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Head-to-head · Cost-Efficiency Index

tru Weight Loss vs MDLive

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 · #404

tru Weight Loss

Patients comfortable committing to 3 months upfront who want a named, credentialed physician rather than an anonymous provider network.

Visit tru Weight Loss
VS
Grade C · #410

MDLive

Cost-first shoppers who want not a fit for GLP-1 price shopping -- best suited to patients who already have MDLIVE access for general primary care.

Visit MDLive

The verdict

Winner · tru Weight LossGrade C vs C

tru Weight Loss takes it, leading the Cost-Efficiency Index 51 to 50. Tru Weight Loss is a GLP-1 program offered by truHealthNow, a Germantown, Maryland primary/urgent care telehealth practice, with named physician Dr. Neha Grover overseeing care. MDLive still earns a CCost-first shoppers who want not a fit for GLP-1 price shopping -- best suited to patients who already have MDLIVE access for general primary care.

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 tru 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

35
45

Price Transparency

86
54

Nationwide Access

24
24

Formulation Options

66
53

Clinical Oversight

76
85

Contract Flexibility

20
55

Pricing, coverage & formulary

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

Spectru Weight LossMDLive
Cost-Efficiency Index51/10050/100
Semaglutide / mo$299/mo (3-month plan, compounded)Not disclosed
Tirzepatide / mo$399/mo (3-month plan, compounded)Not disclosed
Semaglutide / yr (modeled)$3,588
Tirzepatide / yr (modeled)$4,788
CoverageCoverage not publishedCoverage not published
Oral / sublingualNoNo
Brand-name accessCompounded onlyYes
Rank here#404#410

tru Weight Loss

51/100

Where the value is

  • Flat, clearly stated monthly pricing with no hidden dose-tier escalation found
  • Named, credentialed medical director (Dr. Neha Grover, MD, obesity-management focus) rather than an anonymous network
  • Backed by an established local primary/urgent care practice, not a pure drop-ship telehealth startup

The tradeoffs

  • Mandatory 3-month minimum commitment before cancellation is allowed -- roughly $900-$1,200 minimum spend
  • No insurance, HSA, or FSA accepted
Visit tru Weight Loss

Full tru Weight Loss review →

MDLive

50/100

Where the value is

  • Backed by a major, established telehealth/insurance parent (Evernorth/Cigna)
  • Access to FDA-approved branded anti-obesity medications, not unregulated compounds
  • Broad general primary-care telehealth infrastructure

The tradeoffs

  • No dedicated GLP-1 or weight-loss program -- medications are folded into general primary care visits only
  • No medication-specific pricing published anywhere
Visit MDLive

Full MDLive 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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