Head-to-head · Cost-Efficiency Index
Welling Health vs Rx.com
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.
Welling Health
Patients willing to log meals daily in exchange for a lower effective GLP-1 price.
Visit Welling HealthRx.com
Someone who will judge it by the plan card rather than the banner, and who values no auto-renewal and a named pharmacy over the lowest sticker.
Visit Rx.comThe verdict
Welling Health takes it, leading the Cost-Efficiency Index 78 to 77. Welling Health is a clinician-led metabolic telehealth platform charging a flat $190/month for compounded semaglutide and $275/month for compounded tirzepatide, all doses, with no setup or consultation fees. Rx.com still earns a C — Someone who will judge it by the plan card rather than the banner, and who values no auto-renewal and a named pharmacy over the lowest sticker.
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 Welling 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 | Welling Health | Rx.com |
|---|---|---|
| Cost-Efficiency Index | 78/100 | 77/100 |
| Semaglutide / mo | $190/mo (all doses, promotional rate, compounded) | $175/mo month-to-month; $165 on three months and $146 on six |
| Tirzepatide / mo | $275/mo (all doses, compounded) | $285/mo month-to-month; $265 on three months and $259 on six |
| Semaglutide / yr (modeled) | $2,280 | $2,100 |
| Tirzepatide / yr (modeled) | $3,300 | $3,420 |
| Coverage | All 50 states | 49 states on its plan page; its own banner says all 50 |
| Oral / sublingual | No | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #40 | #45 |
Welling Health
78/100Where the value is
- Flat, dose-independent base pricing with no setup or consultation fees disclosed
- Licensed in all 50 states
- Named pharmacy tier (LegitScript-certified 503A, USP <797>) even though the specific pharmacy isn't named
The tradeoffs
- The eye-catching ~30%-off streak price is not the standing rate — it requires 30 unbroken consecutive days of in-app meal logging and resets if a day is missed, so $190/$275 is the realistic price for most patients most of the time
- Tirzepatide's $275 base rate is on the higher end of compounded competitors in this batch
Rx.com
77/100Where the value is
- "No automatic renewals" is printed under the plan card itself rather than buried in the terms
- Names Manifest Pharmacy in Greer, South Carolina with a full street address, and MD Integrations as the provider network, on the same page as the price
- One flat price at every dose from 2.5 mg to 15 mg, with the provider visit, injection supplies and cold shipping stated as included
The tradeoffs
- The advertised "$146/mo FOR LIFE" is a six-month prepay on semaglutide; month-to-month tirzepatide is $285
- The plan page says 49 states served while the banner on the same site says all 50
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.