Head-to-head · Cost-Efficiency Index
CoreAge Rx vs ReflexMD
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 RxReflexMD
Shoppers who want one flat monthly price that won't rise with the dose and who are comfortable canceling by phone.
Visit ReflexMDThe verdict
CoreAge Rx takes it, leading the Cost-Efficiency Index 94 to 75. CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee. ReflexMD still earns a C — Shoppers who want one flat monthly price that won't rise with the dose and who are comfortable canceling by phone.
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 | ReflexMD |
|---|---|---|
| Cost-Efficiency Index | 94/100 | 75/100 |
| Semaglutide / mo | $99/mo | $297/moCompounded, same price at every dose, month to month |
| Tirzepatide / mo | $149/mo | $367/moCompounded, same price at every dose, month to month |
| Semaglutide / yr (modeled) | $1,188 | $3,564 |
| Tirzepatide / yr (modeled) | $1,788 | $4,404 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #1 | #69 |
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
ReflexMD
75/100Where the value is
- Both prices are shown on the homepage before any quiz, and the site calls them flat-rate pricing
- The online consultation fee is included in the subscription, and shipping is free and overnight once the pharmacy ships
- Month to month with no long-term contract; 3- and 6-month plans are optional, with 15% off 3-month plans under a current promo code
The tradeoffs
- Outside California you must call to cancel, at least two days before the renewal date; California residents can also cancel by email
- Fees already paid are not refunded once the month is billed
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.