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Head-to-head · Cost-Efficiency Index

Coby Health vs Coivas

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 · #283

Coby Health

Cost-first shoppers who want wanting real per-dose, pay-as-you-go pricing with no forced subscription, accepting that price rises with dose.

Visit Coby Health
VS
Grade C · #284

Coivas

Shoppers wanting a named, verifiable prescribing physician (NPI-checkable) behind a nationwide compounded GLP-1 service.

Visit Coivas

The verdict

Too close to callGrade C vs C

Coby Health and Coivas tie on the Cost-Efficiency Index at 58/100, so neither wins outright on the numbers. For most shoppers we'd start with Coby Health (ranked #283, a hair above #284) — Cost-first shoppers who want wanting real per-dose, pay-as-you-go pricing with no forced subscription, accepting that price rises with dose. But Coivas 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 Coby 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

52
63

Price Transparency

30
78

Nationwide Access

78
24

Formulation Options

66
66

Clinical Oversight

82
85

Contract Flexibility

47
20

Pricing, coverage & formulary

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

SpecCoby HealthCoivas
Cost-Efficiency Index58/10058/100
Semaglutide / mo$159/mo (0.25 mg dose, bundle, compounded)$119/mo (starting dose, compounded)
Tirzepatide / mo$239/mo (2.5 mg dose, bundle, compounded)$199/mo (starting dose, compounded)
Semaglutide / yr (modeled)$1,908$1,428
Tirzepatide / yr (modeled)$2,868$2,388
Coverage46 statesCoverage not published
Oral / sublingualNoNo
Brand-name accessCompounded onlyCompounded only
Rank here#283#284

Coby Health

58/100

Where the value is

  • Genuine per-dose pricing transparency — every dose tier has its own published monthly price rather than one vague 'starting at' figure
  • No subscription requirement: 'cancel your monthly subscription anytime for a one-month supply'
  • Multi-month and titration-specific bundles are priced and disclosed up front, not hidden behind checkout

The tradeoffs

  • The advertised low headline prices ('as low as $99/mo' semaglutide, '$179/mo' tirzepatide) apply only to the LOWEST starting dose on a 6-month bundle — real pay-as-you-go pricing at a typical mid-range dose is far higher
  • Coby Health is explicitly a marketplace connecting patients to independent third-party providers — no medical director, prescriber, or compounding pharmacy is named anywhere
Visit Coby Health

Full Coby Health review →

Coivas

58/100

Where the value is

  • Named prescribing physician with checkable NPI (Dr. Sean Arora, NPI 1841729449)
  • LegitScript approval seal displayed
  • Claims availability in all 50 states

The tradeoffs

  • 'Starting at' pricing could not be confirmed as the genuine ongoing rate -- pricing subpages were unreachable (404)
  • No single named compounding pharmacy -- varies by location/medication
Visit Coivas

Full Coivas 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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