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Ark Health vs Aspire Health

Aspire Health costs $22 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Ark Health logo

Ark Health

7.3
★★★★☆3.7/5

Best for: moving between compounded and brand without changing seller

Visit Ark Health →
VS
Aspire Health logo

Aspire Health

8.9
★★★★★4.5/5

Best for: a published price you can check dose by dose before handing over any health information

Visit Aspire Health →

If you are choosing between Ark Health and Aspire Health, the first difference is cost: Aspire Health is $22 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Aspire Health leads our six-part score, 8.9 to 7.3.

Ark Health vs Aspire Health price

Aspire Health is the cheaper way in: $103 a month against $125 a month at Ark Health. That is $22 less each month (18% lower), or about $264 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Aspire Health ($103 a month vs $125 a month); tirzepatide is cheaper at Aspire Health ($149 a month vs $249 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format, Ark Health prices compounded injections, an oral option and brand-name pens, while Aspire Health prices compounded injections and brand-name pens.

Where each one treats patients

Ark Health does not publish where it ships, and Aspire Health lists 29 states.

Pricing

Ark Health

All doses (discounted standard)Compounded
$169/mo
semaglutide
All doses (discounted standard)Compounded
$249/mo
tirzepatide
All doses (discounted standard, oral)Compounded · oral
$125/mo
semaglutide
Brand Ozempic cash (DTC markup)Brand-name
$1399/mo
semaglutide
Brand Mounjaro cash (DTC markup)Brand-name
$1499/mo
tirzepatide

Aspire Health

0.5 mg weekly, 5‑week vialCompounded
$103/mo
semaglutide

$129 for one vial, which Aspire's table says covers 5 weeks at 0.5 mg a week — about $103/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free. Aspire also lists a 0.25 mg starting-dose vial at $129 that its table says covers ten weeks, about $52/month; that is the titration starting rung, not a rate anyone stays on.

1 mg weekly, 5‑week vialCompounded
$127/mo
semaglutide

$159 for one vial, which Aspire's table says covers 5 weeks at 1 mg a week — about $127/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

1.7 mg weekly, 5.8‑week vialCompounded
$130/mo
semaglutide

$189 for one vial, which Aspire's table says covers 5.8 weeks at 1.7 mg a week — about $130/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

2.4 mg weekly, 4.1‑week vialCompounded
$184/mo
semaglutide

$189 for one vial, which Aspire's table says covers 4.1 weeks at 2.4 mg a week — about $184/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

2.5 mg weekly (starting dose), 4‑week vialCompounded
$149/mo
tirzepatide

$149 for one vial covering 4 weeks at the 2.5 mg starting dose. This is the titration starting rung only. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

5 mg weekly, 4‑week vialCompounded
$249/mo
tirzepatide

$249 for one vial, which Aspire's table says covers 4 weeks at 5 mg a week — about $249/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

7.5 mg weekly, 5.3‑week vialCompounded
$211/mo
tirzepatide

$279 for one vial, which Aspire's table says covers 5.3 weeks at 7.5 mg a week — about $211/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

10 mg weekly, 5‑week vialCompounded
$231/mo
tirzepatide

$289 for one vial, which Aspire's table says covers 5 weeks at 10 mg a week — about $231/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

12.5 mg weekly, 4.8‑week vialCompounded
$249/mo
tirzepatide

$299 for one vial, which Aspire's table says covers 4.8 weeks at 12.5 mg a week — about $249/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

15 mg weekly, 4‑week vialCompounded
$299/mo
tirzepatide

$299 for one vial, which Aspire's table says covers 4 weeks at 15 mg a week — about $299/month of medication. Two and three vials cost exactly 2x and 3x one vial, so there is no bundle discount. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Wegovy, 0.25‑0.5 mg, 4‑week supplyBrand-name
$199/mo
semaglutide

$199 for a 4‑week supply of brand Wegovy at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Wegovy, all other doses, 4‑week supplyBrand-name
$399/mo
semaglutide

$399 for a 4‑week supply of brand Wegovy at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Zepbound, 2.5 mg, 4‑week supplyBrand-name
$299/mo
tirzepatide

$299 for a 4‑week supply of brand Zepbound at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Zepbound, 5 mg, 4‑week supplyBrand-name
$399/mo
tirzepatide

$399 for a 4‑week supply of brand Zepbound at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Brand Zepbound, all other doses, 4‑week supplyBrand-name
$449/mo
tirzepatide

$449 for a 4‑week supply of brand Zepbound at this dose, from Aspire's published table. Aspire adds that pricing varies with insurance coverage and that patients should verify benefits directly. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Oral Wegovy, 1.5 mg / 4 mgBrand-name
$149/mo
semaglutide

$149/month for oral Wegovy at this dose, published by Aspire as a monthly figure. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

Oral Wegovy, 9 mg / 25 mgBrand-name
$299/mo
semaglutide

$299/month for oral Wegovy at this dose, published by Aspire as a monthly figure. Medication only. Aspire's 'Monthly Medical Care' fee of $49/month is billed separately and is mandatory for as long as therapy continues; the new‑patient consultation is free.

