1st Optimal vs HealFast
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 →
HealFast
Best for: people who want compounded semaglutide or tirzepatide with a low first month and one price at every dose
Visit HealFast →1st Optimal and HealFast 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 $199/mo, and HealFast 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
Care membership only — the GLP-1 medication is billed separately and is not priced.
HealFast
$99 for the first month, then $199 a month. 3, 6 and 12-month plans are billed upfront: $537, $810 and $1,188 (about $179, $135 and $99 a month)
$149 for the first month, then $299 a month. 3, 6 and 12-month plans are billed upfront: $807, $1,194 and $1,788 (about $269, $199 and $149 a month)
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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
HealFast
What the monthly price covers
Medication
Included
Provider visits
Included
Shipping
Included
Lab work
Not disclosed
Coaching
Included
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
HealFast
7.5/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | HealFast |
|---|---|---|
| Starting Price | ✓$99/mo | $199/mo |
| Features | ✓8 features | 7 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 HealFast
HealFast is a physician-founded telehealth service that sells compounded semaglutide and tirzepatide, prescribed by clinicians from Arora Health & Aesthetics. The first month costs $99 for semaglutide or $149 for tirzepatide, then $199 or $299 a month, the same at every dose. Plans of 3, 6 and 12 months are paid upfront and bring the monthly cost down to as little as $99 or $149.
Read our full HealFast 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
HealFast
What we like
- Every plan price is listed on the treatment pages before you answer any questions
- The price is the same at every dose, and supplies, clinician messaging and 2-day shipping are included
- Your card is only held at checkout and is charged only if a clinician prescribes treatment
- Names its medical group, Arora Health & Aesthetics, and discloses which founding physicians hold shares
- Prepaid 6 and 12-month plans bring semaglutide down to $135 or $99 a month
- Publishes a phone number you can call or text, plus email support
Watch-outs
- The $99 and $149 prices are first-month offers; semaglutide then renews at $199 a month and tirzepatide at $299
- The lowest monthly rates need 6 or 12 months paid upfront, and the annual plan is a 12-month commitment
- The compounding pharmacy that fills prescriptions is not named anywhere on the site
- The full health questionnaire comes after checkout, so you enter a card before a clinician sees your history
- The About page still shows placeholder text asking for the company history to be confirmed
- The LegitScript seal on the site could not be matched to a LegitScript record, and there is no Trustpilot profile
- Medication is non-refundable once dispensed, and a missing package must be reported within 24 hours of delivery
Our Verdict
HealFast edges out 1st Optimal with a higher overall score of 7.5/10 and is particularly strong for people who want compounded semaglutide or tirzepatide with a low first month and one price at every dose. 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 and a starting price around $99/mo.
Choose HealFast if…
You want people who want compounded semaglutide or tirzepatide with a low first month and one price at every dose and a starting price around $199/mo.
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MEDVi
Switching between compounded and brand-name GLP-1 through one provider
From $99/mo
Get started →DudeMeds
Men seeking no-fee GLP-1 access with oral and injectable options
From $175/mo
Get started →Oak
Compounded semaglutide and tirzepatide at a flat monthly price
From $133/mo
Get started →1st Optimal vs HealFast: 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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