Head-to-head · Cost-Efficiency Index
Mixx Health & Wellness vs SexyMD
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.
Mixx Health & Wellness
Cost-first shoppers who want wanting a named medical director and named compounding pharmacy, and requesting a tirzepatide quote directly since it isn't published.
Visit Mixx Health & WellnessSexyMD
Readers willing to commit 48 weeks up front, where the advertised figure is the one actually charged.
Visit SexyMDThe verdict
Mixx Health & Wellness and SexyMD tie on the Cost-Efficiency Index at 68/100, so neither wins outright on the numbers. For most shoppers we'd start with Mixx Health & Wellness (ranked #117, a hair above #119) — Cost-first shoppers who want wanting a named medical director and named compounding pharmacy, and requesting a tirzepatide quote directly since it isn't published. But SexyMD 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 Mixx Health & Wellness.
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 | Mixx Health & Wellness | SexyMD |
|---|---|---|
| Cost-Efficiency Index | 68/100 | 68/100 |
| Semaglutide / mo | $120/mo (starting dose, compounded) | $269/mo on the four-week plan (the site's "from $199" is the 48-week commitment rate) |
| Tirzepatide / mo | Not disclosed | $369/mo on the four-week plan (the site's "from $299" is the 48-week commitment rate) |
| Semaglutide / yr (modeled) | $1,440 | $3,228 |
| Tirzepatide / yr (modeled) | — | $4,428 |
| Coverage | 44 states | 47 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #117 | #119 |
Mixx Health & Wellness
68/100Where the value is
- Named medical director (Dr. James David Lawrence III, MD) and a named, address-and-phone-verified compounding pharmacy (Promise Pharmacy, Palm Harbor, FL) — most peer sites in this batch disclose neither
- Free ($0) consultation and 'Unlimited Check-ins' with no extra charge stated
- Licensed in a genuinely large footprint — 44 states per the site's own count
The tradeoffs
- The only published price, 'Plans starting at $120/mo,' is not broken out by drug — there is no separate tirzepatide/GIP price anywhere on the site even though tirzepatide is clearly offered through the same pharmacy
- A $125 cancellation/prescription-change fee applies if requested within 24 hours of payment, and all payments are stated to be final with non-refundable prescriptions
SexyMD
68/100Where the value is
- Publishes a full four-rung price table for each molecule on its product pages, before any intake
- States both pharmacy classes it uses and discloses that a prescription may be routed to, and transferred between, any pharmacy in that network
- Names the professional entities its prescribers work through, rather than referring only to licensed providers
The tradeoffs
- Every headline on the site quotes the 48-week rate: "from $199 per month" against a four-week price of $269, and "from $299" against $369, with an asterisk that resolves to no footnote
- The same footer block says both "available in all 50 states" and "available in all states except Arkansas, Mississippi, and New Jersey", on all eleven pages
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.