Head-to-head dispatch
GOAL.MD vs OnlyRx
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.
Desk Score
GOAL.MD is a St. Louis-based telehealth platform offering compounded semaglutide alongside brand-name bridges to Ozempic, Wegovy, and Zepbound. Its standout is a manual-renewal model — no auto-billing
Marked down on: No named compounding pharmacy partner
Desk Score
OnlyRx is a cash-pay GLP-1 telehealth platform offering compounded semaglutide and tirzepatide in both injection and oral disintegrating tablet (ODT) forms — an uncommon needle-free option.
Marked down on: Promo pricing ($179 semaglutide injection) is prominent, but post-promo maintenance pricing isn't shown
GOAL.MD takes this head-to-head with the higher Desk Score, 80/100 (B−) against 65/100 (C) for OnlyRx. OnlyRx 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.
GOAL.MD
80/100
B−
OnlyRx
65/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | GOAL.MD | OnlyRx |
|---|---|---|
| Semaglutide | $179/mo | $179/mo (starting dose, promotional rate, compounded) |
| Tirzepatide | $249/mo (starting dose, compounded) | $249/mo (starting dose, compounded) |
| Coverage | All 50 states | Coverage not published |
| Brand-name | Yes | Yes |
| Oral option | Yes | Yes |
| Best for | Readers who want manual-renewal billing with dose-tiered brand-name pricing transparency. | Readers who want compounded GLP-1 in oral-tablet and injection with named prescribers. |
| Desk Score | 80/100B− | 65/100C |
The verdict
Desk pick — GOAL.MDGOAL.MD takes this head-to-head with the higher Desk Score, 80/100 (B−) against 65/100 (C) for OnlyRx. OnlyRx still holds its ground where its strengths line up with yours.
Choose GOAL.MD if…
Readers who want manual-renewal billing with dose-tiered brand-name pricing transparency.
$179/mo sema · $249/mo (starting dose, compounded) tirz · All 50 states
Choose OnlyRx if…
Readers who want compounded GLP-1 in oral-tablet and injection with named prescribers.
$179/mo (starting dose, promotional rate, compounded) sema · $249/mo (starting dose, compounded) tirz · Coverage not published
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: GOAL.MD · OnlyRx.
Also here
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
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- GOAL.MD vs Invigor Medical
- OnlyRx vs Vytora Health
Or see the full comparison hub and the complete ranking.
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.