Head-to-head · Cost-Efficiency Index
Blue Sky MD vs Green Cap 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.
Blue Sky MD
Cost-first shoppers who want north Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.
Visit Blue Sky MDGreen Cap Health
Cost-first shoppers who want a Texas reader who wants the prescriber and the compounding pharmacy to be the same company.
Visit Green Cap HealthThe verdict
Blue Sky MD and Green Cap Health tie on the Cost-Efficiency Index at 63/100, so neither wins outright on the numbers. For most shoppers we'd start with Blue Sky MD (ranked #188, a hair above #193) — Cost-first shoppers who want north Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic. But Green Cap 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 Blue Sky 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 | Blue Sky MD | Green Cap Health |
|---|---|---|
| Cost-Efficiency Index | 63/100 | 63/100 |
| Semaglutide / mo | $160/mo (starting dose, compounded) | $129/mo (6-month plan, compounded) |
| Tirzepatide / mo | $240/mo (starting dose, compounded) | $199/mo (6-month plan, compounded) |
| Semaglutide / yr (modeled) | $1,920 | $1,548 |
| Tirzepatide / yr (modeled) | $2,880 | $2,388 |
| Coverage | 1 state | 1 state |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #188 | #193 |
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
Green Cap Health
63/100Where the value is
- Vertically integrated: the prescribing practice and the compounding pharmacy are the same company, so the supply chain is short and named
- Same-day provider review and 1-3 day discreet shipping
- The full commitment ladder is published, so the month-to-month rate and the six-month rate can be compared directly
The tradeoffs
- The advertised $2.63-a-day and $79 first-month figures do not correspond to any purchasable plan; the cheapest real rates are $129/mo semaglutide and $199/mo tirzepatide, both on six-month commitments, and month-to-month is $179 and $279
- The terms disclose a separate Weight Management Program Membership Fee, charged periodically on top of the plan and revealed only during checkout — it appears on no product page
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.