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Head-to-head · Cost-Efficiency Index

TideMedix vs Aquivia 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.

Better valueGrade C · #214

TideMedix

Cost-first shoppers who want not recommended without calling to confirm the post-first-month price before signing up.

Visit TideMedix
VS
Grade C · #217

Aquivia Health

Cost-first shoppers who want clinician-reviewed compounded GLP-1 with optional branded upgrade.

Visit Aquivia Health

The verdict

Too close to callGrade C vs C

TideMedix and Aquivia Health tie on the Cost-Efficiency Index at 62/100, so neither wins outright on the numbers. For most shoppers we'd start with TideMedix (ranked #214, a hair above #217) — Cost-first shoppers who want not recommended without calling to confirm the post-first-month price before signing up. But Aquivia 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 TideMedix.

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

77
88

Price Transparency

78
46

Nationwide Access

24
24

Formulation Options

53
79

Clinical Oversight

74
76

Contract Flexibility

61
55

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecTideMedixAquivia Health
Cost-Efficiency Index62/10062/100
Semaglutide / mo$99/mo (compounded)$149/mo
Tirzepatide / moNot disclosed$179/mo
Semaglutide / yr (modeled)$1,188$1,788
Tirzepatide / yr (modeled)$2,148
CoverageCoverage not publishedCoverage not published
Oral / sublingualNoNo
Brand-name accessCompounded onlyYes
Rank here#214#217

TideMedix

62/100

Where the value is

  • Repeated, prominent LegitScript certification claims
  • Low advertised entry price ($99) for the first month
  • Standard FDA compounding disclaimer present, suggesting legitimate compounded-drug awareness

The tradeoffs

  • Headline $99 price is explicitly first-month-only; the ongoing monthly cost is never disclosed on the site
  • No named medical director anywhere in the accessible content
Visit TideMedix

Full TideMedix review →

Aquivia Health

62/100

Where the value is

  • Clinical care provided by Open Loop Healthcare Partners, PC — a reused, verified MSO network
  • Named leadership: Steven Bishop MD (CMO), Phillip Gray PharmD (Chief Pharmacist), Tom Foster (President)
  • Itemized public pricing: compounded semaglutide $149/mo, tirzepatide $179/mo, Ozempic $1,299, Zepbound $1,399

The tradeoffs

  • No public list of states served — you must complete intake to learn if your state qualifies
  • No named 503A compounding pharmacy partner, limiting licensure verification
Visit Aquivia Health

Full Aquivia Health review →

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.

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