1st Optimal vs Solaya MD
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 →
Solaya MD
Best for: patients who want oral or microdose GLP-1 options and will request pricing directly
Visit Solaya MD →1st Optimal and Solaya MD 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 6.6 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.
Solaya MD
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
Solaya MD
Inclusions 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
Solaya MD
6.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
Features & Coverage
| Feature | 1st Optimal | Solaya MD |
|---|---|---|
| Starting Price | $99/mo | — |
| Features | ✓8 features | 6 features |
| States Available | Not disclosed | Not disclosed |
| 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 Solaya MD
Solaya MD is a Clearwater, Florida telehealth brand offering provider-guided weight loss alongside longevity and hormone programs, with clinical services delivered through the Bask Health platform. Semaglutide and tirzepatide are offered in oral, injectable and microdose forms. Pricing is not published anywhere on the site — it sits behind a membership that bills roughly every 28-30 days and is non-refundable once paid.
Read our full Solaya MD 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
Solaya MD
What we like
- Both molecules are offered in oral, injectable and microdose forms, which is a wider format range than most competitors.
- The telehealth platform is disclosed by name — Bask Health — rather than left as an unnamed vendor.
- The clinical disclaimer is unusually direct that completing the assessment does not create a doctor-patient relationship with the brand.
- Compounding is disclosed plainly, including that compounded medications are not FDA-approved.
- A full set of policy documents is published, covering refunds, cancellation, shipping and telehealth consent.
Watch-outs
- No price is published anywhere on the site — not on the treatment pages, the products section, or during the intake quiz.
- The membership fee is non-refundable once paid: "Once paid, your Membership Fee is non-refundable".
- Prescription sales are final — the refund policy states returns cannot be accepted for reuse or resale.
- Extra fees apply beyond the membership: $15 for each additional consult or lab interpretation and $125 for an at-home blood draw.
- The compounding pharmacy is never named, only "licensed U.S. pharmacy partners".
- Testimonials are presented as named patient results with no verification, and the same names recur across sections.
- State coverage is a blanket all-50 claim with no list published, and availability is qualified by pharmacy fulfillment capability.
Our Verdict
1st Optimal edges out Solaya MD with a higher overall score of 6.7/10 and is particularly strong for GLP-1 therapy within a lab-driven functional-medicine program. Solaya MD remains a solid alternative, especially if you're looking for patients who want oral or microdose GLP-1 options and will request pricing directly.
Choose 1st Optimal if…
You want GLP-1 therapy within a lab-driven functional-medicine program and a starting price around $99/mo.
Choose Solaya MD if…
You want patients who want oral or microdose GLP-1 options and will request pricing directly.
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Get started →1st Optimal vs Solaya MD: 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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