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Head-to-head · Cost-Efficiency Index

iThriveMD vs Lavender Sky 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 C · #194

iThriveMD

People in the CA/AZ service area who want the option of in-person visits alongside telehealth.

Visit iThriveMD
VS
Grade C · #195

Lavender Sky Health

Cost-first shoppers who want to compare per-pharmacy price ladders and are willing to read which plan and which pharmacy each figure belongs to.

Visit Lavender Sky Health

The verdict

Too close to callGrade C vs C

iThriveMD and Lavender Sky Health tie on the Cost-Efficiency Index at 63/100, so neither wins outright on the numbers. For most shoppers we'd start with iThriveMD (ranked #194, a hair above #195) — People in the CA/AZ service area who want the option of in-person visits alongside telehealth. But Lavender Sky Health 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 iThriveMD.

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

57
71

Price Transparency

94
30

Nationwide Access

24
86

Formulation Options

66
66

Clinical Oversight

90
74

Contract Flexibility

47
55

Pricing, coverage & formulary

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

SpeciThriveMDLavender Sky Health
Cost-Efficiency Index63/10063/100
Semaglutide / mo$199/mo (all doses, promotional rate, compounded)$139/mo (starting dose, month to month, Southend Pharmacy, compounded)
Tirzepatide / mo$399/mo (microdose tier, starting dose, compounded)$149/mo (starting dose, month to month, ReviveRx, compounded)
Semaglutide / yr (modeled)$2,388$1,668
Tirzepatide / yr (modeled)$4,788$1,788
CoverageCoverage not publishedAll 50 states
Oral / sublingualNoNo
Brand-name accessCompounded onlyCompounded only
Rank here#194#195

iThriveMD

63/100

Where the value is

  • LegitScript-certified pharmacy claim, not just a generic compliance statement
  • Real physical locations for patients who want in-person care
  • Flat 'same price at all doses' structure for semaglutide simplifies comparison shopping

The tradeoffs

  • $199 headline price is explicitly a teaser that reverts to $299/mo
  • No individually named medical director
Visit iThriveMD

Full iThriveMD review →

Lavender Sky Health

63/100

Where the value is

  • The treatment-plan pricing page publishes every pharmacy's full ladder rather than one headline figure, so the cheaper prepaid tiers are visible alongside the monthly ones
  • A genuine month-to-month starter plan exists with no prepay, and the cheapest of them is what is filed above — Southend for semaglutide, ReviveRx for tirzepatide
  • Compounded plans include the price of the medication, and shipping and supplies are stated as included

The tradeoffs

  • This is a marketplace, not one price: every figure belongs to a named pharmacy on a named plan, and the pharmacy and plan have to travel with the number for it to mean anything
  • Most of the ladder is prepaid — Tier plans need 8-10 weeks up front and Extended plans 3-4 months — and only a handful of the pharmacies publish a month-to-month starter plan at all
Visit Lavender Sky Health

Full Lavender Sky 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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