Aquivia Health vs Sprout Health
Aquivia Health and Sprout Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Aquivia Health
Best for: moving between compounded and brand without changing seller
Visit Aquivia Health →
Sprout Health
Best for: knowing which pharmacy fills the vial: it names Foothills Pharmacy
Visit Sprout Health →If you are choosing between Aquivia Health and Sprout Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Sprout Health leads our six-part score, 6.8 to 6.0. One of the two has an FDA warning letter on record, covered below.
Aquivia Health vs Sprout Health price
Aquivia Health and Sprout Health start at the same figure, $149 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $149 a month; tirzepatide is cheaper at Aquivia Health ($179 a month vs $199 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections and brand-name pens.
Where each one treats patients
Aquivia Health does not publish where it ships, and Sprout Health lists 44 states.
Pricing
Aquivia Health
Sprout Health
No intro or promo terms are attached. Sprout's homepage also lists 'Compounded GLP-1s' at 'Starting $249', which conflicts with its own semaglutide price; the drug-specific figure is the more precise one.
Listed on Sprout's homepage. Any other tirzepatide form is priced only after the intake questionnaire.
Near cash list price; unchanged.
Close to the cash list price. Exact plan charges are not published; they appear only after the intake questionnaire.
What each price covers
Both prices cover the medication itself.
Aquivia Health's price also covers the clinician visit and shipping, which Sprout Health does not claim.
Aquivia Health is silent on lab work and coaching.
Sprout Health is silent on the clinician visit, shipping, lab work and coaching.
Aquivia Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
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
Where each one scores higher
Overall, Sprout Health scores 6.8 and Aquivia Health 6.0 out of 10.
Aquivia Health is stronger on value (7.4 vs 3.0) and support (7.0 vs 5.0).
Sprout Health is stronger on user experience (8.0 vs 3.0), trust & safety (6.0 vs 0.0) and accessibility (9.0 vs 5.0).
Effectiveness is within half a point.
Aquivia Health
6.0/10
Sprout Health
6.8/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Sprout Health a warning letter dated September 9, 2025 (letter 715879), and it is still open.
Aquivia Health has no FDA warning letter on record with us.
Features & Coverage
| Feature | Aquivia Health | Sprout Health |
|---|---|---|
| Starting Price | $149/mo | $149/mo |
| Features | ✓7 features | 4 features |
| States Available | Not disclosed | 44 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | ✓ Yes |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 1 letter |
About Aquivia Health
Every dose of compounded semaglutide costs $149/mo and every dose of compounded tirzepatide $179/mo. Patients who want a branded drug can move up to Ozempic or Zepbound, a pairing few compounded sellers offer. Aquivia Health is clinician-led and self-pay. Open Loop Healthcare Partners delivers the care. The founders are named, headed by a Chief Medical Officer and a Chief Pharmacist whose background is in 503A.
Read our full Aquivia Health 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
Aquivia Health
What we like
- Semaglutide costs $149 a month, 19% below the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $179 a month, 28% below the $250 median for compounded tirzepatide across the sellers we compare
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to Aquivia Health
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- 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
Sprout Health
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication
- Serves 44 states
- Names 2 pharmacies that fill its prescriptions, which most sellers do not
Watch-outs
- The FDA has issued Sprout Health a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- 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 wins this one, 6.8 to 6.0, above all for knowing which pharmacy fills the vial: it names Foothills Pharmacy. Aquivia Health fits better if moving between compounded and brand without changing seller is your priority.
Choose Aquivia Health if…
You want moving between compounded and brand without changing seller and an opening price near $149 a month.
Choose Sprout Health if…
You want knowing which pharmacy fills the vial: it names Foothills Pharmacy and an opening price near $149 a month.
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