Head-to-head · Value Score
CoreAge Rx vs ElixaMD
Two GLP-1 deals, scored on the same six factors. CoreAge Rx lands a Value Score of 81, ElixaMD a 69. Here's what each one really costs past month one — and where each one bites back.
CoreAge Rx
Grade B · Good Value
Advertised price
From $79/mo
From $79/mo (compounded semaglutide; confirm total at checkout)
ElixaMD
Grade C · Watch List
Advertised price
$199/mo after a $99 first month
$199/mo after a $99 first month (compounded semaglutide)
The verdict
CoreAge Rx takes it on Value Score, 81 to 69 — an est. From $79/mo (compounded semaglutide; confirm total at checkout) first month, though we flag its pricing to watch. ElixaMD isn't out of it: Semaglutide shoppers who want coaching and a dietitian in the monthly price, and who will put the 72-hour cancellation deadline in their calendar.
CoreAge Rx is a featured partner of this site. Its advertised prices have checkout conditions, and state eligibility is confirmed during intake.
Deal-by-deal
The numbers that decide it. Green ✓ marks the stronger side on each line.
| Deal | CoreAge Rx | ElixaMD |
|---|---|---|
| Value Score | 81 (B) | 69 (C) |
| Advertised price | From $79/mo (compounded semaglutide; confirm total at checkout) | $199/mo after a $99 first month (compounded semaglutide) |
| Save vs brand self-pay | — | — |
| Semaglutide | From $79/mo (compounded injection; confirm total at checkout) | $199/mo refills ($99 first month during a fall sale, compounded) |
| Tirzepatide | From $129/mo (compounded injection; confirm total at checkout) | Brand Zepbound only, for a membership fee plus a medication cost ElixaMD does not publish |
| Both molecules | Yes | Yes |
| Pricing | Watch | Watch |
| Coverage | U.S., state limits shown at intake | Coverage not published |
Factor by factor
The six factors behind each Value Score. The orange bar marks the stronger side. See the methodology.
CoreAge Rx
CoreAge Rx advertises compounded semaglutide from $79 and tirzepatide from $129 per month, with dose-flat pricing stated in its FAQ. Confirm the total and refund terms before paying.
What's good
- CoreAge Rx publishes separate product prices for both molecules: semaglutide from $79 per month and tirzepatide from $129. That gives you two actual medication offers to compare rather than one generic GLP-1 starting figure.
- CoreAge Rx's FAQ says the price locked in at checkout stays the same in future months regardless of dose increases. I would save that confirmation with the order, because a low starting price matters much more when the prescribed maintenance dose costs the same.
- The product pages state that there are no long-term contracts or membership fees and advertise fast, free delivery. Compare those inclusions with the checkout total; the refund policy separately allows applicable consultation fees and shipping charges if disclosed there.
- CoreAge Rx uses the MD Integrations professional entities for medical care and prescribing. Its FAQ names physicians assigned in California, Massachusetts, Rhode Island and Vermont, giving patients in those states a concrete medical contact to verify.
- CoreAge Rx offers account-based reordering and cancellation, and its help center says optional subscriptions can be managed in the member portal. Check whether your selected purchase is a one-time order or an automatically renewed subscription so the next charge is predictable.
- CoreAge Rx also advertises microdosing products at $79 for semaglutide and $129 for tirzepatide. These are separate lower-dose offers, not a reason to select your own dose or evidence that they work like the doses studied for approved products.
The fine print
- CoreAge Rx's FAQ promises an automatic 100% refund if the clinician declines your prescription, but its refund policy says applicable consultation fees of $50–$100 are nonrefundable. Ask which policy applies to the exact order and how much would be returned before you pay.
- CoreAge Rx's refund policy makes a medication order final once the prescription is approved and sent to the pharmacy, which can happen before shipping. Waiting until the parcel is dispatched may be too late to cancel an order or recover the medication charge. The policy also imposes a 30-day nonrefundable cutoff even when incomplete documentation has prevented fulfillment.
