Head-to-head · Cost-Efficiency Index
Apex MD vs GOAL.MD
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.
Apex MD
Patients who want unlimited visits and labs bundled into a flat month-to-month price and don't mind the medication being combined with NAD/B-12/L-carnitine.
Visit Apex MDGOAL.MD
Shoppers comparing a named physician-led practice, who won't mistake the $149 ad price for the ongoing rate.
Visit GOAL.MDThe verdict
Apex MD and GOAL.MD tie on the Cost-Efficiency Index at 71/100, so neither wins outright on the numbers. For most shoppers we'd start with Apex MD (ranked #80, a hair above #81) — Patients who want unlimited visits and labs bundled into a flat month-to-month price and don't mind the medication being combined with NAD/B-12/L-carnitine. But GOAL.MD 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 Apex MD.
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 | Apex MD | GOAL.MD |
|---|---|---|
| Cost-Efficiency Index | 71/100 | 71/100 |
| Semaglutide / mo | $299/mo (all doses, bundle, compounded) | $199/mo (promotional rate, compounded) |
| Tirzepatide / mo | $399/mo (all doses, bundle, compounded) | $299/mo (compounded) |
| Semaglutide / yr (modeled) | $3,588 | $2,388 |
| Tirzepatide / yr (modeled) | $4,788 | $3,588 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Yes |
| Rank here | #80 | #81 |
Apex MD
71/100Where the value is
- Genuinely all-in flat pricing: 'no other fees' across all doses, with unlimited provider visits and Labcorp labs included
- No membership fee, no sign-up fee, no lab fee — confirmed verbatim on the pricing page
- Both semaglutide and tirzepatide, in injectable or daily-oral form
The tradeoffs
- Not single-ingredient GLP-1 — every tier bundles NAD, B-12, and L-carnitine into the compound, so the $299/$399 price isn't directly comparable to a plain-semaglutide/tirzepatide competitor
- Compounding pharmacies are never named, only described generically as 'Legit Script Certified pharmacies'
GOAL.MD
71/100Where the value is
- Named Chief Physician (Dr. Michael Mimlitz, MD) rather than an anonymous provider network
- Multiple product tiers (standard, micro-dose, combination 'Synergy') for different budgets and needs
- 3-month bundle discount available on the combination product ($547/mo vs. $597/mo single-month)
The tradeoffs
- The widely advertised '$149' price is a first-month-only discount; the standing rate is $199/mo semaglutide and $299/mo tirzepatide — more than double the headline for tirzepatide
- No named compounding pharmacy — only generic '503A & 503B licensed U.S. pharmacies' language
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.