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Head-to-head · Cost-Efficiency Index

HealthOn vs Ascend Medical

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 · #297

HealthOn

Cost-first shoppers comparing HealthOn's monthly, quarterly, and 12-month compounded GLP-1 tiers side by side.

Visit HealthOn
VS
Grade C · #299

Ascend Medical

Cost-first shoppers who want georgia or Texas residents who want to bill GLP-1 treatment through insurance rather than pay cash-only compounded pricing.

Visit Ascend Medical

The verdict

Too close to callGrade C vs C

HealthOn and Ascend Medical tie on the Cost-Efficiency Index at 57/100, so neither wins outright on the numbers. For most shoppers we'd start with HealthOn (ranked #297, a hair above #299) — Cost-first shoppers comparing HealthOn's monthly, quarterly, and 12-month compounded GLP-1 tiers side by side. But Ascend Medical 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 HealthOn.

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

49
39

Price Transparency

78
78

Nationwide Access

24
42

Formulation Options

79
66

Clinical Oversight

67
85

Contract Flexibility

47
41

Pricing, coverage & formulary

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

SpecHealthOnAscend Medical
Cost-Efficiency Index57/10057/100
Semaglutide / mo$189/mo (1.5 mg dose, compounded)Not disclosed
Tirzepatide / mo$295/mo (10 mg dose, compounded)$240/mo (starting dose, compounded)
Semaglutide / yr (modeled)$2,268
Tirzepatide / yr (modeled)$3,540$2,880
CoverageCoverage not published2 states
Oral / sublingualNoNo
Brand-name accessYesYes
Rank here#297#299

HealthOn

57/100

Where the value is

  • Both compounded semaglutide ($189/mo) and tirzepatide ($295/mo) are priced on their own dedicated product pages, not gated behind an intake
  • Quarterly and 12-month prepay options are disclosed with real dollar savings ($549/quarter and $837/quarter respectively)
  • Independent third-party batch testing for potency, sterility, pH, and endotoxins is disclosed as a stated policy

The tradeoffs

  • The site's sitewide 'Starting at $155/mo*' nav banner is not specific to either medication and requires a 12-month prepay commitment to actually reach — a shopper skimming only the banner will underestimate the real starting cost by $34-140/mo
  • No named prescriber, medical director, or specific compounding pharmacy anywhere on the pages checked
Visit HealthOn

Full HealthOn review →

Regulatory note: the FDA issued a warning letter to Healthon Inc. dba Healthon in September 2025. We still list and link to HealthOn; you should know the letter is on the public record before you decide.

Ascend Medical

57/100

Where the value is

  • Can bill through insurance, potentially lowering out-of-pocket cost versus cash-only compounded programs
  • No-subscription, pay-per-refill model after the initial 8-week package
  • Named metabolic-health chair referenced on the clinical team

The tradeoffs

  • Only available to Georgia and Texas residents -- not a national service
  • Unclear whether medication is compounded or brand-name; no compounding pharmacy named
Visit Ascend Medical

Full Ascend Medical 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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