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Head-to-head · Cost-Efficiency Index

Rylo Health vs DoctorAdam

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 · #52

Rylo Health

Shoppers who want one flat all-in monthly rate that doesn't rise as the dose increases.

Visit Rylo Health
VS
Grade C · #58

DoctorAdam

Shoppers who want a needle-free oral GLP-1 with named prescribers, in the 47 states DoctorAdam actually serves.

Visit DoctorAdam

The verdict

Winner · Rylo HealthGrade C vs C

Rylo Health takes it, leading the Cost-Efficiency Index 75 to 74. Rylo Health is a compounded GLP-1/NAD+/peptide telehealth platform operating in all 50 states through Lone Star Virtual Health PLLC and dispensing via VialsRX in Houston, TX. DoctorAdam still earns a CShoppers who want a needle-free oral GLP-1 with named prescribers, in the 47 states DoctorAdam actually serves.

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 Rylo 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

72
77

Price Transparency

94
78

Nationwide Access

86
66

Formulation Options

66
77

Clinical Oversight

75
84

Contract Flexibility

37
55

Pricing, coverage & formulary

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

SpecRylo HealthDoctorAdam
Cost-Efficiency Index75/10074/100
Semaglutide / mo$149/mo (all doses, promotional rate, compounded)$129/mo (starting dose, compounded oral)
Tirzepatide / mo$249/mo (all doses, compounded)$199/mo (starting dose, compounded oral)
Semaglutide / yr (modeled)$1,788$1,548
Tirzepatide / yr (modeled)$2,988$2,388
CoverageAll 50 states44 states
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank here#52#58

Rylo Health

75/100

Where the value is

  • Stated flat pricing regardless of dose — 'No surprise charges, no tiered pricing' — a genuine differentiator versus tiered competitors
  • Medication, provider review, and shipping all stated as included in the quoted price with no add-ons found
  • Names its physician group (Lone Star Virtual Health PLLC) and dispensing pharmacy (VialsRX, Houston TX) rather than leaving both anonymous

The tradeoffs

  • The '$100/$160 First 20 rate' shown prominently on the homepage is limited to the first 20 signups only — most shoppers will pay the higher $149/$249 standard rate, and the promo framing can make the real price look lower than it is
  • The advertised 'quarterly $349/$499' option's actual billing mechanics (one-time total vs. recurring monthly-under-commitment) could not be verified — the product pages that would clarify this render via JavaScript and returned no readable pricing text
Visit Rylo Health

Full Rylo Health review →

DoctorAdam

74/100

Where the value is

  • Names six actual prescribers with credentials — unusually transparent for a Shopify-based storefront
  • Needle-free oral tablet option for both semaglutide (from $129) and tirzepatide (from $199)
  • Flat 'no hidden fees' pricing framing, with free 2-3 business day shipping

The tradeoffs

  • The homepage claims 'Delivery Across All 50 States' but the site's own FAQ state list is 47 states plus DC — New Jersey, Mississippi, and Alaska are excluded
  • Injectable dose-tier pricing could not be verified live in this pass (repeated 429 errors on the product pages); only the oral 'from' price is confirmed
Visit DoctorAdam

Full DoctorAdam 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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