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Head-to-head · WeighScore

Harbor vs Optimized Health

Harbor
Graded #87

Higher grade

vs+4.599999999999994
Optimized Health
Graded #175

Lower grade

The verdict

Harbor takes it — 71.8/100 to 67.2/100.

Harbor grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Harbor is a physician-led telehealth platform offering compounded semaglutide (from $99/mo) and compounded tirzepatide (from $149/mo) — among the lowest headline prices in the market.

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 valueHarbor +28
73
45
Dose & formulationOptimized Health +11
64
75
Clinical oversightHarbor +13
89
76
Labs & monitoringOptimized Health +26
63
89
FulfillmentHarbor +14
81
67
Contract termsOptimized Health +8
47
55
Harbor · left barOptimized Health · right bar

The numbers

MetricHarborOptimized Health
WeighScore71.8/10067.2/100
GradeCC
Scorecard rank#87#175
Semaglutide$99/mo (starting dose, compounded)$200/mo (starting dose, compounded)
Tirzepatide$149/mo (starting dose, compounded)$250/mo (starting dose, compounded)
CoverageCoverage not published5 states
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes
Harbor

Graded #87 · C

Strengths

  • Compounded semaglutide from $99/mo and tirzepatide from $149/mo — among the lowest headline prices in the market
  • LegitScript certified with 4.7-star rating, 94.6% success rate, and 10,000+ verified members
  • 24/7 physician access with ongoing consultations, dosage adjustments, and free discreet shipping
  • 12-Month Money Back Guarantee if you don't reach your weight-loss goal
  • HSA/FSA eligible; no hidden fees, no insurance billed

Where it loses points

  • Compounded medications are not FDA-approved; compounding pharmacy names not publicly disclosed
  • Dietitian support offered only post-program (maintenance phase), not during active treatment
  • State-specific consultation types vary; nationwide availability unconfirmed for all states
  • No labs disclosed; patient portal is a third-party platform (mdintegrations), not native
  • Newer brand; success rate and member counts are on-site claims, not third-party verified
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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