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Head-to-head · WeighScore

1st Optimal vs CoreAge Rx

1st Optimal
Graded #288

Lower grade

vs+30.199999999999996
CoreAge Rx
Graded #1

Higher grade

The verdict

CoreAge Rx takes it — 91.8/100 to 61.6/100.

CoreAge Rx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.

CoreAge Rx is also our overall #1 pick — it tops the full scorecard at 91.8/100 (A−).

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueCoreAge Rx +47
45
92
Dose & formulationCoreAge Rx +37
51
88
Clinical oversightCoreAge Rx +16
77
93
Labs & monitoring1st Optimal +7
97
90
FulfillmentCoreAge Rx +35
60
95
Contract termsCoreAge Rx +59
37
96
1st Optimal · left barCoreAge Rx · right bar

The numbers

Metric1st OptimalCoreAge Rx
WeighScore61.6/10091.8/100
GradeCA−
Scorecard rank#288#1
SemaglutideNot disclosed$149/mo
TirzepatideNot disclosed$349/mo
CoverageCoverage not publishedAll 50 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
1st Optimal

Graded #288 · C

Strengths

  • 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

Where it loses points

  • 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
CoreAge Rx

Graded #1 · A−

Strengths

  • Flat all-in price with no month-two step-up
  • Semaglutide and tirzepatide on one account
  • All 50 states, LegitScript-verified

Where it loses points

  • Not the cheapest sticker price
  • Compounded only
  • Pharmacy partner not yet publicly named

Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

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