1st Optimal vs Mirabel Meds
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 →
Mirabel Meds
Best for: concierge compounded GLP-1 with white-glove clinical support nationwide
Visit Mirabel Meds →1st Optimal and Mirabel Meds 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 at $99/mo, and 1st Optimal edges ahead overall (6.7 vs 6.5 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.
Mirabel Meds
Pricing not publicly listed.
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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
Mirabel Meds
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
Mirabel Meds
6.5/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Mirabel Meds |
|---|---|---|
| Starting Price | $99/mo | — |
| Features | 8 features | 8 features |
| States Available | Not disclosed | 50 |
| Compounded | — | — |
| 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 Mirabel Meds
Mirabel Meds is a LegitScript-certified telehealth clinic headquartered in West Palm Beach, FL offering compounded semaglutide, tirzepatide, and GLP-1 microdose injections with a white-glove concierge model. Every plan includes a licensed provider consultation, cold-chain direct delivery, monthly clinical reviews, and direct provider messaging with no automated bots. Clinicians are licensed across all 50 states. Pricing is reviewed during consultation and is not publicly listed.
Read our full Mirabel Meds 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
Mirabel Meds
What we like
- LegitScript certified with board-certified Internal Medicine physician oversight
- Compounded semaglutide, tirzepatide, and GLP-1 microdose injection options
- White-glove concierge — direct provider messaging, no automated bots
- Cold-chain temperature-controlled delivery to all 50 states
- Monthly clinical reviews and dose adjustments included with every plan
Watch-outs
- Pricing not publicly disclosed — requires a consultation to receive a quote
- Compounded medications are not FDA-approved individual drugs
- No named pharmacy partner disclosed on public pages
- Labs not mentioned on any public page — baseline bloodwork protocol unknown
- Concierge positioning suggests premium pricing above market average
Our Verdict
1st Optimal edges out Mirabel Meds with a higher overall score of 6.7/10 and is particularly strong for GLP-1 therapy within a lab-driven functional-medicine program. Mirabel Meds remains a solid alternative, especially if you're looking for concierge compounded GLP-1 with white-glove clinical support nationwide.
Choose 1st Optimal if…
You want GLP-1 therapy within a lab-driven functional-medicine program and a starting price around $99/mo.
Choose Mirabel Meds if…
You want concierge compounded GLP-1 with white-glove clinical support nationwide.
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TrimRx
Best overall value
From $149/mo
Get started →Sprout Health
LegitScript-verified compounded GLP-1 via named pharmacies
From $149/mo
Get started →PeterMD
Men wanting flat-priced compounded GLP-1 with TRT or peptides
From $215.67/mo
Get started →1st Optimal vs Mirabel Meds: 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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