Head-to-head · Cost-Efficiency Index
Apex MD vs Goldspan 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.
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 MDGoldspan Health
Shoppers who want a sublingual route priced openly beside the injection and who will count 13 charges a year rather than 12.
Visit Goldspan HealthThe verdict
Apex MD and Goldspan Health 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 #73, a hair above #77) — 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 Goldspan 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 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 | Goldspan Health |
|---|---|---|
| Cost-Efficiency Index | 71/100 | 71/100 |
| Semaglutide / mo | $299/mo (all doses, bundle, compounded) | $229 every 28 days month-to-month (13 charges a year, not 12) |
| Tirzepatide / mo | $399/mo (all doses, bundle, compounded) | $299 every 28 days month-to-month (13 charges a year, not 12) |
| Semaglutide / yr (modeled) | $3,588 | $2,748 |
| Tirzepatide / yr (modeled) | $4,788 | $3,588 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #73 | #77 |
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'
Goldspan Health
71/100Where the value is
- Prices ten separate GLP-1 products openly — injection and sublingual, standard and low dose, with a B12 or a glycine base — before any account
- Each plan card itemizes what the figure buys: the clinician evaluation, the medication, injection supplies, two-day shipping and clinical-team access
- States the billing cycle honestly on the plan card and the order timeline as 28 days and four weeks
The tradeoffs
- The hero prints "/month" over a plan billed every 28 days, which is 13 charges a year rather than 12
- "Pause, delay, or cancel at any time" sits against a refund policy reading "all sales are final" and storefront terms saying an order cannot be canceled once placed
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.