bmiMD starts at $99/mo (all-in, includes medication); Sprout at $149/mo (all-in, includes medication). Both prescribe GLP-1 medication — bmiMD offers compounded semaglutide & tirzepatide, Sprout compounded semaglutide & tirzepatide. Here's how they compare on price, medications, support and transparency.
Bottom line: bmiMD wins
bmiMD wins on our rubric, 8.4/10 to 7.7/10. It leads most on value. Choose Sprout instead if you prefer Sprout — simple intro pricing with monthly check-ins; maintenance dosing costs more.
Round by round
We scored both programs on the four factors in our methodology — value, support, medications and transparency. bmiMD takes 3, Sprout takes 0, with 1 even. Here's how each shook out.
Value
What you get for the price — not just the lowest sticker. A premium program that includes FDA-approved medication, insurance help and real support can be good value. bmiMD scores 9.0 to 7.8 — clearly ahead.
Support
Real clinician access, coaching and follow-up — video visits and a care team score higher than async-only. bmiMD scores 8.2 to 7.4 — clearly ahead.
Medications
Medication options and legitimacy — FDA-approved branded (Wegovy, Zepbound) rates above compounded-only, and breadth and flexibility add points. Evenly matched at about 8.4.
Transparency
How clearly and publicly pricing, terms and availability are stated — plus track record and any regulatory red flags. bmiMD scores 8.4 to 7.4 — clearly ahead.
Where they differ most
The clearest daylight is in value, where bmiMD leads 9.0 to 7.8 and transparency, where bmiMD leads 8.4 to 7.4. On price, bmiMD starts lower ($99 vs $149 per month).
Pricing: bmiMD vs Sprout
bmiMD has the lower advertised starting price — $99/mo vs $149/mo for Sprout. But read the fine print: bmiMD is all-in, includes medication and Sprout is all-in, includes medication, and the cheapest rates often need a prepaid multi-month plan — so compare the real all-in cost at your maintenance dose, not the headline. We unpack how these plans are structured in how much compounded semaglutide costs.
bmiMD: On 12-month plan; $109 (6-mo) / $119 (3-mo) / $129–$159 month-to-month (as of 2026, glp1picks.com). Sprout: Intro starting rate; ongoing ~$249/mo (semaglutide) / ~$299/mo (tirzepatide) (as of Sep 2026, health.usnews.com).
The specs, side by side
| bmiMD | Sprout | |
|---|---|---|
| Editor rating | 8.4/10 · Very good | 7.7/10 · Good |
| Starting price | $99/mo | $149/mo |
| Pricing | All-in, includes medication | All-in, includes medication |
| Medications | Compounded semaglutide & tirzepatide | Compounded semaglutide & tirzepatide |
| Medication form | Weekly injection | Weekly injection |
| Visit type | Telehealth consult + unlimited messaging | Async questionnaire + monthly check-ins |
| Insurance | Cash-pay | Cash-pay |
| Availability | 48 states (excl. LA, MS) | Nationwide (excl. AL, AR, CA, LA, MS, ND) |
Which should you pick?
Choose Sprout if…
You prefer Sprout — simple intro pricing with monthly check-ins; maintenance dosing costs more.
View Sprout plans →Common questions
Is bmiMD better than Sprout?
In our scoring bmiMD comes out ahead — 8.4/10 to 7.7/10, leading on value. It's our pick for most people; Sprout is the better choice if you prefer Sprout — simple intro pricing with monthly check-ins; maintenance dosing costs more.
Which is cheaper, bmiMD or Sprout?
bmiMD has the lower advertised starting price — $99/mo vs $149/mo for Sprout. But read the fine print: bmiMD is all-in, includes medication and Sprout is all-in, includes medication, and the cheapest rates often need a prepaid multi-month plan — so compare the real all-in cost at your maintenance dose, not the headline.
Do bmiMD and Sprout prescribe the same medications?
bmiMD offers compounded semaglutide & tirzepatide (weekly injection); Sprout offers compounded semaglutide & tirzepatide (weekly injection). On breadth of options, bmiMD scores higher. Compounded GLP-1s aren't FDA-approved finished products, and availability shifts — confirm current options with each provider.
Which gives you more support, bmiMD or Sprout?
bmiMD scores higher on support — real clinician access, coaching and follow-up. For visits, bmiMD is telehealth consult + unlimited messaging and Sprout is async questionnaire + monthly check-ins.
Are bmiMD and Sprout legit?
Both require a licensed clinician to review your intake before prescribing. Confirm each provider's credentials, state availability (bmiMD: 48 states (excl. la, ms); Sprout: nationwide (excl. al, ar, ca, la, ms, nd)) and current pricing before you sign up — and note that compounded medications aren't FDA-approved.
Can I switch between bmiMD and Sprout?
Generally yes — neither locks you into a long contract, though the lowest prices often require a prepaid plan. Never stop or change a GLP-1 medication without talking to your clinician first.
Both programs are scored with the same independent methodology. We may earn a commission from either provider — it changes nothing about the scores or the verdict. Prices are advertised starting rates as of October 2026; confirm current pricing with each provider. Nothing here is medical advice.