- CoreAge Rx does not publish a complete GLP-1 state list. Its FAQ says therapy-specific state restrictions are confirmed during intake, so a U.S. address alone does not establish that your selected medication is available where you live.
- CoreAge Rx does not name the dispensing pharmacy in its FAQ; it asks patients to contact support. Obtain the pharmacy's legal name, license and contact information before choosing a compounded prescription. The platform's branding does not identify who prepares your medication.
- CoreAge Rx's FAQ says there are no automatic rebills, while its refund policy and help center describe optional automatic renewals. I would confirm the selected purchase option and next charge date rather than treat the general FAQ answer as a guarantee for every order.
- CoreAge Rx offers compounded medication, which is not FDA-approved. Its FAQ says tirzepatide is typically formulated with B12 and that requests without it go to the prescriber. Ask why the exact formulation is appropriate for you; an added vitamin does not itself establish a lawful patient-specific difference.
ElixaMD
ElixaMD sells compounded semaglutide at $199 a month after a $99 first month, with the doctor visit, dietitian coaching and shipping included, plus brand Wegovy and Zepbound for a $99 membership.
What's good
- ElixaMD's compounded semaglutide is $99 for the first month during its fall sale, and refills are locked at $199 a month with no contract.
- The ElixaMD price covers the physician review, a personalized plan, one-on-one guidance, a metabolic report, the medication and free expedited shipping.
- ElixaMD names all three of its compounding pharmacies, with addresses: Triad Rx in Daphne, Alabama, RedRock Pharmacy in St. George, Utah, and Beaker Pharmacy & Compounding in McKinney, Texas.
- Brand-name options too: ElixaMD lists the Wegovy pill, Wegovy injections and Zepbound for a $99 membership plus the cost of the medication.
- Care coaching from medical assistants and registered dietitians, plus around-the-clock messaging, comes with an ElixaMD plan.
- If ElixaMD's clinician disqualifies you for a medical reason, you get a full refund, and canceling within the first 72 hours before any service is delivered is also refunded in full.
- ElixaMD accepts HSA and FSA cards and publishes its full legal set: terms, refunds, privacy practices, medical consent and a patient bill of rights.
The fine print
- To cancel ElixaMD you must email support or use the portal chat at least 72 hours before your next billing date. Miss that window and you are charged for another month.
- ElixaMD does not refund a month that has started on a monthly plan, and shipped medication cannot be returned.
- The $99 ElixaMD first month is a fall-sale price. Budget from the $199 refill price, not the sale.
- ElixaMD sells no compounded tirzepatide. Tirzepatide is available only as brand Zepbound, and ElixaMD does not publish what that medication costs on top of the membership.
- ElixaMD's 'free' dietitian visits carry a footnote: free subject to insurance and copay eligibility, decided at your visit.
- You pay ElixaMD before a clinician meets with you. The OpenLoop Health clinician decides after checkout whether you qualify.
- ElixaMD's own site says some of its text and images may be generated with AI and that people in its ads may be actors or models.
- Compounded semaglutide is not FDA-approved, and ElixaMD does not publish which states it serves.
We earn a commission when you start treatment through some links on this site, at no extra cost to you. It never changes a Value Score.
Neither one the right fit? Every program that outscores CoreAge Rx is ranked on the CoreAge Rx alternatives ranking, and the same list for the other side is on alternatives to ElixaMD.
More head-to-heads
The programs scoring closest to this pair, side by side.
Prices, states and verification reflect each program's public disclosures at last check; the Value Score is our editorial judgment per the methodology. "% vs brand-name self-pay" compares a program's lowest disclosed monthly price against $349/mo, Wegovy's self-pay price at NovoCare Pharmacy, every standard dose after the two-month intro offer (checked October 2026). Prices change — confirm on each provider's site. Not medical advice; see our disclosure.