Head-to-head · WeighScore
Idgie Health vs Silhouette MD
The verdict
Idgie Health takes it — 75.4/100 to 69.4/100.
Idgie Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Publishes the amount billed today at every rung and names its 503A class — then describes a recurring Membership Fee only in the Terms.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Idgie Health | Silhouette MD |
|---|---|---|
| WeighScore | 75.4/100 | 69.4/100 |
| Grade | C | C |
| Scorecard rank | #58 | #141 |
| Semaglutide | $149/mo month-to-month ($114 only on a 6-month prepay) | $149/mo (compounded) |
| Tirzepatide | $229/mo month-to-month ($171 only on a 6-month prepay) | $299/mo (compounded) |
| Coverage | A state-availability page is published | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Yes |
Graded #58 · C
Strengths
- Every rung carries the figure billed today — $387 at three months, $687 at six on semaglutide — not just a per-month number
- States the pharmacy class plainly: prescriptions ship from a licensed U.S. 503A pharmacy
- Names its operating entity, Feel Better Health Group, LLC, in the page footer rather than only in the Terms
- The plan covers the provider evaluation, all injection supplies, dose titration, unlimited provider messaging and free shipping
- An oral semaglutide and two microdose lines sit beside the injection
Where it loses points
- Both headlines are the six-month prepay: "From $114" against $149, and "From $171" against $229
- The Terms describe a recurring Membership Fee and exclude the online visit and labs from it, while the pricing page never uses the word and promises no hidden fees
- The same Terms name an Idgie Health Pharmacy Network and a Bask Pharmacy Network without dividing the work between them
- The semaglutide card says "all doses"; the tirzepatide card does not
Graded #141 · 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 544 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.