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Head-to-head · Cost-Efficiency Index

HelloWellness vs Rex MD

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 · #324

HelloWellness

Cost-first shoppers who want price-sensitive shoppers willing to commit to a 3-month term for a low compounded GLP-1 starting price.

Visit HelloWellness
VS
Grade C · #331

Rex MD

Cost-first shoppers who want men wanting brand-name Wegovy/Zepbound access through a manufacturer direct-pay bridge, not compounded medication.

Visit Rex MD

The verdict

Too close to callGrade C vs C

HelloWellness and Rex MD tie on the Cost-Efficiency Index at 56/100, so neither wins outright on the numbers. For most shoppers we'd start with HelloWellness (ranked #324, a hair above #331) — Cost-first shoppers who want price-sensitive shoppers willing to commit to a 3-month term for a low compounded GLP-1 starting price. But Rex MD 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 HelloWellness.

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
28

Price Transparency

78
20

Nationwide Access

24
86

Formulation Options

66
90

Clinical Oversight

77
84

Contract Flexibility

20
55

Pricing, coverage & formulary

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

SpecHelloWellnessRex MD
Cost-Efficiency Index56/10056/100
Semaglutide / mo$133/mo (starting dose, 3-month plan, compounded)$574/mo (all doses, plus a separate fee, brand-name)
Tirzepatide / mo$166/mo (starting dose, 3-month plan, compounded)$424/mo (brand Zepbound, plus a separate fee)
Semaglutide / yr (modeled)$1,596$6,888
Tirzepatide / yr (modeled)$1,992$5,088
CoverageCoverage not publishedAll 50 states
Oral / sublingualNoYes
Brand-name accessCompounded onlyYes
Rank here#324#331

HelloWellness

56/100

Where the value is

  • $133/mo semaglutide and $166/mo tirzepatide starting prices are among the lowest publicly advertised in the compounded market
  • Full refund issued if a patient isn't medically approved, stated plainly on the homepage
  • Shipments include syringes, needles, and injection instructions, not just the medication

The tradeoffs

  • 3-month minimum commitment — you're billed monthly for all 3 months even if you want to stop after month one
  • The LegitScript seal displayed on this site verifies hellowellness.ai, not the hellowellness.health domain it appears on — the certification doesn't clearly cover the site you're ordering from
Visit HelloWellness

Full HelloWellness review →

Rex MD

56/100

Where the value is

  • Genuine FDA-approved brand-name medication (Wegovy, Zepbound, Saxenda) rather than compounded — a different, more regulated tier than most of this list
  • Named medical leadership (Dr. Anthony Puopolo, M.D., Rex MD Affiliated Medical Group) and a LegitScript Certified badge
  • Backed by publicly known parent LifeMD, with an established telehealth track record

The tradeoffs

  • The headline $75 is NOT the medication cost — Wegovy runs an additional $499/mo (any dose) and Zepbound vials an additional $349/mo, both billed separately by the manufacturer, not Rex MD
  • All-in realistic cost is roughly $424-$574/month, far above what a '$75' or even a '$349' headline implies depending on which landing page you see
Visit Rex MD

Full Rex MD 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.

Keep comparing

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