GLP-1 Scorecard · Graded report · Updated August 2026
Best tirzepatide providers, graded with the arithmetic shown.
Every entry below prints its six factor scores, the published weight on each, and the points that factor contributes. They add up to the WeighScore beside the name — so you can check the total instead of trusting it.
Before the numbers: what is being graded
Zepbound and Mounjaro are FDA-approved brand tirzepatide from Eli Lilly. Almost every price graded below is compounded tirzepatide from a licensed pharmacy: a different product, carrying no FDA review of safety, efficacy or quality, and not a generic — no generic tirzepatide exists. A high grade here means a well-run compounded program, never that a compounded product is equivalent to the brand. Rows filing a brand-name price are marked BRAND; the trade-off itself is set out in compounded vs. brand-name GLP-1.
Top grade
CoreAge Rx — 91.8/100
Tirzepatide at $149/mo · All 50 states. Cost value carries the score, contributing 23 of its 91.8 points; dose & formulation costs it the most, forfeiting 2.4.
Visit CoreAge Rx ↗| Factor | Score | Weight | Points |
|---|---|---|---|
| Cost value | 92 | 25% | 23 |
| Dose & formulation | 88 | 20% | 17.6 |
| Clinical oversight | 93 | 20% | 18.6 |
| Labs & monitoring | 90 | 15% | 13.5 |
| Fulfillment | 95 | 12% | 11.4 |
| Contract terms | 96 | 8% | 7.7 |
| WeighScore | 100% | 91.8 |
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
The graded ranking — tirzepatide
10 providers that file a tirzepatide line, in ranking order — each printed exactly as filed, including the one whose brand-name price is stated as varying rather than fixed. The bar under each name is that provider's WeighScore split into its six weighted contributions: the wider the segment, the more of the total that factor is carrying.
- Cost value · 25%
- Dose & formulation · 20%
- Clinical oversight · 20%
- Labs & monitoring · 15%
- Fulfillment · 12%
- Contract terms · 8%
- 1A−91.8/100
CoreAge Rx
$149/mo · semaglutide $99/mo · All 50 states
Carries it: cost value (92 × 25% = 23 pts) · Costs it: dose & formulation (12 short × 20% = −2.4 pts)
- 2B+87.8/100
Sesame CareBrand
Brand Zepbound vial $299/mo (2.5 mg), $399 (5 mg), $449 (7.5–15 mg); KwikPen $299 / $399 / $499 / $699 (10–15 mg) — plus Sesame care: $59/mo on the 12-month prepay, otherwise $99 per 28 days · semaglutide Brand Wegovy pill from $149/mo at 1.5 and 4 mg only, $299/mo at 9 and 25 mg — plus Sesame care: $59/mo only on the 12-month prepay, otherwise $99 billed every 28 days (13 charges a year) · Nationwide marketplace
Carries it: cost value (84 × 25% = 21 pts) · Costs it: cost value (16 short × 25% = −4 pts)
- 3B+87/100
ShedRx
$299/mo · semaglutide $199/mo · All 50 states
Carries it: cost value (84 × 25% = 21 pts) · Costs it: cost value (16 short × 25% = −4 pts)
- 4B86.8/100
RxSpan MD
$329/mo · semaglutide From $194/mo · All 50 states
Carries it: cost value (86 × 25% = 21.5 pts) · Costs it: cost value (14 short × 25% = −3.5 pts)
- 5B86.4/100
Trimi
$235/mo month-to-month · $125/mo only on a 12-month prepay ($1,500 in one charge) · semaglutide $175/mo month-to-month · $99/mo only on a 12-month prepay ($1,188 in one charge) · All 50 states
Carries it: cost value (93 × 25% = 23.3 pts) · Costs it: clinical oversight (18 short × 20% = −3.6 pts)
- 6B86.1/100
HealthRX
$239/mo month-to-month ($149 first month, renews at $214) · $179/mo on a 12-month prepay ($2,148) · semaglutide $190/mo month-to-month ($99 first month, renews at $165) · $99/mo on a 12-month prepay ($1,188) · Not publicly listed
