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Head-to-head · Cost-Efficiency Index

Boston Medical Group vs Layla

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 · #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
VS
Grade C · #274

Layla

Cost-first shoppers who want brand-name GLP-1 access from shoppers who don't need a compounded/lower-cost option.

Visit Layla

The verdict

Too close to callGrade C vs C

Boston Medical Group and Layla tie on the Cost-Efficiency Index at 59/100, so neither wins outright on the numbers. For most shoppers we'd start with Boston Medical Group (ranked #269, a hair above #274) — Cost-first shoppers who want a clinician-run 12-week program and can accept a price quoted as a range rather than a rate. But Layla 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 Boston Medical Group.

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
41

Price Transparency

78
78

Nationwide Access

42
24

Formulation Options

53
90

Clinical Oversight

88
81

Contract Flexibility

55
55

Pricing, coverage & formulary

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

SpecBoston Medical GroupLayla
Cost-Efficiency Index59/10059/100
Semaglutide / mo$199/mo (starting strength, rising with dose, compounded)$1,399/mo (brand Ozempic, promotional rate)
Tirzepatide / moNot disclosed$1,399/mo (brand Mounjaro, promotional rate)
Semaglutide / yr (modeled)$2,388$16,788
Tirzepatide / yr (modeled)$16,788
Coverage7 statesCoverage not published
Oral / sublingualNoYes
Brand-name accessCompounded onlyYes
Rank here#269#274

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 →

Layla

59/100

Where the value is

  • All-inclusive pricing bundles health check-ins, telehealth visits, prescription and unlimited doctor messaging into one price
  • Named Medical Director (Dr. Ruth Cohen) disclosed on-site
  • LegitScript-certified badge displayed; fast 2-3 day shipping claimed

The tradeoffs

  • Brand-only and expensive: the real floor is $1,399/mo (Ozempic/Mounjaro), not the $1,299 the homepage FAQ separately claims — the two figures don't reconcile
  • The lowest Zepbound figure shown ($1,599) is a one-time new-customer discount off a $1,699 standing price, not an ongoing rate
Visit Layla

Full Layla 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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