1st Optimal vs KIN Health
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 →
KIN Health
Best for: flat-price compounded GLP-1 with named pharmacies and no membership fee
Visit KIN Health →1st Optimal and KIN 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, 1st Optimal starts lower at $99/mo versus $169/mo, and KIN Health edges ahead overall (7.8 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.
KIN Health
Flat at all five doses. Charged at checkout; each refill needs your approval.
Flat at all six doses on the site; the terms say the price can change with dose.
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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
KIN 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
KIN Health
7.8/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | KIN Health |
|---|---|---|
| Starting Price | ✓$99/mo | $169/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 46 |
| 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 KIN Health
KIN Health prescribes compounded semaglutide at $169/mo and compounded tirzepatide at $199/mo, one price at every dose, with the provider review, messaging and shipping included and no membership fee. Prescribers are contracted through MD Integrations, and the dispensing pharmacies are named: Strive, Boothwyn and Drug Crafters. Each month is paid for separately, with no long plan to sign. Sermorelin, NAD+ and PT-141 are sold on the same account.
Read our full KIN 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
KIN Health
What we like
- One flat price at every dose: $169/mo semaglutide and $199/mo tirzepatide, shown on the product page before any quiz
- Provider review, ongoing messaging and shipping are included, with no membership fee and no separate consultation charge
- Names who does the work: prescribers through MD Integrations and three pharmacies, Strive, Boothwyn and Drug Crafters
- Publishes a provider directory with license numbers for the states that require it
- Month-to-month: each refill needs your approval, and you are refunded in full if a provider does not approve treatment
- The company behind it is named: KIN Medical, Inc., a Delaware corporation
- Sermorelin, NAD+ and PT-141 on the same account, each in injection, nasal spray or dissolvable tablet form
Watch-outs
- The terms say tirzepatide's monthly cost may change as your dose rises, which cuts against the flat-price promise on the product page
- Product pages say no subscriptions and no auto-renew, while the terms describe a GLP-1 subscription billed each refill cycle
- No refunds once medication ships, and a refill already sent to the pharmacy cannot be canceled
- GLP-1 care is not offered in California, Louisiana, Minnesota or Mississippi
- Support is by email only, with replies promised within one business day; no phone number is published
- Claims LegitScript certification, but no record could be confirmed in LegitScript's public directory
- Compounded semaglutide and tirzepatide are not FDA-approved, and the formula may include glycine or B12 depending on the pharmacy
- A young brand: its terms took effect in April 2026, so there is little track record to judge
Our Verdict
KIN Health edges out 1st Optimal with a higher overall score of 7.8/10 and is particularly strong for flat-price compounded GLP-1 with named pharmacies and no membership fee. 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 KIN Health if…
You want flat-price compounded GLP-1 with named pharmacies and no membership fee and a starting price around $169/mo.
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Sesame Care
Brand-name GLP-1s at cash prices, no compounding
From $25/mo
Get started →Collective
The lowest flat medication price if you can absorb an annual membership fee
From $59/mo
Get started →Sunlight
Compounded GLP-1 with unlimited telehealth visits and free shipping
From $88/mo
Get started →1st Optimal vs KIN 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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