Edition date 2026-10-21

Telehealth Ledger Score

The score compares verified offers that already appear on the homepage. It uses the catalog price, the state record, whether fees are written down, and how recently the price was checked. It is not a clinical rating, a patient review, or a Schema.org aggregate rating.

Formula

Four parts, 25 points each. The published score is the sum rounded to the nearest integer. Halves round away from zero, which is what Math.round does for positive numbers. The result is clamped to 0–100.

  1. Price versus the median comparison price of the same medication. The ratio is the median divided by the offer price, capped at 2. Points are that ratio divided by 2, then multiplied by 25. An offer at the median scores 12.5. An offer at half the median or below scores 25. An offer at twice the median scores 6.25, and a higher price scores less.
  2. States. A recorded all-states offer scores 25. A restricted offer scores 25 times (50 minus the number of blocked states) divided by 50. An unverified state record scores 0. That zero is not a claim that the provider covers no states.
  3. Transparency, in three equal thirds of 25. The price is disclosed on every ledger row. Medication inclusion scores only when the offer record says whether medication is included. A separate fee scores only when the monthly service fee or the first-month service fee is a number, including zero. Silence is not recorded as “no fee.”
  4. Freshness, measured against 2026-10-21. 14 days or fewer scores 25, 30 or fewer scores 18, 45 or fewer scores 12, 60 or fewer scores 6, and older than 60 scores 0.

A medication section score is the median of every offer score in that medication, including rows hidden by a homepage filter. A provider score is the median of that provider’s ledger rows. A treatment score is the median of rows with that treatment. Medians of an even count are the mean of the two middle scores, then rounded.

The homepage comparison and the treatment and provider pages use this edition.Price collection and publication rules

Inputs for this edition

102 verified comparison rows. The same function builds the homepage.

