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Head-to-head · Cost-Efficiency Index

OnlyRx vs PauseRX

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 · #180

OnlyRx

Shoppers who want a 50-state marketplace with multiple pharmacy options and named prescribers.

Visit OnlyRx
VS
Grade C · #181

PauseRX

Cost-first shoppers who want unconfirmed -- re-verify directly before recommending; site inaccessible to automated review.

Visit PauseRX

The verdict

Too close to callGrade C vs C

OnlyRx and PauseRX tie on the Cost-Efficiency Index at 64/100, so neither wins outright on the numbers. For most shoppers we'd start with OnlyRx (ranked #180, a hair above #181) — Shoppers who want a 50-state marketplace with multiple pharmacy options and named prescribers. But PauseRX 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 OnlyRx.

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

68
69

Price Transparency

78
94

Nationwide Access

24
24

Formulation Options

90
66

Clinical Oversight

72
82

Contract Flexibility

55
41

Pricing, coverage & formulary

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

SpecOnlyRxPauseRX
Cost-Efficiency Index64/10064/100
Semaglutide / mo$179/mo (starting dose, compounded)$199/mo (all doses, compounded)
Tirzepatide / mo$249/mo (starting dose, compounded)Not disclosed
Semaglutide / yr (modeled)$2,148$2,388
Tirzepatide / yr (modeled)$2,988
CoverageCoverage not publishedCoverage not published
Oral / sublingualYesNo
Brand-name accessYesYes
Rank here#180#181

OnlyRx

64/100

Where the value is

  • Serves all 50 states per its own claim, wider than most compounded-GLP-1 competitors
  • Two named prescribers with published NPI numbers (Dr. Ana Lisa Carr, Dr. Kelly Tenbrink), plus two supporting providers
  • Sources medication from four named, recognizable 503A-style pharmacy partners rather than one undisclosed source

The tradeoffs

  • The $179 headline price is explicitly labeled a 'Summer Promo' on the site's own homepage — no post-promo price is published
  • No dose-tier (mg) breakdown is published for any of the four price points
Visit OnlyRx

Full OnlyRx review →

PauseRX

64/100

Where the value is

  • Cached snippet suggests a simple flat $199/month price regardless of dose
  • Advertises 'no office visits' and delivery to your door

The tradeoffs

  • Live site is blocked by persistent Cloudflare CAPTCHA -- could not be independently verified via direct fetch or proxy
  • No medical director, pharmacy partner, states-served, or LegitScript status could be confirmed
Visit PauseRX

Full PauseRX 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.

Keep comparing

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