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Head-to-head · WeighScore

1st Optimal vs Premium Health

1st Optimal
Graded #291

Lower grade

vs+3.3999999999999986
Premium Health
Graded #232

Higher grade

The verdict

Premium Health takes it — 65/100 to 61.6/100.

Premium Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Premium Health (premiumhealth.us) is a LegitScript-certified telehealth provider offering compounded GLP-1 medications for weight loss via an all-inclusive membership.

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 valuePremium Health +6
45
51
Dose & formulationPremium Health +21
51
72
Clinical oversightPremium Health +9
77
86
Labs & monitoring1st Optimal +44
97
53
FulfillmentPremium Health +9
60
69
Contract termsPremium Health +18
37
55
1st Optimal · left barPremium Health · right bar

The numbers

Metric1st OptimalPremium Health
WeighScore61.6/10065/100
GradeCC
Scorecard rank#291#232
SemaglutideNot disclosed$275/mo (all doses, compounded)
TirzepatideNot disclosed$445/mo (all doses, compounded)
CoverageCoverage not publishedCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualYesInjection only
1st Optimal

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
Premium Health

Graded #232 · C

Strengths

  • All-inclusive membership covers medication, supplies, shipping, and provider visits
  • LegitScript certified with verification seal
  • Names three licensed pharmacy partners (Hallandale, Red Rock, Strive)
  • Compounded with Vitamin B12 or B6 to aid tolerance
  • Free consultation and HIPAA-compliant telehealth via Doxy.me

Where it loses points

  • Compounded medications are not FDA-approved
  • Higher base pricing than many compounded competitors ($275/$445)
  • High-dose tiers cost extra ($100-$150/mo)
  • States available not specified on site
  • Cash-pay only; no insurance noted

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.

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