Head-to-head · Cost-Efficiency Index
Wholesome Clinic vs SexyMD
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.
Wholesome Clinic
Patients in TX/CO/NM/OK/LA/AR/OR who want GLP-1 weight loss bundled with psychiatric/whole-person care from one provider, and who value transparent dose-tiered pricing.
Visit Wholesome ClinicSexyMD
Readers willing to commit 48 weeks up front, where the advertised figure is the one actually charged.
Visit SexyMDThe verdict
Wholesome Clinic and SexyMD tie on the Cost-Efficiency Index at 68/100, so neither wins outright on the numbers. For most shoppers we'd start with Wholesome Clinic (ranked #114, a hair above #119) — Patients in TX/CO/NM/OK/LA/AR/OR who want GLP-1 weight loss bundled with psychiatric/whole-person care from one provider, and who value transparent dose-tiered pricing. But SexyMD 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 Wholesome Clinic.
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 | Wholesome Clinic | SexyMD |
|---|---|---|
| Cost-Efficiency Index | 68/100 | 68/100 |
| Semaglutide / mo | $149/mo (0.5 mg dose, compounded) | $269/mo on the four-week plan (the site's "from $199" is the 48-week commitment rate) |
| Tirzepatide / mo | $349/mo (5.0 mg dose, compounded) | $369/mo on the four-week plan (the site's "from $299" is the 48-week commitment rate) |
| Semaglutide / yr (modeled) | $1,788 | $3,228 |
| Tirzepatide / yr (modeled) | $4,188 | $4,428 |
| Coverage | 7 states | 47 states |
| Oral / sublingual | Yes | No |
| Brand-name access | Compounded only | Compounded only |
| Rank here | #114 | #119 |
Wholesome Clinic
68/100Where the value is
- Real, named, dual-certified prescriber (Stephanie Ukoha, DNP, FNP-BC, PMHNP-BC)
- Transparent dose-tiered pricing for both injectable and oral GLP-1 options, with no evident promo bait-and-switch
- Oral ODT alternatives offer a notably cheaper entry point ($109/mo semaglutide, $249/mo tirzepatide)
The tradeoffs
- Weight loss is a secondary service line to the clinic's core psychiatry focus, not its specialty
- Only licensed in seven states -- far narrower than most national GLP-1 telehealth competitors
SexyMD
68/100Where the value is
- Publishes a full four-rung price table for each molecule on its product pages, before any intake
- States both pharmacy classes it uses and discloses that a prescription may be routed to, and transferred between, any pharmacy in that network
- Names the professional entities its prescribers work through, rather than referring only to licensed providers
The tradeoffs
- Every headline on the site quotes the 48-week rate: "from $199 per month" against a four-week price of $269, and "from $299" against $369, with an asterisk that resolves to no footnote
- The same footer block says both "available in all 50 states" and "available in all states except Arkansas, Mississippi, and New Jersey", on all eleven pages
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.