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Alternatives

Alternatives to 1st Optimal

1st Optimal scores 44/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.

Read the 1st Optimal review →CoreAge Rx vs 1st Optimal →

1st Optimal at a glance

Semaglutide
Not disclosed
Tirzepatide
Not disclosed
Coverage
Coverage not published
Brand-name GLP-1s
No, compounded only
Oral option
Yes
Pricing verified
October 2026

1st Optimal offers lab-guided hormone and metabolic care through memberships. Its entry Optimal Health plan is $39 a month; GLP-1 medication is priced separately at unpublished member rates.

Best for: Patients who want a named founding physician and a broader functional-medicine/hormone workup alongside GLP-1s.

What 1st Optimal does well

  • Named founder and clinical lead: Dr. Amber Miller, a functional medicine physician
  • LegitScript verification badge displayed
  • No credit card required to start the intake quiz
  • Positions GLP-1 care within a broader labs-and-data-driven metabolic program

Why readers look for an alternative

  • The membership is not the medication price; request a dose-specific drug quote and any lab charges
  • The public plan page now starts with a $39 Optimal Health membership rather than a separate published $99 Weight Loss Care plan
  • The dispensing pharmacy and treatment-specific state list are not published
  • Lab review and made-to-order treatment can add several weeks before a shipment
  1. Partner
    01A

    CoreAge Rx

    CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.

    Sema
    $99/mo
    Tirz
    $149/mo
    Coverage
    All 50 states
    Brand
    Compounded

    Compared with 1st Optimal: no oral option

    Visit CoreAge Rx CoreAge Rx vs 1st Optimal →
  2. 02C

    JM Integrated Health

    JM Integrated Health is a one-provider telehealth weight-loss practice run by John Meyer, MSN, FNP-C, in eight states, charging a $149 enrollment and $99 a month for care, with medication billed separately by the pharmacy.

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    8 states
    Brand
    Yes

    Compared with 1st Optimal: also lists brand-name GLP-1s · no oral option

    Visit JM Integrated Health JM Integrated Health vs 1st Optimal →
  3. 03C

    Hormonally Balanced

    Hormonally Balanced is a Burlington, Massachusetts women’s hormone and weight-care practice led by CMO Dr. Andrew Lenhardt, with telehealth available in seven listed states.

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with 1st Optimal: no oral option

    Visit Hormonally Balanced Hormonally Balanced vs 1st Optimal →
  4. 04C

    BodyLogicMD

    BodyLogicMD, a national network of hormone-therapy practitioners, matches you with a doctor who can prescribe compounded semaglutide for weight loss; it doesn't publish a semaglutide price.

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with 1st Optimal: no oral option

    Visit BodyLogicMD BodyLogicMD vs 1st Optimal →
  5. 05C

    Wellspring Longevity Clinic

    Wellspring Longevity Clinic combines compounded GLP-1 care with separate brand-name consultations for Wegovy, Zepbound and Foundayo. Its $199 personalized-program starting figure does not identify a drug-specific monthly supply.

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    Multi-state
    Brand
    Yes

    Compared with 1st Optimal: also lists brand-name GLP-1s

    Visit Wellspring Longevity Clinic Wellspring Longevity Clinic vs 1st Optimal →
  6. 06C

    Kairos Aesthetic Medicine

    Kairos is a Texas aesthetics and longevity practice whose medical weight-loss program can include GLP-1 medication, starting with a $250 consultation; medication prices aren't published.

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    Texas only
    Brand
    Compounded

    Compared with 1st Optimal: no oral option

    Visit Kairos Aesthetic Medicine Kairos Aesthetic Medicine vs 1st Optimal →
  7. 07C

    Meto

    Meto is a bloodwork-driven peptide membership platform ($29/mo base + $149 labs) whose GLP-1 offering is a single bundled 'GLP-1 Family' line at $199/mo covering both semaglutide and tirzepatide without separating the two.

    Sema
    $199/moStarting dose, plus a separate fee, compounded
    Tirz
    $199/moStarting dose, plus a separate fee, compounded
    Coverage
    Multi-state
    Brand
    Compounded

    Compared with 1st Optimal: no oral option

    Visit Meto Meto vs 1st Optimal →
  8. 08C

    Push Health

    Push Health connects patients with independent licensed providers for injectable or oral GLP-1 prescriptions, with consultation fees and medication costs set by the provider and pharmacy.

    Sema
    Not disclosed
    Tirz
    Not disclosed
    Coverage
    Multi-state
    Brand
    Yes

    Compared with 1st Optimal: also lists brand-name GLP-1s

    Visit Push Health Push Health vs 1st Optimal →

Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.

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