LifeMD vs Sprout Health
Brand-name GLP-1s with insurance checks at LifeMD against compounded GLP-1s from named pharmacies at Sprout Health.
Short answer
Sprout Health is the smaller cash bill: $149 every four weeks for compounded semaglutide and $199 for tirzepatide, with no membership. LifeMD prescribes brand-name drugs with a $149 monthly program fee plus medication, about $298 a month on the Wegovy pill, and checks your insurance. Sprout has an FDA warning letter on record (715879); LifeMD has none.
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Is LifeMD or Sprout Health better?
The question is whether you want an FDA-approved product or a disclosed compounded one. LifeMD offers brand-name drugs by video, labs in the fee and copay checks; its average approved copay is $0 to $25, though the program fee is never covered. Sprout names MD Integrations as its clinician network and Foothills and Promise as its pharmacies, bills every four weeks and serves 44 states. Sprout received FDA warning letter 715879 in September 2025, linked below.
How they differ
- Published up front
LifeMD
Wegovy from $149/mo (pill) or $199 (pen), plus a separate $149/mo program fee — $39 in month oneSprout Health
Semaglutide $149 and tirzepatide $199 every 4 weeks month-to-month; $99 and $149/mo on a prepaid 12-month plan- Insurance
LifeMD
Works with insuranceSprout Health
Cash-pay only- How you're seen
LifeMD
Video visitSprout Health
Quiz intake / Async intake / Video visit- Medications
LifeMD
Branded medicationSprout Health
Compounded semaglutide, Compounded tirzepatide- FDA warning letter
LifeMD
None on recordSprout Health
| LifeMD | Sprout Health | |
|---|---|---|
| Published up front | Wegovy from $149/mo (pill) or $199 (pen), plus a separate $149/mo program fee — $39 in month one | Semaglutide $149 and tirzepatide $199 every 4 weeks month-to-month; $99 and $149/mo on a prepaid 12-month plan |
| Insurance | Works with insurance | Cash-pay only |
| How you're seen | Video visit | Quiz intake / Async intake / Video visit |
| Medications | Branded medication | Compounded semaglutide, Compounded tirzepatide |
| FDA warning letter | None on record | Warning letter 715879 |
What each one costs and includes
Month-to-month prices a new patient can buy, with any required membership counted in. First-month promotions and prepaid averages are labeled as such.
- First full month
LifeMD
$39 the first month, then a $149 monthly program fee plus medication: about $298 a month on the Wegovy pill or $348 on the pen at cash pricesSprout Health
$149 every four weeks for compounded semaglutide, or $199 for tirzepatide- Once you're on a steady dose
LifeMD
About $448 a month on a Zepbound vial; cash prices for higher doses aren't publishedSprout Health
The same four-weekly price (13 charges a year); a 12-month prepay cuts it to $99 or $149 a month- What the fee covers
LifeMD
Clinician visits, prescriptions, coaching and required lab work; medication is billed separatelySprout Health
Medication and clinician review through MD Integrations, with a refill questionnaire before each shipment- Medications
LifeMD
Brand-name: the Wegovy pill and pen, Foundayo, Zepbound, Ozempic and Saxenda, plus an oral Triple Therapy optionSprout Health
Compounded only: semaglutide and tirzepatide from Foothills Pharmacy and Promise Pharmacy- Insurance
LifeMD
Its team checks drug coverage (average approved copay $0 to $25); the program fee is never covered; Medicare, Medicaid and TRICARE are excluded from the GLP-1 programSprout Health
Cash-pay- Commitment and refunds
LifeMD
Cancel at any time; program fees aren't refunded if insurance later denies the drugSprout Health
Cancel 48 hours before billing; a $50 review fee is kept if you cancel after a provider has reviewed you; not available in six states- How care works
LifeMD
Video visits inside a broader telehealth practice, with required labs and coachingSprout Health
A quiz-first intake, a detailed medical questionnaire after you pay, and a refill questionnaire before every shipment- Look elsewhere if
LifeMD
You're on Medicare, Medicaid or TRICARE, or you're chasing the lowest cash priceSprout Health
You live in an unserved state, want brand-name medication, or don't want a questionnaire before every refill
| LifeMD | Sprout Health | |
|---|---|---|
| First full month | $39 the first month, then a $149 monthly program fee plus medication: about $298 a month on the Wegovy pill or $348 on the pen at cash prices | $149 every four weeks for compounded semaglutide, or $199 for tirzepatide |
| Once you're on a steady dose | About $448 a month on a Zepbound vial; cash prices for higher doses aren't published | The same four-weekly price (13 charges a year); a 12-month prepay cuts it to $99 or $149 a month |
| What the fee covers | Clinician visits, prescriptions, coaching and required lab work; medication is billed separately | Medication and clinician review through MD Integrations, with a refill questionnaire before each shipment |
| Medications | Brand-name: the Wegovy pill and pen, Foundayo, Zepbound, Ozempic and Saxenda, plus an oral Triple Therapy option | Compounded only: semaglutide and tirzepatide from Foothills Pharmacy and Promise Pharmacy |
| Insurance | Its team checks drug coverage (average approved copay $0 to $25); the program fee is never covered; Medicare, Medicaid and TRICARE are excluded from the GLP-1 program | Cash-pay |
| Commitment and refunds | Cancel at any time; program fees aren't refunded if insurance later denies the drug | Cancel 48 hours before billing; a $50 review fee is kept if you cancel after a provider has reviewed you; not available in six states |
| How care works | Video visits inside a broader telehealth practice, with required labs and coaching | A quiz-first intake, a detailed medical questionnaire after you pay, and a refill questionnaire before every shipment |
| Look elsewhere if | You're on Medicare, Medicaid or TRICARE, or you're chasing the lowest cash price | You live in an unserved state, want brand-name medication, or don't want a questionnaire before every refill |
LifeMD
- Access
- Wegovy from $149/mo (pill) or $199 (pen), plus a separate $149/mo program fee — $39 in month one
- Medications
- Branded
- Insurance
- Works with insurance
- Visit
- Video visit
What we like
- FDA-approved brand-name medication, including the Wegovy and Foundayo pills
- Insurance team checks your coverage and copay before you fill
- Lab work included in the program fee unless done in the past year
Watch-outs
- The $149 monthly program fee sits on top of medication and is never covered by insurance
- Medicare, Medicaid, TRICARE and other government coverage are excluded from the GLP-1 program
Pick LifeMD if: You want an FDA-approved brand and your insurance checked.
Check LifeMD availability →Read the full LifeMD review →
Sprout Health
- Access
- Semaglutide $149 and tirzepatide $199 every 4 weeks month-to-month; $99 and $149/mo on a prepaid 12-month plan
- Medications
- Semaglutide · Tirzepatide
- Insurance
- Cash-pay
- Visit
- Quiz intake / Async intake / Video visit
What we like
- Names its clinician network and both dispensing pharmacies in its terms
- A clear month-to-month price, with a 12-month plan that cuts semaglutide to $99 a month
- Refunds for unshipped months if you cancel a prepaid plan early
Watch-outs
- Monthly plans bill every four weeks, so you pay 13 times a year
- Not available in Alabama, Arkansas, California, Louisiana, Mississippi or North Dakota
Pick Sprout Health if: You want compounded medication with the pharmacy named and a flat price.
Check Sprout Health availability →Read the full Sprout Health review →Want the full field? See every option in our GLP-1 providers roundup, or narrow by tirzepatide / semaglutide and price.