Head-to-head · WeighScore
1st Optimal vs Green Cap Health
The verdict
Green Cap Health takes it — 65.3/100 to 61.6/100.
Green Cap Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Green Cap Health is a Texas-only telehealth practice with a vertically integrated model: it is both the prescribing clinical practice and the in-house compounding pharmacy, so prescriptions are filled under…
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | 1st Optimal | Green Cap Health |
|---|---|---|
| WeighScore | 61.6/100 | 65.3/100 |
| Grade | C | C |
| Scorecard rank | #291 | #227 |
| Semaglutide | Not disclosed | $79/mo (starting dose, first-month rate, compounded) |
| Tirzepatide | Not disclosed | $119/mo (starting dose, compounded) |
| Coverage | Coverage not published | 1 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #291 · 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
Graded #227 · C
Strengths
- Vertically integrated — it is both the clinical practice and its own 503A Texas compounding pharmacy, a clear supply chain
- Aggressive $79 first-month intro pricing, competitive despite being Texas-only
- Texas patients can consolidate GLP-1, hair, skin, and sexual wellness under one practice
- Phone support published with a Houston area code
- Same-day provider review, faster than 24–48hr competitors
Where it loses points
- Texas only — patients in the other 49 states and DC can't use it
- No tirzepatide — semaglutide only, so those wanting the higher-magnitude option must look elsewhere
- LegitScript certification status not disclosed
- No named medical director — only "doctors, nurse practitioners, and pharmacists"
- FDA compounded-medication disclaimer not visible on the homepage
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
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.