Carries it: cost value (85 × 25% = 21.3 pts) · Costs it: cost value (15 short × 25% = −3.8 pts)
- 7B85.4/100
Sunlight.com
$157/mo · semaglutide $88/mo · All 50 states
Carries it: cost value (92 × 25% = 23 pts) · Costs it: dose & formulation (22 short × 20% = −4.4 pts)
- 8B85.4/100
telos rx
$139/mo injectable · $129/mo oral · $116/mo microdosed (microdosing is tirzepatide, not semaglutide) · semaglutide $99/mo injectable — the $49 headline is only the FIRST month of the 12-month prepaid ORAL plan, which renews at $129/mo billed every 48 weeks · Not publicly listed
Carries it: cost value (87 × 25% = 21.8 pts) · Costs it: cost value (13 short × 25% = −3.3 pts)
- 9B84.8/100
Enhance MD
$329 every 4 weeks month-to-month (13 charges a year); $280/mo only on the 12-month prepay · semaglutide $249 every 4 weeks month-to-month (13 charges a year); $212/mo only on the 12-month prepay · Not publicly listed
Carries it: cost value (82 × 25% = 20.5 pts) · Costs it: cost value (18 short × 25% = −4.5 pts)
- 10B83.8/100
yourEra
$299/mo · semaglutide $199/mo · All 50 states
Carries it: cost value (82 × 25% = 20.5 pts) · Costs it: cost value (18 short × 25% = −4.5 pts)
Graded but unpriced. 175 providers we grade publish no tirzepatide figure (AgelessRx, Ro, Amazon One Medical, Hims & Hers, Maves, 9amHealth, Allara Health, eMI Aesthetics, Heva Health, Medi-Weightloss, FeelGood, Calibrate Health, Fidelity Medical Clinic, Noom Med, LillyDirect Foundayo, Dr. Gillis' Wellness Center, Marek Health, Queen RX, Ivologist, TeleHealth Med, Eloria, FuturHealth, Shapely, Enara Health, RestorLife Med, Mixx Health & Wellness, QuickMD, Wisp, Solaya MD, ElixaMD, BodyLogicMD, Eclipse Medical Wellness, LIV by WellNow, JRNYS, FitRx, Meto, Boston Medical Group, TD Tele-Doc Weight Loss, CVS MinuteClinic, 1st Optimal, DadVantage Men's Health, Unique Physique, Call-On-Doc, LunaRx, The Aesthetic Concierge, Klinic, The Virtual NP, WeightWatchers Clinic, Nava Health, Rixa Health, LifespanningRx, ShapeIn Rx, Defy Medical, Florida Weight Loss MD, Peptivo, Human+, RegenCen, Medivive, Virta Health, Metabolyz, Rewinding RX, Thriving Again, Garcia Weight Loss, Aesthetics & Hormone Therapy, Next Vial, Aspire Health, Ravia Health, Actin, Alegro Health, Hello Alpha, SkyRx, Evernow, MDLive, Modern Age, EmbraceRX, FlyteHealth, FORM (by GBY), CaliberRx, Cost Plus Drugs, Chronos Body Health & Wellness, SynergenX Health, Evolve Telemed, Klarity Health, EverFit Medical, Maven Clinic, MEDVidi, Nuform Health, Balanced Hormone Health, Gatlan, LifeMD, Genesis Lifestyle Medicine, MultiMedRx, Näky, Always Wellness and Recovery, Mirabel Meds, Superior Remedies, TRT Kingdom, eMed, TeleFirst Med, Tell Her Doc, Better MedSpa, Nouri, Risen Labs, Believe Health, This Gen Wellness, Ilant Health, Cabana, Hormonally Balanced, Midi Health, RxION Health, Nucific, Omnia TeleHealth, Push Health, Reset Solutions, MD Trim Clinic, TeleSlim Clinic, ElleS, HealthHub, Ascend Medical, AVArx, JM Integrated Health, Teladoc Health, Beluga Health, Strive Pharmacy, Medical Health Institute, Omada Health, Rivas Medical Weight Loss, ZipHealth, JumpstartMD, Trimrose, Dollar Dad Club, NovoCare Pharmacy, Transcarent, Vida Health, Ambiante Health & Wellness, Oxford's Medical Weight Loss (The Calibrate Clinic), Vea Health, Steady State Health, UR Meds, Iron Med RX, TideMedix, Omzo, WeightlessRx, Fridays, G-Plans, Good Life Meds, MyDietDoc, TeleWellnessMD, Wellspring Longevity Clinic, California Trim Clinic, MDExam, Nu Image Medical, Stealth Health, Mojoon, Ways2Well, EllieMD, Empower Pharmacy, Bodyshop Wellness, Walgreens Weight Management, Mochi Health, PRIMO Health Partners, VivioMD, Brello Health, VigorMeds, Vital Harmony Rx, Framework, Wellorithm, myRocky, Lemonaid Health, Refills, Blue Haven RX, Tablet Health, AM Rx, Basal Health, OlleveCare, Kova). They still carry a WeighScore — cost value is graded on what they do disclose — but they cannot be placed on a priced board, and we will not estimate a number for them.
