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Head-to-head · Cost-Efficiency Index

Ondra Health vs Vita Bella

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 · #365

Vita Bella

Cost-first shoppers who want adults wanting compounded semaglutide or tirzepatide inside a broader hormone and wellness membership.

Visit Vita Bella

The verdict

Winner · Ondra HealthGrade A− vs C

Ondra Health takes it, leading the Cost-Efficiency Index 90 to 51. A rare combination — near-rock-bottom pricing on both molecules, all-50 access, brand-name availability, and a LegitScript-verified pharmacy behind it. Vita Bella still earns a CCost-first shoppers who want adults wanting compounded semaglutide or tirzepatide inside a broader hormone and wellness membership.

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
36

Price Transparency

88
20

Nationwide Access

96
78

Formulation Options

86
53

Clinical Oversight

88
90

Contract Flexibility

88
47

Pricing, coverage & formulary

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

SpecOndra HealthVita Bella
Cost-Efficiency Index90/10051/100
Semaglutide / mo$93/moNot disclosed
Tirzepatide / mo$166/mo$159/mo (2.5 mg dose, plus a separate fee, compounded)
Semaglutide / yr (modeled)$1,116
Tirzepatide / yr (modeled)$1,992$1,908
CoverageAll 50 states46 states
Oral / sublingualNoNo
Brand-name accessYesCompounded only
Rank on the board#2#365

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 →

Vita Bella

51/100

Where the value is

  • Offers both compounded semaglutide (from $109/mo) and tirzepatide (from $159/mo) at member pricing, with supplies and a B-6 add-in included
  • Genuine LegitScript-certified website (seal #4395819) and a clearly disclosed legal entity, Vita Bella Health, LLC (Nevada)
  • Broad access: care published for 46 states plus Washington, D.C., and HSA cards are accepted

The tradeoffs

  • Advertised $109-$159 medication prices require a separate $129/mo membership plus a one-time $99 consult, pushing true cost to ~$238-288/mo
  • Three-month minimum commitment before it renews month-to-month; no refunds on medications and all sales are final
Visit Vita Bella

Full Vita Bella 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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