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Head-to-head · WeighScore

Silhouette MD vs Tonik Wellness

Silhouette MD
Graded #129

Higher grade

vs+0.4000000000000057
Tonik Wellness
Graded #138

Lower grade

The verdict

Silhouette MD takes it — 69.4/100 to 69/100, but only just.

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. Tonik Wellness 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 valueSilhouette MD +24
74
50
Dose & formulationSilhouette MD +11
75
64
Clinical oversightTonik Wellness +10
77
87
Labs & monitoringTonik Wellness +36
54
90
FulfillmentTonik Wellness +3
67
70
Contract termsEven
55
55
Silhouette MD · left barTonik Wellness · right bar

The numbers

MetricSilhouette MDTonik Wellness
WeighScore69.4/10069/100
GradeCC
Scorecard rank#129#138
Semaglutide$149/mo (compounded)$225/mo (compounded)
Tirzepatide$299/mo (compounded)$349/mo (compounded)
CoverageCoverage not publishedCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
Silhouette MD

Graded #129 · 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
Tonik Wellness

Graded #138 · C

Strengths

  • LegitScript verified
  • Lab work required upfront — more rigorous than async-only competitors
  • Live video consult with a named clinician, not just a questionnaire
  • Two named 503A compounding pharmacy partners: Strive Pharmacy and Olympia Pharmacy
  • Named medical director (Joel Jones, DO) and clinical director (Shawn Thurston, FNP)

Where it loses points

  • States served not disclosed — you must go through intake to find out
  • Semaglutide was listed out of stock at time of review
  • FDA compounded-medication disclaimer not found on public pages
  • Several core pages (FAQ, how-it-works, shipping, contact) return 404 errors
  • No published phone number and no insurance/HSA/FSA info

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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