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Head-to-head · Cost-Efficiency Index

Evolve Telemed vs Medivive

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 · #496

Evolve Telemed

Cost-first shoppers who want not applicable -- does not offer GLP-1 weight-loss medications; consider only for TRT/BHRT/peptide therapy.

Visit Evolve Telemed
VS
Grade C · #498

Medivive

Cost-first shoppers who want not applicable to GLP-1 weight loss -- this is an NAD+ longevity product, non-fit for this category.

Visit Medivive

The verdict

Too close to callGrade C vs C

Evolve Telemed and Medivive tie on the Cost-Efficiency Index at 43/100, so neither wins outright on the numbers. For most shoppers we'd start with Evolve Telemed (ranked #496, a hair above #498) — Cost-first shoppers who want not applicable -- does not offer GLP-1 weight-loss medications; consider only for TRT/BHRT/peptide therapy. But Medivive 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 Evolve Telemed.

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
30

Nationwide Access

24
24

Formulation Options

53
53

Clinical Oversight

82
63

Contract Flexibility

55
55

Pricing, coverage & formulary

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

SpecEvolve TelemedMedivive
Cost-Efficiency Index43/10043/100
Semaglutide / moNot disclosedNot disclosed
Tirzepatide / moNot disclosedNot disclosed
Semaglutide / yr (modeled)
Tirzepatide / yr (modeled)
CoverageCoverage not publishedCoverage not published
Oral / sublingualNoNo
Brand-name accessYesYes
Rank here#496#498

Evolve Telemed

43/100

Where the value is

  • LegitScript certified for its actual hormone/peptide-therapy services
  • Established since 2019 with a named physician (Dr. Leita Harris, MD, gynecologist) referenced on-site
  • Free initial consultation advertised

The tradeoffs

  • Does not prescribe GLP-1 medications at all -- miscategorized if listed as a semaglutide/tirzepatide option
  • No pricing disclosed for any service
Visit Evolve Telemed

Full Evolve Telemed review →

Medivive

43/100

Where the value is

  • Uses a LegitScript-certified, PCAB-accredited 503A pharmacy (Chemistry Rx) for compounding
  • Manufacturing tied to an FDA-registered 503B facility (VeV Scientific)
  • Clear single-product focus suggests less scope creep than multi-service platforms

The tradeoffs

  • Does not prescribe or sell semaglutide, tirzepatide, or any GLP-1 medication
  • No pricing disclosed anywhere on the site for its actual NAD+ product
Visit Medivive

Full Medivive 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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