Head-to-head · Cost-Efficiency Index
Lean Rx vs Neo Soma Healthcare
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 RxNeo Soma Healthcare
Shoppers who read past the first-month price to the site's own stated ongoing rate.
Visit Neo Soma HealthcareThe verdict
Lean Rx and Neo Soma Healthcare 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 #291) — Shoppers who don't need transparency on credentials before comparing headline prices. But Neo Soma Healthcare 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 | Neo Soma Healthcare |
|---|---|---|
| Cost-Efficiency Index | 58/100 | 58/100 |
| Semaglutide / mo | $266/mo (starting dose, compounded) | $199/mo (1.00 mg dose, compounded) |
| Tirzepatide / mo | $399/mo (starting dose, compounded) | $330/mo (2.5 mg dose, compounded) |
| Semaglutide / yr (modeled) | $3,192 | $2,388 |
| Tirzepatide / yr (modeled) | $4,788 | $3,960 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #288 | #291 |
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
Neo Soma Healthcare
58/100Where the value is
- LegitScript verification badge present on the homepage
- Publishes the FDA compounded-medication disclaimer clearly
- Unusually transparent about the semaglutide step-up — the site itself states '$99 for your first month, $199/month thereafter' rather than burying it
The tradeoffs
- The $99 semaglutide headline is a one-time first-month price; $199/month is the real ongoing cost
- Tirzepatide's $330 'Initial Purchase' has no disclosed reorder/thereafter price anywhere on the site — unclear if it recurs at $330 or steps up like semaglutide does
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.