Telehealth Ledger Score inputs and parts for each verified homepage offer, edition 2026-10-21.
ProviderMedicationPriceMedianStatesBlockedFee recordedVerifiedPriceStatesTransparencyFreshnessScore
yourEraCompounded Semaglutide month-to-month, compounded (not FDA-approved)$89$224.00unverified0no2026-10-22 (-1 days)25.000.0016.6725.0067
CoreAge RxNAD+ injectable, compounded (not FDA-approved)$93$199.00unverified0no2026-10-22 (-1 days)25.000.0016.6725.0067
CoreAge RxNAD+ nasal spray, compounded (not FDA-approved)$93$199.00unverified0no2026-10-22 (-1 days)25.000.0016.6725.0067
CoreAge RxOvernight Rebound sermorelin, compounded (not FDA-approved)$99$179.00unverified0no2026-10-20 (1 days)22.600.0016.6725.0064
Live VitalGlutathione, compounded (not FDA-approved)$99$149.00all-states0no2026-10-22 (-1 days)18.8125.0016.6725.0085
SnagRXCompounded semaglutide injection, compounded (not FDA-approved)$99$224.00restricted1no2026-10-22 (-1 days)25.0024.5016.6725.0091
Strut HealthCompounded Sermorelin Oral, compounded (not FDA-approved)$99$179.00restricted1no2026-10-20 (1 days)22.6024.5016.6725.0089
Oak LongevityCompounded GLP-1, compounded (not FDA-approved)$119$224.00unverified0no2026-10-21 (0 days)23.530.0016.6725.0065
Strut HealthCompounded Sermorelin Injectable, compounded (not FDA-approved)$119$179.00restricted1no2026-10-20 (1 days)18.8024.5016.6725.0085
bmiMDSermorelin tablets, compounded (not FDA-approved)$129$179.00unverified0no2026-10-20 (1 days)17.340.0016.6725.0059
Bodybuilding Health+NAD+ injection, compounded (not FDA-approved)$129$199.00unverified0no2026-10-22 (-1 days)19.280.0016.6725.0061
Strut HealthCompounded Semaglutide Injectable, compounded (not FDA-approved)$129$224.00restricted1no2026-10-22 (-1 days)21.7124.5016.6725.0088
yourEraCompounded Tirzepatide month-to-month, compounded (not FDA-approved)$129$299.00unverified0no2026-10-22 (-1 days)25.000.0016.6725.0067
bmiMDSermorelin injection, compounded (not FDA-approved)$139$179.00unverified0no2026-10-20 (1 days)16.100.0016.6725.0058
Live VitalNAD+, compounded (not FDA-approved)$149$199.00all-states0no2026-10-22 (-1 days)16.6925.0016.6725.0083
MyDrHankGlutathione Injection, compounded (not FDA-approved)$149$149.00unverified0no2026-10-21 (0 days)12.500.0016.6725.0054
PlexusDxSemaglutide Injection, compounded (not FDA-approved)$149$224.00all-states0no2026-10-22 (-1 days)18.7925.0016.6725.0085
PlexusDxSemaglutide Oral, compounded (not FDA-approved)$149$249.00all-states0no2026-10-22 (-1 days)20.8925.0016.6725.0088
SnagRXCompounded tirzepatide injection, compounded (not FDA-approved)$149$299.00restricted1no2026-10-22 (-1 days)25.0024.5016.6725.0091
Strut HealthNAD+ injection, compounded (not FDA-approved)$149$199.00restricted1no2026-10-22 (-1 days)16.6924.5016.6725.0083
Strut HealthTirzepatide injection, compounded (not FDA-approved)$149$299.00restricted1no2026-10-22 (-1 days)25.0024.5016.6725.0091
System LabsGlutathione, compounded (not FDA-approved)$139–$149$149.00all-states0no2026-10-21 (0 days)12.5025.0016.6725.0079
System LabsNAD+ Injection, compounded (not FDA-approved)$149$199.00all-states0no2026-10-21 (0 days)16.6925.0016.6725.0083
System LabsNAD+ Nasal Spray, compounded (not FDA-approved)$119–$149$199.00all-states0no2026-10-21 (0 days)16.6925.0016.6725.0083
bmiMDCompounded semaglutide injection, compounded (not FDA-approved)$159$224.00unverified0no2026-10-22 (-1 days)17.610.0016.6725.0059
bmiMDGlutathione injection, compounded (not FDA-approved)$159$149.00unverified0no2026-10-20 (1 days)11.710.0016.6725.0053
bmiMDNAD+ injection, compounded (not FDA-approved)$159$199.00unverified0no2026-10-20 (1 days)15.640.0016.6725.0057
bmiMDNAD+ nasal spray, compounded (not FDA-approved)$159$199.00unverified0no2026-10-20 (1 days)15.640.0016.6725.0057
HealthRXCompounded Semaglutide, compounded (not FDA-approved)$165$224.00all-states0no2026-10-21 (0 days)16.9725.0016.6725.0084
GobyMedsCompounded Semaglutide Starter Plan, compounded (not FDA-approved)$169$224.00all-states0no2026-10-22 (-1 days)16.5725.0016.6725.0083
RxSpan MDSermorelin ODT, compounded (not FDA-approved)$179$179.00all-states0no2026-10-22 (-1 days)12.5025.0016.6725.0079
PlexusDxTirzepatide Injection, compounded (not FDA-approved)$189$299.00all-states0no2026-10-22 (-1 days)19.7825.0016.6725.0086
PlexusDxTirzepatide Oral, compounded (not FDA-approved)$189$249.00all-states0no2026-10-22 (-1 days)16.4725.0016.6725.0083
