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Head-to-head · Cost-Efficiency Index

Ondra Health vs PreventiveMD

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 · #46

PreventiveMD

Cost-first shoppers who want compounded GLP-1s from $83/mo all-in with brand Wegovy and Zepbound upgrade paths.

Visit PreventiveMD

The verdict

Winner · Ondra HealthGrade A− vs C

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 77. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. PreventiveMD still earns a CCost-first shoppers who want compounded GLP-1s from $83/mo all-in with brand Wegovy and Zepbound upgrade paths.

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
87

Price Transparency

88
78

Nationwide Access

96
66

Formulation Options

86
84

Clinical Oversight

88
82

Contract Flexibility

88
55

Pricing, coverage & formulary

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

SpecOndra HealthPreventiveMD
Cost-Efficiency Index90/10077/100
Semaglutide / mo$93/mo$83/mo (as low as, term not published, all-in, compounded)
Tirzepatide / mo$166/mo$97/mo (as low as, term not published, all-in, compounded)
Semaglutide / yr (modeled)$1,116$996
Tirzepatide / yr (modeled)$1,992$1,164
CoverageAll 50 states36 states
Oral / sublingualNoNo
Brand-name accessYesYes
Rank on the board#2#46

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 →

PreventiveMD

77/100

Where the value is

  • Compounded semaglutide from $83/mo and tirzepatide from $97/mo, billed as one all-in monthly price
  • Brand Wegovy, Zepbound, and Foundayo (oral GLP-1) available on the same platform
  • US-licensed provider reviews requests within 24 hours — no video visit required

The tradeoffs

  • Both figures are 'as low as' rates and the qualifying term is not published anywhere — the checkout is gated, so whether $97 is month-to-month or a multi-month prepay cannot be established before signing up
  • Brand-name routes are priced separately and do carry a fee: $49/mo membership plus medication from $149/mo for Foundayo and Wegovy, from $299/mo for Zepbound
Visit PreventiveMD

Full PreventiveMD 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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