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Head-to-head · WeighScore

Silhouette MD vs TideMedix

Silhouette MD
Graded #123

Higher grade

vs+15.100000000000009
TideMedix
Graded #457

Lower grade

The verdict

Silhouette MD takes it — 69.4/100 to 54.3/100.

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.

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 valueSilhouette MD +29
74
45
Dose & formulationSilhouette MD +35
75
40
Clinical oversightSilhouette MD +3
77
74
Labs & monitoringSilhouette MD +2
54
52
FulfillmentSilhouette MD +4
67
63
Contract termsTideMedix +6
55
61
Silhouette MD · left barTideMedix · right bar

The numbers

MetricSilhouette MDTideMedix
WeighScore69.4/10054.3/100
GradeCC
Scorecard rank#123#457
Semaglutide$149/mo (compounded)Not disclosed
Tirzepatide$299/mo (compounded)Not disclosed
CoverageCoverage not publishedCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
Silhouette MD

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
TideMedix

Graded #457 · C

Strengths

  • Offers both semaglutide and tirzepatide GLP-1 weight care
  • Treatment only after licensed-provider review when clinically appropriate
  • Fully online assessment — no in-person visit required
  • Published patient-care phone line: (833) 365-5589

Where it loses points

  • Pricing not published on the site — shown only during intake
  • Prescribing medical group and pharmacy partner not named publicly
  • LegitScript certification claimed via a self-hosted badge; not independently verifiable
  • Medication form (compounded vs brand) not stated on the site
  • Once shipped, all sales are final — no refunds on prescriptions

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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