Head-to-head · Cost-Efficiency Index
Evolve Telemed vs Silhouette MD
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.
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 TelemedSilhouette MD
Cost-first shoppers who want unclear -- insufficient public pricing to recommend a specific buyer profile.
Visit Silhouette MDThe verdict
Evolve Telemed and Silhouette MD 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 #503) — Cost-first shoppers who want not applicable -- does not offer GLP-1 weight-loss medications; consider only for TRT/BHRT/peptide therapy. But Silhouette MD 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
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 | Evolve Telemed | Silhouette MD |
|---|---|---|
| Cost-Efficiency Index | 43/100 | 43/100 |
| Semaglutide / mo | Not disclosed | Not disclosed |
| Tirzepatide / mo | Not disclosed | Not disclosed |
| Semaglutide / yr (modeled) | — | — |
| Tirzepatide / yr (modeled) | — | — |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | No | Yes |
| Brand-name access | Yes | Compounded only |
| Rank here | #496 | #503 |
Evolve Telemed
43/100Where 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
Silhouette MD
43/100Where the value is
- LegitScript badge verified specifically for the silhouette-md.com domain
- Markets itself around GLP-1 injectables specifically, not a broad general-health platform
The tradeoffs
- No base price published anywhere -- the '$75 off first month' promo has no visible starting price
- No named medical director
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.