Head-to-head · Cost-Efficiency Index
Options Medical Weight Loss vs RxPepsDirect
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.
Options Medical Weight Loss
Patients near one of its 27 physical clinic locations across PA, AZ, IL, MI, OH, FL, GA, IN, or NC who prefer in-person obesity-medicine care over telehealth.
Visit Options Medical Weight LossRxPepsDirect
Cost-first shoppers who want the all-in per-order cost of a compounded GLP-1 with no subscription, in 28 states.
Visit RxPepsDirectThe verdict
Options Medical Weight Loss and RxPepsDirect tie on the Cost-Efficiency Index at 60/100, so neither wins outright on the numbers. For most shoppers we'd start with Options Medical Weight Loss (ranked #255, a hair above #256) — Patients near one of its 27 physical clinic locations across PA, AZ, IL, MI, OH, FL, GA, IN, or NC who prefer in-person obesity-medicine care over telehealth. But RxPepsDirect 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 Options Medical Weight Loss.
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
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Options Medical Weight Loss | RxPepsDirect |
|---|---|---|
| Cost-Efficiency Index | 60/100 | 60/100 |
| Semaglutide / mo | $199/mo (starting dose, compounded) | $79/mo (starting dose, visit fee and shipping included, compounded) |
| Tirzepatide / mo | $399/mo (starting dose, compounded) | $99/mo (starting dose, visit fee and shipping included, compounded) |
| Semaglutide / yr (modeled) | $2,388 | $948 |
| Tirzepatide / yr (modeled) | $4,788 | $1,188 |
| Coverage | Coverage not published | 28 states |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #255 | #256 |
Options Medical Weight Loss
60/100Where the value is
- Rare in-person clinic model with ABOM (obesity-medicine board) certified providers
- LegitScript certified and Newsweek-recognized
- Medication included in the advertised monthly price, not billed separately
The tradeoffs
- Only available in 9 states with in-person locations, heavily concentrated in Illinois and Ohio
- 'Starting at' prices are for the lowest dose only; real cost at higher/maintenance doses not disclosed
RxPepsDirect
60/100Where the value is
- Every component of the price is published on the site — the vial tiers, the flat visit charge and the flat overnight delivery — so the all-in monthly cost can be worked out before ordering
- No subscription and no commitment: you pay per order, and one visit charge covers up to three peptides on the same prescription
- Real 503A telehealth Rx — licensed NP/PA prescribers under medical director Dr. Jonathan Snipes (NPI 1821250077), dispensed by Optimal Balance Pharmacy, Texas Ranking #34829
The tradeoffs
- The advertised vial price is not the monthly cost: a flat $39 medical visit charge and $15 flat FedEx shipping land on every order, and the visit charge recurs on every reorder rather than once
- Higher doses need more than one vial a month and the site publishes no price for the dose you titrate up to, so the figure above is a floor
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.