Defy Medical vs Elara Health and Wellness
An in-depth comparison of two leading GLP-1 Providers
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Defy Medical
Best for: Patients wanting GLP-1 in injection, ODT, or drop forms with thorough lab workups
Visit Defy Medical →
Elara Health and Wellness
Best for: bundled-care GLP-1 with labs and coaching from four named pharmacies
Visit Elara Health and Wellness →Defy Medical and Elara Health and Wellness are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, Elara Health and Wellness starts at $117/mo, and Elara Health and Wellness edges ahead overall (8.2 vs 7.0 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.
Pricing
Defy Medical
Pricing not publicly listed.
Elara Health and Wellness
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What’s included
Defy Medical
Inclusions not disclosed.
Elara Health and Wellness
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Not disclosed
Lab work
Included
Coaching
Included
Score breakdown
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Defy Medical
7.0/10
Elara Health and Wellness
8.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | Defy Medical | Elara Health and Wellness |
|---|---|---|
| Starting Price | — | $117/mo |
| Features | ✓8 features | 6 features |
| States Available | Not disclosed | 51 |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About Defy Medical
Defy Medical is a long-running telehealth clinic, best known for hormone replacement, that also prescribes GLP-1 medications for weight loss. It offers semaglutide and tirzepatide as weekly injections plus oral disintegrating tablets (ODT) and liquid drops, and liraglutide as a daily injection. The drops and ODT forms help patients avoid self-injecting or get treatment where injectable shipping is restricted. Care includes in-depth consults and comprehensive blood testing, with mobile phlebotomy. Medical director is Dr. Justin Saya. GLP-1 pricing and state coverage are not published online.
Read our full Defy Medical review →About Elara Health and Wellness
Elara Health and Wellness is a physician-guided weight-loss platform offering compounded semaglutide and tirzepatide injections across all 50 states plus DC. Its differentiator is a bundled care-team model — pricing includes medication, quarterly labs, physician visits, coaching, and 24/7 messaging, with four named 503A pharmacy partners disclosed. Semaglutide is $183/mo and tirzepatide $267/mo, with annual plans cutting cost further.
Read our full Elara Health and Wellness review →Pros & Cons
Defy Medical
What we like
- Multiple GLP-1 options: semaglutide, tirzepatide, liraglutide
- Offers injection, ODT, and oral drop delivery forms
- Comprehensive blood testing and named medical director
- Established clinic with strong Trustpilot review volume
Watch-outs
- GLP-1 pricing not published on the website
- States served and shipping limits not disclosed
- Compounded versus brand status not stated online
- Lab-heavy, consult-first model may cost more upfront
Elara Health and Wellness
What we like
- Corporate parent disclosed (JTE Medical, LLC) — rare transparency for a DTC GLP-1 platform
- Four named 503A pharmacy partners with city/state — among the most pharmacy-transparent providers we've reviewed
- Bundled care model: quarterly labs, physician visits, coaching, and 24/7 messaging without a membership fee
- Publishes the FDA compounded-medication disclaimer
- All 50 states plus DC, with explicit coverage language
- Substantial annual-plan savings ($792/yr semaglutide, $858/yr tirzepatide)
- Self-service cancellation on monthly and quarterly plans
Watch-outs
- LegitScript certification status not disclosed
- No named medical director or physician leadership
- Annual plan requires a 12-month commitment; early-cancellation terms not detailed
- Governing law / arbitration venue not disclosed
- 503A patient-specific compounding only — no 503B option
Our Verdict
Elara Health and Wellness edges out Defy Medical with a higher overall score of 8.2/10 and is particularly strong for bundled-care GLP-1 with labs and coaching from four named pharmacies. Defy Medical remains a solid alternative, especially if you're looking for Patients wanting GLP-1 in injection, ODT, or drop forms with thorough lab workups.
Choose Defy Medical if…
You want Patients wanting GLP-1 in injection, ODT, or drop forms with thorough lab workups.
Choose Elara Health and Wellness if…
You want bundled-care GLP-1 with labs and coaching from four named pharmacies and a starting price around $117/mo.
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Maximus
Men seeking compounded GLP-1 alongside testosterone optimization
From $199.99/mo
Get started →Sesame Care
Brand-name GLP-1s (Wegovy, Zepbound) at LillyDirect/NovoCare cash prices — no compounding
From $25/mo
Get started →MEDVi
Patients who want the option to switch between compounded and brand-name GLP-1 through one provider
From $99/mo
Get started →Defy Medical vs Elara Health and Wellness: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- 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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