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Head-to-head · Cost-Efficiency Index

Tuyo Health vs Ascend Medical

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 · #298

Tuyo Health

Shoppers who want a low advertised floor price and are willing to confirm the actual dose-tier cost before committing.

Visit Tuyo Health
VS
Grade C · #299

Ascend Medical

Cost-first shoppers who want georgia or Texas residents who want to bill GLP-1 treatment through insurance rather than pay cash-only compounded pricing.

Visit Ascend Medical

The verdict

Too close to callGrade C vs C

Tuyo Health and Ascend Medical tie on the Cost-Efficiency Index at 57/100, so neither wins outright on the numbers. For most shoppers we'd start with Tuyo Health (ranked #298, a hair above #299) — Shoppers who want a low advertised floor price and are willing to confirm the actual dose-tier cost before committing. But Ascend Medical 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 Tuyo 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

57
39

Price Transparency

78
78

Nationwide Access

24
42

Formulation Options

79
66

Clinical Oversight

64
85

Contract Flexibility

33
41

Pricing, coverage & formulary

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

SpecTuyo HealthAscend Medical
Cost-Efficiency Index57/10057/100
Semaglutide / mo$155/mo (starting dose, compounded)Not disclosed
Tirzepatide / mo$279/mo (starting dose, compounded)$240/mo (starting dose, compounded)
Semaglutide / yr (modeled)$1,860
Tirzepatide / yr (modeled)$3,348$2,880
CoverageCoverage not published2 states
Oral / sublingualNoNo
Brand-name accessYesYes
Rank here#298#299

Tuyo Health

57/100

Where the value is

  • Quarterly lab work is explicitly bundled into the compounded-track price, unlike sites that omit lab monitoring entirely
  • Offers both compounded and branded (insurance-eligible) tracks on the same platform
  • LegitScript certified

The tradeoffs

  • Both headline prices are explicit 'as low as' floors with no dose-tier table published — the real cost for a titrated-up dose is unknown from the site
  • No compounding pharmacy or individual prescriber/medical director named anywhere on the page
Visit Tuyo Health

Full Tuyo Health review →

Regulatory note: the FDA issued a warning letter to Tuyo Health, Inc. dba Tuyo Health in September 2025. We still list and link to Tuyo Health; you should know the letter is on the public record before you decide.

Ascend Medical

57/100

Where the value is

  • Can bill through insurance, potentially lowering out-of-pocket cost versus cash-only compounded programs
  • No-subscription, pay-per-refill model after the initial 8-week package
  • Named metabolic-health chair referenced on the clinical team

The tradeoffs

  • Only available to Georgia and Texas residents -- not a national service
  • Unclear whether medication is compounded or brand-name; no compounding pharmacy named
Visit Ascend Medical

Full Ascend Medical 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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