Head-to-head · Cost-Efficiency Index
Genesis Health vs Evolve Telemed
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.
Genesis Health
Shoppers comparing multi-category telehealth (weight loss + sexual health + anti-aging) willing to prepay or finance to unlock the lowest listed rate.
Visit Genesis HealthEvolve 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 TelemedThe verdict
Genesis Health and Evolve Telemed tie on the Cost-Efficiency Index at 43/100, so neither wins outright on the numbers. For most shoppers we'd start with Genesis Health (ranked #489, a hair above #496) — Shoppers comparing multi-category telehealth (weight loss + sexual health + anti-aging) willing to prepay or finance to unlock the lowest listed rate. But Evolve Telemed 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 Genesis Health.
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 | Genesis Health | Evolve Telemed |
|---|---|---|
| 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 | No |
| Brand-name access | Yes | Yes |
| Rank here | #489 | #496 |
Genesis Health
43/100Where the value is
- Offers both compounded and FDA-approved branded GLP-1 options (Ozempic, Wegovy, Zepbound) in one place
- Buy-now-pay-later financing available for those who can't pay a lump sum upfront
- Multi-category platform (weight loss, sexual health, anti-aging) for one-stop telehealth shopping
The tradeoffs
- Headline '$176/mo' price is explicitly a 2-month-prepay-or-financed rate, not a real month-to-month price
- No medical director, compounding pharmacy, or state-coverage list disclosed
Regulatory note: the FDA issued a warning letter to Genesis Health International Inc. dba Genesis in February 2026. We still list and link to Genesis Health; you should know the letter is on the public record before you decide.
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
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.