Head-to-head · Cost-Efficiency Index
Nirwana Health vs Alloy
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.
Nirwana Health
Cost-first shoppers who want price-sensitive shoppers willing to prepay 3-6 months to lock in the lowest advertised per-month rate.
Visit Nirwana HealthAlloy
Cost-first shoppers who want women who want menopause care and GLP-1 weight management under the same physician, and don't mind a recurring care-fee structure.
Visit AlloyThe verdict
Nirwana Health takes it, leading the Cost-Efficiency Index 59 to 58. Nirwana Health prescribes compounded semaglutide and tirzepatide with a confusing multi-tier pricing structure -- a '1-month/Introductory' rate marketed as both a promo AND 'best value,' undercut by cheaper prepaid 3- and 6-month plans. Alloy still earns a C — Cost-first shoppers who want women who want menopause care and GLP-1 weight management under the same physician, and don't mind a recurring care-fee structure.
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 Nirwana Health.
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 | Nirwana Health | Alloy |
|---|---|---|
| Cost-Efficiency Index | 59/100 | 58/100 |
| Semaglutide / mo | $149/mo (compounded) | $169/mo (starting dose, compounded) |
| Tirzepatide / mo | $279/mo (compounded) | $199/mo (starting dose, compounded) |
| Semaglutide / yr (modeled) | $1,788 | $2,028 |
| Tirzepatide / yr (modeled) | $3,348 | $2,388 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Compounded only | Yes |
| Rank here | #275 | #281 |
Nirwana Health
59/100Where the value is
- Genuine LegitScript verification badge displayed
- Broad service menu (GLP-1s, hair loss, sexual wellness, anti-aging) under one account
- No insurance or membership required
The tradeoffs
- Confirmed promo-pricing trap: '$149 Introductory rate' is marketed as 'Best value' while the real no-commitment price is $199/mo
- Multi-month prepay tiers make the cheapest per-month rate only available by paying $399-plus upfront
Alloy
58/100Where the value is
- Offers a genuinely broad medication menu: brand Zepbound and Wegovy (pen and pill) alongside compounded semaglutide, tirzepatide, and liraglutide, plus Foundayo
- The $99/month care fee bundles unlimited physician messaging, dose adjustment, and free delivery rather than charging per visit
- Publishes an outcomes stat on-site: '20% Average body weight lost over 12 months with Alloy's weight care solutions'
The tradeoffs
- The advertised 'starting at $70/month' for compounded semaglutide is misleading on its own — it excludes the mandatory recurring $99/month care fee, so the true monthly floor is $169, not $70
- The STARTGLP1 promo code only discounts the $99 care fee by $50, and only for the first month — full $99/month resumes in month two, so the 'savings' don't compound over time
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.