Head-to-head · Cost-Efficiency Index
Elara MD vs Lean 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.
Elara MD
Cost-first shoppers who want semaglutide-range and tirzepatide-range GLP-1 plus wellness peptides.
Visit Elara MDLean Rx
Shoppers who don't need transparency on credentials before comparing headline prices.
Visit Lean RxThe verdict
Elara MD and Lean Rx tie on the Cost-Efficiency Index at 58/100, so neither wins outright on the numbers. For most shoppers we'd start with Elara MD (ranked #285, a hair above #288) — Cost-first shoppers who want semaglutide-range and tirzepatide-range GLP-1 plus wellness peptides. But Lean Rx 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 Elara MD.
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 | Elara MD | Lean Rx |
|---|---|---|
| Cost-Efficiency Index | 58/100 | 58/100 |
| Semaglutide / mo | $249/mo (0.2 mg dose, compounded) | $266/mo (starting dose, compounded) |
| Tirzepatide / mo | $349/mo (2.0 mg dose, compounded) | $399/mo (starting dose, compounded) |
| Semaglutide / yr (modeled) | $2,988 | $3,192 |
| Tirzepatide / yr (modeled) | $4,188 | $4,788 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #285 | #288 |
Elara MD
58/100Where 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
Lean Rx
58/100Where the value is
- Offers both semaglutide and tirzepatide
- Simple, low headline starting prices
- Straightforward telehealth consultation flow described
The tradeoffs
- No LegitScript certification displayed anywhere on the site
- No named medical director or compounding pharmacy partner
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.