Head-to-head · Cost-Efficiency Index
FMmeds vs Pallas 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.
FMmeds
Cost-first shoppers who want a genuinely all-in flat monthly price that doesn't rise as your dose increases.
Visit FMmedsPallas Health
Shoppers comfortable paying a quarter at a time who want the whole cost stated before signup, and who are not looking for a month-to-month exit.
Visit Pallas HealthThe verdict
FMmeds takes it, leading the Cost-Efficiency Index 78 to 74. FMmeds is a compounded-GLP-1 telehealth membership selling semaglutide from $95/mo and tirzepatide from $145/mo, both co-formulated with Vitamin B12 and dispensed by Manifest Pharmacy. Pallas Health still earns a C — Shoppers comfortable paying a quarter at a time who want the whole cost stated before signup, and who are not looking for a month-to-month exit.
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 FMmeds.
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 | FMmeds | Pallas Health |
|---|---|---|
| Cost-Efficiency Index | 78/100 | 74/100 |
| Semaglutide / mo | $95/mo (all doses, plus a separate fee, compounded) | $199/mo average — Pallas's own figure for $597 billed every 12 weeks, its only cadence; $139 covers the first 4 weeks |
| Tirzepatide / mo | $145/mo (all doses, plus a separate fee, compounded) | $299/mo average — Pallas's own figure for $897 billed every 12 weeks, its only cadence; $179 covers the first 4 weeks |
| Semaglutide / yr (modeled) | $1,140 | $2,388 |
| Tirzepatide / yr (modeled) | $1,740 | $3,588 |
| Coverage | All 50 states | Most states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #38 | #42 |
FMmeds
78/100Where the value is
- The advertised price is confirmed all-in on the site's own FAQ (visit, physician review, and medication), not a bare medication cost
- Explicitly flat regardless of dose escalation — a real, published guarantee, not just a claim
- Named 503A compounding pharmacy (Manifest Pharmacy) and a real support phone/email
The tradeoffs
- Compounded only — not FDA-approved, and the site carries the standard compounded-medication disclaimer
- No states-served list, LegitScript badge, or named prescriber/medical director found on the pages read this session
Pallas Health
74/100Where the value is
- Both molecules are priced publicly, with the charged block stated rather than only a monthly average
- A genuinely reduced first cycle — $139 semaglutide and $179 tirzepatide for the first four weeks
- Runs a Spanish-language lander as well as the English site, which most of this field does not
The tradeoffs
- There is no monthly rung. The only cadence is a 12-week block paid up front — $597 or $897 — so the advertised 'per month' figure is arithmetic rather than a payment anyone makes
- A 12-week cycle is 4.33 charges a year, not 4, so a year costs more than four times the block
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.