-Efficiency Index | 58/100 | 58/100 |
| Semaglutide / mo | $169/mo (starting dose, compounded) | $159/mo (0.25 mg dose, bundle, compounded) |
| Tirzepatide / mo | $199/mo (starting dose, compounded) | $239/mo (2.5 mg dose, bundle, compounded) |
| Semaglutide / yr (modeled) | $2,028 | $1,908 |
| Tirzepatide / yr (modeled) | $2,388 | $2,868 |
| Coverage | Coverage not published | 46 states |
| Oral / sublingual | Yes | No |
| Brand-name access | Yes | Compounded only |
| Rank here | #281 | #283 |
Alloy
58/100Where the value is
- Offers a genuinely broad medication menu: brand Zepbound and Wegovy (pen and pill) alongside compounded semaglutide, tirzepatide, and liraglutide, plus Foundayo
- The $99/month care fee bundles unlimited physician messaging, dose adjustment, and free delivery rather than charging per visit
- Publishes an outcomes stat on-site: '20% Average body weight lost over 12 months with Alloy's weight care solutions'
The tradeoffs
- The advertised 'starting at $70/month' for compounded semaglutide is misleading on its own — it excludes the mandatory recurring $99/month care fee, so the true monthly floor is $169, not $70
- The STARTGLP1 promo code only discounts the $99 care fee by $50, and only for the first month — full $99/month resumes in month two, so the 'savings' don't compound over time
Coby Health
58/100Where the value is
- Genuine per-dose pricing transparency — every dose tier has its own published monthly price rather than one vague 'starting at' figure
- No subscription requirement: 'cancel your monthly subscription anytime for a one-month supply'
- Multi-month and titration-specific bundles are priced and disclosed up front, not hidden behind checkout
The tradeoffs
- The advertised low headline prices ('as low as $99/mo' semaglutide, '$179/mo' tirzepatide) apply only to the LOWEST starting dose on a 6-month bundle — real pay-as-you-go pricing at a typical mid-range dose is far higher
- Coby Health is explicitly a marketplace connecting patients to independent third-party providers — no medical director, prescriber, or compounding pharmacy is named anywhere
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.