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Head-to-head · Cost-Efficiency Index

OnlineSemaglutide.org vs TOM Weight Loss

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 C · #209

OnlineSemaglutide.org

Shoppers willing to prepay 6 months upfront to unlock the lowest per-month rate.

Visit OnlineSemaglutide.org
VS
Grade C · #215

TOM Weight Loss

Cost-first shoppers who want texas or Utah residents who want the doctor visit and medication in one bundled monthly price.

Visit TOM Weight Loss

The verdict

Too close to callGrade C vs C

OnlineSemaglutide.org and TOM Weight Loss tie on the Cost-Efficiency Index at 62/100, so neither wins outright on the numbers. For most shoppers we'd start with OnlineSemaglutide.org (ranked #209, a hair above #215) — Shoppers willing to prepay 6 months upfront to unlock the lowest per-month rate. But TOM Weight Loss is a genuine coin-flip alternative here.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs OnlineSemaglutide.org.

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

53
40

Price Transparency

94
94

Nationwide Access

24
42

Formulation Options

77
66

Clinical Oversight

82
91

Contract Flexibility

47
47

Pricing, coverage & formulary

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

SpecOnlineSemaglutide.orgTOM Weight Loss
Cost-Efficiency Index62/10062/100
Semaglutide / mo$219/mo (all doses, compounded)$199/mo (all doses, bundle, plus a separate fee, compounded)
Tirzepatide / mo$299/mo (all doses, compounded)$249/mo (all doses, bundle, compounded)
Semaglutide / yr (modeled)$2,628$2,388
Tirzepatide / yr (modeled)$3,588$2,988
CoverageCoverage not published2 states
Oral / sublingualYesNo
Brand-name accessCompounded onlyCompounded only
Rank here#209#215

OnlineSemaglutide.org

62/100

Where the value is

  • Flat 'all doses, one price' model — no upcharge as the patient titrates to a higher dose
  • Four named 503A compounding pharmacies rather than one anonymous partner
  • Provider consultation, dose adjustments, and free overnight shipping stated as bundled with no itemized add-ons found

The tradeoffs

  • The lowest advertised per-month figures ($150 semaglutide / $241 tirzepatide) require a $900-$1,450 lump-sum 6-month prepayment — the real month-to-month price without any prepay is $219 / $299, 46-24% higher than the commonly-cited low figure
  • No named individual prescriber or medical director found
Visit OnlineSemaglutide.org

Full OnlineSemaglutide.org review →

TOM Weight Loss

62/100

Where the value is

  • Named, credentialed prescriber (Dr. Tran Le, MD, DABOM, NPI 1194212258) rather than an anonymous provider pool
  • Flat pricing regardless of dose within a plan — no upcharge as you titrate up to 2.4mg or 15mg/week
  • A genuine Medicare-eligible copay path ($50/month) is published, unusual among compounded-GLP-1 telehealth sites

The tradeoffs

  • Only available in Texas and Utah — not a national provider despite the polished, generic-looking site
  • The site lists a separate 'à la carte' $100/mo price that is medication-only with the doctor visit billed apart — a naive read could mistake this for a $100 all-in equivalent to the $199 Basic plan
Visit TOM Weight Loss

Full TOM Weight Loss 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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