GobyMedsCompounded NAD+ One-Month Plan, compounded (not FDA-approved)$199$199.00all-states0no2026-10-22 (-1 days)12.5025.0016.6725.0079
GobyMedsCompounded NAD+ Starter Plan, compounded (not FDA-approved)$199$199.00all-states0no2026-10-22 (-1 days)12.5025.0016.6725.0079
GobyMedsCompounded Sermorelin, compounded (not FDA-approved)$199$179.00all-states0no2026-10-22 (-1 days)11.2425.0016.6725.0078
MyDrHankNAD+ Nasal Spray, compounded (not FDA-approved)$199$199.00unverified0no2026-10-21 (0 days)12.500.0016.6725.0054
MyDrHankSermorelin, compounded (not FDA-approved)$199$179.00unverified0no2026-10-22 (-1 days)11.240.0016.6725.0053
RxSpan MDNicotinamide Adenine Dinucleotide ( NAD+ ) Flex Dose Tablet, compounded (not FDA-approved)$199$199.00all-states0no2026-10-22 (-1 days)12.5025.0016.6725.0079
RxSpan MDSermorelin Injection, compounded (not FDA-approved)$199$179.00all-states0no2026-10-22 (-1 days)11.2425.0016.6725.0078
Shed RxCompounded Semaglutide Injections (1 month), compounded (not FDA-approved)$199$224.00unverified0no2026-10-22 (-1 days)14.070.0016.6725.0056
Shed RxSermorelin Injections, compounded (not FDA-approved)$199$179.00unverified0no2026-10-20 (1 days)11.240.0016.6725.0053
Strut HealthCompounded Semaglutide Oral, compounded (not FDA-approved)$199$249.00restricted1no2026-10-20 (1 days)15.6424.5016.6725.0082
Strut HealthOral tirzepatide, compounded (not FDA-approved)$199$249.00restricted1no2026-10-20 (1 days)15.6424.5016.6725.0082
WillowNAD+ Injection, compounded (not FDA-approved)$199$199.00restricted18no2026-10-20 (1 days)12.5016.0016.6725.0070
HealthRXCompounded Tirzepatide, compounded (not FDA-approved)$214$299.00all-states0no2026-10-21 (0 days)17.4625.0016.6725.0084
MyDrHankNAD+ Injection, compounded (not FDA-approved)$225$199.00unverified0no2026-10-21 (0 days)11.060.0016.6725.0053
bmiMDCompounded tirzepatide injection, compounded (not FDA-approved)$249$299.00unverified0no2026-10-22 (-1 days)15.010.0016.6725.0057
MyDrHankOral Semaglutide, compounded (not FDA-approved)$249$249.00unverified0no2026-10-21 (0 days)12.500.0016.6725.0054
RxSpan MDNicotinamide Adenine Dinucleotide ( NAD+ ) Injection, compounded (not FDA-approved)$249$199.00all-states0no2026-10-22 (-1 days)9.9925.0016.6725.0077
RxSpan MDNicotinamide Adenine Dinucleotide ( NAD+ ) Nasal Spray, compounded (not FDA-approved)$249$199.00all-states0no2026-10-22 (-1 days)9.9925.0016.6725.0077
RxSpan MDSemaglutide Injection, compounded (not FDA-approved)$249$224.00all-states0no2026-10-22 (-1 days)11.2425.0016.6725.0078
RxSpan MDSemaglutide Oral Capsules, compounded (not FDA-approved)$249$249.00all-states0no2026-10-22 (-1 days)12.5025.0016.6725.0079
Sprout HealthCompounded NAD+, compounded (not FDA-approved)$249$199.00restricted6no2026-10-20 (1 days)9.9922.0016.6725.0074
MyDrHankCompounded Semaglutide, compounded (not FDA-approved)$259$224.00unverified0no2026-10-21 (0 days)10.810.0016.6725.0052
MangoRxSlim, compounded (not FDA-approved)$299$249.00restricted12no2026-10-19 (2 days)10.4119.0016.6725.0071
MEDGmCompounded Semaglutide, compounded (not FDA-approved)$299$224.00unverified0no2026-10-21 (0 days)9.360.0016.6725.0051
Sesame CareZepbound® KwikPen$299$299.00unverified0yes2026-10-20 (1 days)12.500.0025.0025.0063
Shed RxCompounded Tirzepatide Injections (1 month), compounded (not FDA-approved)$299$299.00unverified0no2026-10-22 (-1 days)12.500.0016.6725.0054
WillowCompounded Semaglutide Injection, compounded (not FDA-approved)$299$224.00restricted18no2026-10-22 (-1 days)9.3616.0016.6725.0067
WillowCompounded Semaglutide Tablets, compounded (not FDA-approved)$299$249.00restricted18no2026-10-20 (1 days)10.4116.0016.6725.0068
Enhance.MDGLP-1 Advanced (tirzepatide) 1-month, compounded (not FDA-approved)$329$299.00restricted10no2026-10-22 (-1 days)11.3620.0016.6725.0073
RxSpan MDTirzepatide Injection, compounded (not FDA-approved)$329$299.00all-states0no2026-10-22 (-1 days)11.3625.0016.6725.0078
MyDrHankCompounded Tirzepatide, compounded (not FDA-approved)$349$299.00unverified0no2026-10-21 (0 days)10.710.0016.6725.0052
RxSpan MDTirzepatide Oral Capsules, compounded (not FDA-approved)$349$249.00all-states0no2026-10-22 (-1 days)8.9225.0016.6725.0076
Sesame CareWegovy® pen$349$224.00unverified0yes2026-10-20 (1 days)8.020.0025.0025.0058
