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WeighLab

Push Health vs 1st Optimal

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Push Health

Provider comparison

Shoppers who specifically want a marketplace of independent providers rather than a single fixed clinic, and who don't need centralized published pricing.

Semaglutide / month
Not disclosed
Tirzepatide / month
Not disclosed
Index 44/100 · Grade CChecked October 2026

1st Optimal

Provider comparison

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

Semaglutide / month
Not disclosed
Tirzepatide / month
Not disclosed
Index 44/100 · Grade CChecked October 2026

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Both score 44/100 on the Cost-Efficiency Index. There is no score winner; compare the treatment you need, billing terms and state availability.

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Push Health

1st Optimal

Semaglutide / month
Push Health: Not disclosed
1st Optimal: Not disclosed
Tirzepatide / month
Push Health: Not disclosed
1st Optimal: Not disclosed
Semaglutide / year (modeled)
Push Health: —
1st Optimal: —
Tirzepatide / year (modeled)
Push Health: —
1st Optimal: —
State availability
Push Health: Coverage not published
1st Optimal: Coverage not published
Oral / sublingual option listed
Push Health: Yes
1st Optimal: Yes
Brand-name access listed
Push Health: Yes
1st Optimal: Not confirmed
Provider facts checked
Push Health: October 2026
1st Optimal: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Push Health

Shoppers who specifically want a marketplace of independent providers rather than a single fixed clinic, and who don't need centralized published pricing.

Reasons to consider it

  • LegitScript badge displayed and verifiably tied to the correct domain
  • Genuinely facilitates real prescriptions from independent licensed providers, not a pure pass-through pharmacy
  • Explicit GLP-1 drug-information pages for semaglutide and the GLP-1 agonist class

What to weigh up

  • No centrally published pricing -- cost depends entirely on which independent provider/pharmacy you're matched with
  • No single named medical director (marketplace model, not one clinical team)
  • No state-availability list

1st Optimal

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

Reasons to consider it

  • 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

What to weigh up

  • 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

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Push Health1st Optimal
Normalized Cost/Month
Push Health:
45/100
1st Optimal:
45/100
Price Transparency
Push Health:
20/100
1st Optimal:
20/100
Nationwide Access
Push Health:
24/100
1st Optimal:
24/100
Formulation Options
Push Health:
64/100
1st Optimal:
51/100
Clinical Oversight
Push Health:
79/100
1st Optimal:
84/100
Contract Flexibility
Push Health:
55/100
1st Optimal:
61/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

Keep comparing

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.