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Head-to-head · Cost-Efficiency Index

CoreAge Rx vs Ivy 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.

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 · #102

Ivy Rx

Cost-first shoppers who want the lowest published entry price on a semaglutide microdose, for shoppers comfortable with unresolved pricing terms.

Visit Ivy Rx

The verdict

Winner · CoreAge RxGrade A vs C

CoreAge Rx takes it, leading the Cost-Efficiency Index 94 to 69. 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. Ivy Rx still earns a CCost-first shoppers who want the lowest published entry price on a semaglutide microdose, for shoppers comfortable with unresolved pricing terms.

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
47

Price Transparency

97
78

Nationwide Access

98
86

Formulation Options

84
79

Clinical Oversight

90
82

Contract Flexibility

95
47

Pricing, coverage & formulary

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

SpecCoreAge RxIvy Rx
Cost-Efficiency Index94/10069/100
Semaglutide / mo$99/mo$97/mo (microdose tier, promotional rate, compounded)
Tirzepatide / mo$149/mo$199/mo (brand Mounjaro, compounded)
Semaglutide / yr (modeled)$1,188$1,164
Tirzepatide / yr (modeled)$1,788$2,388
CoverageAll 50 statesAll 50 states
Oral / sublingualNoNo
Brand-name accessCompounded onlyYes
Rank here#1#102

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 →

Ivy Rx

69/100

Where the value is

  • Genuinely low entry price on the semaglutide microdose tier ($77/mo)
  • HSA/FSA eligible with itemized receipts for reimbursement
  • Legal entity is named (Ivy RX PLLC), which many competitors in this batch do not disclose

The tradeoffs

  • The standard semaglutide price is shown as a struck-through discount ('$197 $97') with no label clarifying whether $97 is a standing rate or a temporary promo
  • The advertised $199/mo tirzepatide rate requires a 12-month upfront lump-sum payment, not month-to-month billing, and a separate unexplained $1,399 vial price appears on the same page
Visit Ivy Rx

Full Ivy Rx 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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