Found HealthCompounded Tirzepatide, compounded (not FDA-approved)$359$299.00restricted1no2026-10-22 (-1 days)10.4124.5016.6725.0077
MEDGmCompounded Semaglutide Tablets, compounded (not FDA-approved)$369$249.00unverified0no2026-10-21 (0 days)8.430.0016.6725.0050
MEDGmCompounded Tirzepatide, compounded (not FDA-approved)$399$299.00unverified0no2026-10-21 (0 days)9.370.0016.6725.0051
WillowCompounded Tirzepatide Injection, compounded (not FDA-approved)$399$299.00restricted18no2026-10-22 (-1 days)9.3716.0016.6725.0067
WillowCompounded Tirzepatide Tablets, compounded (not FDA-approved)$399$249.00restricted18no2026-10-20 (1 days)7.8016.0016.6725.0065
RxSpan MDZepbound®$1,069$299.00all-states0no2026-10-22 (-1 days)3.5025.0016.6725.0070
Gala HealthOzempic®$1,299$224.00all-states0no2026-10-21 (0 days)2.1625.0016.6725.0069
RxSpan MDOzempic®$1,299$224.00all-states0no2026-10-22 (-1 days)2.1625.0016.6725.0069
RxSpan MDWegovy®$1,349$224.00all-states0no2026-10-22 (-1 days)2.0825.0016.6725.0069
Eden HealthMounjaro$1,399$299.00all-states0no2026-10-22 (-1 days)2.6725.0016.6725.0069
Eden HealthOzempic$1,399$224.00all-states0no2026-10-22 (-1 days)2.0025.0016.6725.0069
Eden HealthZepbound$1,399$299.00all-states0no2026-10-22 (-1 days)2.6725.0016.6725.0069
GobyMedsZepbound®$1,399$299.00all-states0no2026-10-22 (-1 days)2.6725.0016.6725.0069
Eden HealthWegovy$1,695$224.00all-states0no2026-10-22 (-1 days)1.6525.0016.6725.0068
GobyMedsWegovy®$1,695$224.00all-states0no2026-10-22 (-1 days)1.6525.0016.6725.0068
CoreAge RxCompounded semaglutide injection, compounded (not FDA-approved)$79$224.00restricted2no2026-10-22 (-1 days)25.0024.0016.6725.0091
Enhance.MDNAD+ Wafers 1-month, compounded (not FDA-approved)$99$199.00restricted10no2026-10-21 (0 days)23.1320.0016.6725.0085
CoreAge RxCompounded tirzepatide injection, compounded (not FDA-approved)$129$299.00restricted2no2026-10-22 (-1 days)25.0024.0016.6725.0091
GobyMedsCompounded Tirzepatide Starter Plan, compounded (not FDA-approved)$133$299.00all-states0no2026-10-22 (-1 days)25.0025.0016.6725.0092
Shed RxCompounded Semaglutide Injections (12 months), compounded (not FDA-approved)$159$224.00unverified0no2026-10-22 (-1 days)17.610.0016.6725.0059
Affinity DirectCompounded Tirzepatide — 2.5 mg/week, compounded (not FDA-approved)$147.90$299.00all-states0no2026-10-21 (0 days)23.2625.0016.6725.0090
Sprout HealthCompounded Semaglutide, compounded (not FDA-approved)$149$224.00restricted6no2026-10-21 (0 days)17.3022.0016.6725.0081
Affinity DirectCompounded Semaglutide — 1 mg/week, compounded (not FDA-approved)$152.15$224.00all-states0no2026-10-21 (0 days)16.9425.0016.6725.0084
Shed RxCompounded Semaglutide Injections (6 months), compounded (not FDA-approved)$179$224.00unverified0no2026-10-22 (-1 days)15.640.0016.6725.0057
Enhance.MDNAD+ Therapy injection 1-month, compounded (not FDA-approved)$199$199.00restricted10no2026-10-21 (0 days)11.5120.0016.6725.0073
Luvo HealthNAD+ Drops, compounded (not FDA-approved)$199$199.00unverified0no2026-10-20 (1 days)11.510.0016.6725.0053
Luvo HealthNAD+ Injection, compounded (not FDA-approved)$199$199.00unverified0no2026-10-20 (1 days)11.510.0016.6725.0053
Luvo HealthSermorelin, compounded (not FDA-approved)$199$179.00unverified0no2026-10-20 (1 days)10.350.0016.6725.0052
Sprout HealthCompounded Tirzepatide, compounded (not FDA-approved)$199$299.00restricted6no2026-10-21 (0 days)17.2922.0016.6725.0081
Shed RxCompounded Tirzepatide Injections (12 months), compounded (not FDA-approved)$239$299.00unverified0no2026-10-22 (-1 days)15.640.0016.6725.0057
Shed RxCompounded Tirzepatide Injections (6 months), compounded (not FDA-approved)$269$299.00unverified0no2026-10-22 (-1 days)13.890.0016.6725.0056
Enhance.MDGLP-1 Core (semaglutide) 1-month, compounded (not FDA-approved)$249$224.00restricted10no2026-10-22 (-1 days)10.3520.0016.6725.0072
EmbodyCompounded semaglutide injection, compounded (not FDA-approved)$299$224.00restricted1no2026-10-21 (0 days)9.3624.5016.6725.0076
GobyMedsCompounded Tirzepatide Single Month, compounded (not FDA-approved)$299$299.00all-states0no2026-10-22 (-1 days)12.5025.0016.6725.0079
Found HealthCompounded Semaglutide, compounded (not FDA-approved)$289$224.00restricted1no2026-10-21 (0 days)8.9224.5016.6725.0075
EmbodyCompounded tirzepatide injection, compounded (not FDA-approved)$349$299.00restricted1no2026-10-21 (0 days)10.7124.5016.6725.0077