Head-to-head · WeighScore
Coby Health vs Direct Meds
The verdict
Direct Meds takes it — 82.6/100 to 66/100.
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.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Coby Health | Direct Meds |
|---|---|---|
| WeighScore | 66/100 | 82.6/100 |
| Grade | C | B− |
| Scorecard rank | #210 | #19 |
| Semaglutide | $159/mo (0.25 mg dose, compounded) | $179/mo |
| Tirzepatide | $239/mo (2.5 mg dose, compounded) | $224/mo |
| Coverage | 46 states | Not publicly listed |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Yes |
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
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.