Head-to-head · Cost-Efficiency Index
Totara Health vs Pepti
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.
Totara Health
Shoppers who want a flat month-to-month GLP-1 price that doesn't climb with the dose, and the option of a tablet or drops instead of a shot.
Visit Totara HealthPepti
Shoppers who want to see the price of every dose step before they start, with no membership fee on top.
Visit PeptiThe verdict
Totara Health and Pepti tie on the Cost-Efficiency Index at 80/100, so neither wins outright on the numbers, so choose on fit. Totara Health: Shoppers who want a flat month-to-month GLP-1 price that doesn't climb with the dose, and the option of a tablet or drops instead of a shot. Pepti: Shoppers who want to see the price of every dose step before they start, with no membership fee on top.
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 Totara 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 | Totara Health | Pepti |
|---|---|---|
| Cost-Efficiency Index | 80/100 | 80/100 |
| Semaglutide / mo | $190/mo1-month plan, same price at every dose, compounded | $99/mo0.25 mg starting dose, compounded; $109–$199 at higher doses |
| Tirzepatide / mo | $239/mo1-month plan, same price at every dose, compounded | $159/mo2.5 mg starting dose, compounded; $179–$319 at higher doses |
| Semaglutide / yr (modeled) | $2,280 | $1,28713 charges |
| Tirzepatide / yr (modeled) | $2,868 | $2,06713 charges |
| Coverage | 48 states | All 50 states |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #36 | #38 |
Totara Health
80/100Where the value is
- One-month plans are priced on the product page before any intake: $190 for semaglutide and $239 for tirzepatide, the same at every dose
- Semaglutide comes as an injection, oral drops or an under-the-tongue tablet; tirzepatide as an injection or under-the-tongue tablet
- Names its dispensing pharmacy (Manifest Pharmacy in Greer, South Carolina) and its clinician network (MD Integrations)
The tradeoffs
- The lower monthly figures ($133, $119 and $99 for semaglutide) require a 3-, 6- or 12-month plan paid in one charge up front
- The banner says all 50 states, but the FAQ's state list leaves out Alaska and Mississippi
Pepti
80/100Where the value is
- Every dose has its own published price: semaglutide runs $99 to $199 and tirzepatide $159 to $319
- No membership fee; the medication price includes physician review, dose adjustments and free shipping
- Names a reviewing physician and a dispensing pharmacy, Olympia Pharmacy
The tradeoffs
- The price rises as your dose goes up, so the $99 starting figure covers only the first step of semaglutide
- It bills every 28 days rather than monthly, which adds up to 13 charges a year
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.