Head-to-head · Cost-Efficiency Index
Vytora Health vs ReflexMD
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.
Vytora Health
Shoppers who want flat per-dose pricing with a named pharmacy and an optional brand-name fallback, 50 states.
Visit Vytora HealthReflexMD
Shoppers who want one flat monthly price that won't rise with the dose and who are comfortable canceling by phone.
Visit ReflexMDThe verdict
Vytora Health takes it, leading the Cost-Efficiency Index 76 to 75. Vytora Health (Wasef Health, PC) is a 50-state-plus-DC telehealth platform selling flat-rate compounded semaglutide and tirzepatide alongside retail-priced brand-name Mounjaro and Zepbound ($1,399/mo each). ReflexMD still earns a C — Shoppers who want one flat monthly price that won't rise with the dose and who are comfortable canceling by phone.
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 Vytora 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 | Vytora Health | ReflexMD |
|---|---|---|
| Cost-Efficiency Index | 76/100 | 75/100 |
| Semaglutide / mo | $179/moAll doses, compounded | $297/moCompounded, same price at every dose, month to month |
| Tirzepatide / mo | $199/moAll doses, 3-month plan, compounded | $367/moCompounded, same price at every dose, month to month |
| Semaglutide / yr (modeled) | $2,148 | $3,564 |
| Tirzepatide / yr (modeled) | $2,388 | $4,404 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | No |
| Brand-name access | Yes | Compounded only |
| Rank here | #65 | #69 |
Vytora Health
76/100Where the value is
- Semaglutide pricing is genuinely flat across all doses, not a 'starting at' floor
- 50 states plus DC covered, with per-state video-vs-audio requirements disclosed rather than hidden
- Both compounded and retail brand-name (Mounjaro, Zepbound) options on one platform
The tradeoffs
- The site's own FAQ and pricing page disagree on the 1-month tirzepatide price ($199 vs $249) — get the number confirmed at checkout before assuming either figure
- Brand-name Mounjaro/Zepbound at $1,399/mo is essentially full retail
ReflexMD
75/100Where the value is
- Both prices are shown on the homepage before any quiz, and the site calls them flat-rate pricing
- The online consultation fee is included in the subscription, and shipping is free and overnight once the pharmacy ships
- Month to month with no long-term contract; 3- and 6-month plans are optional, with 15% off 3-month plans under a current promo code
The tradeoffs
- Outside California you must call to cancel, at least two days before the renewal date; California residents can also cancel by email
- Fees already paid are not refunded once the month is billed
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.