The weighting
Four evidence layers make one score.
Program evidence
55%
Clinical detail, complete cost, support, medication disclosure, availability, and claim quality.
Cross-source ratings
25%
Sample-size-adjusted customer ratings from independently matched profiles, never house testimonials.
Complaint history
12%
Themes, recency, handling outcomes, and evidence quality—not a raw count by itself.
Community survey
8%
A dated, self-selected compounded-tirzepatide survey with capped influence.
Commercial influence
0 points
Paying us cannot improve a review score or remove a limitation.
Overall ranking formula
Reputation is a cross-check, not a popularity contest.
Match the domain
The external profile must match the provider's actual website. Lookalike names and unrelated domains are not merged.
Shrink tiny samples
A five-review rating is pulled toward neutral. The reputation signal reaches full weight at 1,000 reviews.
Read the pattern
We record recurring allegations, recent activity, and response outcomes. Complaint totals are not adjusted for customer volume because that denominator is unavailable.
Penalize disagreement
When substantial review samples sharply disagree, the overall score loses additional points instead of choosing the more flattering source.
Cap survey influence
The community survey contributes only 8%. Top tier scores above Tier 2, while providers outside its compounded-tirzepatide scope stay neutral.
A complaint is an allegation, not a finding.
BBB complaint text and Scam Tracker submissions reflect consumer accounts. We label them accordingly, distinguish the two systems, and link the source so readers can review the record themselves.
No exact review match does not mean “good” or “bad.” It means the evidence is incomplete. We use a cautious below-neutral reputation signal and disclose the missing match instead of guessing. A provider absent from the niche Reddit survey stays neutral because that survey does not cover every care model equally.
Scoring criteria
Where the 100 points come from
25
Clinical transparency
Names the clinical organization, explains who reviews care, and identifies pharmacy or fulfillment relationships where applicable.
20
Pricing completeness
Makes recurring membership, medication, labs, shipping, dose changes, promotions, and commitment terms reasonably clear.
20
Care and support
Explains visits, follow-up, messaging, coaching, refill support, and how patients reach the care team.
15
Medication disclosure
Clearly identifies available medication categories and distinguishes prescriptions from supplements or non-medication services.
10
Availability clarity
Explains state coverage, eligibility limits, insurance support, and whether care happens by video or asynchronous review.
10
Policies and claim quality
Publishes accessible privacy, cancellation, refund, safety, and contact information and presents testimonials and program claims without misleading framing.
Research process
How a review is assembled
- 1. Review provider-owned sources.
We read program, pricing, medication, insurance, policy, and support pages.
- 2. Normalize the complete offer.
We separate membership from medication and distinguish introductory pricing from ongoing cost.
- 3. Score the published evidence.
Each program criterion has a fixed maximum. Missing or ambiguous details reduce the transparency score.
- 4. Match reputation and community evidence.
We match Trustpilot and BBB profiles, record scope and sample size, summarize complaint allegations, and attach the dated community survey edition without treating it as independent validation.
- 5. Calculate overall rank.
The 55/25/12/8 formula combines program evidence, cross-source customer ratings, complaint history, and community survey evidence. Material source disagreement can subtract up to eight additional points.
What the score is not
It does not decide whether treatment is right for you
- It is not a medical recommendation, safety guarantee, or assessment of individual eligibility.
- It does not rank one medication as medically superior to another.
- It does not guarantee that an advertised price, medication, or insurance outcome is available to every person.
- It does not replace a conversation with a licensed clinician.
Corrections and updates
Programs change quickly. We date every review and update material details when we confirm a change. Providers and readers can send corrections, but the editorial team decides how verified information affects a score.
Send a correctionSee the methodology in action
Compare current online-provider scores and cost stacks.