Head-to-head · Cost-Efficiency Index
Näky vs Lttl
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.
Näky
Shoppers who want a distinct oral semaglutide drops product and a separate GLP-1 microdose option.
Visit NäkyLttl
Shoppers who want every commitment tier priced openly before intake, and who will read which rung the headline came from.
Visit LttlThe verdict
Näky takes it, leading the Cost-Efficiency Index 58 to 55. Näky (benaky.com) is a LegitScript-verified compounded GLP-1 telehealth platform whose marketing pages disclose no pricing, but whose public Shopify product feed shows real flat prices: $145 for compounded semaglutide injections. Lttl still earns a C — Shoppers who want every commitment tier priced openly before intake, and who will read which rung the headline came from.
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 Näky.
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 | Näky | Lttl |
|---|---|---|
| Cost-Efficiency Index | 58/100 | 55/100 |
| Semaglutide / mo | $145/mo (compounded) | $199/mo (compounded) |
| Tirzepatide / mo | $265/mo (compounded) | $279/mo (compounded) |
| Semaglutide / yr (modeled) | $1,740 | $2,388 |
| Tirzepatide / yr (modeled) | $3,180 | $3,348 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Yes | Compounded only |
| Rank here | #290 | #295 |
Näky
58/100Where the value is
- Distinct oral semaglutide drops product line ($145) as an alternative to injections — uncommon among compounded GLP-1 brands
- Separate GLP-1 microdose program offered ($185) for patients who want a lower-dose protocol
- LegitScript verification is displayed and checkable for the benaky.com domain
The tradeoffs
- No pricing is shown on any customer-facing marketing page — every page checked (homepage, /pricing, /shop, /tirzepatide, /oral-semaglutide, /weight-loss, /pages/faq) either 404'd or omitted dollar figures; prices had to be pulled from a developer-facing JSON feed, not something a typical visitor would find
- A 'Wegovy® Pill' SKU at $149 borrows Novo Nordisk's registered brand name for what does not appear to be an FDA-approved oral Wegovy product — this needs independent verification before being treated as genuine branded access
Lttl
55/100Where the value is
- Publishes the full price matrix — every medication, form and commitment length — on a public /plans page before checkout, including the literal "$279/mo every month"
- Named medical advisory board (pharmacist, nurse practitioner, physical therapist) rather than zero disclosure
- Real LegitScript verification badge with a working certificate link
The tradeoffs
- Headline marketing price is a 12-month-prepay rate, not the true month-to-month cost — "Plans start at $129/mo" is $1,548 paid up front
- True cancel-anytime price is $199 semaglutide and $279 tirzepatide, 35–40% above the advertised "from" figures
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.