Head-to-head · Cost-Efficiency Index
SexyMD vs Oak
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 SexyMDOak
Shoppers willing to complete a long health intake before they see a price, who want the non-injectable route on the same account as the two weekly injections and will confirm the number Oak quotes them rather than the one on its homepage.
Visit OakThe verdict
SexyMD takes it, leading the Cost-Efficiency Index 68 to 65. 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. Oak still earns a C — Shoppers willing to complete a long health intake before they see a price, who want the non-injectable route on the same account as the two weekly injections and will confirm the number Oak quotes them rather than the one on its homepage.
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 | Oak |
|---|---|---|
| Cost-Efficiency Index | 68/100 | 65/100 |
| Semaglutide / mo | $269/mo on the four-week plan (the site's "from $199" is the 48-week commitment rate) | $250/mo (one flat rate at every dose), read on its order form the afternoon of 15 August — fifty dollars higher than that morning |
| Tirzepatide / mo | $369/mo on the four-week plan (the site's "from $299" is the 48-week commitment rate) | $300/mo (one flat rate at every dose), read on its order form the afternoon of 15 August — fifty dollars higher than that morning |
| Semaglutide / yr (modeled) | $3,228 | — |
| Tirzepatide / yr (modeled) | $4,428 | — |
| Coverage | 47 states | 45 states (list not published) |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #128 | #129 |
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
Oak
65/100Where the value is
- A non-injectable route alongside the two weekly injections — sublingual drops or tablets targeting the GLP-1 pathway — which most programs at this end of the ranking do not offer at all
- LegitScript-certified, provider-reviewed, no video call required, with free shipping and free health coaching included
- Its own comparison tables do print undiscounted floors — $167/mo on the homepage, $190/mo on /weight-loss — so a reader who scrolls past the hero at least sees figures that are not a package discount in a monthly slot
The tradeoffs
- It publishes NINE different "starting" prices — $119, $133, $160, $167, $180, $185, $190, $199 and $250 — and attaches a term, a plan length or a billing cadence to not one of them
- The $119 and $185 in the homepage hero appear only beside a "$200 off — new patient offer", and Oak's own affiliate page defines that offer as "$50 off your first month, $200 off 3-months" — a three-month package discount presented as a monthly rate
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.