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Head-to-head · Cost-Efficiency Index

TOM Weight Loss vs Solaya MD

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 · #205

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 Loss
VS
Grade C · #210

Solaya MD

Readers who want the pharmacy and the prescribing group identifiable before signing up, and who do not mind creating an account to learn the price.

Visit Solaya MD

The verdict

Too close to callGrade C vs C

TOM Weight Loss and Solaya MD 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 #210) — Cost-first shoppers who want texas or Utah residents who want the doctor visit and medication in one bundled monthly price. But Solaya MD 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

40
45

Price Transparency

94
60

Nationwide Access

42
86

Formulation Options

66
51

Clinical Oversight

91
68

Contract Flexibility

47
67

Pricing, coverage & formulary

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

SpecTOM Weight LossSolaya MD
Cost-Efficiency Index62/10062/100
Semaglutide / mo$199/mo (all doses, bundle, plus a separate fee, compounded)Not disclosed — the only public figure is an unscoped "Pricing starts at $185" with no molecule and no billing cycle
Tirzepatide / mo$249/mo (all doses, bundle, compounded)Not disclosed — the same unscoped $185 floor is the only figure published for either molecule
Semaglutide / yr (modeled)$2,388
Tirzepatide / yr (modeled)$2,988
Coverage2 statesAll 50 states
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank here#205#210

TOM Weight Loss

62/100

Where 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
Visit TOM Weight Loss

Full TOM Weight Loss review →

Solaya MD

62/100

Where the value is

  • Names its partner pharmacy, VialsRX, with a street address, phone number and website, revealed by a control on the FAQ
  • Names the medical group and a medical director with an NPI number, which can be looked up independently
  • Offers both oral and injectable routes and a low-dose program under one program price

The tradeoffs

  • No drug-scoped price is published: the only public figure is "Pricing starts at $185" with no molecule, no dose and no billing cycle, and everything specific sits behind a create-account gate
  • That figure sits above a line reading "clinician calls and care coaching available*" whose asterisk has no footnote anywhere on the page
Visit Solaya MD

Full Solaya MD 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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