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Head-to-head · Cost-Efficiency Index

Belle Health vs Boston Medical Group

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 · #268

Belle Health

Cost-first shoppers who want flat-rate compounded GLP-1 pricing that doesn't rise as the dose increases.

Visit Belle Health
VS
Grade C · #269

Boston Medical Group

Cost-first shoppers who want a clinician-run 12-week program and can accept a price quoted as a range rather than a rate.

Visit Boston Medical Group

The verdict

Too close to callGrade C vs C

Belle Health and Boston Medical Group tie on the Cost-Efficiency Index at 59/100, so neither wins outright on the numbers. For most shoppers we'd start with Belle Health (ranked #268, a hair above #269) — Cost-first shoppers who want flat-rate compounded GLP-1 pricing that doesn't rise as the dose increases. But Boston Medical Group 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 Belle 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

45
45

Price Transparency

54
78

Nationwide Access

86
42

Formulation Options

40
53

Clinical Oversight

76
88

Contract Flexibility

55
55

Pricing, coverage & formulary

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

SpecBelle HealthBoston Medical Group
Cost-Efficiency Index59/10059/100
Semaglutide / moNot disclosed$199/mo (starting strength, rising with dose, compounded)
Tirzepatide / moNot disclosedNot disclosed
Semaglutide / yr (modeled)$2,388
Tirzepatide / yr (modeled)
CoverageAll 50 states7 states
Oral / sublingualNoNo
Brand-name accessCompounded onlyCompounded only
Rank here#268#269

Belle Health

59/100

Where the value is

  • Flat-rate pricing explicitly stated not to increase at higher doses
  • Five named compounding pharmacy partners disclosed across its pages (BPI Labs, Hallandale Health, Boudreaux's, VialsRx, and others)
  • 2-day shipping stated as included in the price, with no separate shipping line item found

The tradeoffs

  • Tirzepatide price is inconsistent across Belle's own pages — $175/mo, $199/mo, and a $219 anchor all appear on different pages with no explanation
  • No state-coverage list found on any page read, despite an FAQ item promising one
Visit Belle Health

Full Belle Health review →

Regulatory note: the FDA issued a warning letter to Belle Health LLC dba Belle in February 2026. We still list and link to Belle Health; you should know the letter is on the public record before you decide.

Boston Medical Group

59/100

Where the value is

  • An established medical group with a defined 12-week program rather than an open-ended subscription
  • The price range and the 12-week total are both published, once you reach the costs page
  • Semaglutide is prescribed and dispensed under a compounded pathway with clinician oversight

The tradeoffs

  • The published rate is a range by dose strength, $199 to $299, so the figure quoted is the floor rather than what a titrated patient pays
  • The 12-week program totals $699 including a telemedicine platform fee that is never itemised — about $233/mo all-in, not $199
Visit Boston Medical Group

Full Boston Medical Group 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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