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Elara Health and Wellness vs TMates

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Elara Health and Wellness logo

Elara Health and Wellness

8.2
★★★★4.1/5

Best for: bundled-care GLP-1 with labs and coaching from four named pharmacies

Visit Elara Health and Wellness
VS
TMates logo

TMates

6.9
★★★3.5/5

Best for: nationwide compounded GLP-1 availability including Puerto Rico

Visit TMates

Elara Health and Wellness and TMates 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 lower at $117/mo versus $249/mo, and TMates is the option we'd start with for most patients. Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

Elara Health and Wellness

Standard monthlyCompounded
$183/mo
semaglutide
Annual plan (save $792/yr)Compounded
$117/mo
semaglutide
Standard monthlyCompounded
$267/mo
tirzepatide
Annual plan (save $858/yr)Compounded
$196/mo
tirzepatide

TMates

Semaglutide 1-month plan (same price all doses, 0.25–2.4mg)Compounded
$249/mo
semaglutide

Verbatim ladder: 1 Month $249 / 3 Months $217/mo Save 13% $650 / 6 Months $175/mo Save 30% $1050 / 12 Months $158/mo Save 37% $1900. Injectable or Oral, same price. Includes medication and ongoing support; free shipping; cancel anytime. UNCHANGED vs providers.json pricing rows; providers.json description field's '$199/mo' is stale.

Tirzepatide 1-month plan (same price all doses, 2.5–15mg)Compounded
$297/mo
tirzepatide

Verbatim ladder: 1 Month $297 / 3 Months $267/mo Save 10% $800 / 6 Months $217/mo Save 27% $1299 / 12 Months $167/mo Save 44% $1999. Injectable or Oral, same price. UNCHANGED vs providers.json.

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What’s included

Elara Health and Wellness

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Included

Coaching

Included

TMates

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Included

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

Elara Health and Wellness

8.2/10

Overall

TMates

6.9/10

Value25%

8.0A
vs
B
6.5

Effectiveness25%

8.5A
vs
B
7.5

User Experience15%

8.5A
vs
B
8.0

Trust & Safety15%

7.8A
vs
B
5.3

Accessibility10%

8.0A
vs
B
7.5

Support10%

8.4A
vs
B
6.5

Features & Coverage

FeatureElara Health and WellnessTMates
Starting Price$117/mo$249/mo
Features6 features4 features
States Available5150
Compounded✓ Yes✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

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 →

About TMates

TMates is a Miami-based telehealth platform offering compounded semaglutide ($249/mo) and tirzepatide ($297/mo) across all 50 states plus Puerto Rico, operating on a messaging-first model with independent licensed prescribers and third-party compounding pharmacies.

Read our full TMates review →

Pros & Cons

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

TMates

What we like

  • All-inclusive monthly price covers medication, consults, nutrition coaching, and 24/7 support — no separate membership fee
  • Available in all 50 states plus Puerto Rico and other US territories
  • Both compounded semaglutide and tirzepatide offered
  • Fast stated turnaround — 2–3 days from intake to delivery

Watch-outs

  • No third-party pharmacy accreditation (no LegitScript, PCAB, ACHC, or NABP)
  • BBB rating of B+ (not accredited) with complaints centered on billing and cancellation
  • Trustpilot reports of partial refunds and difficulty reaching support
  • Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
  • Pharmacy partners not named; routes medical and dispensing to third parties
  • Also sells testosterone and other wellness products — not GLP-1-focused
  • Lowest per-month prices require prepaying for 6- or 12-month plans ($1,050-$1,999 upfront)

Our Verdict

Winner: TMates

TMates is our recommended choice here, particularly for nationwide compounded GLP-1 availability including Puerto Rico. Elara Health and Wellness is a solid alternative, especially if you want bundled-care GLP-1 with labs and coaching from four named pharmacies — compare the six-dimension breakdown and pricing below to weigh them for your situation.

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.

Choose TMates if…

You want nationwide compounded GLP-1 availability including Puerto Rico and a starting price around $249/mo.

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Elara Health and Wellness vs TMates: FAQ

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