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Head-to-head dispatch

MadeMed vs Näky

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 #14Desk pick
MadeMed

Publishes its price at every single dose, so what month six costs is knowable on day one.

Marked down on: The most expensive tirzepatide here at $399/mo quarterly

vs
Dispatch #466
Näky

Näky is a LegitScript-approved telehealth platform offering compounded semaglutide and tirzepatide alongside an uncommon oral semaglutide drops product and a separate GLP-1 microdose program, plus NAD+ and…

Marked down on: Ongoing monthly pricing for compounded semaglutide and tirzepatide isn't shown until intake

MadeMed takes this head-to-head with the higher Desk Score, 86/100 (B) against 46/100 (C) for Näky. Näky 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.

MadeMed

86/100

B

Overall

Näky

46/100

C

Price transparency

95
20

State access

78
24

Molecule range

90
51

Onboarding speed

85
77

Support responsiveness

80
69

Licensing & trust

90
71

The spec sheet

FieldMadeMedNäky
Semaglutide$239/mo quarterly (from $199/mo on 6 months)Not disclosed
Tirzepatide$399/mo quarterly (from $369/mo on 6 months)Not disclosed
Coverage40 statesCoverage not published
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forAnyone who expects to titrate and wants the eventual cost visible before starting.Readers who want compounded oral semaglutide drops plus a microdose program.
Desk Score86/100B46/100C

The verdict

Desk pick — MadeMed

MadeMed takes this head-to-head with the higher Desk Score, 86/100 (B) against 46/100 (C) for Näky. Näky still holds its ground where its strengths line up with yours.

Choose MadeMed if…

Anyone who expects to titrate and wants the eventual cost visible before starting.

$239/mo quarterly (from $199/mo on 6 months) sema · $399/mo quarterly (from $369/mo on 6 months) tirz · 40 states

Choose Näky if…

Readers who want compounded oral semaglutide drops plus a microdose program.

Not disclosed sema · Not disclosed 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: MadeMed · Näky.

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

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.