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Head-to-head · WeighScore

1st Optimal vs Tonik Wellness

1st Optimal
Graded #288

Lower grade

vs+7.399999999999999
Tonik Wellness
Graded #135

Higher grade

The verdict

Tonik Wellness takes it — 69/100 to 61.6/100.

Tonik Wellness grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Tonik Wellness (Tonik Wellness, LLC) offers compounded semaglutide ($149–$225/mo) and compounded tirzepatide ($229–$349/mo) with tiered monthly/quarterly/annual pricing.

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 valueTonik Wellness +5
45
50
Dose & formulationTonik Wellness +13
51
64
Clinical oversightTonik Wellness +10
77
87
Labs & monitoring1st Optimal +7
97
90
FulfillmentTonik Wellness +10
60
70
Contract termsTonik Wellness +18
37
55
1st Optimal · left barTonik Wellness · right bar

The numbers

Metric1st OptimalTonik Wellness
WeighScore61.6/10069/100
GradeCC
Scorecard rank#288#135
SemaglutideNot disclosed$225/mo (compounded)
TirzepatideNot disclosed$349/mo (compounded)
CoverageCoverage not publishedCoverage not published
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
Tonik Wellness

Graded #135 · C

Strengths

  • LegitScript verified
  • Lab work required upfront — more rigorous than async-only competitors
  • Live video consult with a named clinician, not just a questionnaire
  • Two named 503A compounding pharmacy partners: Strive Pharmacy and Olympia Pharmacy
  • Named medical director (Joel Jones, DO) and clinical director (Shawn Thurston, FNP)

Where it loses points

  • States served not disclosed — you must go through intake to find out
  • Semaglutide was listed out of stock at time of review
  • FDA compounded-medication disclaimer not found on public pages
  • Several core pages (FAQ, how-it-works, shipping, contact) return 404 errors
  • No published phone number and no insurance/HSA/FSA info

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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