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Head-to-head · WeighScore

ElitePhysiqMD vs Optimized Health

ElitePhysiqMD
Graded #166

Higher grade

vs+0.3999999999999915
Optimized Health
Graded #175

Lower grade

The verdict

ElitePhysiqMD takes it — 67.6/100 to 67.2/100, but only just.

ElitePhysiqMD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. ElitePhysiqMD is a physician-led telehealth platform prescribing compounded semaglutide (from $145/mo) and tirzepatide (from $315/mo subscription) to patients in all 50 states. Optimized Health 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 valueElitePhysiqMD +29
74
45
Dose & formulationOptimized Health +11
64
75
Clinical oversightElitePhysiqMD +3
79
76
Labs & monitoringOptimized Health +37
52
89
FulfillmentElitePhysiqMD +2
69
67
Contract termsEven
55
55
ElitePhysiqMD · left barOptimized Health · right bar

The numbers

MetricElitePhysiqMDOptimized Health
WeighScore67.6/10067.2/100
GradeCC
Scorecard rank#166#175
Semaglutide$145/mo (starting dose, compounded)$200/mo (starting dose, compounded)
Tirzepatide$315/mo (starting dose, compounded)$250/mo (starting dose, compounded)
CoverageCoverage not published5 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes
ElitePhysiqMD

Graded #166 · C

Strengths

  • Compounded semaglutide from $145/mo subscription with no video calls and cancel-anytime policy
  • LegitScript certified, HIPAA-compliant; prescriptions from board-certified physicians via 5-min online assessment
  • Medications from US-licensed 503A/503B compounding pharmacies, shipped discreetly in 5–7 business days
  • HSA/FSA eligible; accepts all 50 states with no insurance required
  • Peptide therapy also available: NAD+, sermorelin, CJC-1295/ipamorelin, GHK-Cu, and glutathione

Where it loses points

  • Required $49 telehealth visit is added to every order, increasing effective monthly cost above the headline price
  • No labs disclosed; medication plans don't appear to include bloodwork or baseline testing
  • No dietitian, coaching, or nutrition support mentioned; program is medication-only
  • Tirzepatide subscription price ($315/mo) is above the mid-range for compounded tirzepatide
  • Newer platform (founded late 2025); no Trustpilot rating or public patient reviews found
Optimized Health

Graded #175 · C

Strengths

  • Fully transparent pricing published on the website
  • Semaglutide from $200/mo and tirzepatide from $250/mo
  • Lab panels included with clinician-supervised dosing
  • LegitScript certified clinic
  • Lead PA-C with over a decade in obesity medicine

Where it loses points

  • Telehealth limited to MO, IA, KS, UT, and WA
  • Compounded GLP-1 only, not brand-name
  • No insurance billing (cash-pay)
  • PA-led rather than MD/DO-led

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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