Head-to-head · Cost-Efficiency Index
Somi Health vs TOM Weight Loss
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.
Somi Health
Shoppers comfortable committing to a 3-month plan to unlock the lower blended monthly rate.
Visit Somi HealthTOM Weight Loss
Cost-first shoppers who want texas or Utah residents who want the doctor visit and medication in one bundled monthly price.
Visit TOM Weight LossThe verdict
Somi Health and TOM Weight Loss tie on the Cost-Efficiency Index at 62/100, so neither wins outright on the numbers. For most shoppers we'd start with Somi Health (ranked #212, a hair above #215) — Shoppers comfortable committing to a 3-month plan to unlock the lower blended monthly rate. But TOM Weight Loss is a genuine coin-flip alternative here.
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 Somi Health.
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 | Somi Health | TOM Weight Loss |
|---|---|---|
| Cost-Efficiency Index | 62/100 | 62/100 |
| Semaglutide / mo | $135/mo (compounded) | $199/mo (all doses, bundle, plus a separate fee, compounded) |
| Tirzepatide / mo | $165/mo (3-month plan, compounded) | $249/mo (all doses, bundle, compounded) |
| Semaglutide / yr (modeled) | $1,620 | $2,388 |
| Tirzepatide / yr (modeled) | $1,980 | $2,988 |
| Coverage | Coverage not published | 2 states |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #212 | #215 |
Somi Health
62/100Where the value is
- Offers an oral semaglutide tablet option in addition to injections, a differentiator versus most peers
- Displays a LegitScript 'Approved' seal
- Discloses it uses 503A state-licensed pharmacies (category-level transparency)
The tradeoffs
- 'Starting at' injection prices are 3-month prepay rates, not real monthly cash prices
- The correct domain (joinsomi.com) is easy to confuse with the abandoned somihealth.com, a parked/for-sale domain
TOM Weight Loss
62/100Where the value is
- Named, credentialed prescriber (Dr. Tran Le, MD, DABOM, NPI 1194212258) rather than an anonymous provider pool
- Flat pricing regardless of dose within a plan — no upcharge as you titrate up to 2.4mg or 15mg/week
- A genuine Medicare-eligible copay path ($50/month) is published, unusual among compounded-GLP-1 telehealth sites
The tradeoffs
- Only available in Texas and Utah — not a national provider despite the polished, generic-looking site
- The site lists a separate 'à la carte' $100/mo price that is medication-only with the doctor visit billed apart — a naive read could mistake this for a $100 all-in equivalent to the $199 Basic plan
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.