Head-to-head · Cost-Efficiency Index
MDExam vs Elevated 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.
MDExam
Cost-first shoppers who want a lower injectable-semaglutide starting price than the site's own headline claim advertises.
Visit MDExamElevated Health
Shoppers drawn in by the low first-month price who understand it steps up to a higher recurring rate afterward.
Visit Elevated HealthThe verdict
MDExam takes it, leading the Cost-Efficiency Index 49 to 48. MDExam is a Miami-based telemedicine weight-loss provider selling compounded injectable semaglutide ($192/mo) and tirzepatide ($258/mo) bundled with coaching, operating nationwide. Elevated Health still earns a C — Shoppers drawn in by the low first-month price who understand it steps up to a higher recurring rate afterward.
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 MDExam.
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 | MDExam | Elevated Health |
|---|---|---|
| Cost-Efficiency Index | 49/100 | 48/100 |
| Semaglutide / mo | $192/mo (compounded) | $296/mo (all doses, plus a separate fee, compounded) |
| Tirzepatide / mo | $258/mo (compounded) | $359/mo (all doses, compounded) |
| Semaglutide / yr (modeled) | $2,304 | $3,552 |
| Tirzepatide / yr (modeled) | $3,096 | $4,308 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #423 | #430 |
MDExam
49/100Where 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
Elevated Health
48/100Where the value is
- Low, clearly stated first-month price ($196 semaglutide / $259 tirzepatide) with medication, supplies, and expedited shipping included
- Claims coverage in all 50 states
- No membership fees and a stated flat price regardless of dose
The tradeoffs
- The advertised first-month price is not the ongoing price — it steps up to $296/mo (semaglutide) or $359/mo (tirzepatide) starting month 2 unless a multi-month plan is prepaid
- No oral/tablet GLP-1 option was found anywhere on the current site, despite this being marketed for the brand elsewhere — both featured products are injectable only
Regulatory note: the FDA issued a warning letter to Elevate Your Wellness LLC, dba Elevated in September 2025. We still list and link to Elevated Health; you should know the letter is on the public record before you decide.
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.