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Head-to-head · Cost-Efficiency Index

Aquivia Health vs Oria Meds

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.

Better valueGrade C · #207

Aquivia Health

Cost-first shoppers who want clinician-reviewed compounded GLP-1 with optional branded upgrade.

Visit Aquivia Health
VS
Grade C · #209

Oria Meds

Readers who want the dispensing pharmacy named with an address and will complete the intake to see the real plan menu.

Visit Oria Meds

The verdict

Too close to callGrade C vs C

Aquivia Health and Oria Meds tie on the Cost-Efficiency Index at 62/100, so neither wins outright on the numbers. For most shoppers we'd start with Aquivia Health (ranked #207, a hair above #209) — Cost-first shoppers who want clinician-reviewed compounded GLP-1 with optional branded upgrade. But Oria Meds 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 Aquivia 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

88
54

Price Transparency

46
36

Nationwide Access

24
86

Formulation Options

79
66

Clinical Oversight

76
73

Contract Flexibility

55
67

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecAquivia HealthOria Meds
Cost-Efficiency Index62/10062/100
Semaglutide / mo$149/mo$199/month month-to-month (read in the intake; the homepage's $149 appears nowhere in the funnel)
Tirzepatide / mo$179/mo$369/month month-to-month (the homepage's $249 appears nowhere in the funnel)
Semaglutide / yr (modeled)$1,788$2,388
Tirzepatide / yr (modeled)$2,148$4,428
CoverageCoverage not publishedAll 50 states
Oral / sublingualNoNo
Brand-name accessYesCompounded only
Rank here#207#209

Aquivia Health

62/100

Where the value is

  • Clinical care provided by Open Loop Healthcare Partners, PC — a reused, verified MSO network
  • Named leadership: Steven Bishop MD (CMO), Phillip Gray PharmD (Chief Pharmacist), Tom Foster (President)
  • Itemized public pricing: compounded semaglutide $149/mo, tirzepatide $179/mo, Ozempic $1,299, Zepbound $1,399

The tradeoffs

  • No public list of states served — you must complete intake to learn if your state qualifies
  • No named 503A compounding pharmacy partner, limiting licensure verification
Visit Aquivia Health

Full Aquivia Health review →

Oria Meds

62/100

Where the value is

  • Names its compounding pharmacy, PerfectRx, with a street address, phone number and website
  • The monthly figure covers free shipping, a home injection kit, free dose increases and unlimited medical support, itemized on the plan card
  • Names the provider network behind the prescriptions rather than referring only to licensed clinicians

The tradeoffs

  • Neither published floor exists in the funnel: "starting at $149" and "starting at $249" appear nowhere in the plan menu, which offers $199 and $369
  • The semaglutide ladder is inverted — one month is $199 while three and six months are both $209 a month, so committing longer costs more
Visit Oria Meds

Full Oria Meds review →

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.

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