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Head-to-head · Cost-Efficiency Index

ShedRx (Shed) vs MDLive

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 B+ · #3

ShedRx (Shed)

People who want a needle-free route or a brand-name option, and who will commit to twelve months to reach the lowest price.

Visit ShedRx (Shed)
VS
Grade C · #376

MDLive

Cost-first shoppers who want insured or employer-covered patients wanting GLP-1s within full primary care.

Visit MDLive

The verdict

Winner · ShedRx (Shed)Grade B+ vs C

ShedRx (Shed) takes it, leading the Cost-Efficiency Index 87 to 50. The widest set of formats on the board — injection, drops, lozenges and a daily oral pill, plus a real brand Zepbound route — though its cheapest advertised rates need a year-long commitment. MDLive still earns a CCost-first shoppers who want insured or employer-covered patients wanting GLP-1s within full primary care.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the board). See how it stacks up: CoreAge Rx vs ShedRx (Shed).

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

86
45

Price Transparency

74
54

Nationwide Access

92
24

Formulation Options

96
53

Clinical Oversight

84
85

Contract Flexibility

76
55

Pricing, coverage & formulary

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

SpecShedRx (Shed)MDLive
Cost-Efficiency Index87/10050/100
Semaglutide / mo$199/mo ($159 on a 12-month plan)Not disclosed
Tirzepatide / mo$299/mo ($239 on a 12-month plan)Not disclosed
Semaglutide / yr (modeled)$2,388
Tirzepatide / yr (modeled)$3,588
CoverageAll 50 statesCoverage not published
Oral / sublingualYesNo
Brand-name accessYesYes
Rank on the board#3#376

ShedRx (Shed)

87/100

Where the value is

  • Four routes to a GLP-1 — injection, liquid drops, lozenges and a daily oral pill
  • Brand Zepbound and Wegovy available alongside the compounded line
  • Available in all 50 states, with health coaching included and a published 120-day weight-loss guarantee

The tradeoffs

  • The advertised "as low as" prices ($159 semaglutide, $239 tirzepatide) require a TWELVE-MONTH commitment — month-to-month is $199 and $299
  • Compounded medication is not FDA-approved the way brand Ozempic, Wegovy, or Zepbound are
Visit ShedRx (Shed)

Full ShedRx (Shed) review →

MDLive

50/100

Where the value is

  • Prescribes FDA-approved branded GLP-1s including Wegovy and Zepbound
  • Covered through insurance and employer benefits for 50M-plus people
  • Board-certified physicians averaging about 15 years of experience

The tradeoffs

  • GLP-1s only at clinician discretion in a Primary Care routine visit
  • Anti-obesity meds not available in FL, LA, MS or NJ
Visit MDLive

Full MDLive 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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