Head-to-head · Cost-Efficiency Index
TOM Weight Loss vs Nex Gen Health Rx
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.
TOM 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 LossNex Gen Health Rx
Shoppers who want a named pharmacy and an itemized checkout, and who will read the homepage figure as the annual prepay it is.
Visit Nex Gen Health RxThe verdict
TOM Weight Loss and Nex Gen Health Rx tie on the Cost-Efficiency Index at 62/100, so neither wins outright on the numbers. For most shoppers we'd start with TOM Weight Loss (ranked #205, a hair above #208) — Cost-first shoppers who want texas or Utah residents who want the doctor visit and medication in one bundled monthly price. But Nex Gen Health Rx 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 TOM 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 | TOM Weight Loss | Nex Gen Health Rx |
|---|---|---|
| Cost-Efficiency Index | 62/100 | 62/100 |
| Semaglutide / mo | $199/mo (all doses, bundle, plus a separate fee, compounded) | $190 per 30-day supply month-to-month (the homepage's $99 is the 360-day prepay rate) |
| Tirzepatide / mo | $249/mo (all doses, bundle, compounded) | $239 per 30-day supply month-to-month (the homepage's $149 is the 360-day prepay rate) |
| Semaglutide / yr (modeled) | $2,388 | $2,280 |
| Tirzepatide / yr (modeled) | $2,988 | $2,868 |
| Coverage | 2 states | Coverage not published |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #205 | #208 |
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
Nex Gen Health Rx
62/100Where the value is
- Names its pharmacy, Manifest Pharmacy, with a street address, and states the 503A class on the product pages
- The checkout itemizes what the price already covers, showing doctor support and monitoring at $99 and overnight shipping at $40 both marked free
- Full 30-, 90-, 180- and 360-day ladders for both molecules are reachable by a control on the product page, and the total was confirmed at checkout
The tradeoffs
- The homepage prints "for as low as $99.00 a month" and "$149.00 a month" with no basis stated; the basis appears only on a separate landing page, and it is a twelve-month plan paid in full
- That landing page sells $99 as "every month", "fixed price" and "price never increases" while its own fine print makes it conditional on $1,188 paid upfront
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.