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Head-to-head · Cost-Efficiency Index

Rx.com vs EverSlim

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 · #45

Rx.com

Someone who will judge it by the plan card rather than the banner, and who values no auto-renewal and a named pharmacy over the lowest sticker.

Visit Rx.com
VS
Grade C · #48

EverSlim

Cost-first shoppers who want flat-price compounded glp-1 care shipped nationwide.

Visit EverSlim

The verdict

Winner · Rx.comGrade C vs C

Rx.com takes it, leading the Cost-Efficiency Index 77 to 76. Prints "No automatic renewals" on the plan card and names the pharmacy that dispenses, with a street address — then advertises another drug's prepay rate. EverSlim still earns a CCost-first shoppers who want flat-price compounded glp-1 care shipped nationwide.

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 Rx.com.

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

74
75

Price Transparency

76
84

Nationwide Access

82
86

Formulation Options

62
66

Clinical Oversight

78
81

Contract Flexibility

96
55

Pricing, coverage & formulary

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

SpecRx.comEverSlim
Cost-Efficiency Index77/10076/100
Semaglutide / mo$175/mo month-to-month; $165 on three months and $146 on six$117/mo (compounded)
Tirzepatide / mo$285/mo month-to-month; $265 on three months and $259 on six$140/mo (compounded)
Semaglutide / yr (modeled)$2,100$1,404
Tirzepatide / yr (modeled)$3,420$1,680
Coverage49 states on its plan page; its own banner says all 50All 50 states
Oral / sublingualNoNo
Brand-name accessCompounded onlyCompounded only
Rank here#45#48

Rx.com

77/100

Where the value is

  • "No automatic renewals" is printed under the plan card itself rather than buried in the terms
  • Names Manifest Pharmacy in Greer, South Carolina with a full street address, and MD Integrations as the provider network, on the same page as the price
  • One flat price at every dose from 2.5 mg to 15 mg, with the provider visit, injection supplies and cold shipping stated as included

The tradeoffs

  • The advertised "$146/mo FOR LIFE" is a six-month prepay on semaglutide; month-to-month tirzepatide is $285
  • The plan page says 49 states served while the banner on the same site says all 50
Visit Rx.com

Full Rx.com review →

EverSlim

76/100

Where the value is

  • Transparent flat pricing from 127 dollars a month for compounded semaglutide; medication, provider visit, and shipping included with no insurance.
  • Names its pharmacy partners (EPIQ Scripts, Foothills, Emerald) and DrTelx medical group; LegitScript-approved and NABP-accredited.
  • Available in all 50 states and DC, with asynchronous care in 44 states and live-visit access in the rest.

The tradeoffs

  • No price tiers are published anywhere: /pricing is a 404, the footer pricing link is a same-page anchor, and the checkout is behind a login, so what a titrated dose costs is unknowable before signing up
  • Cancellation requires at least 72 hours' notice before the next billing date, or the subscription renews for another cycle
Visit EverSlim

Full EverSlim 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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