Head-to-head · Cost-Efficiency Index
CoreAge Rx vs MEDVi
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.
CoreAge Rx
Anyone who wants one flat monthly price they can plan a full year around, on either molecule, without signing a contract.
Visit CoreAge RxMEDVi
Shoppers who want compounded semaglutide with no contract and are budgeting on the $299 refill price, not the first-month sale price.
Visit MEDViThe verdict
CoreAge Rx takes it, leading the Cost-Efficiency Index 94 to 62. CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee. MEDVi still earns a C — Shoppers who want compounded semaglutide with no contract and are budgeting on the $299 refill price, not the first-month sale price.
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 | CoreAge Rx | MEDVi |
|---|---|---|
| Cost-Efficiency Index | 94/100 | 62/100 |
| Semaglutide / mo | $99/mo | $299/moMonth-to-month refill price; first month $179, compounded |
| Tirzepatide / mo | $149/mo | Not disclosed |
| Semaglutide / yr (modeled) | $1,188 | $3,588 |
| Tirzepatide / yr (modeled) | $1,788 | — |
| Coverage | All 50 states | Not published |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Yes |
| Rank here | #1 | #268 |
CoreAge Rx
94/100Where the value is
- One price at every dose: semaglutide is $99 from 0.25 mg up to 2.5 mg, and tirzepatide is $149 from 2.5 mg up to 15 mg
- No membership fee, no insurance needed and no long-term contract, and the price you lock in at checkout stays put as your dose rises
- If the doctor decides a prescription isn't right for you, CoreAge refunds the medication portion of your payment
The tradeoffs
- Not the lowest price around: 35 of the 434 priced semaglutide programs we track list a cheaper figure, though most attach a term or a step-up that CoreAge does not
- You pay before the doctor reviews your case, and if you aren't approved the FAQ promises a 100% refund while the refund policy keeps a $50 to $100 consultation fee
MEDVi
62/100Where the value is
- The FAQ states both numbers plainly: $179 for the first month and refills locked in at $299, covering the provider review, the medication and shipping
- No contract; you can cancel at any time by email or through the patient portal chat
- Names its partner pharmacies (Triad Rx, RedRock Pharmacy and Beaker Pharmacy & Compounding) and the medical groups behind its providers
The tradeoffs
- The $179 headline is a first-month "FALL Sale" price; every refill after that is $299
- Cancellation must reach support at least 72 hours before your next billing date, and monthly charges are never refunded once the month has started
Regulatory note: the FDA issued a warning letter to MEDVi, LLC dba MEDVi in February 2026. We still list and link to MEDVi; you should know the letter is on the public record before you decide.
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.