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Head-to-head dispatch

Direct Meds vs Effecty

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Dispatch #23
Direct Meds

A rare compounded desk offering both sublingual drops and injectable on either molecule, at all-inclusive no-membership pricing.

vs
Dispatch #7Desk pick
Effecty

Below-market pricing with brand access across all 50 states — a clean, no-frills value option.

Effecty takes this head-to-head with the higher Desk Score, 89/100 (B+) against 82/100 (B−) for Direct Meds. Direct Meds still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

Direct Meds

82/100

B−

Overall

Effecty

89/100

B+

Price transparency

78
88

State access

55
96

Molecule range

88
90

Onboarding speed

80
84

Support responsiveness

76
82

Licensing & trust

68
90

The spec sheet

FieldDirect MedsEffecty
Semaglutide$179/mo$160/mo
Tirzepatide$224/mo$240/mo
CoverageNot publicly listedAll 50 states
Brand-nameCompounded onlyYes
Oral optionYesInjectable only
Best forPatients who want a needle-free sublingual option, or the choice between drops and injection, without a membership fee.Patients who want affordable brand-capable care nationwide without extra program layers.
Desk Score82/100B−89/100B+

The verdict

Desk pick — Effecty

Effecty takes this head-to-head with the higher Desk Score, 89/100 (B+) against 82/100 (B−) for Direct Meds. Direct Meds still holds its ground where its strengths line up with yours.

Choose Direct Meds if…

Patients who want a needle-free sublingual option, or the choice between drops and injection, without a membership fee.

$179/mo sema · $224/mo tirz · Not publicly listed

Choose Effecty if…

Patients who want affordable brand-capable care nationwide without extra program layers.

$160/mo sema · $240/mo tirz · All 50 states

Assume any provider we list may compensate us — it never changes the Desk Score. Read full breakdowns: Direct Meds · Effecty.

Also on the board

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

Or see the full comparison hub and the complete board.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.