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Josie vs Ro: Which Is Better?

Head-to-head comparison of Josie and Ro based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Ro scores higher overall in our independent evaluation (77/100 vs 57.6/100), leading on trust & safety, experience, product range, reputation. Josie comes out ahead on value.

58
Josie
Fair

Small menopause-focused telehealth brand selling compounded and branded GLP-1s, microdose GLP-1 maintenance plans and estradiol/progesterone HRT at flat published prices.

Visit Josie
77
Ro
Very Good

Vertically integrated private telehealth with in-house pharmacy, diagnostics, and an Eli Lilly partnership for branded GLP-1s.

Visit Ro

Score Breakdown

DimensionJosieRo
Overall Score57.6/10077/100 ✓
Trust & Safety30%50/10085/100 ✓
Value25%70/100 ✓65/100
Experience20%58/10080/100 ✓
Product Range15%60/10075/100 ✓
Reputation10%45/10080/100 ✓

At a Glance

Founded—2017
Headquarters—New York, NY
Publicly tradedNoNo
Treatment categories35
Treatments listed79
Starting price$90/mo$13/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryJosieRo
Weight Loss / GLP-1$189
Microdose GLP-1 Maintenance (semaglutide or tirzepatide)
$149–$299
Branded Wegovy Pill (oral semaglutide)

Josie

+Flat pricing at any dose, published before intake: compounded semaglutide $249/mo ($194/mo prepaid annually), tirzepatide $349/mo ($233/mo annually)
+Offers injectable, oral ODT and microdose ($189/mo) GLP-1 formats alongside HRT in one women's-midlife intake
+Names its lead clinician (Dr. Ana Lisa Carr, MD, board-certified in family medicine) and says it serves all 50 states
−FDA warning letter (Feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing
−White-label setup: Josie is a trade name of One Eleven Nutrition LLC on the CareValidate platform, and its terms say it doesn't control provider decisions
−An $80 consultation fee applies if a provider approves a plan and the patient declines medication, and filled orders are non-refundable
Read the full Josie review →

Ro

+Direct Eli Lilly partnership for branded Zepbound
+Novo Nordisk partnership for branded Wegovy pill at lowest cash-pay price
+In-house pharmacy and diagnostics lab
−Higher prices than competitors using compounded medications
−$149/mo membership fee on top of medication costs ($39 first month)
−Narrower treatment range than Hims & Hers
Read the full Ro review →

Josie vs Ro — FAQ

Is Josie better than Ro?

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Ro scores higher overall in our independent evaluation (77/100 vs 57.6/100), leading on trust & safety, experience, product range, reputation. Josie comes out ahead on value.

Is Josie or Ro cheaper?

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Ro has the lower starting price (from $13/mo vs $90/mo for Josie). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Josie and Ro both offer?

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Both platforms treat Weight Loss / GLP-1. Josie covers 3 treatment categories total and Ro covers 5.

Still deciding?

Josie alternativesRo alternativesTake the Match Quiz