Head-to-head · WeighScore
MDLive vs tru Weight Loss
The verdict
tru Weight Loss takes it — 58.9/100 to 58.8/100, but only just.
tru Weight Loss grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. tru Weight Loss (truhealthnow) is a physician-directed telehealth program prescribing compounded semaglutide and tirzepatide, shipped from US-licensed compounding pharmacies. 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 | tru Weight Loss |
|---|---|---|
| WeighScore | 58.8/100 | 58.9/100 |
| Grade | C | C |
| Scorecard rank | #358 | #356 |
| Semaglutide | Not disclosed | $299/mo (all doses, 3-month plan, compounded) |
| Tirzepatide | Not disclosed | $399/mo (all doses, 3-month plan, compounded) |
| Coverage | Coverage not published | Coverage not published |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #358 · 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 #356 · C
Strengths
- Flat, transparent pricing (299/mo semaglutide, 399/mo tirzepatide)
- All-inclusive: consult, lab work, medication delivery, nutritionist and behavioral coaching
- Directed by a named physician (Neha Grover, MD) from a physical clinic
Where it loses points
- Requires a 3-month commitment before you can cancel
- States served are not specified and the dispensing pharmacy is not named
- Does not accept insurance, HSA, or FSA
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.