Head-to-head · WeighScore
Heros Health vs Silhouette MD
The verdict
Silhouette MD takes it — 69.4/100 to 66.3/100.
Silhouette MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Concierge-style GLP-1 telehealth offering compounded semaglutide and tirzepatide in both injectable and oral forms, with provider oversight and full-service support included on every plan.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Heros Health | Silhouette MD |
|---|---|---|
| WeighScore | 66.3/100 | 69.4/100 |
| Grade | C | C |
| Scorecard rank | #190 | #123 |
| Semaglutide | $199/mo (compounded) | $149/mo (compounded) |
| Tirzepatide | $199/mo (compounded) | $299/mo (compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Yes |
Graded #190 · C
Strengths
- Compounded semaglutide and tirzepatide on a flat program price, not tiered by dose
- Transparent pricing: $149 first month, then $199/mo (or $165/mo on the 3-month plan)
- 90-day money-back guarantee on GLP-1 treatment
- Dose adjustments at weeks 2, 4, and 8 included at no extra cost
- Named board-certified physicians (Dr. Amber Patel, Dr. Scott Sanderson, Dr. Scott Nass)
Where it loses points
- Compounded GLP-1s are not FDA-approved finished products
- Specific 503A pharmacy partner is not named publicly
- State coverage is stated inconsistently on the site (claims both 50 and 46 states)
- No insurance billing — cash-pay only
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.