Head-to-head · Cost-Efficiency Index
Heva Health vs RxPepsDirect
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.
Heva Health
Shoppers who want a concierge lab-panel-plus-GLP-1 bundle and can confirm their state isn't one of tirzepatide's five exclusions.
Visit Heva HealthRxPepsDirect
Cost-first shoppers who want the all-in per-order cost of a compounded GLP-1 with no subscription, in 28 states.
Visit RxPepsDirectThe verdict
Heva Health and RxPepsDirect tie on the Cost-Efficiency Index at 60/100, so neither wins outright on the numbers. For most shoppers we'd start with Heva Health (ranked #249, a hair above #256) — Shoppers who want a concierge lab-panel-plus-GLP-1 bundle and can confirm their state isn't one of tirzepatide's five exclusions. But RxPepsDirect 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 Heva 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 | Heva Health | RxPepsDirect |
|---|---|---|
| Cost-Efficiency Index | 60/100 | 60/100 |
| Semaglutide / mo | $150/mo (starting dose, compounded) | $79/mo (starting dose, visit fee and shipping included, compounded) |
| Tirzepatide / mo | $339/mo (compounded) | $99/mo (starting dose, visit fee and shipping included, compounded) |
| Semaglutide / yr (modeled) | $1,800 | $948 |
| Tirzepatide / yr (modeled) | $4,068 | $1,188 |
| Coverage | Coverage not published | 28 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #249 | #256 |
Heva Health
60/100Where the value is
- Tirzepatide pricing is broken out into a clear, labeled ladder ($339/mo month-to-month down to $299/mo on a 6-month plan) rather than a single vague 'starting at' figure
- Explicitly discloses a real state-level restriction for tirzepatide (unavailable in Alaska, Arkansas, Indiana, Minnesota, South Carolina) instead of a vague coverage claim
- Named, credentialed care team (Dr. Caroline Tade NMD, Kasey Horrell PA-C, Dr. Daniel Hall DNP/NP-C, Kelly Moore FNP)
The tradeoffs
- The $149.99/month 'Weight Loss Program' figure is never explicitly confirmed as the semaglutide-specific price on the pages checked — it may be a generic teaser rather than a labeled per-drug rate
- Tirzepatide's '3-Month Program' is listed at the identical $339/month as the month-to-month rate despite being advertised as '15% savings vs month-to-month' — a page inconsistency worth flagging before treating either figure as final
RxPepsDirect
60/100Where the value is
- Every component of the price is published on the site — the vial tiers, the flat visit charge and the flat overnight delivery — so the all-in monthly cost can be worked out before ordering
- No subscription and no commitment: you pay per order, and one visit charge covers up to three peptides on the same prescription
- Real 503A telehealth Rx — licensed NP/PA prescribers under medical director Dr. Jonathan Snipes (NPI 1821250077), dispensed by Optimal Balance Pharmacy, Texas Ranking #34829
The tradeoffs
- The advertised vial price is not the monthly cost: a flat $39 medical visit charge and $15 flat FedEx shipping land on every order, and the visit charge recurs on every reorder rather than once
- Higher doses need more than one vial a month and the site publishes no price for the dose you titrate up to, so the figure above is a floor
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.