1st Optimal vs Freeley
An in-depth comparison of two leading GLP-1 Providers
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1st Optimal
Best for: GLP-1 therapy within a lab-driven functional-medicine program
Visit 1st Optimal →Freeley
Best for: FSA/HSA payers who will commit to a long plan and want pharmacies named
Visit Freeley →1st Optimal and Freeley 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, 1st Optimal starts lower at $99/mo versus $179/mo, and 1st Optimal edges ahead overall (6.7 vs 5.9 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
Care membership only — the GLP-1 medication is billed separately and is not priced.
Freeley
The /pricing page states "Starts as low as $179 on the 24-month plan". The homepage instead says "from $199/month on the 12-month plan", and a capsule on that same homepage says "$99/mo · 12-mo plan". Freeley does not split price by drug.
Freeley advertises one GLP-1 price covering "Semaglutide or Tirzepatide compounded" and does not publish a separate tirzepatide rate.
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What’s included
1st Optimal
What the monthly price covers
Medication
Not disclosed
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Included
Freeley
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
Freeley
5.9/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Freeley |
|---|---|---|
| Starting Price | ✓$99/mo | $179/mo |
| Features | ✓8 features | 5 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | — | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | ✓ Yes |
| 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 Freeley
Freeley is a Texas-registered telehealth platform selling compounded semaglutide and tirzepatide alongside hair, sexual wellness and longevity programs, and it names its partner pharmacies. Its GLP-1 pricing is the problem: the site quotes three different headline figures across its own pages, and the cheapest rate requires a 24-month plan. No month-to-month price is published anywhere.
Read our full Freeley 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
Freeley
What we like
- Names partner pharmacies on a dedicated page and again in the terms, with addresses and phone numbers
- Self-serve cancellation by turning off auto-refill in the portal, up to 48 hours before billing
- FSA and HSA accepted, which most compounded GLP-1 sellers do not take
- Assessment is free and states you pay nothing if you do not qualify
- Covers four categories, so one account handles weight, hair, sexual wellness and longevity
Watch-outs
- Three different GLP-1 headline prices across its own site: $99/mo, $179/mo and $199/mo
- The cheapest rate needs a 24-month plan, and a "Cancel Anytime" badge sits directly beside it
- No month-to-month GLP-1 price is published anywhere on the site
- Price is not split by drug, so semaglutide and tirzepatide buyers see one blended figure
- The partner-pharmacies page names Strive Pharmacy while the terms name The Pharmacy HUB and Triad Rx
- The privacy policy was last updated in September 2024, well behind the 2026 terms
- Contact details are collected at step two of the assessment, before the clinical questions
Our Verdict
1st Optimal edges out Freeley with a higher overall score of 6.7/10 and is particularly strong for GLP-1 therapy within a lab-driven functional-medicine program. Freeley remains a solid alternative, especially if you're looking for FSA/HSA payers who will commit to a long plan and want pharmacies named.
Choose 1st Optimal if…
You want GLP-1 therapy within a lab-driven functional-medicine program and a starting price around $99/mo.
Choose Freeley if…
You want FSA/HSA payers who will commit to a long plan and want pharmacies named and a starting price around $179/mo.
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Get started →1st Optimal vs Freeley: 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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