Head-to-head · Cost-Efficiency Index
MEDGm vs OnlineSemaglutide.org
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.
MEDGm
Readers who want the dispensing pharmacies and the prescribing practices named, and who will price the second month rather than the first.
Visit MEDGmOnlineSemaglutide.org
Shoppers willing to prepay 6 months upfront to unlock the lowest per-month rate.
Visit OnlineSemaglutide.orgThe verdict
OnlineSemaglutide.org takes it, leading the Cost-Efficiency Index 62 to 60. OnlineSemaglutide.org is a compounded-GLP-1 telehealth platform working with four named 503A pharmacies (Casa, Polomar, Perfectrx, Evoluciana) and offering flat, no-dose- upcharge pricing. MEDGm still earns a C — Readers who want the dispensing pharmacies and the prescribing practices named, and who will price the second month rather than the first.
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 OnlineSemaglutide.org.
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 | MEDGm | OnlineSemaglutide.org |
|---|---|---|
| Cost-Efficiency Index | 60/100 | 62/100 |
| Semaglutide / mo | $299/mo month-to-month (the advertised $179 is the first month only, after an automatically applied coupon) | $219/mo (all doses, compounded) |
| Tirzepatide / mo | $399/mo month-to-month (the advertised $279 is the first month only) | $299/mo (all doses, compounded) |
| Semaglutide / yr (modeled) | $3,588 | $2,628 |
| Tirzepatide / yr (modeled) | $4,788 | $3,588 |
| Coverage | All 50 states | Coverage not published |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #203 | #209 |
MEDGm
60/100Where the value is
- Names all four pharmacy partners in its terms, with street addresses, phone numbers and websites, and says which compounding classes they operate under
- Names seven prescribing professional corporations on its consent page rather than referring to an unnamed medical group
- Publishes the full ladder for three GLP-1 routes — injection, oral tablet and tirzepatide — at one, three, six and twelve months
The tradeoffs
- "Starting at $179" is a first-month rate produced by an automatically applied coupon; the standing month-to-month price is $299, and the same shape applies to the oral tablet and to tirzepatide
- The treatments FAQ says "your price never increases" on a plan whose price increases by $120 at the first renewal
OnlineSemaglutide.org
62/100Where the value is
- Flat 'all doses, one price' model — no upcharge as the patient titrates to a higher dose
- Four named 503A compounding pharmacies rather than one anonymous partner
- Provider consultation, dose adjustments, and free overnight shipping stated as bundled with no itemized add-ons found
The tradeoffs
- The lowest advertised per-month figures ($150 semaglutide / $241 tirzepatide) require a $900-$1,450 lump-sum 6-month prepayment — the real month-to-month price without any prepay is $219 / $299, 46-24% higher than the commonly-cited low figure
- No named individual prescriber or medical director found
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.