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Head-to-head · Cost-Efficiency Index

Ondra Health vs AVARA Rx

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 A− · #2

Ondra Health

Value shoppers who want one of the lowest disclosed prices on both molecules without giving up nationwide access or pharmacy verification.

Visit Ondra Health
VS
Grade C · #232

AVARA Rx

Cost-first shoppers who want 50-state compounded GLP-1 with named pharmacy and clinical network.

Visit AVARA Rx

The verdict

Winner · Ondra HealthGrade A− vs C

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 60. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. AVARA Rx still earns a CCost-first shoppers who want 50-state compounded GLP-1 with named pharmacy and clinical network.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the board). See how it stacks up: CoreAge Rx vs Ondra 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

94
49

Price Transparency

88
30

Nationwide Access

96
86

Formulation Options

86
79

Clinical Oversight

88
76

Contract Flexibility

88
55

Pricing, coverage & formulary

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

SpecOndra HealthAVARA Rx
Cost-Efficiency Index90/10060/100
Semaglutide / mo$93/mo$229/mo (starting dose, compounded)
Tirzepatide / mo$166/mo$279/mo (starting dose, compounded)
Semaglutide / yr (modeled)$1,116$2,748
Tirzepatide / yr (modeled)$1,992$3,348
CoverageAll 50 statesAll 50 states
Oral / sublingualNoNo
Brand-name accessYesYes
Rank on the board#2#232

Ondra Health

90/100

Where the value is

  • Among the lowest disclosed prices on the board — $93 semaglutide and $166 tirzepatide
  • Available in all 50 states with both molecules published for clean cost modeling
  • LegitScript-certified, and offers FDA-approved brand-name access alongside compounded

The tradeoffs

  • A newer, lower-profile operator without CoreAge's long flat-price track record
  • No oral/sublingual route
Visit Ondra Health

Full Ondra Health review →

AVARA Rx

60/100

Where the value is

  • Names its pharmacy partner (DiRx Health, Ft Lauderdale FL) — buyers can independently verify its licensure
  • Names its clinical network (Beluga Health) — you can research the platform handling your prescriptions
  • All 50 states explicitly listed on the FAQ — uncommon vs peers that just say 'nationwide'

The tradeoffs

  • Operating legal entity not disclosed — only a Sheridan, WY registered-agent-style address surfaced
  • Dose pricing not itemized — only 'starting at $229' semaglutide and 'starting at $279' tirzepatide
Visit AVARA Rx

Full AVARA Rx 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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