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Head-to-head · Cost-Efficiency Index

Ondra Health vs PauseRX

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 · #139

PauseRX

Cost-first shoppers who want explicit 503A pharmacy and physician-network disclosure.

Visit PauseRX

The verdict

Winner · Ondra HealthGrade A− vs C

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 67. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. PauseRX still earns a CCost-first shoppers who want explicit 503A pharmacy and physician-network disclosure.

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
74

Price Transparency

88
94

Nationwide Access

96
24

Formulation Options

86
79

Clinical Oversight

88
82

Contract Flexibility

88
41

Pricing, coverage & formulary

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

SpecOndra HealthPauseRX
Cost-Efficiency Index90/10067/100
Semaglutide / mo$93/mo$199/mo
Tirzepatide / mo$166/mo$249/mo (starting dose, compounded)
Semaglutide / yr (modeled)$1,116$2,388
Tirzepatide / yr (modeled)$1,992$2,988
CoverageAll 50 statesCoverage not published
Oral / sublingualNoNo
Brand-name accessYesYes
Rank on the board#2#139

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 →

PauseRX

67/100

Where the value is

  • Names its 503A pharmacy partner (Strive Pharmacy, Gilbert AZ) — buyers can independently verify its licensure
  • Names its physician network (Beluga Health) — you can research the clinical platform handling your prescriptions
  • Publishes the FDA compounded-medication disclaimer

The tradeoffs

  • States served not listed — site claims nationwide, but you must contact support to confirm availability
  • Restrictive cancellation policy — orders can't be changed or canceled once submitted, and medications can't be returned
Visit PauseRX

Full PauseRX 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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