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Head-to-head dispatch

Ondra Health vs Silhouette MD

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 #4Desk pick
Ondra Health

Near-rock-bottom pricing paired with brand access and 50-state reach — a value standout a budget-first reader may rank #1.

vs
Dispatch #376
Silhouette MD

Concierge-style GLP-1 telehealth offering compounded semaglutide and tirzepatide in both injectable and oral forms, with provider oversight and full-service support included on every plan.

Ondra Health takes this head-to-head with the higher Desk Score, 90/100 (A−) against 54/100 (C) for Silhouette MD. Silhouette MD 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

90/100

A−

Overall

Silhouette MD

54/100

C

Price transparency

94
30

State access

96
24

Molecule range

90
77

Onboarding speed

85
72

Support responsiveness

83
79

Licensing & trust

90
73

The spec sheet

FieldOndra HealthSilhouette MD
Semaglutide$93/mo$149/mo (compounded)
Tirzepatide$166/mo$299/mo (compounded)
CoverageAll 50 statesCoverage not published
Brand-nameYesCompounded only
Oral optionInjectable onlyYes
Best forCost-conscious patients who still want brand-name capability and nationwide coverage.People who want hands-on concierge support alongside compounded GLP-1 treatment.
Desk Score90/100A−54/100C

The verdict

Desk pick — Ondra Health

Ondra Health takes this head-to-head with the higher Desk Score, 90/100 (A−) against 54/100 (C) for Silhouette MD. Silhouette MD still holds its ground where its strengths line up with yours.

Choose Ondra Health if…

Cost-conscious patients who still want brand-name capability and nationwide coverage.

$93/mo sema · $166/mo tirz · All 50 states

Choose Silhouette MD if…

People who want hands-on concierge support alongside compounded GLP-1 treatment.

$149/mo (compounded) sema · $299/mo (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: Ondra Health · Silhouette MD.

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.