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Head-to-head · Cost-Efficiency Index

CoreAge Rx vs AlyveRx

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 A · #1

CoreAge Rx

Anyone optimizing for real value — a transparent flat price you can model for a full year, nationwide, without a bait-and-switch.

Visit CoreAge Rx
VS
Grade C · #173

AlyveRx

Shoppers who specifically want a needle-free sublingual GLP-1 option alongside standard injections on the same platform.

Visit AlyveRx

The verdict

Winner · CoreAge RxGrade A vs C

CoreAge Rx takes it, leading the Cost-Efficiency Index 94 to 64. Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser. AlyveRx still earns a CShoppers who specifically want a needle-free sublingual GLP-1 option alongside standard injections on the same platform.

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

93
66

Price Transparency

97
78

Nationwide Access

98
24

Formulation Options

84
90

Clinical Oversight

90
71

Contract Flexibility

95
55

Pricing, coverage & formulary

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

SpecCoreAge RxAlyveRx
Cost-Efficiency Index94/10064/100
Semaglutide / mo$99/mo$183/mo (starting dose, compounded)
Tirzepatide / mo$149/mo$283/mo (starting dose, compounded)
Semaglutide / yr (modeled)$1,188$2,196
Tirzepatide / yr (modeled)$1,788$3,396
CoverageAll 50 statesCoverage not published
Oral / sublingualNoYes
Brand-name accessCompounded onlyYes
Rank here#1#173

CoreAge Rx

94/100

Where the value is

  • Flat all-in monthly price — no intro rate that silently triples after month one, so the modeled annual cost is the real cost
  • Both compounded semaglutide and tirzepatide on one account at published prices
  • Available in all 50 states — no coverage gamble

The tradeoffs

  • Not the rock-bottom sticker price — 30 of the 381 priced semaglutide programs we track list a cheaper figure, though most attach a term or a step-up that CoreAge does not
  • No FDA-approved brand-name option (compounded only)
Visit CoreAge Rx

Full CoreAge Rx review →

AlyveRx

64/100

Where the value is

  • Offers a genuinely needle-free sublingual delivery option (PermeAct) for both semaglutide and tirzepatide, not just injections
  • Also carries brand-name Ozempic, Wegovy, and Mounjaro for patients who want an FDA-approved product
  • All four price points (injection and drops, both drugs) are published upfront on the homepage before intake

The tradeoffs

  • The dataset's previous $249/mo tirzepatide figure is the SUBLINGUAL DROPS price, not the standard injection ($283/mo) — confirm which form a quoted price refers to
  • Sublingual PermeAct absorption relies on the company's own proprietary technology claims and is not FDA-reviewed for weight-loss efficacy
Visit AlyveRx

Full AlyveRx 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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