Head-to-head · WeighScore
MDLive vs SkyRx
The verdict
SkyRx takes it — 58.9/100 to 58.8/100, but only just.
SkyRx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. SkyRx (sky-rx.co) is a US telehealth weight-loss program offering compounded semaglutide as an injection or oral drops, with compounded tirzepatide listed as coming soon. MDLive is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | MDLive | SkyRx |
|---|---|---|
| WeighScore | 58.8/100 | 58.9/100 |
| Grade | C | C |
| Scorecard rank | #357 | #353 |
| Semaglutide | Not disclosed | $199/mo (all doses, 12-month plan, compounded) |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Injection only | Yes |
Graded #357 · C
Strengths
- Prescribes FDA-approved branded GLP-1s including Wegovy and Zepbound
- Covered through insurance and employer benefits for 50M-plus people
- Board-certified physicians averaging about 15 years of experience
- Part of Evernorth/Cigna, a large established healthcare organization
- Offers full primary care, not just a single weight-loss funnel
Where it loses points
- GLP-1s only at clinician discretion in a Primary Care routine visit
- Anti-obesity meds not available in FL, LA, MS or NJ
- Distributed mainly via insurers and employers; cost varies by plan
- No transparent published monthly cash price for GLP-1 care
Graded #353 · C
Strengths
- All-inclusive 199 dollars per month covers medication, supplies, doctor visit and shipping
- Offers both injectable and oral semaglutide, dispensed by FDA-registered 503B pharmacies
- Same-day shipping for orders before 2pm ET in temperature-controlled packaging
Where it loses points
- 199 dollars pricing requires a 12-month subscription paid upfront
- Tirzepatide only listed as coming soon
- GLP-1s not yet available in all 50 states; specific states not listed
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.