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Head-to-head · Cost-Efficiency Index

OlleveCare vs Silhouette MD

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 · #499

OlleveCare

Shoppers already confirmed in one of its 13 covered jurisdictions who don't mind booking before seeing a price.

Visit OlleveCare
VS
Grade C · #503

Silhouette MD

Cost-first shoppers who want unclear -- insufficient public pricing to recommend a specific buyer profile.

Visit Silhouette MD

The verdict

Too close to callGrade C vs C

OlleveCare and Silhouette MD tie on the Cost-Efficiency Index at 43/100, so neither wins outright on the numbers. For most shoppers we'd start with OlleveCare (ranked #499, a hair above #503) — Shoppers already confirmed in one of its 13 covered jurisdictions who don't mind booking before seeing a price. But Silhouette MD 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 OlleveCare.

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

52
24

Formulation Options

40
51

Clinical Oversight

52
85

Contract Flexibility

55
55

Pricing, coverage & formulary

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

SpecOlleveCareSilhouette MD
Cost-Efficiency Index43/10043/100
Semaglutide / moNot disclosedNot disclosed
Tirzepatide / moNot disclosedNot disclosed
Semaglutide / yr (modeled)
Tirzepatide / yr (modeled)
Coverage13 statesCoverage not published
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank here#499#503

OlleveCare

43/100

Where the value is

  • Publishes a specific, checkable list of covered jurisdictions rather than a vague 'most states' claim
  • Issues superbills so cash-pay patients can attempt insurance reimbursement, unlike many pure-compounding competitors
  • States plainly that lab work 'may be required,' setting an expectation of clinical monitoring rather than a pure prescription mill

The tradeoffs

  • No GLP-1 price is published anywhere on the public site — the fee only appears inside the booking calendar after starting the process
  • Coverage is limited to 13 jurisdictions, notably narrower than most 50-state compounded-GLP-1 competitors
Visit OlleveCare

Full OlleveCare review →

Silhouette MD

43/100

Where the value is

  • LegitScript badge verified specifically for the silhouette-md.com domain
  • Markets itself around GLP-1 injectables specifically, not a broad general-health platform

The tradeoffs

  • No base price published anywhere -- the '$75 off first month' promo has no visible starting price
  • No named medical director
Visit Silhouette MD

Full Silhouette MD 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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