Tirzepatide, graded
- Which tirzepatide provider grades highest?
- CoreAge Rx, at a WeighScore of 91.8/100 (grade A−). That total is the weighted average of its six factor scores — cost value carries the most of it at 23 points, and dose & formulation costs it the most at 2.4 points forfeited. Its tirzepatide line is $149/mo.
- How is the WeighScore calculated?
- Six dimensions, each with a published weight: cost value 25%, dose & formulation 20%, clinical oversight 20%, labs & monitoring 15%, fulfillment 12%, contract terms 8%. Each provider's factor score is multiplied by its weight and the six results are added. Every one of those numbers is printed on this page, so the total is not something you have to take on trust — you can add it up.
- What is the cheapest tirzepatide provider on the scorecard?
- Collective publishes the lowest tirzepatide figure we grade, at $69/mo (plus a required $199/year membership that renews annually) — filed with a condition (plus a required $199/year membership that renews annually), so it is not a flat monthly rate, against $1,499/mo (brand Mounjaro) at Ark Health at the top of the range. Cost value is the heaviest single dimension at 25%, but it is still only 25 points of 100 — which is why the cheapest entry is rarely the top-graded one.
- Is compounded tirzepatide the same as Zepbound or Mounjaro?
- No. Zepbound and Mounjaro are Eli Lilly's FDA-approved brand tirzepatide products, reviewed for safety, efficacy and quality. Most entries here dispense compounded tirzepatide through licensed pharmacies, which carries no such review and is not a generic — there is no generic tirzepatide. Rows filing a brand-name price are marked BRAND.
- Does a commercial relationship change a grade?
- No. The WeighScore is arithmetic on the six factors, and the factors are graded the same way for every provider whether we earn from it or not — a weak mark on a provider we earn from is printed at full strength. Because every factor and every weight is printed above, that is a claim you can audit rather than accept.
Our other scorecards
- What tirzepatide costs per month — the price distribution across every provider here: the median, the range, and every flat rate printed with the condition attached to it.
- Best semaglutide providers — the other molecule on the same six dimensions. Start there if you have not committed to tirzepatide.
- Cheapest GLP-1 providers — the whole roster re-sorted by price instead of grade, so you can see exactly what the cheap end gives up.
- Every scorecard we publish — the index, grouped by what you are trying to decide.
Read next: how the WeighScore is calculated for the weights in full, semaglutide vs. tirzepatide for the trial evidence behind the molecule choice, what compounded GLP-1 costs per month for why the sticker moves, and what the trials show about stopping before you commit to a year of it. Any two providers can go side by side on the comparison tool.
Prices and coverage are each provider's own public disclosures at last review and change without notice. Grades follow our published methodology. Informational, not medical advice; compounded medications are not FDA-approved brand products. See our medical disclaimer.