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1st Optimal vs Corsica Health

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
1st Optimal logo

1st Optimal

6.7
★★★☆☆3.4/5

Best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program

Visit 1st Optimal
VS
Corsica Health logo

Corsica Health

7.5
★★★3.8/5

Best for: side-by-side compounded and brand-name GLP-1 pricing on one platform

Visit Corsica Health

1st Optimal and Corsica 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, Corsica Health starts at $199/mo, and Corsica 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.

Corsica Health

Compounded semaglutide (3-month plan)Compounded
$199/mo
semaglutide

3-month plan: $597 upfront, 20% off

Compounded semaglutide (1-month plan)Compounded
$249/mo
semaglutide

1-month plan

Compounded tirzepatide (3-month plan)Compounded
$249/mo
tirzepatide

3-month plan: $747 upfront, 28% off

Compounded tirzepatide (1-month plan)Compounded
$349/mo
tirzepatide

1-month plan

Brand-name WegovyBrand-name
$1499/mo
Wegovy
Brand-name OzempicBrand-name
$1499/mo
Ozempic
Brand-name MounjaroBrand-name
$1499/mo
Mounjaro
Brand-name ZepboundBrand-name
$1499/mo
Zepbound

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What’s included

1st Optimal

Inclusions not disclosed.

Corsica Health

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

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

Overall

Corsica Health

7.5/10

Value25%

6.5A
vs
B
7.0

Effectiveness25%

7.0A
vs
B
8.0

User Experience15%

6.5A
vs
B
7.5

Trust & Safety15%

6.5A
vs
B
7.8

Accessibility10%

6.5A
vs
B
7.0

Support10%

7.4A
vs
B
7.9

Features & Coverage

Feature1st OptimalCorsica Health
Starting Price$199/mo
Features8 features8 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

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 Corsica Health

Corsica Health is a telehealth platform offering both compounded GLP-1s and brand-name FDA-approved injections through a structured assessment, provider review, and medication flow. Its differentiator is publishing pricing for compounded and brand SKUs side by side on one site — uncommon transparency. Compounded semaglutide starts at $299/mo and tirzepatide at $399/mo, with brand Ozempic, Wegovy, and Mounjaro at $1,499/mo.

Read our full Corsica 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

Corsica Health

What we like

  • Public pricing shown for both compounded and brand-name options — a real transparency advantage
  • $1,499/mo brand-name Wegovy/Ozempic/Mounjaro is below typical retail cash-pay
  • LegitScript Certified
  • Clear 3-step intake: Assessment, Provider Review, Receive Medication
  • $199/mo compounded semaglutide and $249/mo compounded tirzepatide (3-month plans) are competitively priced

Watch-outs

  • Legal entity name and state of incorporation not disclosed on the site
  • Pharmacy partner described only as a 'licensed compounding pharmacy,' not named
  • Per-state availability not listed publicly
  • First-month promotional pricing not disclosed
  • Lab-work inclusion not clearly disclosed
  • Brand lineup omits Foundayo (offers Wegovy, Ozempic, Mounjaro and Zepbound)

Our Verdict

Winner: Corsica Health

Corsica Health edges out 1st Optimal with a higher overall score of 7.5/10 and is particularly strong for side-by-side compounded and brand-name GLP-1 pricing on one platform. 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 Corsica Health if…

You want side-by-side compounded and brand-name GLP-1 pricing on one platform and a starting price around $199/mo.

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7.4

MadeMed

Compounded GLP-1 in both injection and oral forms

8.3

Found

Mainstream telehealth GLP-1 access

7.4

Breeze Meds

Compounded GLP-1 access with named prescribers and 4-pharmacy network

1st Optimal vs Corsica Health: FAQ

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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.