Head-to-head · Cost-Efficiency Index
PauseRX vs Blue Sky MD
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.
PauseRX
Cost-first shoppers who want unconfirmed -- re-verify directly before recommending; site inaccessible to automated review.
Visit PauseRXBlue Sky MD
Cost-first shoppers who want north Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.
Visit Blue Sky MDThe verdict
PauseRX takes it, leading the Cost-Efficiency Index 64 to 63. PauseRx appears to be a GLP-1 + B12 telehealth provider advertising a flat $199/month price for 'all doses,' but its live site is blocked by persistent Cloudflare bot-protection -- this price and all other facts could only be sourced from a cached search-engine snippet. Blue Sky MD still earns a C — Cost-first shoppers who want north Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.
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 PauseRX.
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 | PauseRX | Blue Sky MD |
|---|---|---|
| Cost-Efficiency Index | 64/100 | 63/100 |
| Semaglutide / mo | $199/mo (all doses, compounded) | $160/mo (starting dose, compounded) |
| Tirzepatide / mo | Not disclosed | $240/mo (starting dose, compounded) |
| Semaglutide / yr (modeled) | $2,388 | $1,920 |
| Tirzepatide / yr (modeled) | — | $2,880 |
| Coverage | Coverage not published | 1 state |
| Oral / sublingual | No | No |
| Brand-name access | Yes | Compounded only |
| Rank here | #181 | #188 |
PauseRX
64/100Where 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
Blue Sky MD
63/100Where the value is
- LegitScript-certified with a named, pictured Medical Director (Dr. David LaMond) and a practice history dating to 2008
- Weekly pricing ($40 semaglutide / $60 tirzepatide) is well below brand-name cost and comparable to many compounded telehealth competitors
- 7 physical clinic locations across North Carolina (Charlotte, Asheville, Hendersonville, Greensboro, Clemmons, South Charlotte, Mooresville) for patients who want in-person care
The tradeoffs
- The published $40/$60 per-week price is explicitly labeled 'in-office' on the GLP-1 page, and that specific page never mentions telehealth at all — whether the rate applies to out-of-state or telehealth-only patients is unconfirmed
- Geographic footprint is North Carolina only; no state-by-state telehealth coverage list is published
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.