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Head-to-head · Cost-Efficiency Index

PRIMO Health Partners vs 1st Optimal

Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.

Better valueGrade C · #515

PRIMO Health Partners

Patients wanting a simple physician-led glp-1 consult with local pharmacy pickup.

Visit PRIMO Health Partners
VS
Grade C · #518

1st Optimal

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

Visit 1st Optimal

The verdict

Winner · PRIMO Health PartnersGrade C vs C

PRIMO Health Partners takes it, leading the Cost-Efficiency Index 42 to 41. PRIMO Health Partners is a telehealth practice offering virtual weight-loss consults with clinicians who prescribe GLP-1 medications, including semaglutide and tirzepatide. 1st Optimal still earns a CPatients who want a named founding physician and a broader functional-medicine/hormone workup alongside GLP-1s.

Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs PRIMO Health Partners.

Factor by factor

Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.

Normalized Cost/Month

45
45

Price Transparency

30
20

Nationwide Access

24
24

Formulation Options

40
51

Clinical Oversight

71
84

Contract Flexibility

55
37

Pricing, coverage & formulary

The disclosed facts behind the scores. Lower price wins its row (teal).

SpecPRIMO Health Partners1st Optimal
Cost-Efficiency Index42/10041/100
Semaglutide / moNot disclosedNot disclosed
Tirzepatide / moNot disclosedNot disclosed
Semaglutide / yr (modeled)
Tirzepatide / yr (modeled)
CoverageCoverage not publishedCoverage not published
Oral / sublingualNoYes
Brand-name accessCompounded onlyCompounded only
Rank here#515#518

PRIMO Health Partners

42/100

Where the value is

  • Prescribes both semaglutide and tirzepatide after a virtual consult
  • Prescriptions can be routed to a pharmacy for either pickup or delivery
  • Two phone lines listed for support

The tradeoffs

  • No pricing published on the site
  • States served and dispensing pharmacy are not disclosed
Visit PRIMO Health Partners

Full PRIMO Health Partners review →

1st Optimal

41/100

Where the value is

  • 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

The tradeoffs

  • No GLP-1 pricing published anywhere on the public site
  • No compounding pharmacy partner named
Visit 1st Optimal

Full 1st Optimal review →

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.

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