Head-to-head · Cost-Efficiency Index
Lean Rx vs Näky
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.
Lean Rx
Shoppers who don't need transparency on credentials before comparing headline prices.
Visit Lean RxNäky
Shoppers who want a distinct oral semaglutide drops product and a separate GLP-1 microdose option.
Visit NäkyThe verdict
Lean Rx and Näky tie on the Cost-Efficiency Index at 58/100, so neither wins outright on the numbers. For most shoppers we'd start with Lean Rx (ranked #288, a hair above #290) — Shoppers who don't need transparency on credentials before comparing headline prices. But Näky 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 Lean Rx.
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 | Lean Rx | Näky |
|---|---|---|
| Cost-Efficiency Index | 58/100 | 58/100 |
| Semaglutide / mo | $266/mo (starting dose, compounded) | $145/mo (compounded) |
| Tirzepatide / mo | $399/mo (starting dose, compounded) | $265/mo (compounded) |
| Semaglutide / yr (modeled) | $3,192 | $1,740 |
| Tirzepatide / yr (modeled) | $4,788 | $3,180 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Compounded only | Yes |
| Rank here | #288 | #290 |
Lean Rx
58/100Where the value is
- Offers both semaglutide and tirzepatide
- Simple, low headline starting prices
- Straightforward telehealth consultation flow described
The tradeoffs
- No LegitScript certification displayed anywhere on the site
- No named medical director or compounding pharmacy partner
Näky
58/100Where the value is
- Distinct oral semaglutide drops product line ($145) as an alternative to injections — uncommon among compounded GLP-1 brands
- Separate GLP-1 microdose program offered ($185) for patients who want a lower-dose protocol
- LegitScript verification is displayed and checkable for the benaky.com domain
The tradeoffs
- No pricing is shown on any customer-facing marketing page — every page checked (homepage, /pricing, /shop, /tirzepatide, /oral-semaglutide, /weight-loss, /pages/faq) either 404'd or omitted dollar figures; prices had to be pulled from a developer-facing JSON feed, not something a typical visitor would find
- A 'Wegovy® Pill' SKU at $149 borrows Novo Nordisk's registered brand name for what does not appear to be an FDA-approved oral Wegovy product — this needs independent verification before being treated as genuine branded access
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.