PlushCare vs Sprout Health
A virtual primary-care route to brand-name GLP-1s against a quiz-first compounded service that names its pharmacies.
Short answer
With coverage, PlushCare prescribes a brand-name GLP-1 through your plan for $19.99 a month plus copays. Without coverage, PlushCare estimates about $1,000 a month for the drug, while Sprout Health sells compounded semaglutide at $149 every four weeks, or tirzepatide at $199. Sprout has an FDA warning letter on record (715879).
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Is PlushCare or Sprout Health better?
Coverage against disclosure is the trade. PlushCare gives you a primary-care physician by video and an FDA-approved drug at your own pharmacy, with prior authorizations handled. Sprout gives you a flat compounded price, its clinician network and both pharmacies named, and refunds for unshipped months if you cancel a prepaid plan; it serves 44 states and keeps a $50 fee if you cancel after review. PlushCare's membership is $19.99 a month after a free first month, with each visit $129 without insurance. Sprout received FDA warning letter 715879 in September 2025, linked below.
How they differ
- Published up front
PlushCare
$19.99/mo membership plus $129 per visit without insurance (a copay with it) — medication billed separatelySprout Health
Semaglutide $149 and tirzepatide $199 every 4 weeks month-to-month; $99 and $149/mo on a prepaid 12-month plan- Insurance
PlushCare
Works with insuranceSprout Health
Cash-pay only- How you're seen
PlushCare
Video visitSprout Health
Quiz intake / Async intake / Video visit- Medications
PlushCare
Branded medicationSprout Health
Compounded semaglutide, Compounded tirzepatide- Availability
PlushCare
All 50 states + D.C.Sprout Health
44 states- FDA warning letter
PlushCare
None on recordSprout Health
| PlushCare | Sprout Health | |
|---|---|---|
| Published up front | $19.99/mo membership plus $129 per visit without insurance (a copay with it) — medication billed separately | 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 |
| Availability | All 50 states + D.C. | 44 states |
| 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
PlushCare
$19.99 a month (first month free) plus $129 a visit without insurance, or your copay; the drug is billed by your pharmacySprout Health
$149 every four weeks for compounded semaglutide, or $199 for tirzepatide- Once you're on a steady dose
PlushCare
Depends on drug coverage; without it, branded weight-loss drugs run about $1,000 a month by PlushCare's own estimateSprout 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
PlushCare
Messaging, same-day appointments and lab discounts; visits are billed separatelySprout Health
Medication and clinician review through MD Integrations, with a refill questionnaire before each shipment- Medications
PlushCare
Brand-name: Wegovy, Zepbound, Saxenda and Contrave for weight, sent to the pharmacy you chooseSprout Health
Compounded only: semaglutide and tirzepatide from Foothills Pharmacy and Promise Pharmacy- Insurance
PlushCare
In network with most major insurers for visits, and handles prior authorizations for the drugSprout Health
Cash-pay- Commitment and refunds
PlushCare
Cancel anytime; the membership fee is never refundedSprout 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
PlushCare
A board-certified primary-care physician by video, often the same day; usually two visits and labs before a prescriptionSprout Health
A quiz-first intake, a detailed medical questionnaire after you pay, and a refill questionnaire before every shipment- Look elsewhere if
PlushCare
You're paying cash for the drug, want compounded medication or want a coached weight programSprout Health
You live in an unserved state, want brand-name medication, or don't want a questionnaire before every refill
| PlushCare | Sprout Health | |
|---|---|---|
| First full month | $19.99 a month (first month free) plus $129 a visit without insurance, or your copay; the drug is billed by your pharmacy | $149 every four weeks for compounded semaglutide, or $199 for tirzepatide |
| Once you're on a steady dose | Depends on drug coverage; without it, branded weight-loss drugs run about $1,000 a month by PlushCare's own estimate | 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 | Messaging, same-day appointments and lab discounts; visits are billed separately | Medication and clinician review through MD Integrations, with a refill questionnaire before each shipment |
| Medications | Brand-name: Wegovy, Zepbound, Saxenda and Contrave for weight, sent to the pharmacy you choose | Compounded only: semaglutide and tirzepatide from Foothills Pharmacy and Promise Pharmacy |
| Insurance | In network with most major insurers for visits, and handles prior authorizations for the drug | Cash-pay |
| Commitment and refunds | Cancel anytime; the membership fee is never refunded | 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 | A board-certified primary-care physician by video, often the same day; usually two visits and labs before a prescription | A quiz-first intake, a detailed medical questionnaire after you pay, and a refill questionnaire before every shipment |
| Look elsewhere if | You're paying cash for the drug, want compounded medication or want a coached weight program | You live in an unserved state, want brand-name medication, or don't want a questionnaire before every refill |
PlushCare
- Access
- $19.99/mo membership plus $129 per visit without insurance (a copay with it) — medication billed separately
- Medications
- Branded
- Insurance
- Works with insurance
- Visit
- Video visit
What we like
- Board-certified primary-care physicians by video, often the same day, in all 50 states and D.C.
- In-network with most major insurers for visits, and prior authorizations are handled for you
- Brand-name medication sent to the pharmacy you choose
Watch-outs
- Medication and labs are billed separately from the membership and visits
- Without coverage, branded drugs cost about $1,000 a month by PlushCare's own estimate
Pick PlushCare if: You want a brand-name drug billed through insurance.
Check PlushCare availability →Read the full PlushCare 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're paying cash and want the compounding pharmacy named.
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.