Head-to-head · Cost-Efficiency Index
Bayan Health vs Blue Sky 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.
Bayan Health
Cost-first shoppers who want a flat all-dose price across several routes and can commit to a two- or three-month protocol.
Visit Bayan HealthBlue Sky MD
Cost-first shoppers who want north Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.
Visit Blue Sky MDThe verdict
Bayan Health takes it, leading the Cost-Efficiency Index 64 to 63. Bayan Health prices compounded semaglutide at $129 and tirzepatide at $149 a month, flat at every dose, and also sells oral drops, low-dose programs and orforglipron tablets — but ships two to three months at a time and bills for the whole protocol. Blue Sky MD still earns a C — Cost-first shoppers who want north Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.
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 Bayan 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 | Bayan Health | Blue Sky MD |
|---|---|---|
| Cost-Efficiency Index | 64/100 | 63/100 |
| Semaglutide / mo | $129.00/month billed monthly (standard injectable with vitamin B6; three months of medication ship at once) | $160/mo (starting dose, compounded) |
| Tirzepatide / mo | $149.00/month billed monthly (standard injectable with vitamin B6; same three-month protocol) | $240/mo (starting dose, compounded) |
| Semaglutide / yr (modeled) | $1,548 | $1,920 |
| Tirzepatide / yr (modeled) | $1,788 | $2,880 |
| Coverage | Coverage not published | 1 state |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #184 | #188 |
Bayan Health
64/100Where the value is
- Among the lowest published flat rates for either molecule, with the medication, the physician consultation and expedited shipping inside the figure
- "Same Flat Price. No Matter the Dose." is stated on the product pages, so the cost does not climb as a provider titrates
- Sells six GLP-1 routes at published prices — standard and low-dose injections, oral drops for both molecules — plus orforglipron tablets at $269 a month
The tradeoffs
- Medication ships two or three months at a time and the terms say the payment obligation covers the entire protocol dispensed, so a monthly figure is not a monthly commitment
- Opting out requires 15 days' notice before the next protocol cycle, while the FAQ says you can cancel at any time
Blue Sky MD
63/100Where the value is
- LegitScript-certified with a named, pictured Medical Director (Dr. David LaMond) and a practice history dating to 2008
- Weekly pricing ($40 semaglutide / $60 tirzepatide) is well below brand-name cost and comparable to many compounded telehealth competitors
- 7 physical clinic locations across North Carolina (Charlotte, Asheville, Hendersonville, Greensboro, Clemmons, South Charlotte, Mooresville) for patients who want in-person care
The tradeoffs
- The published $40/$60 per-week price is explicitly labeled 'in-office' on the GLP-1 page, and that specific page never mentions telehealth at all — whether the rate applies to out-of-state or telehealth-only patients is unconfirmed
- Geographic footprint is North Carolina only; no state-by-state telehealth coverage list is published
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.