Head-to-head · Cost-Efficiency Index
Totara Health vs Vivanta Care
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 HealthVivanta Care
People starting a GLP-1 at a low dose who want a cheap first few months and can see what the higher doses will cost before they sign up.
Visit Vivanta CareThe verdict
Totara Health and Vivanta Care 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. Vivanta Care: People starting a GLP-1 at a low dose who want a cheap first few months and can see what the higher doses will cost before they sign up.
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 | Vivanta Care |
|---|---|---|
| Cost-Efficiency Index | 80/100 | 80/100 |
| Semaglutide / mo | $190/mo1-month plan, same price at every dose, compounded | $79/moStarting dose; $169, $229 and $299 at higher dose stages, compounded |
| Tirzepatide / mo | $239/mo1-month plan, same price at every dose, compounded | $99/moStarting dose; $139, $249 and $329 at higher dose stages, compounded |
| Semaglutide / yr (modeled) | $2,280 | $948 |
| Tirzepatide / yr (modeled) | $2,868 | $1,188 |
| Coverage | 48 states | All 50 states and D.C. |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #36 | #37 |
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
Vivanta Care
80/100Where the value is
- All four dose-stage prices for each drug appear on the first screen of its quiz, before you answer any health questions
- Each plan covers the medical visit, the medication and shipping, with no separate membership fee
- Names its pharmacy (DiRx in Fort Lauderdale) and its clinician network (MD Integrations)
The tradeoffs
- The $79 and $99 prices cover only the starting dose; at the higher stages semaglutide reaches $299 and tirzepatide $329
- Its FAQ says pricing "stays the same at every dose", which doesn't match the dose-stage prices in the quiz
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.