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Head-to-head · Cost-Efficiency Index

Coivas vs Elara MD

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 · #284

Coivas

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

Visit Coivas
VS
Grade C · #285

Elara MD

Cost-first shoppers who want semaglutide-range and tirzepatide-range GLP-1 plus wellness peptides.

Visit Elara MD

The verdict

Too close to callGrade C vs C

Coivas and Elara MD tie on the Cost-Efficiency Index at 58/100, so neither wins outright on the numbers. For most shoppers we'd start with Coivas (ranked #284, a hair above #285) — Shoppers wanting a named, verifiable prescribing physician (NPI-checkable) behind a nationwide compounded GLP-1 service. But Elara MD 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 Coivas.

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

63
52

Price Transparency

78
86

Nationwide Access

24
24

Formulation Options

66
66

Clinical Oversight

85
64

Contract Flexibility

20
55

Pricing, coverage & formulary

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

SpecCoivasElara MD
Cost-Efficiency Index58/10058/100
Semaglutide / mo$119/mo (starting dose, compounded)$249/mo (0.2 mg dose, compounded)
Tirzepatide / mo$199/mo (starting dose, compounded)$349/mo (2.0 mg dose, compounded)
Semaglutide / yr (modeled)$1,428$2,988
Tirzepatide / yr (modeled)$2,388$4,188
CoverageCoverage not publishedCoverage not published
Oral / sublingualNoNo
Brand-name accessCompounded onlyCompounded only
Rank here#284#285

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 →

Elara MD

58/100

Where the value is

  • Dose-banded monthly pricing published on-site ($249–$649/mo across tiers)
  • Both a semaglutide-range and a tirzepatide-range (GLP-1/GIP) option, plus microdosing
  • Medication included in the monthly price with free fast shipping when prescribed

The tradeoffs

  • Molecules not named on-site (only 'Personalized GLP-1') — compounded status is inferred
  • No FDA compounded-medication disclaimer published
Visit Elara MD

Full Elara MD 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.

Keep comparing

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