Blue Sky MD vs Coby Health
Coby Health costs $1 less a month, and both sell semaglutide and tirzepatide.
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Blue Sky MD
Best for: coaching bundled into the price rather than sold separately
Visit Blue Sky MD →
If you are choosing between Blue Sky MD and Coby Health, the first difference is cost: Coby Health is $1 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Coby Health leads our six-part score, 6.7 to 6.6.
Blue Sky MD vs Coby Health price
Coby Health is the cheaper way in: $159 a month against $160 a month at Blue Sky MD. That is $1 less each month (1% lower), or about $12 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Coby Health ($159 a month vs $160 a month); tirzepatide is cheaper at Coby Health ($239 a month vs $240 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Blue Sky MD lists 1 state, and Coby Health lists 46 states.
They overlap in 1 state. Coby Health alone covers 45 states, including Alaska, Alabama, Arizona and California.
Pricing
Blue Sky MD
Compounded semaglutide as low as $40/week in-office ($40 × 4 weeks = $160 a month). Dispensed in-office or shipped to your home.
Compounded tirzepatide at $60/week in-office ($60 × 4 weeks = $240 a month). Dispensed in-office or shipped to your home.
Coby Health
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Blue Sky MD's price also covers coaching, which Coby Health does not claim.
Coby Health is silent on lab work and coaching.
Blue Sky MD
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Charged on top
Coaching
In the price
Coby 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, Coby Health scores 6.7 and Blue Sky MD 6.6 out of 10.
Blue Sky MD is stronger on user experience (8.0 vs 3.0), trust & safety (7.5 vs 4.0) and support (8.5 vs 7.0).
Coby Health is stronger on value (6.1 vs 3.0) and accessibility (9.4 vs 2.2).
Effectiveness is within half a point.
Blue Sky MD
6.6/10
Coby Health
6.7/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Blue Sky MD nor Coby Health has an FDA warning letter on record with us.
Features & Coverage
| Feature | Blue Sky MD | Coby Health |
|---|---|---|
| Starting Price | $160/mo | ✓$159/mo |
| Features | ✓8 features | 6 features |
| States Available | 1 | ✓46 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Blue Sky MD
Compounded semaglutide starts at $40/week and compounded tirzepatide at $60/week, dispensed to patients' homes within 3-5 business days. Medication is not sold on its own: access requires enrollment in the full medical weight-loss program, which adds 1-on-1 wellness coaching, a nutrition tracking app, hormone analysis and a personalized plan under physician supervision. Blue Sky MD was founded in 2008, is LegitScript certified, and runs seven North Carolina clinics alongside telehealth visits.
Read our full Blue Sky MD review →About Coby Health
Coby Health LLC runs a direct-to-consumer telehealth marketplace out of Chicago and Springfield, IL, with a BBB file opened 3/2025. Compounded semaglutide starts at $99/mo and compounded tirzepatide at $179/mo, both on a 6-mo bundle at the 0.25mg and 2.5mg starting doses. There is no membership fee. It is LegitScript Certified (seal 38387067), and clinical care runs through Beluga Health P.A., part of the Dr. Jonah Mink network. It does not publicly disclose its compounding pharmacy partners.
Read our full Coby Health review →Pros & Cons
Blue Sky MD
What we like
- 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, shipping and coaching
- We found no FDA warning letters issued to Blue Sky MD
Watch-outs
- Not included in the monthly price: lab work
- Serves only 1 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
Coby Health
What we like
- Semaglutide costs $159 a month, 14% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $239 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
- The monthly price includes the medication, clinician visits and shipping
- Serves 46 states
- We found no FDA warning letters issued to Coby Health
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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
Coby Health wins this one, 6.7 to 6.6, above all for compounded semaglutide at $159/month. It also costs $1 less each month than Blue Sky MD. Blue Sky MD fits better if coaching bundled into the price rather than sold separately is your priority.
Choose Blue Sky MD if…
You want coaching bundled into the price rather than sold separately and an opening price near $160 a month.
Choose Coby Health if…
You want compounded semaglutide at $159/month and an opening price near $159 a month.
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