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Head-to-head · Cost-Efficiency Index

MANÜ Telehealth vs Rixa 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 · #357

MANÜ Telehealth

Shoppers who don't mind starting an application before seeing real dose-tier pricing or confirming state eligibility.

Visit MANÜ Telehealth
VS
Grade C · #363

Rixa Health

Patients who want the broadest medication menu (including retatrutide) and don't mind price-after-visit disclosure.

Visit Rixa Health

The verdict

Too close to callGrade C vs C

MANÜ Telehealth and Rixa Health tie on the Cost-Efficiency Index at 54/100, so neither wins outright on the numbers. For most shoppers we'd start with MANÜ Telehealth (ranked #357, a hair above #363) — Shoppers who don't mind starting an application before seeing real dose-tier pricing or confirming state eligibility. But Rixa 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 MANÜ Telehealth.

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

74
45

Price Transparency

30
20

Nationwide Access

24
86

Formulation Options

66
56

Clinical Oversight

85
90

Contract Flexibility

55
41

Pricing, coverage & formulary

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

SpecMANÜ TelehealthRixa Health
Cost-Efficiency Index54/10054/100
Semaglutide / mo$122/mo (starting dose, compounded)Not disclosed
Tirzepatide / mo$152/mo (starting dose, compounded)Not disclosed
Semaglutide / yr (modeled)$1,464
Tirzepatide / yr (modeled)$1,824
CoverageCoverage not publishedAll 50 states
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank here#357#363

MANÜ Telehealth

54/100

Where the value is

  • LegitScript verification seal displayed on the site
  • Describes a genuine physician-prescribing process
  • Uses a named 503A U.S. pharmacy category for dispensing

The tradeoffs

  • Per-day pricing framing obscures the true monthly cost, which is never shown directly
  • Inconsistent per-day figures appeared across different page instances ($4/day vs $5/day)
Visit MANÜ Telehealth

Full MANÜ Telehealth review →

Rixa Health

54/100

Where the value is

  • Named medical director with stated credentials (Timothy Scott, D.O.)
  • 45-state coverage, among the widest of this batch
  • LegitScript certified

The tradeoffs

  • Zero pricing published anywhere on the public site -- cost is disclosed only after a paid/booked visit
  • No named compounding pharmacy partner
Visit Rixa Health

Full Rixa 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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