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Head-to-head · WeighScore

bmiMD vs Silhouette MD

bmiMD
Graded #26

Higher grade

vs+14.599999999999994
Silhouette MD
Graded #123

Lower grade

The verdict

bmiMD takes it — 84/100 to 69.4/100.

bmiMD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Among the cheapest both-molecule pairings ($99/$139), nationwide — but not LegitScript-listed.

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 valuebmiMD +20
94
74
Dose & formulationbmiMD +5
80
75
Clinical oversightbmiMD +2
79
77
Labs & monitoringbmiMD +24
78
54
FulfillmentbmiMD +19
86
67
Contract termsbmiMD +28
83
55
bmiMD · left barSilhouette MD · right bar

The numbers

MetricbmiMDSilhouette MD
WeighScore84/10069.4/100
GradeBC
Scorecard rank#26#123
Semaglutide$99/mo$149/mo (compounded)
Tirzepatide$139/mo$299/mo (compounded)
CoverageAll 50 statesCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes
bmiMD

Graded #26 · B

Strengths

  • $99 sema / $139 tirz
  • All 50 states
  • Both molecules

Where it loses points

  • Not LegitScript-verified
  • Injection-only
  • Thin oversight/monitoring detail
Silhouette MD

Graded #123 · C

Strengths

  • Compounded semaglutide and tirzepatide in both injectable and oral formulations
  • Concierge-level support — monitoring, expert guidance, and check-ins included on every plan
  • Transparent, published pricing starting at $149/mo for semaglutide injection
  • Prescriptions issued and fulfilled by licensed clinical partner OpenLoop Health

Where it loses points

  • Tirzepatide ($299/mo) and oral options ($263–$325/mo) priced above many compounded competitors
  • State availability not published
  • Newer brand with limited independent review history
  • Medications are compounded, not FDA-approved brand-name

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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