1st Optimal vs Sprout Health
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 →
Sprout Health
Best for: knowing which pharmacy fills the vial — it names Foothills Pharmacy
Visit Sprout Health →Two GLP-1 Providers chasing the same patients, trading off price, geography and what lands in the box differently. On our scoring, Sprout Health starts at $149/mo, and Sprout Health finishes ahead, 6.8 to 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.
Pricing
1st Optimal
Pricing not publicly listed.
Sprout Health
Homepage hero product card; no intro/promo qualifier found. A lower 'Compounded GLP-1s' category card on the same page says 'Starting $249' — internal site conflict; the per-drug hero card is the more specific figure.
Homepage hero product card. Checkout paths also reference a 'tirzepatide-tablet' SKU (oral form exists in funnel) but its price is quiz-gated = not published.
Near cash list price; unchanged.
Near cash list price; unchanged. Exact plan charges at checkout are quiz-gated (empty-cart template) = not published.
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
Sprout Health
Covered by the monthly price
Medication
In the price
Clinician visits
Not stated
Shipping
Not stated
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
Sprout Health
6.8/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Sprout Health |
|---|---|---|
| Starting Price | — | $149/mo |
| Features | ✓8 features | 4 features |
| States Available | Not disclosed | 44 |
| Compounded | — | ✓ Yes |
| Brand Name | — | ✓ Yes |
| FSA/HSA Accepted | — | — |
| FDA Warnings | ✓None | 1 warning |
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 Sprout Health
Sprout Health Partners sells LegitScript-certified compounded semaglutide at $149/mo and compounded tirzepatide at $199/mo. Intake is quiz-first with licensed clinician review, and the compounded medication ships from Foothills Pharmacy or Promise Pharmacy.
Read our full Sprout Health 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
Sprout Health
What we like
- Publishes a price on its own site before the medical questionnaire, so it can be compared without handing over health information
- The monthly figure covers medication
- Coverage is published for 44 states
- Names 2 dispensing pharmacies, which most sellers in this register do not do
Watch-outs
- 1 FDA warning letter matched to this operator in our enforcement register — read what the letter alleges, since a letter discloses a problem rather than disqualifying a seller
- 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
Sprout Health takes it, 6.8 against 3.9, and it is especially strong on knowing which pharmacy fills the vial — it names Foothills Pharmacy. 1st Optimal is no weak second and may fit you better on coaching bundled into the price rather than sold separately.
Choose 1st Optimal if…
You want coaching bundled into the price rather than sold separately.
Choose Sprout Health if…
You want knowing which pharmacy fills the vial — it names Foothills Pharmacy and an opening price near $149 a month.
Ready to start? Vetted GLP-1 providers
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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 →Found
Tirzepatide at $169/month, 37% under the register median
From $99/mo
Get started →1st Optimal vs Sprout Health: 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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