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Head-to-head comparison

Ondra Health vs Trellis Vitality

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 #50
Trellis Vitality

Trellis Vitality prices both molecules flat at every dose before intake and names its pharmacy and prescriber, while its own GLP-1 FAQ contradicts the all-50-states banner above it.

From $150/mo sema · From $199/mo tirz · Verified September 2026

Marked down on: The banner says all 50 states while the GLP-1 program's own FAQ says it is not offered in every state, naming Connecticut, Ohio and South Carolina.

Ondra Health takes this head-to-head with the higher Desk Score, 91/100 (A−) against 81/100 (B−) for Trellis Vitality. Trellis Vitality 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

Trellis Vitality

81/100

B−

Price transparency

94
94

State access

96
86

Molecule range

90
66

Onboarding speed

85
78

Support responsiveness

83
73

Licensing & trust

90
83

The spec sheet

FieldOndra HealthTrellis Vitality
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 injectableFrom $150/moFrom $150/mo (all doses, compounded)
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 injectableFrom $199/moFrom $199/mo (all doses, compounded)
CoverageAll 50 states and Puerto RicoAll 50 states claimed; GLP-1 not offered in every state
Brand-nameCompounded onlyCompounded only
Oral optionInjectable onlyInjectable only
Best forAnyone who wants to know which pharmacy fills the vial before they pay, and is fine with a weekly injection.Anyone who wants a flat dose price and will check whether their state is one the GLP-1 program actually covers.
Desk Score91/100A−81/100B−

The verdict

Desk pick — Ondra Health

Ondra Health takes this head-to-head with the higher Desk Score, 91/100 (A−) against 81/100 (B−) for Trellis Vitality. Trellis Vitality 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 Trellis Vitality if…

Anyone who wants a flat dose price and will check whether their state is one the GLP-1 program actually covers.

From $150/mo sema · From $199/mo tirz · All 50 states claimed; GLP-1 not offered in every state

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 · Trellis Vitality.

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.