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Head-to-head · Cost-Efficiency Index

Ondra Health vs TeleCareSpot

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 · #179

TeleCareSpot

Cost-first shoppers who want flat-priced, LegitScript-verified compounded semaglutide or tirzepatide with broad state coverage.

Visit TeleCareSpot

The verdict

Winner · Ondra HealthGrade A− vs C

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 64. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. TeleCareSpot still earns a CCost-first shoppers who want flat-priced, LegitScript-verified compounded semaglutide or tirzepatide with broad state coverage.

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
53

Price Transparency

88
46

Nationwide Access

96
78

Formulation Options

86
77

Clinical Oversight

88
83

Contract Flexibility

88
61

Pricing, coverage & formulary

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

SpecOndra HealthTeleCareSpot
Cost-Efficiency Index90/10064/100
Semaglutide / mo$93/mo$299/mo (all doses, plus a separate fee, compounded)
Tirzepatide / mo$166/mo$399/mo
Semaglutide / yr (modeled)$1,116$3,588
Tirzepatide / yr (modeled)$1,992$4,788
CoverageAll 50 states48 states
Oral / sublingualNoYes
Brand-name accessYesCompounded only
Rank on the board#2#179

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 →

TeleCareSpot

64/100

Where the value is

  • Flat, all-inclusive monthly pricing with no hidden fees — compounded semaglutide $299/month and tirzepatide $399/month, all doses included
  • Verifiable LegitScript certification (seal ID 45936855) plus HIPAA compliance and licensed US physicians
  • Multiple options: compounded semaglutide, tirzepatide, oral tirzepatide, and phentermine

The tradeoffs

  • Compounded medications are not FDA-approved — not brand Wegovy, Ozempic, Zepbound, or Mounjaro
  • Not available in Alaska, Mississippi, or New Jersey
Visit TeleCareSpot

Full TeleCareSpot 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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