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Belle Health vs Elara Health and Wellness

Elara Health and Wellness costs $2 less a month, and both sell semaglutide and tirzepatide.

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

Belle Health

8.3
★★★★☆4.2/5

Best for: semaglutide at $119/month, 37% below the typical price

Visit Belle Health →
VS
Elara Health and Wellness logo

Elara Health and Wellness

8.9
★★★★★4.5/5

Best for: bloodwork inside the $117/month rather than billed on top

Visit Elara Health and Wellness →

If you are choosing between Belle Health and Elara Health and Wellness, the first difference is cost: Elara Health and Wellness is $2 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Elara Health and Wellness leads our six-part score, 8.9 to 8.3. One of the two has an FDA warning letter on record, covered below.

Belle Health vs Elara Health and Wellness price

Elara Health and Wellness is the cheaper way in: $117 a month on a prepaid plan against $119 a month at Belle Health. That is $2 less each month (2% lower), or about $24 over a year of treatment.

Elara Health and Wellness' figure is a monthly average of a plan billed for several months at once, so the first charge is larger than the number shown.

Drug by drug: Semaglutide is cheaper at Elara Health and Wellness ($117 a month on a prepaid plan vs $119 a month); tirzepatide is cheaper at Elara Health and Wellness ($196 a month on a prepaid plan vs $199 a month on a prepaid plan).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Belle Health lists 50 states, and Elara Health and Wellness lists 51 states.

They overlap in 50 states. Elara Health and Wellness alone covers District of Columbia.

Pricing

Belle Health

Flat-rate (all doses)Compounded
$119/mo
semaglutide
Flat-rate (all doses, 3-month bundle)Compounded
$199/mo
tirzepatide

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

What each price covers

Both prices cover the clinician visit, the medication itself and coaching.

Belle Health's price also covers shipping, which Elara Health and Wellness does not claim.

Elara Health and Wellness' price also covers lab work, which Belle Health does not claim.

Belle Health is silent on lab work.

Elara Health and Wellness is silent on shipping.

Belle Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

In the price

Elara Health and Wellness

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

In the price

Coaching

In the price

Where each one scores higher

Overall, Elara Health and Wellness scores 8.9 and Belle Health 8.3 out of 10.

Elara Health and Wellness is stronger on trust & safety (8.5 vs 4.5).

Value, effectiveness, user experience, accessibility and support are within half a point.

How we score

Belle Health

8.3/10

Overall

Elara Health and Wellness

8.9/10

Value25%

8.2A
vs
B
8.3

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

4.5A
vs
B
8.5

Accessibility10%

10.0A
vs
B
10.0

Support10%

8.5A
vs
B
8.5

FDA warning letters

Belle Health has an FDA warning letter on record.

Elara Health and Wellness has no FDA warning letter on record with us.

Features & Coverage

FeatureBelle HealthElara Health and Wellness
Starting Price$119/mo✓$117/mo prepaid
Features6 features6 features
States Available50✓51
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning Letters1 letter✓None

About Belle Health

Belle Health sells compounded semaglutide at $119/month and compounded tirzepatide at $199/month, both on a 3-month bundle. Pricing is flat: the monthly cost is the same at every dose, with no escalation surcharge as you titrate up. The platform is national and direct-to-consumer, includes free weekly registered-dietitian sessions, and names its compounding pharmacy partners openly.

Read our full Belle Health review →

About Elara Health and Wellness

Elara Health and Wellness charges $183/mo for semaglutide and $267/mo for tirzepatide, with annual plans cutting cost further. The price bundles medication, quarterly labs, physician visits, coaching and 24/7 messaging, and four named 503A pharmacy partners are disclosed. Compounded injections are physician-guided and available across all 50 states plus DC.

Read our full Elara Health and Wellness review →

Pros & Cons

Belle Health

What we like

  • Semaglutide costs $119 a month, 36% below the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $199 a month, 20% 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 stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits, shipping and coaching
  • Serves all 50 states

Watch-outs

  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • The FDA has issued Belle Health a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • 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

Elara Health and Wellness

What we like

  • Semaglutide costs $117 a month, 37% below the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $196 a month, 22% 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, lab work and coaching
  • Serves all 50 states
  • We found no FDA warning letters issued to Elara Health and Wellness

Watch-outs

  • 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: Elara Health and Wellness

Elara Health and Wellness wins this one, 8.9 to 8.3, above all for bloodwork inside the $117/month rather than billed on top. It also costs $2 less each month than Belle Health. Belle Health fits better if semaglutide at $119/month, 37% below the typical price is your priority.

Choose Belle Health if…

You want semaglutide at $119/month, 37% below the typical price and an opening price near $119 a month.

Choose Elara Health and Wellness if…

You want bloodwork inside the $117/month rather than billed on top and an opening price near $117 a month.

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9.4

Trimi Health

Knowing which pharmacy fills the vial: it names VialsRx

6.4

ShedRx

Oral orforglipron alongside the injectables

9.0

bmiMD

Starting below a standard dose, with microdose tiers

Belle Health vs Elara Health and Wellness: FAQ

Elara Health and Wellness. It starts at $117 a month on a prepaid plan; Belle Health starts at $119 a month, $2 more per month.
Yes, both sell semaglutide and tirzepatide.
Elara Health and Wellness: 51 states against 50, with 50 in common.
Both include the clinician visit, the medication itself and coaching. Only Belle Health includes shipping. Only Elara Health and Wellness includes lab work.
Belle Health has one FDA warning letter on record. Elara Health and Wellness has none.
No. Neither Belle Health nor Elara Health and Wellness pays us anything.

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