Nirwana Health vs PlushCare
Nirwana Health and PlushCare both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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PlushCare
Best for: coverage in all 50 states, which most sellers will not confirm
Visit PlushCare →If you are choosing between Nirwana Health and PlushCare, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Nirwana Health leads our six-part score, 7.4 to 6.4.
Nirwana Health vs PlushCare price
Nirwana Health and PlushCare start at the same figure, $149 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, $149 a month; tirzepatide is cheaper at Nirwana Health ($229 a month vs $399 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Nirwana Health does not publish where it ships, and PlushCare lists 50 states.
Pricing
Nirwana Health
Weekly compounded injection, month-to-month subscription $149/mo; 3-month $133/mo, 6-month $99/mo; 1-month one-time $199; oral semaglutide $199/mo. $50 off with code LOOSE50.
Weekly compounded injection, month-to-month subscription $229/mo; 6-month as low as $133/mo; 1-month one-time $279; oral tirzepatide $249/mo.
PlushCare
Range up to $299/mo
Range up to $599/mo
What each price covers
Nirwana Health's price also covers the clinician visit and the medication itself, which PlushCare does not claim.
Nirwana Health is silent on shipping, lab work and coaching.
PlushCare is silent on shipping and coaching.
That matters most for the drug: unless PlushCare confirms otherwise, budget for medication on top of its listed price.
Nirwana Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
Lab work
Not stated
Coaching
Not stated
PlushCare
Covered by the monthly price
Medication
Charged on top
Clinician visits
Charged on top
Shipping
Not stated
Lab work
Charged on top
Coaching
Not stated
Where each one scores higher
Overall, Nirwana Health scores 7.4 and PlushCare 6.4 out of 10.
Nirwana Health is stronger on value (6.6 vs 3.0), user experience (8.0 vs 7.0) and support (5.5 vs 0.0).
PlushCare is stronger on trust & safety (7.5 vs 6.5) and accessibility (10.0 vs 5.0).
Effectiveness is within half a point.
Nirwana Health
7.4/10
PlushCare
6.4/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Nirwana Health nor PlushCare has an FDA warning letter on record with us.
Features & Coverage
| Feature | Nirwana Health | PlushCare |
|---|---|---|
| Starting Price | $149/mo | $149/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | None | None |
About Nirwana Health
Six months upfront takes semaglutide injection as low as $99/mo, against $149/mo taken month to month; tirzepatide is $229/mo, and the oral forms are $199 and $249/mo. Quarterly, 6-month and month-to-month plans all carry no membership fee, and a $50-off code is advertised. Longevity, sexual-wellness and hair care share the site, delivered by providers holding licenses. Which states are covered, which pharmacy fills, and which entity prescribes are all unpublished.
Read our full Nirwana Health review →About PlushCare
PlushCare is an established virtual primary-care telehealth platform and a subsidiary of Transcarent, Inc., a Delaware corporation that also owns Accolade, 2nd.MD, and 98point6 by Transcarent. Virtual visits with US board-certified physicians cost $30 per appointment insured and $129 self-pay. GLP-1 prescribing is a clinician-discretionary option within the broader primary-care relationship.
Read our full PlushCare review →Pros & Cons
Nirwana Health
What we like
- Semaglutide costs $149 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $229 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 and clinician visits
- We found no FDA warning letters issued to Nirwana Health
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
PlushCare
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- Serves all 50 states
- We found no FDA warning letters issued to PlushCare
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
- Baseline bloodwork is required before a prescription
Watch-outs
- Not included in the monthly price: medication, clinician visits, lab work
- 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
Nirwana Health wins this one, 7.4 to 6.4, above all for compounded semaglutide at $149/month. PlushCare fits better if coverage in all 50 states, which most sellers will not confirm is your priority.
Choose Nirwana Health if…
You want compounded semaglutide at $149/month and an opening price near $149 a month.
Choose PlushCare if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $149 a month.
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