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Elara MD vs TMates

Elara MD and TMates 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
Elara MD logo

Elara MD

6.3
★★★☆☆3.2/5

Best for: compounded semaglutide at $249/month

Visit Elara MD →
VS
TMates logo

TMates

7.6
★★★★☆3.8/5

Best for: coaching inside the $249/month rather than sold separately

Visit TMates →

If you are choosing between Elara MD and TMates, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. TMates leads our six-part score, 7.6 to 6.3.

Elara MD vs TMates price

Elara MD and TMates start at the same figure, $249 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, $249 a month; tirzepatide is cheaper at TMates ($297 a month vs $349 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Elara MD does not publish where it ships, and TMates lists 50 states.

Pricing

Elara MD

Personalized GLP-1 (low dose, 0.2 mg/wk)Compounded
$249/mo
semaglutide
Personalized GLP-1 (high dose, up to 2.2 mg/wk)Compounded
$349/mo
semaglutide
GLP-1/GIP + B12 (low dose, 2.0 mg/wk)Compounded
$349/mo
tirzepatide
GLP-1/GIP + B12 (high dose, up to 14.0 mg/wk)Compounded
$649/mo
tirzepatide

TMates

Semaglutide 1-month plan (same price all doses, 0.25–2.4mg)Compounded
$249/mo
semaglutide

1 month $249; 3 months $217/mo ($650, save 13%); 6 months $175/mo ($1,050, save 30%); 12 months $158/mo ($1,900, save 37%). Injectable or oral at the same price. Includes medication and ongoing support, free shipping, cancel anytime.

Tirzepatide 1-month plan (same price all doses, 2.5–15mg)Compounded
$297/mo
tirzepatide

1 month $297; 3 months $267/mo ($800, save 10%); 6 months $217/mo ($1,299, save 27%); 12 months $167/mo ($1,999, save 44%). Injectable or oral at the same price.

What each price covers

TMates' price also covers the clinician visit, the medication itself, shipping and coaching, which Elara MD does not claim.

Elara MD does not say what its price includes.

TMates is silent on lab work.

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

Elara MD

Inclusions not disclosed.

TMates

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

Where each one scores higher

Overall, TMates scores 7.6 and Elara MD 6.3 out of 10.

TMates is stronger on value (3.8 vs 2.9), trust & safety (7.5 vs 5.5), accessibility (10.0 vs 5.0) and support (8.5 vs 5.0).

Effectiveness and user experience are within half a point.

How we score

Elara MD

6.3/10

Overall

TMates

7.6/10

Value25%

2.9A
vs
B
3.8

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

5.5A
vs
B
7.5

Accessibility10%

5.0A
vs
B
10.0

Support10%

5.0A
vs
B
8.5

FDA warning letters

Neither Elara MD nor TMates has an FDA warning letter on record with us.

Features & Coverage

FeatureElara MDTMates
Starting Price$249/mo$249/mo
Features✓5 features4 features
States AvailableNot disclosed50
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About Elara MD

Prices are banded by dose and posted publicly. The semaglutide-range plan costs $249-$349/month; the tirzepatide-range plan, a GLP-1/GIP paired with B12, runs $349-$649/month. Both bands include the medication, and shipping is free once a prescription is issued. Elara MD sells weekly injectable GLP-1 therapy for weight loss and wellness, and its peptide menu covers glutathione, NAD+ and sermorelin. Marketing claims reach over 40 states. Not to be confused with Elara Health and Wellness, a separate company.

Read our full Elara MD review →

About TMates

TMates is a Miami-based telehealth platform selling compounded semaglutide at $249/mo and compounded tirzepatide at $297/mo across all 50 states plus Puerto Rico. The model is messaging-first, with independent licensed prescribers and third-party compounding pharmacies.

Read our full TMates review →

Pros & Cons

Elara MD

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • We found no FDA warning letters issued to Elara MD

Watch-outs

  • Semaglutide costs $249 a month, 35% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $349 a month, 40% 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

TMates

What we like

  • 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
  • We found no FDA warning letters issued to TMates

Watch-outs

  • Semaglutide costs $249 a month, 35% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $297 a month, 19% above the $250 median for compounded tirzepatide across the sellers we compare
  • 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: TMates

TMates wins this one, 7.6 to 6.3, above all for coaching inside the $249/month rather than sold separately. Elara MD fits better if compounded semaglutide at $249/month is your priority.

Choose Elara MD if…

You want compounded semaglutide at $249/month and an opening price near $249 a month.

Choose TMates if…

You want coaching inside the $249/month rather than sold separately and an opening price near $249 a month.

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Elara MD vs TMates: FAQ

Neither on the entry price: Elara MD and TMates both start at about $249 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
Elara MD does not publish where it ships; TMates lists 50 states. Confirm your state before paying.
Only TMates includes the clinician visit, the medication itself, shipping and coaching.
Elara MD has none. TMates has none.
No. Neither Elara MD nor TMates pays us anything.

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