24hrDOC vs MDLive
An in-depth comparison of two leading GLP-1 Providers
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24hrDOC
Best for Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatideStarting at $149/mo
MDLive
Best for Insured or employer-covered patients wanting GLP-1s within full primary careSide-by-Side Comparison
| Feature | 24hrDOC | MDLive |
|---|---|---|
| Overall Score | ✓7.1/10 | 7.0/10 |
| Starting Price | $149/mo | — |
| Editorial Rating | ✓3.6 ★ /5 | 3.5 ★ /5 |
| Features | 8 features | 8 features |
| States Available | 0 | 0 |
| Compounded | ✓ Yes | — |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
24hrDOC
Pros
- ✓Low compounded semaglutide price, around 149 per month
- ✓Fast model: 10-minute assessment, Rx within 45 minutes
- ✓Injectable and oral semaglutide plus tirzepatide options
- ✓24/7 availability with unlimited provider messaging
Cons
- ✗Compounded only, not FDA-approved branded GLP-1s
- ✗Self-pay only, no insurance accepted
- ✗States served not disclosed on the site
- ✗Fast-prescribing model offers less in-depth clinical workup
MDLive
Pros
- ✓Prescribes FDA-approved branded GLP-1s including Wegovy and Zepbound
- ✓Covered through insurance and employer benefits for 50M-plus people
- ✓Board-certified physicians averaging about 15 years of experience
- ✓Part of Evernorth/Cigna, a large established healthcare organization
- ✓Offers full primary care, not just a single weight-loss funnel
Cons
- ✗GLP-1s only at clinician discretion in a Primary Care routine visit
- ✗Anti-obesity meds not available in FL, LA, MS or NJ
- ✗Distributed mainly via insurers and employers; cost varies by plan
- ✗No transparent published monthly cash price for GLP-1 care
Our Verdict
24hrDOC edges out MDLive with a higher overall score of 7.1/10 and is particularly strong for Cash-pay patients wanting fast, low-cost compounded semaglutide or tirzepatide. MDLive remains a solid alternative, especially if you're looking for Insured or employer-covered patients wanting GLP-1s within full primary care.
Glossary references
Key terms in this article, linked to their canonical definitions.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.