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Head-to-head · Cost-Efficiency Index

FormidableMD vs Spry

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 · #135

FormidableMD

Cost-first shoppers who want dose-by-dose transparent pricing from a Florida-licensed clinic, if you're in-state.

Visit FormidableMD
VS
Grade C · #140

Spry

Shoppers who want compounded GLP-1 bundled with anti-aging peptides from one named founding team.

Visit Spry

The verdict

Too close to callGrade C vs C

FormidableMD and Spry tie on the Cost-Efficiency Index at 67/100, so neither wins outright on the numbers. For most shoppers we'd start with FormidableMD (ranked #135, a hair above #140) — Cost-first shoppers who want dose-by-dose transparent pricing from a Florida-licensed clinic, if you're in-state. But Spry 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 FormidableMD.

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

60
73

Price Transparency

78
94

Nationwide Access

42
24

Formulation Options

79
79

Clinical Oversight

92
68

Contract Flexibility

61
55

Pricing, coverage & formulary

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

SpecFormidableMDSpry
Cost-Efficiency Index67/10067/100
Semaglutide / mo$169/mo (1 mg dose, compounded)$199/mo (all doses, compounded)
Tirzepatide / mo$199/mo (10 mg dose, plus a separate fee, compounded)$299/mo (all doses, compounded)
Semaglutide / yr (modeled)$2,028$2,388
Tirzepatide / yr (modeled)$2,388$3,588
Coverage1 stateCoverage not published
Oral / sublingualNoNo
Brand-name accessYesYes
Rank here#135#140

FormidableMD

67/100

Where the value is

  • Publishes an actual dose-by-dose price table for both semaglutide and tirzepatide, rather than a single 'starting at' figure
  • Boutique physician-led practice with real brick-and-mortar roots, bundling labs, HRT/TRT and urgent care
  • FSA/HSA eligible for consultations and services

The tradeoffs

  • Only Florida is served today — the site itself says 'Additional States Coming Soon', so this is not a nationwide option
  • The dose prices are medication-only: a separate $199 initial consult and $99 follow-up visits are added on top, so the real first month costs more than the headline dose price
Visit FormidableMD

Full FormidableMD review →

Spry

67/100

Where the value is

  • Real, named founding team with individual bios — confirmed live on the About page
  • Pricing shown directly on the homepage and product pages, no sign-up wall required
  • Explicitly describes its GLP-1s as compounded rather than leaving formulation ambiguous

The tradeoffs

  • No dose-tier price breakdown is published for either drug
  • No compounding pharmacy is named anywhere on the pages checked
Visit Spry

Full Spry 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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