What each price covers

Both prices cover the clinician visit and the medication itself.

Ark Health's price also covers shipping, which Aspire Health does not claim.

Aspire Health's price also covers coaching, which Ark Health does not claim.

Ark Health is silent on lab work and coaching.

Aspire Health is silent on shipping.

Ark Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Aspire Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Charged on top

Coaching

In the price

Where each one scores higher

Overall, Aspire Health scores 8.9 and Ark Health 7.3 out of 10.

Aspire Health is stronger on value (9.2 vs 5.6), trust & safety (10.0 vs 6.5) and accessibility (6.6 vs 5.0).

Effectiveness, user experience and support are within half a point.

How we score

Ark Health

7.3/10

Overall

Aspire Health

8.9/10

Value25%

5.6A
vs
B
9.2

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

6.5A
vs
B
10.0

Accessibility10%

5.0A
vs
B
6.6

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither Ark Health nor Aspire Health has an FDA warning letter on record with us.

Features & Coverage

FeatureArk HealthAspire Health
Starting Price$125/mo✓$103/mo
Features8 features8 features
States AvailableNot disclosed29
Compounded✓ Yes✓ Yes
Brand Name✓ Yes✓ Yes
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About Ark Health

Ark Health lists compounded semaglutide at $169/mo, tirzepatide at $249/mo and oral semaglutide at $125/mo, flat across all doses with free expedited shipping. Brand Ozempic and Mounjaro are also sold, plus wellness adjuncts such as Sermorelin and MIC/B12, giving the national platform one of the widest menus in the directory. Its brand cash prices run far above direct manufacturer channels, which leaves the compounded tier as the value play.

Read our full Ark Health review →

About Aspire Health

Aspire Health is a Nebraska‑based telehealth practice that publishes dose‑by‑dose prices before any intake. Compounded semaglutide works out to about $103/month at 0.5 mg and $184 at the 2.4 mg maintenance dose; compounded tirzepatide is about $249/month at 5 mg. Brand Wegovy, brand Zepbound and oral Wegovy are priced separately. Medication is billed on top of a $49/month medical‑care fee, and the cost of lab work is not included. A named PA/NP team prescribes, and all three dispensing pharmacies are named publicly.

Read our full Aspire Health review →

Pros & Cons

Ark Health

What we like

  • Semaglutide costs $125 a month, 37% below the $199 median for oral semaglutide across the sellers we compare
  • Tirzepatide costs $249 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits and shipping
  • We found no FDA warning letters issued to Ark Health
  • Offers both oral and injectable options, so the format is your choice

Watch-outs

  • Confirm it serves your state before you start the intake
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Aspire Health

What we like

  • Semaglutide costs $103 a month, 44% below the $184 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $211 a month, 16% below the $250 median for compounded tirzepatide across the sellers we compare
  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication, clinician visits and coaching
  • Names 3 pharmacies that fill its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to Aspire Health

Watch-outs

  • Not included in the monthly price: lab work
  • Serves only 29 states, so check that yours is one of them
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: Aspire Health

Aspire Health wins this one, 8.9 to 7.3, above all for a published price you can check dose by dose before handing over any health information. It also costs $22 less each month than Ark Health. Ark Health fits better if moving between compounded and brand without changing seller is your priority.

Choose Ark Health if…

You want moving between compounded and brand without changing seller and an opening price near $125 a month.

Choose Aspire Health if…

You want a published price you can check dose by dose before handing over any health information and an opening price near $103 a month.

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5.9

Wellorithm

Compounded semaglutide at $247/month

6.6

Willow

Seeing what it charges before you answer any medical questions

6.5

Sesame Care

Oral orforglipron alongside the injectables

Ark Health vs Aspire Health: FAQ

Aspire Health. It starts at $103 a month; Ark Health starts at $125 a month, $22 more per month.
Yes, both sell semaglutide and tirzepatide.
Ark Health does not publish where it ships; Aspire Health lists 29 states. Confirm your state before paying.
Both include the clinician visit and the medication itself. Only Ark Health includes shipping. Only Aspire Health includes coaching.
Ark Health has none. Aspire Health has none.
No. Neither Ark Health nor Aspire Health pays us anything.

Or see the full category ranking.

Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.