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Head-to-head · Cost-Efficiency Index

ZipHealth vs Alegro Health

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 · #383

ZipHealth

Cost-first shoppers who want a low compounded-GLP-1 starting price, in one of 19 named states, and are willing to call to confirm the branded-drug price.

Visit ZipHealth
VS
Grade C · #385

Alegro Health

Shoppers in the eligible 'select states' who want a low-commitment starter package to try semaglutide.

Visit Alegro Health

The verdict

Winner · ZipHealthGrade C vs C

ZipHealth takes it, leading the Cost-Efficiency Index 53 to 52. ZipHealth is a compounded-GLP-1 telehealth platform delivering to 19 named states, advertising personalized programs 'from $149/month' but layering on a $79 clinical service fee that recurs on repeat visits, not just at signup. Alegro Health still earns a CShoppers in the eligible 'select states' who want a low-commitment starter package to try semaglutide.

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 ZipHealth.

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

70
39

Price Transparency

30
78

Nationwide Access

24
24

Formulation Options

71
53

Clinical Oversight

75
69

Contract Flexibility

55
53

Pricing, coverage & formulary

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

SpecZipHealthAlegro Health
Cost-Efficiency Index53/10052/100
Semaglutide / mo$149/mo (starting dose, compounded)$199/mo (starting dose, bundle, compounded)
Tirzepatide / moNot disclosedNot disclosed
Semaglutide / yr (modeled)$1,788$2,388
Tirzepatide / yr (modeled)
CoverageCoverage not publishedCoverage not published
Oral / sublingualNoNo
Brand-name accessYesCompounded only
Rank here#383#385

ZipHealth

53/100

Where the value is

  • Named, NPI-verifiable prescribers: Laurie Lowe Nelson, APRN (NPI 1467595330) and Dr. Abhishek Patel, MD (NPI 1780944918)
  • LegitScript verification referenced with a link on-site
  • Free shipping with delivery speed options from USPS 1-5 day to FedEx overnight

The tradeoffs

  • The advertised $149/month floor excludes a separate $79 clinical service fee that recurs on repeat visits, not just at intake -- true floor is closer to $228
  • Branded medication programs (Zepbound, Wegovy Pen/Pill, Foundayo) are priced separately with no dollar figure published anywhere on the site
Visit ZipHealth

Full ZipHealth review →

Alegro Health

52/100

Where the value is

  • Clear, low upfront starter price ($199 for 8 weeks including B12)
  • Claims 'all-inclusive pricing, one payment, no hidden charges' for the starter package
  • Texas-based practice using nurse practitioner-led telehealth per its own description

The tradeoffs

  • Starter price is explicitly '*Select States' only -- not available to all shoppers
  • No tirzepatide pricing published at all
Visit Alegro Health

Full Alegro Health 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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