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Head-to-head · Cost-Efficiency Index

Enara Health vs Fella Health

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 C · #435

Enara Health

Patients whose insurance is in-network and who want a clinic-based (not pure cash-pay compounded) GLP-1 program.

Visit Enara Health
VS
Grade C · #436

Fella Health

Cost-first shoppers who want a men's-health-focused provider bundling GLP-1s with testosterone and longevity add-ons under one flat price.

Visit Fella Health

The verdict

Too close to callGrade C vs C

Enara Health and Fella Health tie on the Cost-Efficiency Index at 48/100, so neither wins outright on the numbers. For most shoppers we'd start with Enara Health (ranked #435, a hair above #436) — Patients whose insurance is in-network and who want a clinic-based (not pure cash-pay compounded) GLP-1 program. But Fella Health 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 Enara Health.

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

45
45

Price Transparency

20
20

Nationwide Access

42
52

Formulation Options

53
40

Clinical Oversight

91
90

Contract Flexibility

55
55

Pricing, coverage & formulary

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

SpecEnara HealthFella Health
Cost-Efficiency Index48/10048/100
Semaglutide / moNot disclosedNot disclosed
Tirzepatide / moNot disclosedNot disclosed
Semaglutide / yr (modeled)
Tirzepatide / yr (modeled)
Coverage6 states20 states
Oral / sublingualNoNo
Brand-name accessYesCompounded only
Rank here#435#436

Enara Health

48/100

Where the value is

  • In-network with major insurers (UHC, BCBS, Aetna, Cigna, Humana) -- can be far cheaper than cash-pay for covered patients
  • Cites outcomes data ('22% weight loss at 18 months' with GLP-1s)
  • Partner clinic network model rather than pure telehealth-only

The tradeoffs

  • Only available via partner clinics in 6 (unnamed) states -- not nationwide
  • No cash-pay price list -- unusable for comparison shoppers without matching insurance
Visit Enara Health

Full Enara Health review →

Fella Health

48/100

Where the value is

  • LegitScript-verified (badge confirmed live on /reviews)
  • 6-month money-back guarantee if a member hasn't lost at least 5% body weight, stated on both /reviews and /join-now
  • Free lab work included, either locally or at-home, per the homepage

The tradeoffs

  • No exact monthly dollar figure is published anywhere on the public site for either drug — only the vague 'under $10/day' floor claim, confirmed across homepage, /faq/payment, and /faq/medication
  • No named medical director found anywhere on the site, only generic 'board-certified clinicians'
Visit Fella Health

Full Fella Health 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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