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Head-to-head · Cost-Efficiency Index

Ondra Health vs Primary Clinic (Direct GLP)

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 · #25

Primary Clinic (Direct GLP)

Price-first shoppers inside its 10 served states who will do their own pharmacy diligence.

Visit Primary Clinic (Direct GLP)

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. Primary Clinic (Direct GLP) still earns a CPrice-first shoppers inside its 10 served states who will do their own pharmacy diligence.

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
97

Price Transparency

88
80

Nationwide Access

96
55

Formulation Options

86
76

Clinical Oversight

88
74

Contract Flexibility

88
80

Pricing, coverage & formulary

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

SpecOndra HealthPrimary Clinic (Direct GLP)
Cost-Efficiency Index90/10077/100
Semaglutide / mo$93/mo$65/mo
Tirzepatide / mo$166/mo$110/mo
Semaglutide / yr (modeled)$1,116$780
Tirzepatide / yr (modeled)$1,992$1,320
CoverageAll 50 statesWA, NM, AZ, UT, FL, DC, KS, OK, VA, GA
Oral / sublingualNoNo
Brand-name accessYesCompounded only
Rank on the board#2#25

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 →

Primary Clinic (Direct GLP)

77/100

Where the value is

  • The lowest disclosed sticker prices anywhere on the board — $65 semaglutide / $110 tirzepatide
  • Both molecules published for clear cost modeling
  • Exceptional raw cost-per-month if you live in a served state

The tradeoffs

  • Only 10 states served — a coverage gamble that guts its nationwide-access score
  • Not LegitScript-certified
Visit Primary Clinic (Direct GLP)

Full Primary Clinic (Direct GLP) 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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