1st Optimal vs FORM
An in-depth comparison of two leading GLP-1 Providers
WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more
1st Optimal
Best for: GLP-1 therapy within a lab-driven functional-medicine program
Visit 1st Optimal →
FORM
Best for: Clients who want GLP-1 weight loss bundled with FORM's broader hair, peptide, and longevity menu
Visit FORM →1st Optimal and FORM 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, FORM starts at $199/mo, and FORM edges ahead overall (7.2 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.
FORM
Live-verified product page: "$299 per month"
Live-verified product page: "$399 per month"
Live-verified product page: "$215 per month"
Live-verified product page: "$299 per month"
Live-verified product page: "$199 per month"
Live-verified product page: "$95 monthly membership" — access/consult fee, medication cost via NovoCare not disclosed on-site
Live-verified product page: "$95 monthly membership" — access/consult fee, medication cost via LillyDirect not disclosed on-site
Get alerted when GLP-1 prices drop
Join the GLP-1 price-watch list — we re-verify 430+ providers' prices on their own sites and email you when tracked prices move.
What’s included
1st Optimal
What the monthly price covers
Medication
Not disclosed
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Included
FORM
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
FORM
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | FORM |
|---|---|---|
| Starting Price | — | $199/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | — | ✓ Yes |
| 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 FORM
FORM by GBY is a Las Vegas-based telehealth platform offering physician-guided GLP-1 weight-loss programs alongside hair, peptide, and longevity treatments, prescribed through the Övie Health Group provider network. Compounded semaglutide starts at $299/month and compounded tirzepatide at $399/month, with a lower-strength microdose tirzepatide option at $199/month and oral dissolving-tablet versions also offered. FDA-approved Wegovy and Zepbound are available through a separate $95/month membership. Subscriptions can be canceled anytime with no long-term commitment.
Read our full FORM 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
FORM
What we like
- LegitScript-verified pharmacy operations, confirmed via a live seal check on formbygby.com's own badge.
- Named compounding pharmacy partner (Vios Pharmacy, Livonia MI) disclosed in the Privacy Policy.
- Cancel-anytime subscriptions with no long-term commitment, per the FAQ.
- Oral dissolving-tablet (ODT) options for both semaglutide and tirzepatide, not just injectables.
- FDA-approved brand Wegovy® and Zepbound® available alongside compounded options.
- Broader wellness menu (NAD+, peptides, hair treatments) available under one account.
Watch-outs
- State coverage is unclear: FORM's own Terms claim 48 states + DC, but its prescribing partner's telehealth consent lists only 47 states + DC.
- Account creation (email + password) is required before any health question or price confirmation inside the intake flow.
- Wegovy®/Zepbound® "$95 monthly membership" is an access fee — the actual medication cost via NovoCare/LillyDirect is not disclosed on-site.
- Support is email-only (hello@formbygby.com); no phone number or published support hours found.
- No independent Trustpilot or Google review rating found on the site to verify any customer-satisfaction claims.
- Compounded medications are not FDA-approved, per the site's own disclosure.
Our Verdict
FORM edges out 1st Optimal with a higher overall score of 7.2/10 and is particularly strong for Clients who want GLP-1 weight loss bundled with FORM's broader hair, peptide, and longevity menu. 1st Optimal remains a solid alternative, especially if you're looking for GLP-1 therapy within a lab-driven functional-medicine program.
Choose 1st Optimal if…
You want GLP-1 therapy within a lab-driven functional-medicine program.
Choose FORM if…
You want Clients who want GLP-1 weight loss bundled with FORM's broader hair, peptide, and longevity menu and a starting price around $199/mo.
Ready to start? Vetted GLP-1 providers
Vetted telehealth providers that prescribe GLP-1 online.
No insurance needed · vetted by our editors
WeightLossRankings.org is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more
MadeMed
Compounded GLP-1 in both injection and oral forms
From $219/mo
Get started →Found
Mainstream telehealth GLP-1 access
From $99/mo
Get started →Breeze Meds
Compounded GLP-1 access with named prescribers and 4-pharmacy network
From $199/mo
Get started →1st Optimal vs FORM: 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
Related comparisons
Continue exploring 1st Optimal and FORM head-to-heads in the same category.
- 1st Optimal vs Amazon One Medical
- 1st Optimal vs Vytora Health
- 1st Optimal vs CoreAge Rx
- FORM vs EverSlim
- FORM vs Found
- FORM vs NewSelf
Or see the full category ranking.
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.