Head-to-head · Cost-Efficiency Index
The Virtual NP vs Fierce Health
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.
The Virtual NP
Patients in its 6 served states who specifically want branded (not compounded) Wegovy/Zepbound with a low, flat provider fee.
Visit The Virtual NPFierce Health
Shoppers specifically seeking a below-standard 'microdose' GLP-1 protocol at a discounted entry price.
Visit Fierce HealthThe verdict
The Virtual NP and Fierce Health tie on the Cost-Efficiency Index at 55/100, so neither wins outright on the numbers. For most shoppers we'd start with The Virtual NP (ranked #350, a hair above #351) — Patients in its 6 served states who specifically want branded (not compounded) Wegovy/Zepbound with a low, flat provider fee. But Fierce Health 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 The Virtual NP.
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 | The Virtual NP | Fierce Health |
|---|---|---|
| Cost-Efficiency Index | 55/100 | 55/100 |
| Semaglutide / mo | Not disclosed | Not disclosed |
| Tirzepatide / mo | Not disclosed | Not disclosed |
| Semaglutide / yr (modeled) | — | — |
| Tirzepatide / yr (modeled) | — | — |
| Coverage | 7 states | 30 states |
| Oral / sublingual | No | No |
| Brand-name access | Yes | Compounded only |
| Rank here | #350 | #351 |
The Virtual NP
55/100Where the value is
- Prescribes FDA-approved branded medications (Wegovy/Zepbound) rather than compounded versions
- Named clinical founder (Sandra Jordan, MSN, APRN, FNP-C)
- Low, transparent provider fee ($99/visit or $75/month membership)
The tradeoffs
- No all-in monthly cost available -- medication price is separate and varies by pharmacy/insurance
- Narrow 6-state footprint (FL, NY, AZ, NV, NM, KS)
Fierce Health
55/100Where the value is
- Semaglutide is currently listed at a steep markdown ($197 vs. a stated $591 regular price) if the discount holds at checkout
- Sells both semaglutide and tirzepatide with clearly separated pricing rather than bundling them
- Discloses the standard compounding/FDA disclaimer plainly in the footer
The tradeoffs
- The $591 'regular price' next to a $197 'sale price' is a large, unexplained gap — no page discloses how long the discount lasts or what the price reverts to
- No mg dose amount is disclosed for either 'microdose' product on any page reached
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.