Head-to-head · Cost-Efficiency Index
Semaglutide Online vs MEDGm
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.
Semaglutide Online
Shoppers who want one all-inclusive compounded price with no add-on provider fee, and don't mind the site's own numbers not always agreeing.
Visit Semaglutide OnlineMEDGm
Readers who want the dispensing pharmacies and the prescribing practices named, and who will price the second month rather than the first.
Visit MEDGmThe verdict
Semaglutide Online takes it, leading the Cost-Efficiency Index 63 to 60. Semaglutide Online (semaglutide-online.com) sells both FDA-approved brand-name GLP-1s (billed as medication plus a separate $44/mo provider subscription) and 'all-inclusive' compounded semaglutide and tirzepatide with no separate provider fee. MEDGm still earns a C — Readers who want the dispensing pharmacies and the prescribing practices named, and who will price the second month rather than the first.
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 Semaglutide Online.
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 | Semaglutide Online | MEDGm |
|---|---|---|
| Cost-Efficiency Index | 63/100 | 60/100 |
| Semaglutide / mo | Not disclosed | $299/mo month-to-month (the advertised $179 is the first month only, after an automatically applied coupon) |
| Tirzepatide / mo | Not disclosed | $399/mo month-to-month (the advertised $279 is the first month only) |
| Semaglutide / yr (modeled) | — | $3,588 |
| Tirzepatide / yr (modeled) | — | $4,788 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Yes | Compounded only |
| Rank here | #190 | #193 |
Semaglutide Online
63/100Where the value is
- Compounded tier is genuinely all-inclusive — no separate $44/mo provider subscription, unlike its own branded-drug track
- Offers 0% interest financing plans (12 or 24 months) for those who want to spread the cost
- No long-term contract — site states you can cancel anytime
The tradeoffs
- The compounded semaglutide price is internally inconsistent on the site's own product page — $179/mo appears in one place, $199/mo (all-inclusive) in another, with no reconciliation
- Brand-name options carry a headline medication price that excludes a mandatory separate $44/mo provider subscription, understating the real all-in cost by nearly 20%
MEDGm
60/100Where the value is
- Names all four pharmacy partners in its terms, with street addresses, phone numbers and websites, and says which compounding classes they operate under
- Names seven prescribing professional corporations on its consent page rather than referring to an unnamed medical group
- Publishes the full ladder for three GLP-1 routes — injection, oral tablet and tirzepatide — at one, three, six and twelve months
The tradeoffs
- "Starting at $179" is a first-month rate produced by an automatically applied coupon; the standing month-to-month price is $299, and the same shape applies to the oral tablet and to tirzepatide
- The treatments FAQ says "your price never increases" on a plan whose price increases by $120 at the first renewal
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.