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Head-to-head · Cost-Efficiency Index

Ondra Health vs Ro

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 B · #19

Ro

People who need brand-name (Wegovy/Zepbound) access or insurance navigation and will accept price opacity for it.

Visit Ro

The verdict

Winner · Ondra HealthGrade A− vs B

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 84. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. Ro still earns a BPeople who need brand-name (Wegovy/Zepbound) access or insurance navigation and will accept price opacity for it.

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
72

Nationwide Access

96
85

Formulation Options

86
93

Clinical Oversight

88
90

Contract Flexibility

88
84

Pricing, coverage & formulary

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

SpecOndra HealthRo
Cost-Efficiency Index90/10084/100
Semaglutide / mo$93/moNot disclosed
Tirzepatide / mo$166/moNot disclosed
Semaglutide / yr (modeled)$1,116
Tirzepatide / yr (modeled)$1,992
CoverageAll 50 statesMulti-state
Oral / sublingualNoYes
Brand-name accessYesYes
Rank on the board#2#19

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 →

Ro

84/100

Where the value is

  • Brand-name access and insurance support
  • Oral options widen the formulary
  • Polished, well-funded platform

The tradeoffs

  • Does not publish compounded pricing up front — a blind spot in any cost model
  • Premium positioning
Visit Ro

Full Ro 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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