Head-to-head · Cost-Efficiency Index
Lavender Sky Health vs LillyDirect Foundayo
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.
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 HealthLillyDirect Foundayo
Patients who want an FDA-approved, manufacturer-direct oral GLP-1 rather than a compounded injectable.
Visit LillyDirect FoundayoThe verdict
Lavender Sky Health and LillyDirect Foundayo tie on the Cost-Efficiency Index at 63/100, so neither wins outright on the numbers. For most shoppers we'd start with Lavender Sky Health (ranked #195, a hair above #196) — 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. But LillyDirect Foundayo 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 Lavender Sky 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 | Lavender Sky Health | LillyDirect Foundayo |
|---|---|---|
| Cost-Efficiency Index | 63/100 | 63/100 |
| Semaglutide / mo | $139/mo (starting dose, month to month, Southend Pharmacy, compounded) | Not disclosed |
| Tirzepatide / mo | $149/mo (starting dose, month to month, ReviveRx, compounded) | Not disclosed |
| Semaglutide / yr (modeled) | $1,668 | — |
| Tirzepatide / yr (modeled) | $1,788 | — |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Yes |
| Rank here | #195 | #196 |
Lavender Sky Health
63/100Where 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
LillyDirect Foundayo
63/100Where the value is
- First-party Eli Lilly program -- highest possible manufacturer authenticity
- FDA-approved branded drug (orforglipron), not an unapproved compounded formulation
- Published self-pay starting price ($149) via savings card
The tradeoffs
- Not semaglutide or tirzepatide -- a different molecule (orforglipron), so not directly comparable on this list
- The $149 price is tied to a specific Savings Card program with its own terms, not an unconditional list price
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.