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Head-to-head · Cost-Efficiency Index

Pallas Health vs Synergy Rx

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 · #47

Pallas Health

Shoppers comfortable paying a quarter at a time who want the whole cost stated before signup, and who are not looking for a month-to-month exit.

Visit Pallas Health
VS
Grade C · #53

Synergy Rx

People who want a genuine brand-name route and maximum clinician access, and will accept getting a quote by inquiry.

Visit Synergy Rx

The verdict

Winner · Pallas HealthGrade C vs C

Pallas Health takes it, leading the Cost-Efficiency Index 74 to 72. Prices both molecules openly and bills them in 12-week blocks — $597 and $897 up front, with no monthly option to fall back on. Synergy Rx still earns a CPeople who want a genuine brand-name route and maximum clinician access, and will accept getting a quote by inquiry.

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 Pallas 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

82
70

Price Transparency

86
65

Nationwide Access

80
62

Formulation Options

60
84

Clinical Oversight

74
90

Contract Flexibility

48
68

Pricing, coverage & formulary

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

SpecPallas HealthSynergy Rx
Cost-Efficiency Index74/10072/100
Semaglutide / mo$199/mo average — Pallas's own figure for $597 billed every 12 weeks, its only cadence; $139 covers the first 4 weeksFrom $199/mo
Tirzepatide / mo$299/mo average — Pallas's own figure for $897 billed every 12 weeks, its only cadence; $179 covers the first 4 weeksFrom $349/mo
Semaglutide / yr (modeled)$2,388$2,388
Tirzepatide / yr (modeled)$3,588$4,188
CoverageMost statesNot disclosed
Oral / sublingualNoNo
Brand-name accessCompounded onlyYes
Rank here#47#53

Pallas Health

74/100

Where the value is

  • Both molecules are priced publicly, with the charged block stated rather than only a monthly average
  • A genuinely reduced first cycle — $139 semaglutide and $179 tirzepatide for the first four weeks
  • Runs a Spanish-language lander as well as the English site, which most of this field does not

The tradeoffs

  • There is no monthly rung. The only cadence is a 12-week block paid up front — $597 or $897 — so the advertised 'per month' figure is arithmetic rather than a payment anyone makes
  • A 12-week cycle is 4.33 charges a year, not 4, so a year costs more than four times the block
Visit Pallas Health

Full Pallas Health review →

Synergy Rx

72/100

Where the value is

  • Prescribes FDA-approved brand Wegovy, Ozempic and Mounjaro when clinically appropriate, not compounded only
  • Unlimited appointments, unlimited messaging and 24/7 access to a dedicated clinical team
  • A $100 welcome credit applied at checkout, and FSA/HSA eligible

The tradeoffs

  • Prices are published as bare “Starting at” figures with no billing cycle or term attached, so a full-year cost still cannot be modeled before an inquiry
  • At $349/mo tirzepatide sits roughly $100 above the compounded median we track
Visit Synergy Rx

Full Synergy Rx 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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