GLP Watchdog

Direct Meds vs Sprout Health

Direct Meds has an open FDA warning letter dated September 9, 2025. Sprout Health has an open FDA warning letter dated September 9, 2025. On compounded tirzepatide injection, Sprout Health costs $2,201 less a year at standing rates: $199 a month (billed every 4 weeks) against $399 a month at Direct Meds. It is one of two products the two sell at comparable terms.

To see where both sit among the other sellers, read our best weight-loss injection providers board.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

The record

Direct Meds / Sprout Health

Direct Meds logo

Direct Meds

7.1/10

Sprout Health logo

Sprout Health

8.0/10

FDA warning letters
Pharmacy
None named in our record
Lowest standing price
$249/moCompounded oral semaglutide
$149/moCompounded semaglutide injection, billed every 4 weeks
States
48 states and DC
44 states
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit Direct Meds
Visit Sprout Health

Both Direct Meds and Sprout Health are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Direct Meds 7.1, Sprout Health 8.0). How we are paid

What the record shows

  1. 01

    Direct Meds has an open FDA warning letter dated September 9, 2025. Sprout Health has an open FDA warning letter dated September 9, 2025.

  2. 02

    Sprout Health names two pharmacies, all 503A. Direct Meds names no compounding pharmacy in our record.

  3. 03

    On compounded tirzepatide injection, Sprout Health costs $2,201 less a year at standing rates: $199 a month (billed every 4 weeks) against $399 a month at Direct Meds. It is one of two products the two sell at comparable terms.

  4. 04

    Only Direct Meds lists a price for compounded oral semaglutide and compounded oral tirzepatide.

  5. 05

    Direct Meds covers four states Sprout Health does not.

  6. 06

    Direct Meds holds you to a 90-day supply shipped at once, remaining months billed every 30 days; Sprout Health states you can cancel at any time.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

Direct Meds

Sprout Health

Compounded semaglutide injection

$297/mo

$3,564 a year

$149/moLower

$1,937 a year, 13 charges

Compounded tirzepatide injection

$399/mo

$4,788 a year

$199/moLower

$2,587 a year, 13 charges

Compounded oral semaglutide

$249/mo

$2,988 a year

Not sold or not priced
Compounded oral tirzepatide

$299/mo

$3,588 a year

Not sold or not priced
Price includes
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Cancel any time
No
Yes, stated
Minimum term
90-day supply shipped at once, remaining months billed every 30 days
None on 4-week plans; the 12-month plan is paid up front
Refunds
No refunds for medication already received; $35 disposal fee on returns
Full refund before the prescription is sent to the pharmacy; none after
Early-exit fee
Not stated
None stated

Read off each seller’s own pages. Direct Meds: October 17, 2026. Sprout Health: October 17, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Direct Meds

7.1/10
  • Sells compounded oral semaglutide and compounded oral tirzepatide, which Sprout Health does not price
  • Open FDA warning letter, September 9, 2025
  • Names no compounding pharmacy
  • Minimum commitment before you can cancel
Visit Direct Meds

The case for Sprout Health

8.0/10
  • $1,627 a year less on compounded semaglutide injection
  • $2,201 a year less on compounded tirzepatide injection
  • Names its compounding pharmacy
  • States you can cancel at any time
  • Open FDA warning letter, September 9, 2025
Visit Sprout Health

Scores

Direct Meds 7.1 · Sprout Health 8.0 out of 10. Six weighted parts.

Value25%

4.2A
vs
B
7.2

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

4.5A
vs
B
6.0

Accessibility10%

9.7A
vs
B
9.0

Support10%

7.0A
vs
B
7.0

The score is the same formula for every seller. Payment does not enter it. Method

Direct Meds vs Sprout Health: questions

Direct Meds has an open FDA warning letter dated September 9, 2025. Sprout Health has an open FDA warning letter dated September 9, 2025. Letters are matched to a seller by company, domain and address, never by a similar name.
Sprout Health names two pharmacies, all 503A. Direct Meds names no compounding pharmacy in our record. A 503A pharmacy compounds for named patients on a prescription; a 503B outsourcing facility is registered with FDA and inspected under federal manufacturing rules.
Sprout Health, by $1,627 a year at standing rates. Direct Meds: $297 a month, about $3,564 a year. Sprout Health: $149 a month (billed every 4 weeks), about $1,937 a year.
Direct Meds has a minimum term (90-day supply shipped at once, remaining months billed every 30 days). Sprout Health states you can cancel at any time; refunds: full refund before the prescription is sent to the pharmacy; none after.
Both Direct Meds and Sprout Health are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Direct Meds 7.1, Sprout Health 8.0).

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Sellers closest to these two

Matched on molecule, form and price. Every pair we list · The register