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Head-to-head · WeighScore

Direct Meds vs Effecty

Direct Meds
Graded #27

Lower grade

vs+2
Effecty
Graded #15

Higher grade

The verdict

Effecty takes it — 84/100 to 82/100, but only just.

Effecty grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Mid-market pricing offset by brand-name access and LegitScript verification, all 50 states. Direct Meds is close behind and may still be the better fit — see the factor split below.

Assume any provider we list may compensate us — we may earn a commission at no cost to you. It never changes the WeighScore.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueDirect Meds +5
85
80
Dose & formulationDirect Meds +4
88
84
Clinical oversightEffecty +5
80
85
Labs & monitoringEffecty +6
78
84
FulfillmentEffecty +7
80
87
Contract termsEffecty +6
80
86
Direct Meds · left barEffecty · right bar

The numbers

MetricDirect MedsEffecty
WeighScore82/10084/100
GradeB−B
Scorecard rank#27#15
Semaglutide$179/mo$160/mo
Tirzepatide$224/mo$240/mo
CoverageNot publicly listedAll 50 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesInjection only
Direct Meds

Graded #27 · 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
Effecty

Graded #15 · B

Strengths

  • Brand-name access
  • LegitScript-verified, all 50 states
  • Both molecules

Where it loses points

  • Higher pricing ($160/$240)
  • Injection-only
  • Not a value leader

Also worth a look

Neither is our top-graded pick — CoreAge Rx leads the scorecard

Across all 31 providers, CoreAge Rx grades highest at 94/100 (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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