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Head-to-head · WeighScore

Blue Haven RX vs Direct Meds

Blue Haven RX
Graded #489

Lower grade

vs+31.799999999999997
Direct Meds
Graded #19

Higher grade

The verdict

Direct Meds takes it — 82.6/100 to 50.8/100.

Direct Meds grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. One of the few programs offering an oral/sublingual route alongside injectable — semaglutide from ~$179 sublingual (~$297 injectable), tirzepatide ~$224/$399, with an intro promo near $147, all-inclusive and no membership.

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.

Cost valueDirect Meds +40
45
85
Dose & formulationDirect Meds +48
40
88
Clinical oversightDirect Meds +11
69
80
Labs & monitoringDirect Meds +27
51
78
FulfillmentDirect Meds +9
71
80
Contract termsDirect Meds +60
20
80
Blue Haven RX · left barDirect Meds · right bar

The numbers

MetricBlue Haven RXDirect Meds
WeighScore50.8/10082.6/100
GradeCB−
Scorecard rank#489#19
SemaglutideNot disclosed$179/mo
TirzepatideNot disclosed$224/mo
CoverageCoverage not publishedNot publicly listed
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes
Blue Haven RX

Graded #489 · C

Strengths

  • Flat all-inclusive pricing — consult, prescription, medication and free shipping
  • Not charged until a US-licensed physician approves your prescription
  • Named operating entity disclosed (Eternum Health LLC)
  • Both compounded semaglutide and tirzepatide listed as in-stock

Where it loses points

  • Mixed third-party reviews — Trustpilot complaints on customer service and dosing
  • Doesn't publish the states it serves or specific pharmacy partners
  • No clearly verifiable accreditation badge (e.g. LegitScript) on the site
  • Compounded semaglutide and tirzepatide only — no brand-name or oral options
Direct Meds

Graded #19 · B−

Strengths

  • Rare oral/sublingual option in addition to injectable
  • All-inclusive pricing with no separate membership fee
  • Both molecules — semaglutide and tirzepatide
  • Intro promotional pricing near $147

Where it loses points

  • Compounded only — not FDA-approved
  • Pricing is company-stated, not independently live-verified
  • Newer and somewhat ambiguous (operates across multiple domains)
  • States served are not disclosed

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.

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