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Head-to-head · Cost-Efficiency Index

Primary Clinic (Direct GLP) vs Fitness 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 · #156

Primary Clinic (Direct GLP)

Shoppers inside its 10 served states who want primary care bundled with the prescription and will price the membership in.

Visit Primary Clinic (Direct GLP)
VS
Grade C · #163

Fitness RX

Shoppers who want GLP-1 medication bundled with fitness/nutrition coaching and are comfortable not knowing their exact drug or price until after an intake quiz.

Visit Fitness RX

The verdict

Too close to callGrade C vs C

Primary Clinic (Direct GLP) and Fitness RX tie on the Cost-Efficiency Index at 65/100, so neither wins outright on the numbers. For most shoppers we'd start with Primary Clinic (Direct GLP) (ranked #156, a hair above #163) — Shoppers inside its 10 served states who want primary care bundled with the prescription and will price the membership in. But Fitness RX 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 Primary Clinic (Direct GLP).

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

63
79

Price Transparency

64
78

Nationwide Access

52
24

Formulation Options

66
64

Clinical Oversight

74
83

Contract Flexibility

80
55

Pricing, coverage & formulary

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

SpecPrimary Clinic (Direct GLP)Fitness RX
Cost-Efficiency Index65/10065/100
Semaglutide / mo$85/mo (0.25-0.75 mg band, membership required, compounded)Not disclosed
Tirzepatide / mo$133/mo (1.25-2.5 mg band, membership required, compounded)Not disclosed
Semaglutide / yr (modeled)$1,020
Tirzepatide / yr (modeled)$1,596
CoverageWA, NM, AZ, UT, FL, DC, KS, OK, VA, GACoverage not published
Oral / sublingualNoYes
Brand-name accessCompounded onlyYes
Rank here#156#163

Primary Clinic (Direct GLP)

65/100

Where the value is

  • Both molecules are priced, as dose bands, so the cost of titrating up is visible rather than hidden
  • The $89 membership buys unlimited primary care, direct text access and same-day appointments, not just a prescription
  • Real per-dose pricing rather than one headline rate

The tradeoffs

  • The medication price is on top of an $89/mo membership, which the FAQ states does not include the drug — all-in is about $174/mo semaglutide and $222/mo tirzepatide
  • Prices are published as dose BANDS, and the cheapest tirzepatide band starts at 1.25 mg, below the 2.5 mg labeled starting dose
Visit Primary Clinic (Direct GLP)

Full Primary Clinic (Direct GLP) review →

Fitness RX

65/100

Where the value is

  • Bundles physician consults, unlimited care-team messaging, and a free fitness/nutrition app (BodyFX) into one price
  • $119/mo all-in headline is genuinely low relative to peers if it holds after intake
  • LegitScript badge displayed with a named legal entity (Fitness RX LLC)

The tradeoffs

  • No regular/undiscounted price is published anywhere on the site, so the discount claimed by the dataset ('$100 off for life') could not be verified — only a $20 RX20 code was found live
  • Exact medication and dose are revealed only after completing an intake quiz, not before
Visit Fitness RX

Full Fitness 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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