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Head-to-head comparison

Ondra Health vs Optimized Health

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.

Ranked #3Desk pick
Ondra Health

Compounded semaglutide from $149 a month and tirzepatide from $219 month-to-month, one price at every dose, with every dispensing pharmacy named on the site.

$149/mo sema · $219/mo tirz · Verified August 2026

Marked down on: Injectable only — no oral route

vs
Ranked #70
Optimized Health

Verified and oral-capable, but availability is limited to five states — a narrow-reach specialist.

$200/mo sema · $250/mo tirz

Marked down on: Only five states served

Ondra Health takes this head-to-head with the higher Desk Score, 91/100 (A−) against 79/100 (C+) for Optimized Health. Optimized Health 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.

Ondra Health

91/100

A−

Overall

Optimized Health

79/100

C+

Price transparency

94
82

State access

96
55

Molecule range

90
90

Onboarding speed

85
82

Support responsiveness

83
82

Licensing & trust

90
88

The spec sheet

FieldOndra HealthOptimized Health
Semaglutide$149/mo$149/mo month-to-month; $113/mo billed quarterly ($339); $108/mo on a 6-month plan ($649 up front); $96/mo on a 12-month plan ($1,149 up front); same price at every dose; compounded injectable$200/mo$200/mo
Tirzepatide$219/mo$219/mo month-to-month; $183/mo billed quarterly ($549); $167/mo on a 6-month plan ($999 up front); $142/mo on a 12-month plan ($1,699 up front); same price at every dose; compounded injectable$250/mo$250/mo
CoverageAll 50 states and Puerto RicoMO, IA, KS, UT, WA
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyYes
Best forAnyone who wants to know which pharmacy fills the vial before they pay, and is fine with a weekly injection.Patients in MO, IA, KS, UT, or WA who want a verified, oral-capable program.
Desk Score91/100A−79/100C+

The verdict

Desk pick — Ondra Health

Ondra Health takes this head-to-head with the higher Desk Score, 91/100 (A−) against 79/100 (C+) for Optimized Health. Optimized Health still holds its ground where its strengths line up with yours.

Choose Ondra Health if…

Anyone who wants to know which pharmacy fills the vial before they pay, and is fine with a weekly injection.

$149/mo sema · $219/mo tirz · All 50 states and Puerto Rico

Choose Optimized Health if…

Patients in MO, IA, KS, UT, or WA who want a verified, oral-capable program.

$200/mo sema · $250/mo tirz · MO, IA, KS, UT, WA

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Ondra Health · Optimized Health.

Also here

CoreAge Rx leads the whole ranking at 94/100

Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.

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.