Head-to-head · Cost-Efficiency Index
Blue Sky MD vs Lavender Sky 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 MDLavender Sky Health
Cost-first shoppers who want to compare per-pharmacy price ladders and are willing to read which plan and which pharmacy each figure belongs to.
Visit Lavender Sky HealthThe verdict
Blue Sky MD and Lavender Sky 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 #195) — Cost-first shoppers who want north Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic. But Lavender Sky 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 | Lavender Sky Health |
|---|---|---|
| Cost-Efficiency Index | 63/100 | 63/100 |
| Semaglutide / mo | $160/mo (starting dose, compounded) | $139/mo (starting dose, month to month, Southend Pharmacy, compounded) |
| Tirzepatide / mo | $240/mo (starting dose, compounded) | $149/mo (starting dose, month to month, ReviveRx, compounded) |
| Semaglutide / yr (modeled) | $1,920 | $1,668 |
| Tirzepatide / yr (modeled) | $2,880 | $1,788 |
| Coverage | 1 state | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #188 | #195 |
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
Lavender Sky Health
63/100Where the value is
- The treatment-plan pricing page publishes every pharmacy's full ladder rather than one headline figure, so the cheaper prepaid tiers are visible alongside the monthly ones
- A genuine month-to-month starter plan exists with no prepay, and the cheapest of them is what is filed above — Southend for semaglutide, ReviveRx for tirzepatide
- Compounded plans include the price of the medication, and shipping and supplies are stated as included
The tradeoffs
- This is a marketplace, not one price: every figure belongs to a named pharmacy on a named plan, and the pharmacy and plan have to travel with the number for it to mean anything
- Most of the ladder is prepaid — Tier plans need 8-10 weeks up front and Extended plans 3-4 months — and only a handful of the pharmacies publish a month-to-month starter plan at all
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.