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MDLive vs Elara Health and Wellness

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
MDLive logo

MDLive

7.0
★★★3.5/5

Best for: Insured or employer-covered patients wanting GLP-1s within full primary care

Visit MDLive
VS
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

MDLive 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

MDLive

Pricing not publicly listed.

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

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What’s included

MDLive

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.

MDLive

7.0/10

Overall

Elara Health and Wellness

8.2/10

Value25%

6.5A
vs
B
8.0

Effectiveness25%

7.0A
vs
B
8.5

User Experience15%

7.0A
vs
B
8.5

Trust & Safety15%

7.5A
vs
B
7.8

Accessibility10%

6.5A
vs
B
8.0

Support10%

7.9A
vs
B
8.4

Features & Coverage

FeatureMDLiveElara Health and Wellness
Starting Price$117/mo
Features8 features6 features
States AvailableNot disclosed51
Compounded✓ Yes
Brand Name
FSA/HSA Accepted
FDA WarningsNoneNone

About MDLive

MDLive (an Evernorth/Cigna company) is a large telehealth provider offering urgent care, primary care, dermatology and behavioral health. Anti-obesity GLP-1 medications such as Wegovy and Zepbound can be prescribed at the clinician's discretion during a Primary Care routine visit, not urgent care, and are excluded in Florida, Louisiana, Mississippi and New Jersey. MDLive reaches over 50 million people through health insurance and employer benefits but also allows out-of-pocket direct visits, so cost depends heavily on coverage rather than a single published cash price.

Read our full MDLive 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

MDLive

What we like

  • 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

Watch-outs

  • 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

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

Winner: Elara Health and Wellness

Elara Health and Wellness edges out MDLive 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. MDLive remains a solid alternative, especially if you're looking for Insured or employer-covered patients wanting GLP-1s within full primary care.

Choose MDLive if…

You want Insured or employer-covered patients wanting GLP-1s within full primary care.

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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MDLive vs Elara Health and Wellness: FAQ

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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.