Head-to-head · Cost-Efficiency Index
Teleios Health vs Vital Step
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.
Teleios Health
Shoppers comfortable calling or messaging before committing, since public pricing detail is minimal.
Visit Teleios HealthVital Step
Shoppers who want a GLP-1 tablet option in any state and are willing to finish the intake to see the real monthly price before paying.
Visit Vital StepThe verdict
Teleios Health and Vital Step tie on the Cost-Efficiency Index at 65/100, so neither wins outright on the numbers, so choose on fit. Teleios Health: Shoppers comfortable calling or messaging before committing, since public pricing detail is minimal. Vital Step: Shoppers who want a GLP-1 tablet option in any state and are willing to finish the intake to see the real monthly price before paying.
Worth knowing either way: CoreAge Rx is one of our partners and leads our leaderboard, where partners are listed first (Cost-Efficiency Index 94/100). See how it stacks up: CoreAge Rx vs Teleios 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 | Teleios Health | Vital Step |
|---|---|---|
| Cost-Efficiency Index | 65/100 | 65/100 |
| Semaglutide / mo | $99/moAll doses, compounded | $161/moLowest advertised rate, compounded; the plan behind it and the regular monthly price appear only after the intake |
| Tirzepatide / mo | Not disclosed | $198/moLowest advertised rate, compounded; the regular monthly price appears only after the intake |
| Semaglutide / yr (modeled) | $1,188 | $1,932 |
| Tirzepatide / yr (modeled) | — | $2,376 |
| Coverage | Coverage not published | All 50 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #209 | #212 |
Teleios Health
65/100Where the value is
- Advertises a low $99/mo headline starting price, undercutting most compounded-GLP-1 competitors on paper
- Explicitly brands itself as 'physician-led,' setting an expectation of clinician oversight
- Discloses the standard compounded-medication FDA disclaimer up front rather than burying it
The tradeoffs
- No dose amount, drug, or inclusion breakdown is published for the $99/mo figure
- No visit fee, membership fee, or shipping fee disclosure
Vital Step
65/100Where the value is
- Semaglutide and tirzepatide both come as weekly injections or daily dissolving tablets
- Publishes a list of all 50 states it ships to
- Free expedited delivery and round-the-clock support, with side-effect questions and dose adjustments included
The tradeoffs
- Only "as low as" figures are published; the plan length behind $161 and $198 and the regular month-to-month price are shown only after the intake
- No refunds at all: the refund policy says all fees and charges are non-refundable, in whole or in part
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.