1st Optimal vs Sprout Health
An in-depth comparison of two leading GLP-1 Providers
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1st Optimal
Best for Patients wanting GLP-1 therapy within a lab-driven functional-medicine programSprout Health
Best for LegitScript-verified compounded GLP-1 via named pharmaciesStarting at $249/mo
Side-by-Side Comparison
| Feature | 1st Optimal | Sprout Health |
|---|---|---|
| Overall Score | 6.7/10 | ✓7.5/10 |
| Starting Price | — | $249/mo |
| Editorial Rating | 3.4 ★ /5 | ✓3.8 ★ /5 |
| Features | ✓8 features | 4 features |
| States Available | 0 | ✓44 |
| Compounded | — | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
1st Optimal
Pros
- ✓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
Cons
- ✗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
Sprout Health
Pros
- ✓LegitScript certification confirmed
- ✓Both compounded semaglutide and tirzepatide available
- ✓44-state coverage via a pre-qualification quiz and licensed clinician review
- ✓Two named 503A pharmacy partners: Foothills Pharmacy and Promise Pharmacy
Cons
- ✗Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
- ✗Not available in Alabama, Arkansas, California, Louisiana, Mississippi, or North Dakota
- ✗Relatively high base pricing ($249/mo for sema, $299/mo for tirz) compared to intro-priced competitors
- ✗Pharmacy partner accreditation details (PCAB/ACHC) not independently verified
Our Verdict
Sprout Health edges out 1st Optimal with a higher overall score of 7.5/10 and is particularly strong for LegitScript-verified compounded GLP-1 via named pharmacies. 1st Optimal remains a solid alternative, especially if you're looking for Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.
Glossary references
Key terms in this article, linked to their canonical definitions.
- 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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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.