What the stars mean
Our ratings reflect editorial shopping preferences: clearer prices, shorter commitments and specified support make a program easier to compare. Those choices are published below so you can judge whether they match what matters to you. They are not a scientific measure of treatment quality or a guarantee that a provider is right for you.
We compare the exact branded-prescription route described in each row. A fee for a different product, compounded plan or prepaid option is not quietly substituted. Appointment-based services can earn credit for a published visit price without pretending it is a monthly total.
Published clinician access means a program advertises a way to contact a clinician. It does not establish licensing, safe prescribing, actual response speed or better outcomes. Human lifestyle support can be coaching or nutrition support; credentials and whether a registered dietitian is included remain separate facts.
The three parts of the score
Price clarity
40 points
How clearly the compared route states care rates, separate medication bills, possible extras and introductory versus ongoing terms.
Billing flexibility
30 points
The minimum commitment and the published cancellation, refund and renewal rules. Shorter required terms earn more flexibility points.
Published support
30 points
Published clinician contact, lifestyle support and which services are included or billed separately.
Every criterion and its points
These are editorial weights, not clinical evidence grades. Expand a provider’s “Program features” rating to see its observations, points and dated sources.
| Criterion | Maximum | How points are assigned |
|---|---|---|
| Care price and billing period | 15 |
|
| Medication cost boundary | 10 |
|
| Other possible charges | 10 |
|
| First-term and ongoing price | 5 |
|
| Minimum commitment | 15 |
|
| Cancellation rule | 10 |
|
| Refund and renewal terms | 5 |
|
| Clinician access | 15 |
|
| Lifestyle support | 10 |
|
| Included and extra support | 5 |
|
When we withhold stars
Missing information stays unknown. It is not zero points and does not prove that a feature is unavailable. A score needs source-backed evidence for the care rate, medication billing boundary, minimum commitment, cancellation rule and clinician access.
We also require evidence covering at least 30 of the 40 pricing points, 25 of the 30 billing points and 20 of the 30 support points. We calculate the lowest and highest possible totals for the remaining unknown criteria. If those totals would round to different half-stars, we publish “Not rated.” The evidence breakdown remains available.
Expired evidence, missing or unsafe source links, unsupported criterion values and unresolved conflicts withhold the rating. This is why a program can receive a specific category pick, such as no recurring membership, while lacking enough evidence for a complete star score.
The calculation
The rubric totals 100 possible points. We convert a supported total to a one-to-five scale using 1 + (4 × points ÷ 100), then round to the nearest half-star. A displayed 5.0 is a rounded score; it does not mean every detail is perfect. We do not drop unknown criteria and inflate the remaining points to a new denominator.
The same program has the same star score on every category page. Category picks answer the specific shopping question on their page and are not automatically awarded to the highest star score. A prominent “Our pick for” banner gives that reason, with a linked explanation and alternatives. Insurance labels distinguish covered visits from medication paperwork; a pay-per-visit alternative on the monthly page is identified as an alternative, rather than called a monthly plan. Unselected options remain available to compare. Providers do not pay for a rating or a pick, and affiliate compensation is not a scoring input.
Dates, sources and limits
Every scored observation has exact public source IDs, a check date and an expiry. A source refresh in one area does not renew an older price or credential check. We show published promises, with no patient enrollment or independent testing of the care provided.
This rating is not a patient review, an accreditation score or a measure of clinical safety, effectiveness, pharmacy quality or individual medical suitability. Our content is not medically reviewed. Dates are snapshots. Monthly source research and update drafts are scheduled; a review and publication are required before an edition date changes.