Head-to-head · Cost-Efficiency Index
Neo Soma Healthcare vs 24hrDOC
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.
Neo Soma Healthcare
Shoppers who read past the first-month price to the site's own stated ongoing rate.
Visit Neo Soma Healthcare24hrDOC
Shoppers comparing the ongoing standing price of compounded GLP-1s, not the first-month promotional rate.
Visit 24hrDOCThe verdict
Neo Soma Healthcare takes it, leading the Cost-Efficiency Index 58 to 57. Neo Soma Healthcare is a multi-product DTC telehealth platform (Leander, TX) pairing compounded GLP-1 weight management with sexual-health and anti-aging product lines. 24hrDOC still earns a C — Shoppers comparing the ongoing standing price of compounded GLP-1s, not the first-month promotional rate.
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 Neo Soma Healthcare.
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 | Neo Soma Healthcare | 24hrDOC |
|---|---|---|
| Cost-Efficiency Index | 58/100 | 57/100 |
| Semaglutide / mo | $199/mo (1.00 mg dose, compounded) | $249/mo (microdose tier, 2 mg dose, compounded) |
| Tirzepatide / mo | $330/mo (2.5 mg dose, compounded) | $339/mo (microdose tier, starting dose, compounded) |
| Semaglutide / yr (modeled) | $2,388 | $2,988 |
| Tirzepatide / yr (modeled) | $3,960 | $4,068 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #291 | #296 |
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
24hrDOC
57/100Where the value is
- Full struck-through pricing (promo vs. regular) is published on-site before intake, so the true ongoing cost is verifiable rather than hidden
- Both standard and lower-cost microdose options published for each drug
- Fast intake model: '10-minute assessment' with no office visit required
The tradeoffs
- The widely-advertised $149/$239 price is a ONE-TIME first-month discount ('$100 off'); the standing ongoing price is $249/mo semaglutide and $339/mo tirzepatide — about 40% higher
- No compounding pharmacy or medical director named on the site
Regulatory note: the FDA issued a warning letter to 24HrDoc, Inc. dba 24HrDoc in February 2026. We still list and link to 24hrDOC; you should know the letter is on the public record before you decide.
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.