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The alternatives

The best alternatives to 1st Optimal

1st Optimal scores 56/100 (grade C, ranked #409) on The Verdict Score. Here are the top-rated GLP-1 providers we'd weigh against it — same six-factor rubric, and no score is adjusted for payment.

Read our full 1st Optimal review →

Grade C

KERNX Health

Washington DC telehealth platform with month-to-month compounded GLP-1 plans, undermined by a pricing page that contradicts itself on whether consultations cost extra.

KERNX Health matches 1st Optimal at 56/100; our full write-up on KERNX Health has the pricing conditions and the caveats in detail.

Sema
$249/mo standard
Tirz
$299/mo standard
Coverage
Multi-state
Grade C

Always Wellness and Recovery

Always Wellness and Recovery is a nationwide telehealth platform offering physician-prescribed compounded semaglutide and tirzepatide with personalized dosing and no mandatory subscription.

Always Wellness and Recovery matches 1st Optimal at 56/100; the full Always Wellness and Recovery review has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
Not disclosed
Grade C

WeightWatchers Clinic

Legacy weight loss brand offering GLP-1 medications through its WeightWatchers Clinic service.

WeightWatchers Clinic scores 57/100 to 1st Optimal's 56; our WeightWatchers Clinic ruling in full has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
All 50 states
Grade C

AVArx

Glendale, California telehealth technology platform connecting patients with prescribers at Arora Health & Aesthetics for GLP-1 and wellness-peptide care, with no prices published before intake.

AVArx matches 1st Optimal at 56/100; our AVArx ruling in full has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
All 50 states
Grade C

VivioMD

Telehealth wellness provider that does not currently offer GLP-1 medications.

VivioMD scores 57/100 to 1st Optimal's 56; our full write-up on VivioMD has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
All 50 states
Grade C

Klinic

Klinic is a LegitScript-certified multi-condition telehealth platform prescribing brand-name GLP-1 medications—Wegovy (semaglutide) and Zepbound (tirzepatide)—to patients in all 50 states.

Klinic matches 1st Optimal at 56/100; the full Klinic review has the pricing conditions and the caveats in detail.

Sema
Not disclosed
Tirz
Not disclosed
Coverage
Not disclosed

See the complete rankings or head to the comparison hub.

Pricing, states and verification reflect each provider's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Not medical advice; see our disclosure.