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Head-to-head · WeighScore

MyStart Health vs Trava Health

MyStart Health
Graded #168

Lower grade

vs+1.5
Trava Health
Graded #144

Higher grade

The verdict

Trava Health takes it — 68.6/100 to 67.1/100, but only just.

Trava Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Houston-based DTC telehealth offering compounded semaglutide+B12 and tirzepatide+B12 through SIX named 503A compounding pharmacy partners disclosed on Trava's own Terms + Telehealth Consent pages… MyStart Health is close behind and may still be the better fit — see the factor split below.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

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

Cost valueTrava Health +32
48
80
Dose & formulationMyStart Health +19
83
64
Clinical oversightMyStart Health +15
84
69
Labs & monitoringMyStart Health +14
66
52
FulfillmentTrava Health +4
78
82
Contract termsTrava Health +24
31
55
MyStart Health · left barTrava Health · right bar

The numbers

MetricMyStart HealthTrava Health
WeighScore67.1/10068.6/100
GradeCC
Scorecard rank#168#144
Semaglutide$299/mo (all doses, compounded)$119/mo (starting dose, compounded)
Tirzepatide$299/mo (all doses, compounded)$198/mo (starting dose, compounded)
CoverageCoverage not publishedAll 50 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
MyStart Health

Graded #168 · C

Strengths

  • Price Lock Guarantee — your $299 base rate doesn't rise as your dose escalates
  • Fast onboarding: roughly 5-minute intake, 24-hour prescription turnaround, 2–4 day shipping
  • 24/7 care team access with unlimited clinician messaging included
  • LegitScript certified
  • Clear Section 503A compounding disclosure on every landing page

Where it loses points

  • Not BBB accredited — C+ rating with 10 complaints, mostly shipping delays and support access
  • Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
  • Markets oral tirzepatide, but no FDA-approved oral tirzepatide exists
  • Very new company (incorporated May 2024) with a limited track record
  • Pharmacy partners not named, so 503A compliance can't be independently verified
Trava Health

Graded #144 · C

Strengths

  • Six named compounding pharmacy partners disclosed in 3rd-party reviews
  • Independent batch testing by Eagle Analytical (FDA-registered lab)
  • Free overnight shipping included
  • No membership fee — pay only for medication
  • HSA/FSA eligible

Where it loses points

  • No LegitScript accreditation badge surfaced
  • BBB F rating with 2 unanswered complaints (BBB file opened 2025-07-07)
  • Clinician roster page returns 404 — no public team listing
  • Founder/CEO not publicly named on site
  • Higher dose pricing gated behind questionnaire (not transparent on public page)

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.

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