Ro vs Sprout Health
Ro's brand-name GLP-1 membership against Sprout Health's compounded semaglutide and tirzepatide from named pharmacies.
Short answer
Sprout Health is the smaller bill: $149 every four weeks for compounded semaglutide or $199 for tirzepatide, from two pharmacies it names. Ro prescribes brand-name drugs only, with a $149 monthly membership on top of the medication, about $298 a month on the Wegovy pill. Ro helps with insurance. Sprout has an FDA warning letter on record (715879).
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Is Ro or Sprout Health better?
Sprout's strength is disclosure: it names its clinician network, MD Integrations, and both dispensing pharmacies, Foothills and Promise. It bills every four weeks, so 13 times a year, asks for a refill questionnaire before each shipment and serves 44 states. Ro is the larger brand-name operation, with every dose price published and an insurance concierge for the Wegovy pen, Zepbound and Ozempic. Sprout received FDA warning letter 715879 in September 2025, linked in the table below.
How they differ
- Published up front
Ro
Membership $39 first month, then $149/mo month-to-month ($74/mo on an annual prepay) — GLP-1 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
Ro
Works with insuranceSprout Health
Cash-pay only- How you're seen
Ro
Video visit / Async intakeSprout Health
Quiz intake / Async intake / Video visit- Medications
Ro
Branded medicationSprout Health
Compounded semaglutide, Compounded tirzepatide- FDA warning letter
Ro
None on recordSprout Health
| Ro | Sprout Health | |
|---|---|---|
| Published up front | Membership $39 first month, then $149/mo month-to-month ($74/mo on an annual prepay) — GLP-1 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 / Async intake | 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
Ro
$39 the first month, then a $149 monthly membership plus medication: about $298 a month on the Wegovy pillSprout Health
$149 every four weeks for compounded semaglutide, or $199 for tirzepatide- Once you're on a steady dose
Ro
About $498 a month on a Wegovy pen at maintenance, or $598 on Zepbound at 10 to 15 mgSprout 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
Ro
Clinician care and the insurance concierge; medication is billed at Ro's cash price or your copaySprout Health
Medication and clinician review through MD Integrations, with a refill questionnaire before each shipment- Medications
Ro
Brand-name only: the Wegovy pill and pen, Zepbound, Foundayo and OzempicSprout Health
Compounded only: semaglutide and tirzepatide from Foothills Pharmacy and Promise Pharmacy- Insurance
Ro
Can cover the Wegovy pen, Zepbound autoinjector and Ozempic; the membership is always cash, and Medicaid isn't eligibleSprout Health
Cash-pay- Commitment and refunds
Ro
Month to month; a 12-month prepay cuts the membership to $74 a month; the $39 first month is refunded if you aren't eligibleSprout 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
Ro
Video or async visits, plus an insurance concierge that files prior authorizations and appeals denialsSprout Health
A quiz-first intake, a detailed medical questionnaire after you pay, and a refill questionnaire before every shipment- Look elsewhere if
Ro
You're on Medicaid, want a GLP-1 pill billed to insurance, or want the lowest monthly priceSprout Health
You live in an unserved state, want brand-name medication, or don't want a questionnaire before every refill
| Ro | Sprout Health | |
|---|---|---|
| First full month | $39 the first month, then a $149 monthly membership plus medication: about $298 a month on the Wegovy pill | $149 every four weeks for compounded semaglutide, or $199 for tirzepatide |
| Once you're on a steady dose | About $498 a month on a Wegovy pen at maintenance, or $598 on Zepbound at 10 to 15 mg | 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 care and the insurance concierge; medication is billed at Ro's cash price or your copay | Medication and clinician review through MD Integrations, with a refill questionnaire before each shipment |
| Medications | Brand-name only: the Wegovy pill and pen, Zepbound, Foundayo and Ozempic | Compounded only: semaglutide and tirzepatide from Foothills Pharmacy and Promise Pharmacy |
| Insurance | Can cover the Wegovy pen, Zepbound autoinjector and Ozempic; the membership is always cash, and Medicaid isn't eligible | Cash-pay |
| Commitment and refunds | Month to month; a 12-month prepay cuts the membership to $74 a month; the $39 first month is refunded if you aren't eligible | 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 or async visits, plus an insurance concierge that files prior authorizations and appeals denials | A quiz-first intake, a detailed medical questionnaire after you pay, and a refill questionnaire before every shipment |
| Look elsewhere if | You're on Medicaid, want a GLP-1 pill billed to insurance, or want the lowest monthly price | You live in an unserved state, want brand-name medication, or don't want a questionnaire before every refill |
Ro
- Access
- Membership $39 first month, then $149/mo month-to-month ($74/mo on an annual prepay) — GLP-1 medication billed separately
- Medications
- Branded
- Insurance
- Works with insurance
- Visit
- Video visit / Async intake
What we like
- FDA-approved brand-name medication only, including two GLP-1 pills
- Every dose price published, so the bill can be totaled before you start
- Insurance concierge checks coverage, files prior authorizations and appeals denials
Watch-outs
- Two charges, and the $149 monthly membership is cash-only even when insurance covers the drug
- Drug prices rise with dose: about $498 a month all-in on a Wegovy pen at maintenance
Pick Ro if: You want an FDA-approved brand and help with insurance.
Check Ro availability →Read the full Ro 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 low-cost compounded medication and to know which pharmacy makes it.
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.