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Head-to-head · Cost-Efficiency Index

Invigor Medical vs Aquivia Health

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 B+ · #8

Invigor Medical

Value shoppers who want competitive pricing on both molecules plus a wider wellness/hormone program on one account.

Visit Invigor Medical
VS
Grade C · #219

Aquivia Health

Cost-first shoppers who want clinician-reviewed compounded GLP-1 with optional branded upgrade.

Visit Aquivia Health

The verdict

Winner · Invigor MedicalGrade B+ vs C

Invigor Medical takes it, leading the Cost-Efficiency Index 88 to 61. Solid mid-market cost on both molecules from an established operator — good value if you also want a broader metabolic and hormone catalog. Aquivia Health still earns a CCost-first shoppers who want clinician-reviewed compounded GLP-1 with optional branded upgrade.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the board). See how it stacks up: CoreAge Rx vs Invigor Medical.

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

86
91

Price Transparency

84
46

Nationwide Access

78
24

Formulation Options

82
79

Clinical Oversight

86
64

Contract Flexibility

87
55

Pricing, coverage & formulary

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

SpecInvigor MedicalAquivia Health
Cost-Efficiency Index88/10061/100
Semaglutide / mo$199/mo$149/mo
Tirzepatide / mo$339/mo$179/mo
Semaglutide / yr (modeled)$2,388$1,788
Tirzepatide / yr (modeled)$4,068$2,148
CoverageNot disclosedCoverage not published
Oral / sublingualNoNo
Brand-name accessCompounded onlyYes
Rank on the board#8#219

Invigor Medical

88/100

Where the value is

  • Competitive mid-market pricing on both semaglutide and tirzepatide
  • Long-running operator with a broad catalog that can consolidate spend
  • Both molecules published up front for easy cost modeling

The tradeoffs

  • Does not publish an explicit states-served list, so access is a variable in the model
  • Compounded only
Visit Invigor Medical

Full Invigor Medical review →

Aquivia Health

61/100

Where the value is

  • Clinical care provided by Open Loop Healthcare Partners, PC — a reused, verified MSO network
  • Named leadership: Steven Bishop MD (CMO), Phillip Gray PharmD (Chief Pharmacist), Tom Foster (President)
  • Itemized public pricing: compounded semaglutide $149/mo, tirzepatide $179/mo, Ozempic $1,299, Zepbound $1,399

The tradeoffs

  • No public list of states served — you must complete intake to learn if your state qualifies
  • No named 503A compounding pharmacy partner, limiting licensure verification
Visit Aquivia Health

Full Aquivia Health 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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