Head-to-head · Cost-Efficiency Index
SexyMD vs Elara Health and Wellness
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.
SexyMD
Readers willing to commit 48 weeks up front, where the advertised figure is the one actually charged.
Visit SexyMDElara Health and Wellness
Shoppers who want labs, physician visits, and coaching bundled into the medication price with no separate membership fee.
Visit Elara Health and WellnessThe verdict
SexyMD takes it, leading the Cost-Efficiency Index 68 to 67. SexyMD prints "from $199" and "from $299" on every page, but those are its 48-week commitment rates: the four-week price is $269 for compounded semaglutide and $369 for tirzepatide. Elara Health and Wellness still earns a C — Shoppers who want labs, physician visits, and coaching bundled into the medication price with no separate membership fee.
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 SexyMD.
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 | SexyMD | Elara Health and Wellness |
|---|---|---|
| Cost-Efficiency Index | 68/100 | 67/100 |
| Semaglutide / mo | $269/mo on the four-week plan (the site's "from $199" is the 48-week commitment rate) | $183/mo (starting dose, yearly plan, plus a separate fee, compounded) |
| Tirzepatide / mo | $369/mo on the four-week plan (the site's "from $299" is the 48-week commitment rate) | $268/mo (starting dose, bundle, compounded) |
| Semaglutide / yr (modeled) | $3,228 | $2,196 |
| Tirzepatide / yr (modeled) | $4,428 | $3,216 |
| Coverage | 47 states | All 50 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #128 | #133 |
SexyMD
68/100Where the value is
- Publishes a full four-rung price table for each molecule on its product pages, before any intake
- States both pharmacy classes it uses and discloses that a prescription may be routed to, and transferred between, any pharmacy in that network
- Names the professional entities its prescribers work through, rather than referring only to licensed providers
The tradeoffs
- Every headline on the site quotes the 48-week rate: "from $199 per month" against a four-week price of $269, and "from $299" against $369, with an asterisk that resolves to no footnote
- The same footer block says both "available in all 50 states" and "available in all states except Arkansas, Mississippi, and New Jersey", on all eleven pages
Elara Health and Wellness
67/100Where the value is
- Corporate parent (JTE Medical, LLC) and medical director (Jonah Mink, MD, Openloop Healthcare Partners PC) are both publicly named — rare transparency for this market
- Four named 503A pharmacy partners with no ambiguity about who compounds the medication
- Bundled care model: quarterly labs, physician visits, and coaching included in the listed price, no separate membership fee
The tradeoffs
- The annual plan's advertised 'save $792/year' (sema) and 'save $858/year' (tirz) claims do not reconcile against the page's own monthly and annual figures — the discount being marketed isn't visible in the numbers actually published
- Oral semaglutide costs more than the injectable ($208 vs $183/mo) with no explanation offered
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.