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WeighLab

PreventiveMD vs Ascend Vitality

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

PreventiveMD

Provider comparison

Cost-first shoppers who want compounded GLP-1s from $83/mo all-in, with brand upgrade paths.

Semaglutide / month
$83/moAs low as, term not published, all-in, compounded
Tirzepatide / month
$97/moAs low as, term not published, all-in, compounded
Index 77/100 · Grade CChecked August 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check PreventiveMD pricing Read review

Ascend Vitality

Provider comparison

Cash-pay shoppers who want compounded semaglutide as an injection or a daily tablet, month to month, with no membership fee.

Semaglutide / month
$199/mo1-month plan, compounded
Tirzepatide / month
$249/mo1-month plan, compounded
Index 77/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Ascend Vitality pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Both score 77/100 on the Cost-Efficiency Index. There is no score winner; compare the treatment you need, billing terms and state availability.

Check the difference in state access

PreventiveMD
36 states
Ascend Vitality
All 50 states

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

PreventiveMD

Ascend Vitality

Semaglutide / month
PreventiveMD: $83/moAs low as, term not published, all-in, compounded
Ascend Vitality: $199/mo1-month plan, compounded
Tirzepatide / month
PreventiveMD: $97/moAs low as, term not published, all-in, compounded
Ascend Vitality: $249/mo1-month plan, compounded
Semaglutide / year (modeled)
PreventiveMD: $996
Ascend Vitality: $2,388
Tirzepatide / year (modeled)
PreventiveMD: $1,164
Ascend Vitality: $2,988
State availability
PreventiveMD: 36 states
Ascend Vitality: All 50 states
Oral / sublingual option listed
PreventiveMD: Not listed
Ascend Vitality: Yes
Brand-name access listed
PreventiveMD: Yes
Ascend Vitality: Not confirmed
Provider facts checked
PreventiveMD: August 2026
Ascend Vitality: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

PreventiveMD

Cost-first shoppers who want compounded GLP-1s from $83/mo all-in, with brand upgrade paths.

Reasons to consider it

  • Compounded semaglutide from $83/mo and tirzepatide from $97/mo, billed as one all-in monthly price
  • Brand Wegovy, Zepbound, and Foundayo (oral GLP-1) available on the same platform
  • US-licensed provider reviews requests within 24 hours — no video visit required

What to weigh up

  • Both figures are 'as low as' rates and the qualifying term is not published anywhere — the checkout is gated, so whether $97 is month-to-month or a multi-month prepay cannot be established before signing up
  • Brand-name routes are priced separately and do carry a fee: $49/mo membership plus medication from $149/mo for Foundayo and Wegovy, from $299/mo for Zepbound
  • No state count is published, and a state-variant waitlist implies some states are unserved

Compounded drugs are not FDA-approved. Understand the medication options.

Check PreventiveMD pricing Read the full PreventiveMD review

Ascend Vitality

Cash-pay shoppers who want compounded semaglutide as an injection or a daily tablet, month to month, with no membership fee.

Reasons to consider it

  • Publishes month-to-month prices: semaglutide injections or tablets $199 and tirzepatide $249 a month, with no membership fee
  • Semaglutide comes as a weekly injection or a daily tablet
  • Three-month plans cut the first three months to $297 for semaglutide injections and $447 for tirzepatide

What to weigh up

  • The three-month prices are for your first three months only, and the site doesn't say what the renewal costs
  • No named medical director or prescriber, and the compounding pharmacies aren't named
  • All sales are final, with no refunds once the evaluation is done

Compounded drugs are not FDA-approved. Understand the medication options.

Check Ascend Vitality pricing Read the full Ascend Vitality review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

PreventiveMDAscend Vitality
Normalized Cost/Month
PreventiveMD:
87/100
Ascend Vitality:
67/100
Price Transparency
PreventiveMD:
78/100
Ascend Vitality:
86/100
Nationwide Access
PreventiveMD:
66/100
Ascend Vitality:
86/100
Formulation Options
PreventiveMD:
84/100
Ascend Vitality:
77/100
Clinical Oversight
PreventiveMD:
82/100
Ascend Vitality:
74/100
Contract Flexibility
PreventiveMD:
55/100
Ascend Vitality:
73/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.