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Head-to-head · Cost-Efficiency Index

Ondra Health vs Luma Health Co

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 · #61

Luma Health Co

Cost-first shoppers who want no-subscription compounded GLP-1s, free follow-ups and consult discounts for first responders and teachers.

Visit Luma Health Co

The verdict

Winner · Ondra HealthGrade A− vs C

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 74. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. Luma Health Co still earns a CCost-first shoppers who want no-subscription compounded GLP-1s, free follow-ups and consult discounts for first responders and teachers.

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
71

Price Transparency

88
86

Nationwide Access

96
66

Formulation Options

86
71

Clinical Oversight

88
88

Contract Flexibility

88
55

Pricing, coverage & formulary

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

SpecOndra HealthLuma Health Co
Cost-Efficiency Index90/10074/100
Semaglutide / mo$93/mo$120/mo (plus a separate fee, compounded)
Tirzepatide / mo$166/mo$180/mo (compounded)
Semaglutide / yr (modeled)$1,116$1,440
Tirzepatide / yr (modeled)$1,992$2,160
CoverageAll 50 states30 states
Oral / sublingualNoNo
Brand-name accessYesCompounded only
Rank on the board#2#61

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 →

Luma Health Co

74/100

Where the value is

  • Transparent, competitive pricing published up front — compounded semaglutide from $120/mo, tirzepatide from $180/mo, retatrutide from $170/mo
  • No subscription, monthly fee or membership — a direct-to-patient model where you pay per medication, and follow-up visits are free
  • Free initial consults for first responders, law enforcement, military, nurses and teachers ($0), and $25 for other healthcare workers

The tradeoffs

  • Offers compounded retatrutide (labeled "RTT/GLP-3"), an investigational triple agonist not FDA-approved — a higher-risk, less-studied option
  • Compounded medications only — no brand-name Wegovy, Zepbound or Ozempic — and compounded GLP-1s aren't FDA-reviewed or approved
Visit Luma Health Co

Full Luma Health Co 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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