Head-to-head · WeighScore
Ascend Vitality vs Coby Health
The verdict
Coby Health takes it — 66/100 to 60.9/100.
Coby Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Chicago/Springfield IL DTC telehealth marketplace (Coby Health LLC, BBB file opened 3/2025) offering compounded semaglutide from $99/mo (6-mo bundle, 0.25mg) and compounded tirzepatide from $179/mo (6-mo…
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.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Ascend Vitality | Coby Health |
|---|---|---|
| WeighScore | 60.9/100 | 66/100 |
| Grade | C | C |
| Scorecard rank | #307 | #210 |
| Semaglutide | $199/mo (compounded) | $159/mo (0.25 mg dose, compounded) |
| Tirzepatide | $299/mo (compounded) | $239/mo (2.5 mg dose, compounded) |
| Coverage | Coverage not published | 46 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #307 · C
Strengths
- Both injectable and needle-free oral tablet forms of semaglutide and tirzepatide
- LegitScript certified
- Transparent cash-pay pricing with cancel-anytime subscription
- Legal entity and address publicly disclosed (Ascend Vitality LLC, Sheridan, WY)
Where it loses points
- All medications are compounded — FDA does not review compounded drugs for safety/effectiveness
- No named compounding pharmacy partner disclosed
- No public state-by-state availability list (homepage cites exclusions: LA, MS, KS, NM, WV)
- Per-dose/titration pricing not published; only 'starting at' prices shown
Graded #210 · C
Strengths
- LegitScript Certified (seal 38387067)
- No membership fee
- Aggressive 6-month bundle pricing
- Beluga Health P.A. clinical network — board-certified, 50-state licensure
- Trustpilot 4.9/5 (~83 reviews)
Where it loses points
- Does NOT publicly name compounding pharmacy partner(s) — transparency gap vs Belle/Joi+Blokes
- Compounded medications are not FDA-approved
- Tirzepatide pricing escalates steeply ($439/mo at 15mg monthly)
- $50 non-refundable cancellation fee
- No oral GLP-1 options
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.