Head-to-head · Cost-Efficiency Index
Coby Health vs Lean Rx
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.
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 HealthLean Rx
Shoppers who don't need transparency on credentials before comparing headline prices.
Visit Lean RxThe verdict
Coby Health and Lean Rx 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 #288) — 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 Lean Rx 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
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 | Coby Health | Lean Rx |
|---|---|---|
| Cost-Efficiency Index | 58/100 | 58/100 |
| Semaglutide / mo | $159/mo (0.25 mg dose, bundle, compounded) | $266/mo (starting dose, compounded) |
| Tirzepatide / mo | $239/mo (2.5 mg dose, bundle, compounded) | $399/mo (starting dose, compounded) |
| Semaglutide / yr (modeled) | $1,908 | $3,192 |
| Tirzepatide / yr (modeled) | $2,868 | $4,788 |
| Coverage | 46 states | Coverage not published |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #283 | #288 |
Coby Health
58/100Where 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
Lean Rx
58/100Where the value is
- Offers both semaglutide and tirzepatide
- Simple, low headline starting prices
- Straightforward telehealth consultation flow described
The tradeoffs
- No LegitScript certification displayed anywhere on the site
- No named medical director or compounding pharmacy partner
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.