Head-to-head · WeighScore
AVArx vs Nirwana Health
The verdict
Nirwana Health takes it — 66.4/100 to 55.9/100.
Nirwana Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Nirwana Health (nirwanahealth.com) is a telehealth service offering compounded GLP-1 weight loss plus hair, sexual-wellness, and longevity care through licensed providers.
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 | AVArx | Nirwana Health |
|---|---|---|
| WeighScore | 55.9/100 | 66.4/100 |
| Grade | C | C |
| Scorecard rank | #427 | #192 |
| Semaglutide | Not disclosed | $149/mo (compounded) |
| Tirzepatide | Not disclosed | $229/mo (compounded) |
| Coverage | All 50 states | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Yes |
Graded #427 · C
Strengths
- Publishes exactly which states require a live audio or video visit before a prescription, which almost no competitor discloses
- Names its prescribing group, Arora Health & Aesthetics, and gives a medical compliance contact
- Terms state service is available to residents of all 50 states, and the shipping policy matches
- Dates its own editorial reviews on treatment pages
- HSA/FSA accepted with receipts provided for reimbursement
Where it loses points
- No price is published anywhere on the site, on treatment pages or in the intake, so you cannot compare before starting a visit
- Never states whether its semaglutide and tirzepatide are compounded or brand-name
- No dispensing pharmacy is named, only licensed pharmacies in our network
- Cancellation terms are not published, only presented at checkout
- Prescriptions cannot be returned once dispensed, and the refund policy is otherwise unstated
Graded #192 · C
Strengths
- Offers compounded semaglutide and tirzepatide as both weekly injections and oral tablets
- Transparent, published pricing with month-to-month, quarterly, and 6-month plans and no membership fee
- Multi-month plans cut the per-month cost sharply (semaglutide as low as $99/mo, tirzepatide as low as $133/mo)
- Advertises a $50-off code (LOOSE50) and covers weight loss plus hair, sexual-wellness, and longevity care
- Also lists a retatrutide option and custom dosing plans for higher needs
Where it loses points
- Prescribing medical group and compounding pharmacy are not named on the site
- States of operation are not published; confirm eligibility during intake
- Says it is 'LegitScript certified' but no verifiable seal is shown, so the claim is unconfirmed
- Compounded semaglutide and tirzepatide are not FDA-approved finished products
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.