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Head-to-head · Cost-Efficiency Index

Breeze Meds vs Aquivia 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.

Better valueGrade B · #5

Breeze Meds

People who want to independently verify the clinicians and pharmacy behind their GLP-1 — and who'll pay a mid-market price for that paper trail plus FSA/HSA eligibility.

Visit Breeze Meds
VS
Grade C · #219

Aquivia Health

Cost-first shoppers who want clinician-reviewed compounded GLP-1 with optional branded upgrade.

Visit Aquivia Health

The verdict

Winner · Breeze MedsGrade B vs C

Breeze Meds takes it, leading the Cost-Efficiency Index 86 to 61. The most transparent operator in our partner tier — all-50 compounded GLP-1 with NPI-verifiable named physicians, named pharmacies and LegitScript backing, so you can actually audit who's behind the script. Aquivia Health still earns a CCost-first shoppers who want clinician-reviewed compounded GLP-1 with optional branded upgrade.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the board). See how it stacks up: CoreAge Rx vs Breeze Meds.

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

78
91

Price Transparency

92
46

Nationwide Access

96
24

Formulation Options

84
79

Clinical Oversight

92
64

Contract Flexibility

78
55

Pricing, coverage & formulary

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

SpecBreeze MedsAquivia Health
Cost-Efficiency Index86/10061/100
Semaglutide / mo$199/mo$149/mo
Tirzepatide / mo$399/mo$179/mo
Semaglutide / yr (modeled)$2,388$1,788
Tirzepatide / yr (modeled)$4,788$2,148
CoverageAll 50 statesCoverage not published
Oral / sublingualYesNo
Brand-name accessCompounded onlyYes
Rank on the board#5#219

Breeze Meds

86/100

Where the value is

  • Best transparency of this partner batch — NPI-verifiable named physicians (Lion MD group), named dispensing pharmacies, and LegitScript certification
  • All 50 states, with injectable semaglutide from $199/mo plus oral semaglutide (~$299) and oral tirzepatide (~$399) for the needle-averse
  • FSA/HSA eligible, which trims the effective monthly cost

The tradeoffs

  • Mid-to-higher per-month pricing — tirzepatide and the oral routes carry a premium over the cheapest all-50 rivals
  • Compounded only — not FDA-approved brand-name medication
Visit Breeze Meds

Full Breeze Meds review →

Aquivia Health

61/100

Where the value is

  • Clinical care provided by Open Loop Healthcare Partners, PC — a reused, verified MSO network
  • Named leadership: Steven Bishop MD (CMO), Phillip Gray PharmD (Chief Pharmacist), Tom Foster (President)
  • Itemized public pricing: compounded semaglutide $149/mo, tirzepatide $179/mo, Ozempic $1,299, Zepbound $1,399

The tradeoffs

  • No public list of states served — you must complete intake to learn if your state qualifies
  • No named 503A compounding pharmacy partner, limiting licensure verification
Visit Aquivia Health

Full Aquivia Health 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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