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Head-to-head · Cost-Efficiency Index

Ondra Health vs Synergy Rx

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− · #3

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 · #31

Synergy Rx

People who want a genuine brand-name route and maximum clinician access, and will accept getting a quote by enquiry.

Visit Synergy Rx

The verdict

Winner · Ondra HealthGrade A− vs C

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 71. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. Synergy Rx still earns a CPeople who want a genuine brand-name route and maximum clinician access, and will accept getting a quote by enquiry.

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
70

Price Transparency

88
52

Nationwide Access

96
62

Formulation Options

86
84

Clinical Oversight

88
90

Contract Flexibility

88
68

Pricing, coverage & formulary

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

SpecOndra HealthSynergy Rx
Cost-Efficiency Index90/10071/100
Semaglutide / mo$93/moFrom $199/mo
Tirzepatide / mo$166/moFrom $349/mo
Semaglutide / yr (modeled)$1,116$2,388
Tirzepatide / yr (modeled)$1,992$4,188
CoverageAll 50 statesNot disclosed
Oral / sublingualNoNo
Brand-name accessYesYes
Rank on the board#3#31

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 →

Synergy Rx

71/100

Where the value is

  • Prescribes FDA-approved brand Wegovy, Ozempic and Mounjaro when clinically appropriate, not compounded only
  • Unlimited appointments, unlimited messaging and 24/7 access to a dedicated clinical team
  • A $100 welcome credit applied at checkout, and FSA/HSA eligible

The tradeoffs

  • Publishes no GLP-1 price anywhere on its own site, so total cost cannot be modelled before an enquiry
  • At $349/mo tirzepatide sits roughly $100 above the compounded median we track
Visit Synergy Rx

Full Synergy Rx 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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