Head-to-head · Cost-Efficiency Index
Ondra Health vs Marek 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.
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 HealthMarek Health
Cost-first shoppers who want lab-heavy GLP-1 telehealth; sema+tirz + coach + comprehensive labs; all 50 states; gated pricing.
Visit Marek HealthThe verdict
Ondra Health takes it, leading the Cost-Efficiency Index 90 to 55. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. Marek Health still earns a C — Cost-first shoppers who want lab-heavy GLP-1 telehealth; sema+tirz + coach + comprehensive labs; all 50 states; gated pricing.
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
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 | Ondra Health | Marek Health |
|---|---|---|
| Cost-Efficiency Index | 90/100 | 55/100 |
| Semaglutide / mo | $93/mo | Not disclosed |
| Tirzepatide / mo | $166/mo | Not disclosed |
| Semaglutide / yr (modeled) | $1,116 | — |
| Tirzepatide / yr (modeled) | $1,992 | — |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Yes | Compounded only |
| Rank on the board | #2 | #304 |
Ondra Health
90/100Where 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
Marek Health
55/100Where the value is
- Lab panels are core: initial comprehensive labs + 6–12 week follow-up + ongoing every 6 months — rare among GLP-1 providers
- Dedicated Health Coach paired with each client alongside partnered licensed physician as standard Proactive Care Team
- All 50 US states served; 100% telehealth with routine physician check-ins every 6 months built into the program
The tradeoffs
- Pricing fully gated — no published rates; intake assessment required before quotes, limiting upfront comparison shopping
- Annual in-person physical required from own PCP or urgent care (every 12 months) — not provided by Marek Health
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.