1st Optimal vs Eclipse Medical Wellness
An in-depth comparison of two leading GLP-1 Providers
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1st Optimal
Best for: coaching bundled into the price rather than sold separately
Visit 1st Optimal →
Eclipse Medical Wellness
Best for: a published state list — 1 of 50 — when most of the register publishes none
Visit Eclipse Medical Wellness →Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, they finish level on 3.9. What follows: the prices, what each plan actually covers, the six-dimension score, where each one is weak, and who should pick which.
What’s included
1st Optimal
Covered by the monthly price
Medication
Not stated
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
In the price
Eclipse Medical Wellness
Covered by the monthly price
Medication
Charged on top
Clinician visits
In the price
Shipping
Charged on top
Lab work
Not stated
Coaching
Not stated
Score breakdown
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
1st Optimal
3.9/10
Eclipse Medical Wellness
3.9/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Eclipse Medical Wellness |
|---|---|---|
| Starting Price | — | — |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 1 |
| Compounded | — | — |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About 1st Optimal
Neither a monthly price nor a list of states is published. 1st Optimal operates out of Michigan across telehealth and functional medicine, writing the GLP-1s semaglutide and tirzepatide either as a weekly injection or as a daily oral tablet. Around the prescription it stacks at-home lab testing, interpretation of the blood work, coaching without limit and protocols built individually, all framed as long-term weight loss and longevity. Credentialed providers work virtually, treatment goes to the home, and nothing binds you to a long contract.
Read our full 1st Optimal review →About Eclipse Medical Wellness
The plan and the drug are billed separately here, which is unusual. $749 buys a 3-month starter and roughly $149/mo continues it, covering a medical evaluation, labs at baseline and each quarter, prescription management, an attempt at prior authorization and nutrition support. The medication goes to your own pharmacy and you pay for it there. Eclipse works only in Colorado, clinician-led, writing FDA-approved brand GLP-1s, Wegovy and Zepbound alongside metformin and naltrexone/bupropion, with compounded options open too. Nothing is prescribed without the clinical evaluation.
Read our full Eclipse Medical Wellness review →Pros & Cons
1st Optimal
What we like
- The monthly figure covers consult, shipping, coaching
- No FDA warning letter matched this operator when we searched our enforcement register
- 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
- No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
- No state list is on record here, so whether it serves your state cannot be confirmed from this page
- No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
Eclipse Medical Wellness
What we like
- The monthly figure covers consult
- No FDA warning letter matched this operator when we searched our enforcement register
Watch-outs
- No price appears until the medical intake is complete, so the cost cannot be compared before health information is submitted
- Billed separately from the monthly figure: medication, shipping
- Coverage is published for 1 states only, so this may not reach you
- No dispensing pharmacy is named in our record, so its accreditation cannot be looked up from here
Our Verdict
Both 1st Optimal and Eclipse Medical Wellness score equally well overall — the right choice depends on your priorities.
Choose 1st Optimal if…
You want coaching bundled into the price rather than sold separately.
Choose Eclipse Medical Wellness if…
You want a published state list — 1 of 50 — when most of the register publishes none.
Ready to start? Vetted GLP-1 providers
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Trimi Health
Knowing which pharmacy fills the vial — it names VialsRx
From $99/mo
Get started →Strut Health
Semaglutide at $99/month, 48% under the register median
From $99/mo
Get started →Oak
Semaglutide at $119/month, 37% under the register median
From $119/mo
Get started →1st Optimal vs Eclipse Medical Wellness: FAQ
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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- 1st Optimal vs He & She MD
- Eclipse Medical Wellness vs Lean Meds
- Eclipse Medical Wellness vs NextMeds
- Eclipse Medical Wellness vs bmiMD
Or see the full category ranking.
Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.