Head-to-head · Cost-Efficiency Index
MedLeanRx 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.
MedLeanRx
Cost-first shoppers who want texas residents who want a named supervising physician and a brand-medication pathway alongside compounded options.
Visit MedLeanRxNeo Soma Healthcare
Shoppers who read past the first-month price to the site's own stated ongoing rate.
Visit Neo Soma HealthcareThe verdict
MedLeanRx 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 MedLeanRx (ranked #289, a hair above #291) — Cost-first shoppers who want texas residents who want a named supervising physician and a brand-medication pathway alongside compounded options. 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 MedLeanRx.
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 | MedLeanRx | Neo Soma Healthcare |
|---|---|---|
| Cost-Efficiency Index | 58/100 | 58/100 |
| Semaglutide / mo | $149/mo (compounded oral) | $199/mo (1.00 mg dose, compounded) |
| Tirzepatide / mo | $269/mo (compounded) | $330/mo (2.5 mg dose, compounded) |
| Semaglutide / yr (modeled) | $1,788 | $2,388 |
| Tirzepatide / yr (modeled) | $3,228 | $3,960 |
| Coverage | 1 state | Coverage not published |
| Oral / sublingual | Yes | No |
| Brand-name access | Yes | Compounded only |
| Rank here | #289 | #291 |
MedLeanRx
58/100Where the value is
- Named supervising physician (Dr. Johnson Uzor, MD) publicly disclosed with a dedicated bio page
- Both compounded semaglutide (injectable and oral tablet) and a brand Wegovy/Zepbound/Foundayo pathway offered on one platform
- Flat pricing with no dose-tier escalation disclosed
The tradeoffs
- Texas only — not available in any other state
- Compounding pharmacy is never named anywhere on the site
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.