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Ascend Medical vs Levers Health

Ascend Medical and Levers Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
Ascend Medical logo

Ascend Medical

6.5
★★★☆☆3.3/5

Best for: coaching bundled into the price rather than sold separately

Visit Ascend Medical →
VS
Levers Health logo

Levers Health

7.9
★★★★☆4/5

Best for: starting below a standard dose, with microdose tiers

Visit Levers Health →

If you are choosing between Ascend Medical and Levers Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Levers Health leads our six-part score, 7.9 to 6.5.

Ascend Medical vs Levers Health price

Ascend Medical and Levers Health start at within a dollar of each other ($122.29 and $123 a month), so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $122.29 a month; tirzepatide is cheaper at Ascend Medical ($130.45 a month vs $296 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Ascend Medical lists 2 states, and Levers Health does not publish where it ships.

Pricing

Ascend Medical

Compounded semaglutide, starting dose, billed $225 every 8 weeksCompounded
$122.29/mo
semaglutide

Advertised as $225 a month. The seller bills $225 every 56 days, which works out at $122.29 per calendar month. The figure here is the calculated one. This is the starting dose. Higher doses may cost more.

Compounded tirzepatide, starting dose, billed $240 every 8 weeksCompounded
$130.45/mo
tirzepatide

Advertised as $240 a month. The seller bills $240 every 56 days, which works out at $130.45 per calendar month. The figure here is the calculated one. This is the starting dose. Higher doses may cost more.

Levers Health

Semaglutide Regular (up to 1.25mg/wk)Compounded
$247/mo
semaglutide
Semaglutide Max (up to 2.5mg/wk)Compounded
$297/mo
semaglutide

New higher-dose tier.

Tirzepatide Monthly Plan (same price any dose)Compounded
$396/mo
tirzepatide

Any-dose plan is $396/mo - the prior $296 row was actually the up-to-5mg Low-Dose plan, now relabeled below.

Tirzepatide Low-Dose Plan (up to 5mg/wk)Compounded
$296/mo
tirzepatide
Microdose GLP-1 (billed $246 every other month; ~$123/mo)Compounded
$123/mo
semaglutide

Marketed as $123/month, but billed and shipped as $246 every other month. $123 is the monthly equivalent.

What each price covers

Ascend Medical's price also covers coaching, which Levers Health does not claim.

Levers Health's price also covers the clinician visit, the medication itself and shipping, which Ascend Medical does not claim.

Ascend Medical is silent on the clinician visit, the medication itself, shipping and lab work.

Levers Health is silent on lab work and coaching.

That matters most for the drug: unless Ascend Medical confirms otherwise, budget for medication on top of its listed price.

Ascend Medical

Covered by the monthly price

Medication

Not stated

Clinician visits

Not stated

Shipping

Not stated

Lab work

Not stated

Coaching

In the price

Levers 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

Where each one scores higher

Overall, Levers Health scores 7.9 and Ascend Medical 6.5 out of 10.

Ascend Medical is stronger on trust & safety (8.5 vs 6.5).

Levers Health is stronger on value (7.9 vs 3.0), accessibility (5.0 vs 2.3) and support (7.0 vs 5.0).

Effectiveness and user experience are within half a point.

How we score

Ascend Medical

6.5/10

Overall

Levers Health

7.9/10

Value25%

3.0A
vs
B
7.9

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

8.5A
vs
B
6.5

Accessibility10%

2.3A
vs
B
5.0

Support10%

5.0A
vs
B
7.0

FDA warning letters

Neither Ascend Medical nor Levers Health has an FDA warning letter on record with us.

Features & Coverage

FeatureAscend MedicalLevers Health
Starting Price✓$122.29/mo$123/mo
Features✓8 features4 features
States Available2Not disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About Ascend Medical

Which GLP-1 it uses, whether that drug is branded or compounded, and what any of it costs are all absent; you would have to contact the practice. Ascend Medical works virtual-first on whole-person primary care, and Medical Weight Loss is one line among health coaching, diabetes care, men's and women's health, mental health and primary care. Licensed MDs, DOs, NPs and PAs staff it. Only Georgia and Texas residents can currently sign up. Do not confuse it with Ascend Vitality, a different company.

Read our full Ascend Medical review →

About Levers Health

Levers Health LLC starts compounded semaglutide at $247/mo and compounded tirzepatide at $296/mo, and also sells low-dose and microdose GLP-1 for longevity. It positions itself as personalized performance medicine.

Read our full Levers Health review →

Pros & Cons

Ascend Medical

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes coaching
  • We found no FDA warning letters issued to Ascend Medical

Watch-outs

  • Serves only 2 states, so check that yours is one of them
  • 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

Levers Health

What we like

  • Semaglutide costs $123 a month, 34% below the $185 median for compounded semaglutide 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 shipping
  • We found no FDA warning letters issued to Levers Health

Watch-outs

  • Tirzepatide costs $296 a month, 18% above the $250 median for compounded tirzepatide across the sellers we compare
  • 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

Our Verdict

Winner: Levers Health

Levers Health wins this one, 7.9 to 6.5, above all for starting below a standard dose, with microdose tiers. Ascend Medical fits better if coaching bundled into the price rather than sold separately is your priority.

Choose Ascend Medical if…

You want coaching bundled into the price rather than sold separately and an opening price near $122.29 a month.

Choose Levers Health if…

You want starting below a standard dose, with microdose tiers and an opening price near $123 a month.

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6.4

ShedRx

Oral orforglipron alongside the injectables

9.0

bmiMD

Starting below a standard dose, with microdose tiers

6.7

RxSpan MD

Knowing which pharmacy fills the vial: it names Belmar Pharmacy

Ascend Medical vs Levers Health: FAQ

Neither on the entry price: Ascend Medical and Levers Health both start at about $122 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Ascend Medical lists 2 states; Levers Health does not publish where it ships. Confirm your state before paying.
Only Ascend Medical includes coaching. Only Levers Health includes the clinician visit, the medication itself and shipping.
Ascend Medical has none. Levers Health has none.
No. Neither Ascend Medical nor Levers Health pays us anything.

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