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Head-to-head · WeighScore

Ascend Medical vs TeleFirst Med

Ascend Medical
Graded #425

Lower grade

vs+1.5
TeleFirst Med
Graded #399

Higher grade

The verdict

TeleFirst Med takes it — 57.4/100 to 55.9/100, but only just.

TeleFirst Med grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. TeleFirst Med is a virtual urgent-care and primary-care telehealth clinic that also offers a GLP-1 weight-loss path: a $120 telehealth evaluation with a licensed doctor who, if you qualify, prescribes real… Ascend Medical is close behind and may still be the better fit — see the factor split below.

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 valueEven
45
45
Dose & formulationTeleFirst Med +13
40
53
Clinical oversightAscend Medical +3
85
82
Labs & monitoringAscend Medical +10
62
52
FulfillmentAscend Medical +1
59
58
Contract termsTeleFirst Med +14
41
55
Ascend Medical · left barTeleFirst Med · right bar

The numbers

MetricAscend MedicalTeleFirst Med
WeighScore55.9/10057.4/100
GradeCC
Scorecard rank#425#399
SemaglutideNot disclosedNot disclosed
TirzepatideNot disclosedNot disclosed
Coverage2 states2 states
Brand-name accessCompounded onlyYes
Oral / sublingualInjection onlyInjection only
Ascend Medical

Graded #425 · C

Strengths

  • Whole-person virtual primary care that includes a medical weight loss program
  • Staffed by licensed MDs, DOs, NPs and PAs
  • Integrates weight loss with primary, mental health and diabetes care
  • Clear state availability (Georgia and Texas)

Where it loses points

  • Available only in Georgia and Texas
  • Specific GLP-1 medications and branded-vs-compounded status not published
  • No pricing disclosed on public pages
  • Weight loss is one service among many, not a dedicated GLP-1 specialist
TeleFirst Med

Graded #399 · C

Strengths

  • Prescribes real brand-name GLP-1 (e.g. Ozempic/Wegovy), not compounded — appealing if you specifically want FDA-approved branded medication
  • Simple $120 telehealth evaluation with a licensed doctor; no insurance hassle and no prior authorization
  • You fill the prescription at your own regular pharmacy rather than waiting on a mail-order compounding pharmacy
  • Also a general telehealth clinic (urgent care, chronic-condition management) if you want broader care

Where it loses points

  • Only Texas and North Carolina are confirmed — not available nationwide
  • The $120 is an evaluation fee; the brand-name medication is billed separately at your pharmacy and can be expensive without insurance
  • Small practice (about 500 patients) with limited public detail on its clinicians and program
  • No compounded or lower-cost medication option, and no medication pricing is published

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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