Head-to-head · Cost-Efficiency Index
Solaya MD vs Fidelity Medical Clinic
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.
Solaya MD
Readers who want the pharmacy and the prescribing group identifiable before signing up, and who do not mind creating an account to learn the price.
Visit Solaya MDFidelity Medical Clinic
Shoppers comfortable reading a tiered per-order price table rather than a flat subscription.
Visit Fidelity Medical ClinicThe verdict
Solaya MD takes it, leading the Cost-Efficiency Index 62 to 61. Solaya MD names its partner pharmacy with an address and its medical director with an NPI, and publishes one unscoped "starts at $185" figure with no molecule, no dose and no billing cycle attached to it. Fidelity Medical Clinic still earns a C — Shoppers comfortable reading a tiered per-order price table rather than a flat subscription.
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 Solaya MD.
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 | Solaya MD | Fidelity Medical Clinic |
|---|---|---|
| Cost-Efficiency Index | 62/100 | 61/100 |
| Semaglutide / mo | Not disclosed — the only public figure is an unscoped "Pricing starts at $185" with no molecule and no billing cycle | $199/mo (starting dose, compounded) |
| Tirzepatide / mo | Not disclosed — the same unscoped $185 floor is the only figure published for either molecule | $349/mo (starting dose, compounded) |
| Semaglutide / yr (modeled) | — | $2,388 |
| Tirzepatide / yr (modeled) | — | $4,188 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | Yes | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #220 | #226 |
Solaya MD
62/100Where the value is
- Names its partner pharmacy, VialsRX, with a street address, phone number and website, revealed by a control on the FAQ
- Names the medical group and a medical director with an NPI number, which can be looked up independently
- Offers both oral and injectable routes and a low-dose program under one program price
The tradeoffs
- No drug-scoped price is published: the only public figure is "Pricing starts at $185" with no molecule, no dose and no billing cycle, and everything specific sits behind a create-account gate
- That figure sits above a line reading "clinician calls and care coaching available*" whose asterisk has no footnote anywhere on the page
Fidelity Medical Clinic
61/100Where the value is
- Full itemized pricing table published on-site for both semaglutide and tirzepatide, covering initial, step-up, and maintenance order tiers
- Flat pricing includes consultation and shipping with 'no hidden fees' at each tier
- Real physical Tampa, FL clinic (400 N Ashley Dr Ste 1900) alongside the telehealth program, not a telehealth-only shell
The tradeoffs
- The '$99 a month' and '$349 for a 2-Month Supply' headlines are one-time starter-order prices, not recurring rates — the real ongoing monthly cost is $199 (semaglutide) and $349 (tirzepatide)
- No state-coverage list published anywhere on the site; whether telehealth reaches all 50 states or only a handful beyond Florida is unverifiable from the live pages
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.