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Head-to-head · Cost-Efficiency Index

Lumora vs MDExam

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 · #422

Lumora

Cost-first shoppers who want physician-led compounded GLP-1 with labs, follow-up, and peptide options.

Visit Lumora
VS
Grade C · #423

MDExam

Cost-first shoppers who want a lower injectable-semaglutide starting price than the site's own headline claim advertises.

Visit MDExam

The verdict

Too close to callGrade C vs C

Lumora and MDExam tie on the Cost-Efficiency Index at 49/100, so neither wins outright on the numbers. For most shoppers we'd start with Lumora (ranked #422, a hair above #423) — Cost-first shoppers who want physician-led compounded GLP-1 with labs, follow-up, and peptide options. But MDExam 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 Lumora.

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

43
56

Price Transparency

30
30

Nationwide Access

24
24

Formulation Options

77
66

Clinical Oversight

92
78

Contract Flexibility

55
55

Pricing, coverage & formulary

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

SpecLumoraMDExam
Cost-Efficiency Index49/10049/100
Semaglutide / mo$199/mo (starting dose, plus a separate fee, compounded)$192/mo (compounded)
Tirzepatide / mo$299/mo (starting dose, compounded)$258/mo (compounded)
Semaglutide / yr (modeled)$2,388$2,304
Tirzepatide / yr (modeled)$3,588$3,096
CoverageCoverage not publishedCoverage not published
Oral / sublingualYesNo
Brand-name accessCompounded onlyCompounded only
Rank here#422#423

Lumora

49/100

Where the value is

  • Compounded semaglutide (5 dose tiers) and tirzepatide (6 dose tiers) in injectable and sublingual forms
  • Physician-founded by board-certified Drs. Sean and Shannon Arora (Arora Health & Aesthetics); clinician reviews every assessment
  • LegitScript certified, HIPAA compliant, medications dispensed through licensed U.S. pharmacy partners

The tradeoffs

  • Pricing is fully gated behind the assessment — no public pricing; actual monthly costs unverifiable without completing intake
  • Compounded medications are not FDA-approved; compounding pharmacy partners not publicly named
Visit Lumora

Full Lumora review →

MDExam

49/100

Where the value is

  • Injectable semaglutide at $192/mo undercuts the company's own advertised '$225 as low as' floor
  • Accepts insurance for eligible patients in addition to cash-pay options
  • 100% refund offered if a patient doesn't qualify after evaluation

The tradeoffs

  • The site's own headline claim ('priced as low as $225/month') doesn't match either actual product price — tirzepatide at $258/mo is more expensive than the claimed floor, which should make a shopper distrust the headline number generally
  • No specific dose is disclosed for either the $192 or $258 figure, making it impossible to know what's actually being compared
Visit MDExam

Full MDExam 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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