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Head-to-head · Cost-Efficiency Index

Ondra Health vs Ivim Health

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 · #272

Ivim Health

Cost-first shoppers who want a compounded GLP-1 quoted with the programme charge folded in rather than added at checkout.

Visit Ivim Health

The verdict

Winner · Ondra HealthGrade A− vs C

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 57. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. Ivim Health still earns a CCost-first shoppers who want a compounded GLP-1 quoted with the programme charge folded in rather than added at checkout.

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
47

Price Transparency

88
78

Nationwide Access

96
24

Formulation Options

86
66

Clinical Oversight

88
79

Contract Flexibility

88
55

Pricing, coverage & formulary

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

SpecOndra HealthIvim Health
Cost-Efficiency Index90/10057/100
Semaglutide / mo$93/mo$149/mo (starting dose, medication and programme fee, compounded)
Tirzepatide / mo$166/mo$224/mo (starting dose, medication and programme fee, compounded)
Semaglutide / yr (modeled)$1,116$1,788
Tirzepatide / yr (modeled)$1,992$2,688
CoverageAll 50 statesCoverage not published
Oral / sublingualNoNo
Brand-name accessYesCompounded only
Rank on the board#2#272

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 →

Ivim Health

57/100

Where the value is

  • Both molecules are priced on one page, each quoted as medication and programme charge included rather than as a bare drug price
  • A six-month commitment brings tirzepatide down to $133/mo, and the term is published rather than hidden
  • The first month of the membership is free

The tradeoffs

  • A $75/mo membership is marketed as a separate product, and whether it is charged on top of the $149 medication rate is not stated anywhere we could find
  • The $133/mo tirzepatide rate advertised on the homepage requires a six-month commitment; the month-to-month rate is $224
Visit Ivim Health

Full Ivim Health 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.

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