Head-to-head · WeighScore
Ascend Vitality vs Green Cap Health
The verdict
Green Cap Health takes it — 63.2/100 to 60.9/100.
Green Cap Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Green Cap Health is a Texas-only telehealth practice with a vertically integrated model: it is both the prescribing clinical practice and the in-house compounding pharmacy.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Ascend Vitality | Green Cap Health |
|---|---|---|
| WeighScore | 60.9/100 | 63.2/100 |
| Grade | C | C |
| Scorecard rank | #307 | #258 |
| Semaglutide | $199/mo (compounded) | $129/mo (6-month plan, compounded) |
| Tirzepatide | $299/mo (compounded) | $199/mo (6-month plan, compounded) |
| Coverage | Coverage not published | 1 state |
| 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 #258 · C
Strengths
- Vertically integrated: the prescribing practice and the compounding pharmacy are the same company, so the supply chain is short and named
- Same-day provider review and 1-3 day discreet shipping
- The full commitment ladder is published, so the month-to-month rate and the six-month rate can be compared directly
Where it loses points
- The advertised $2.63-a-day and $79 first-month figures do not correspond to any purchasable plan; the cheapest real rates are $129/mo semaglutide and $199/mo tirzepatide, both on six-month commitments, and month-to-month is $179 and $279
- The terms disclose a separate Weight Management Program Membership Fee, charged periodically on top of the plan and revealed only during checkout — it appears on no product page
- The terms also state recurring fees are charged in advance without seeking any additional authorisation
- Service is Texas-only, so nothing here is available to a reader outside that state
- The site's terms link out to lifemd.com's terms — the legal text is another company's
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.