1st Optimal vs Contour Health
An in-depth comparison of two leading GLP-1 Providers
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1st Optimal
Best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program
Visit 1st Optimal →Contour Health
Best for: pay-per-vial compounded semaglutide or tirzepatide with no long-term subscription commitment
Visit Contour Health →1st Optimal and Contour Health are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, Contour Health starts at $160/mo, and Contour Health edges ahead overall (7.5 vs 6.7 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.
Pricing
1st Optimal
Pricing not publicly listed.
Contour Health
Starting package $250 covers medical assessment, tailored plan, and 8-10 weeks of medication/supplies (2.5-20mg vials). Ongoing cost is pay-per-vial; site-published 'Average Monthly Cost' is $160/mo at a typical 0.5-1.5mg/week dose. Live-verified 2026-07-11 on contourhealthrx.com/weight-loss.
Starting package $500 covers medical assessment, tailored plan, and 8-10 weeks of medication/supplies (20-120mg vials). Ongoing cost is pay-per-vial; site-published 'Average Monthly Cost' is $300/mo at a typical 2.5-5mg/week dose. Live-verified 2026-07-11 on contourhealthrx.com/weight-loss.
What’s included
1st Optimal
Inclusions not disclosed.
Contour Health
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Not disclosed
Lab work
Not disclosed
Coaching
Not disclosed
Score breakdown
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
1st Optimal
6.7/10
Contour Health
7.5/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Contour Health |
|---|---|---|
| Starting Price | — | $160/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
About 1st Optimal
1st Optimal is a Michigan-based telehealth and functional-medicine platform offering GLP-1 weight loss medications, including semaglutide and tirzepatide, as once-weekly injections or daily oral tablets. Its model pairs prescription GLP-1 therapy with at-home lab testing, blood-work interpretation, unlimited coaching, and personalized protocols framed around long-term weight loss and longevity. Care is delivered virtually by credentialed providers, and treatments ship to the home with no long-term contracts. The site does not publish monthly pricing or a state list.
Read our full 1st Optimal review →About Contour Health
Contour Health (Desert Contour LLC) is a Utah-based telehealth provider offering compounded semaglutide and tirzepatide through a named 503A pharmacy partner, Strive Pharmacy. Patients pay per vial instead of a flat monthly subscription — starting packages are $250 (semaglutide) or $500 (tirzepatide), covering an 8-10 week supply, with average ongoing costs of $160/mo and $300/mo. Care is overseen by a board-certified medical director and named nurse practitioners, with free consultations.
Read our full Contour Health review →Pros & Cons
1st Optimal
What we like
- Offers both semaglutide and tirzepatide with injectable and oral formats
- Functional-medicine approach with at-home labs and blood-work interpretation
- Unlimited coaching and ongoing support included
- No long-term contracts
- Board-certified doctors and nurse practitioners referenced
Watch-outs
- No public monthly pricing disclosed
- No published state availability list
- Compounded vs branded sourcing not clarified on site
- Pricing only revealed after quiz or consultation
Contour Health
What we like
- Free medical consultation — no charge to talk with a provider before starting
- Pay-per-vial pricing with no long-term subscription commitment required to participate
- Names its compounding pharmacy partner (Strive Pharmacy, 503A accredited) — a real transparency signal
- LegitScript badge links to a genuine, working LegitScript verification checker for the domain
- Board-certified Medical Director and named nurse-practitioner care team, not anonymous providers
- HSA/FSA payments accepted, with itemized receipts and a Letter of Medical Necessity available on request
- ~2-year-old domain (registered July 2024) with named founders and a real street address/phone
Watch-outs
- State availability list is not published — Terms of Service only says "certain states"
- All product purchases are non-refundable per Terms of Service
- Compounded injectable only — no oral option, no brand-name Wegovy/Zepbound/Ozempic/Mounjaro
- Terms of Service also describe an optional subscription tier with a 3-month minimum, despite marketing emphasizing "no subscriptions"
- No insurance, Medicare, or Medicaid accepted — cash-pay or HSA/FSA only
- Whether the initial consult is live video or async isn't explicitly stated on the site
Our Verdict
Contour Health edges out 1st Optimal with a higher overall score of 7.5/10 and is particularly strong for pay-per-vial compounded semaglutide or tirzepatide with no long-term subscription commitment. 1st Optimal remains a solid alternative, especially if you're looking for Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.
Choose 1st Optimal if…
You want Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.
Choose Contour Health if…
You want pay-per-vial compounded semaglutide or tirzepatide with no long-term subscription commitment and a starting price around $160/mo.
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TrimRx
Best overall value
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Compounded GLP-1/GIP combo therapy on a yearly subscription with free shipping nationwide
From $149/mo
Get started →MEDVi
Patients who want the option to switch between compounded and brand-name GLP-1 through one provider
From $179/mo
Get started →1st Optimal vs Contour Health: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- 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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