Head-to-head · Cost-Efficiency Index
Fidelity Medical Clinic vs LeanDose
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.
Fidelity Medical Clinic
Shoppers comfortable reading a tiered per-order price table rather than a flat subscription.
Visit Fidelity Medical ClinicLeanDose
Shoppers in one of its 17 served states who don't mind an undisclosed price increase after month one.
Visit LeanDoseThe verdict
Fidelity Medical Clinic and LeanDose tie on the Cost-Efficiency Index at 61/100, so neither wins outright on the numbers. For most shoppers we'd start with Fidelity Medical Clinic (ranked #226, a hair above #230) — Shoppers comfortable reading a tiered per-order price table rather than a flat subscription. But LeanDose 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 Fidelity Medical Clinic.
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 | Fidelity Medical Clinic | LeanDose |
|---|---|---|
| Cost-Efficiency Index | 61/100 | 61/100 |
| Semaglutide / mo | $199/mo (starting dose, compounded) | $159/mo (starting dose, compounded) |
| Tirzepatide / mo | $349/mo (starting dose, compounded) | $279/mo (starting dose, compounded) |
| Semaglutide / yr (modeled) | $2,388 | $1,908 |
| Tirzepatide / yr (modeled) | $4,188 | $3,348 |
| Coverage | All 50 states | Coverage not published |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #226 | #230 |
Fidelity Medical Clinic
61/100Where the value is
- Full itemized pricing table published on-site for both semaglutide and tirzepatide, covering initial, step-up, and maintenance order tiers
- Flat pricing includes consultation and shipping with 'no hidden fees' at each tier
- Real physical Tampa, FL clinic (400 N Ashley Dr Ste 1900) alongside the telehealth program, not a telehealth-only shell
The tradeoffs
- The '$99 a month' and '$349 for a 2-Month Supply' headlines are one-time starter-order prices, not recurring rates — the real ongoing monthly cost is $199 (semaglutide) and $349 (tirzepatide)
- No state-coverage list published anywhere on the site; whether telehealth reaches all 50 states or only a handful beyond Florida is unverifiable from the live pages
LeanDose
61/100Where the value is
- Names its actual compounding pharmacy (Striker Pharmacy) unlike most competitors
- Real LegitScript certification badge with verifiable link
- Explicit published states-served list
The tradeoffs
- Headline prices are explicitly 'first month' only -- ongoing renewal price is never disclosed
- Only serves 17 states
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.