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Head-to-head · Cost-Efficiency Index

MultiMedRx vs 1st Optimal

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 · #513

MultiMedRx

Patients drawn to the low-friction '$45 to start' entry who are willing to discover full pricing after intake.

Visit MultiMedRx
VS
Grade C · #518

1st Optimal

Patients who want a named founding physician and a broader functional-medicine/hormone workup alongside GLP-1s.

Visit 1st Optimal

The verdict

Winner · MultiMedRxGrade C vs C

MultiMedRx takes it, leading the Cost-Efficiency Index 42 to 41. MultiMedRx is a telemedicine practice prescribing branded Ozempic, Wegovy, and Zepbound, advertised via a '$45 to start' headline that its own fine print confirms is a conditional promo entry fee. 1st Optimal still earns a CPatients who want a named founding physician and a broader functional-medicine/hormone workup alongside GLP-1s.

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 MultiMedRx.

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

45
45

Price Transparency

20
20

Nationwide Access

24
24

Formulation Options

53
51

Clinical Oversight

78
84

Contract Flexibility

49
37

Pricing, coverage & formulary

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

SpecMultiMedRx1st Optimal
Cost-Efficiency Index42/10041/100
Semaglutide / moNot disclosedNot disclosed
Tirzepatide / moNot disclosedNot disclosed
Semaglutide / yr (modeled)
Tirzepatide / yr (modeled)
CoverageCoverage not publishedCoverage not published
Oral / sublingualNoYes
Brand-name accessYesCompounded only
Rank here#513#518

MultiMedRx

42/100

Where the value is

  • Genuine LegitScript-certified verification badge, confirmed live on the site
  • Named, identifiable providers (Adam Mizeracki, MD and Jennifer Faggionato, PA)
  • Prescribes real branded GLP-1s (Ozempic, Wegovy, Zepbound), not unregulated compounds

The tradeoffs

  • Headline '$45 to start' price is a confirmed promotional entry fee, not the ongoing monthly cost
  • Fine print requires 'pre-paid totals' to receive the advertised offer
Visit MultiMedRx

Full MultiMedRx review →

1st Optimal

41/100

Where the value is

  • Named founder and clinical lead: Dr. Amber Miller, a functional medicine physician
  • LegitScript verification badge displayed
  • No credit card required to start the intake quiz

The tradeoffs

  • No GLP-1 pricing published anywhere on the public site
  • No compounding pharmacy partner named
Visit 1st Optimal

Full 1st Optimal 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.

Keep comparing

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