Is 1st Optimal or Omnia TeleHealth cheaper?

1st Optimal does not publicly list a standard ongoing cash price, while Omnia TeleHealth does not publicly list one. See the side-by-side pricing above for the full breakdown.

Which is better overall, 1st Optimal or Omnia TeleHealth?

1st Optimal scores higher overall at 6.7/10 versus 6.3/10, and is particularly strong for Patients wanting GLP-1 therapy within a lab-driven functional-medicine program. That said, Omnia TeleHealth is a better fit if you want LegitScript-certified NP telehealth in 17 states; $69 consult, compounded sema+tirz via Belmar Pharma.

Does 1st Optimal or Omnia TeleHealth cover more states?

Neither 1st Optimal nor Omnia TeleHealth publicly lists its exact state availability. Most national GLP-1 telehealth providers operate in the majority of states — confirm your state is covered during sign-up.

Is 1st Optimal or Omnia TeleHealth an affiliate partner of Weight Loss Rankings?

Neither 1st Optimal nor Omnia TeleHealth is currently an affiliate partner, so we earn no commission from either. We rank all providers editorially using the same six-dimension framework and disclose any commercial relationships.

Always verify pricing and state availability on the provider's website before signing up.How our reviews work →

1st Optimal vs Omnia TeleHealth

Name: 1st Optimal
Brand: 1st Optimal

An in-depth comparison of two leading GLP-1 Providers

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1st Optimal

6.7

★★★☆☆3.4

Best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program

Visit 1st Optimal →

Omnia TeleHealth

6.3

★★★☆☆3.2

Best for: LegitScript-certified NP telehealth in 17 states; $69 consult, compounded sema+tirz via Belmar Pharma

Visit Omnia TeleHealth →

1st Optimal and Omnia TeleHealth 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 edges ahead overall (6.7 vs 6.3 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.

What’s included

1st Optimal

Inclusions not disclosed.

Omnia TeleHealth

What the monthly price covers

Medication

Billed separately

Provider visits

Included

Shipping

Billed separately

Lab work

Billed separately

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

Overall

Omnia TeleHealth

6.3/10

Value25%

6.5

6.0

Effectiveness25%

7.0

6.5

User Experience15%

6.5

Trust & Safety15%

6.5

7.0

Accessibility10%

6.5

4.5

Support10%

7.0

Features & Coverage

Feature	1st Optimal	Omnia TeleHealth
Starting Price	—	—
Features	8 features	8 features
States Available	Not disclosed	Not disclosed
Compounded	—	—
Brand Name	—	—
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 Omnia TeleHealth

Omnia TeleHealth is a LegitScript-certified telehealth practice founded by Blair Carmichael-Lober, DNP, CRNP, offering compounded semaglutide and tirzepatide for weight loss at a $69 flat consultation fee with no insurance required. Prescriptions are coordinated through Belmar Pharma Solutions (compounding pharmacy partner) or sent to any pharmacy nationwide. The weight loss program includes personalized nutrition guidance, exercise coaching, and behavioral support alongside GLP-1 medication management across 17 US states.

Read our full Omnia TeleHealth 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

Omnia TeleHealth

What we like

LegitScript-certified; DNP-led by Blair Carmichael-Lober with 10+ years clinical experience
$69 flat consult fee — no insurance, no surprise bills; works with Belmar Pharma for compounded GLP-1
Both semaglutide and tirzepatide available; compounded options via Belmar at lower cost than brand
Weight loss visits include nutrition guidance, exercise recommendations, and behavioral coaching
Prescriptions sent to any pharmacy nationwide or coordinated through Belmar Pharma Solutions

Watch-outs

Only 17 states — specific states not publicly disclosed; must call (251) 220-8875 to confirm
Medication pricing is gated — not published on website; contact required for compounded GLP-1 cost
No labs mentioned or included — baseline bloodwork protocol not published on any page
Medication cost is a separate pharmacy bill; the $69 visit fee covers consult only
Smaller platform with limited public track record vs. larger national GLP-1 telehealth providers

Our Verdict

Winner: 1st Optimal

1st Optimal edges out Omnia TeleHealth with a higher overall score of 6.7/10 and is particularly strong for Patients wanting GLP-1 therapy within a lab-driven functional-medicine program. Omnia TeleHealth remains a solid alternative, especially if you're looking for LegitScript-certified NP telehealth in 17 states; $69 consult, compounded sema+tirz via Belmar Pharma.

Choose 1st Optimal if…

You want Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Visit 1st Optimal →

Choose Omnia TeleHealth if…

You want LegitScript-certified NP telehealth in 17 states; $69 consult, compounded sema+tirz via Belmar Pharma.

Visit Omnia TeleHealth →

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TrimRx

Best overall value

From $179/mo

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8.2

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Needle-free and microdosed compounded GLP-1 options with lab-monitored care

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8.1

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Oral-lozenge compounded GLP-1 access

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1st Optimal vs Omnia TeleHealth: FAQ

Get Started with 1st Optimal →Get Started with Omnia TeleHealth →

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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