Head-to-head · Cost-Efficiency Index
ZipHealth vs EllieMD
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.
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 ZipHealthEllieMD
Shoppers specifically interested in a microdosing protocol with a named compounding pharmacy, not full-dose treatment.
Visit EllieMDThe verdict
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. EllieMD still earns a C — Shoppers specifically interested in a microdosing protocol with a named compounding pharmacy, not full-dose treatment.
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
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 | ZipHealth | EllieMD |
|---|---|---|
| Cost-Efficiency Index | 53/100 | 52/100 |
| Semaglutide / mo | $149/mo (starting dose, compounded) | $229/mo (microdose tier, compounded) |
| Tirzepatide / mo | Not disclosed | $239/mo (microdose tier, compounded) |
| Semaglutide / yr (modeled) | $1,788 | $2,748 |
| Tirzepatide / yr (modeled) | — | $2,868 |
| Coverage | Coverage not published | Coverage not published |
| Oral / sublingual | No | No |
| Brand-name access | Yes | Yes |
| Rank here | #383 | #387 |
ZipHealth
53/100Where 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
EllieMD
52/100Where the value is
- Names its compounding pharmacy — Clover, a 503A facility — unlike most competitors in this batch that only say 'a licensed U.S. pharmacy'
- Explicitly states 'No hidden membership, shipping, or consultation fees' for the microdose program
- All 50 states served per the site's own claim
The tradeoffs
- The ONLY GLP-1 pricing published anywhere on the site is for the microdose program — a shopper wanting typical-dose semaglutide or tirzepatide will find no price before completing the intake process
- Microdose pricing requires a 12-week (84-day) minimum commitment; no month-to-month option was found
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.