Head-to-head · Cost-Efficiency Index
TD Tele-Doc Weight Loss vs Primary Clinic (Direct GLP)
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.
TD Tele-Doc Weight Loss
Patients with Medicare or major insurance who want a local Richmond, VA-area virtual weight-loss clinic to bill through their plan.
Visit TD Tele-Doc Weight LossPrimary Clinic (Direct GLP)
Shoppers inside its 10 served states who want primary care bundled with the prescription and will price the membership in.
Visit Primary Clinic (Direct GLP)The verdict
TD Tele-Doc Weight Loss takes it, leading the Cost-Efficiency Index 66 to 65. TD Tele-Doc (teledocweightloss.com) is a small, Richmond, VA-based virtual weight-loss clinic offering semaglutide 'starting at $145' -- but that price is quoted within an insurance/Medicare-billing model rather than as a flat cash rate. Primary Clinic (Direct GLP) still earns a C — Shoppers inside its 10 served states who want primary care bundled with the prescription and will price the membership in.
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 TD Tele-Doc Weight Loss.
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 | TD Tele-Doc Weight Loss | Primary Clinic (Direct GLP) |
|---|---|---|
| Cost-Efficiency Index | 66/100 | 65/100 |
| Semaglutide / mo | $145/mo (compounded) | $85/mo (0.25-0.75 mg band, membership required, compounded) |
| Tirzepatide / mo | Not disclosed | $133/mo (1.25-2.5 mg band, membership required, compounded) |
| Semaglutide / yr (modeled) | $1,740 | $1,020 |
| Tirzepatide / yr (modeled) | — | $1,596 |
| Coverage | 2 states | WA, NM, AZ, UT, FL, DC, KS, OK, VA, GA |
| Oral / sublingual | No | No |
| Brand-name access | Yes | Compounded only |
| Rank here | #141 | #146 |
TD Tele-Doc Weight Loss
66/100Where the value is
- Accepts Medicare and most major insurance plans, potentially lowering real out-of-pocket cost for covered patients
- Displays a LegitScript verification badge
- Straightforward semaglutide-specific landing page
The tradeoffs
- The '$145 starting at' price is insurance-contingent, not a flat cash-pay rate
- No tirzepatide pricing found
Primary Clinic (Direct GLP)
65/100Where the value is
- Both molecules are priced, as dose bands, so the cost of titrating up is visible rather than hidden
- The $89 membership buys unlimited primary care, direct text access and same-day appointments, not just a prescription
- Real per-dose pricing rather than one headline rate
The tradeoffs
- The medication price is on top of an $89/mo membership, which the FAQ states does not include the drug — all-in is about $174/mo semaglutide and $222/mo tirzepatide
- Prices are published as dose BANDS, and the cheapest tirzepatide band starts at 1.25 mg, below the 2.5 mg labeled starting dose
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.