Sprout Health vs TMates: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated August 14, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

54 providers verified independently·Independent research·How we rank →

Short answer: TMates scores higher on our rubric, 7.8/10 against 5.8/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit TMates - our pick of these two →or find your match

TMates beats Sprout Health overall, scoring 7.8/10 vs 5.8/10. Published pricing is not a like-for-like monthly comparison: Sprout Health is $199 first month, then $249/mo; TMates is from $158/mo. Choose Sprout Health for users who want a dedicated care coordinator and locked titration pricing, and will judge service quality in month one. Choose TMates for users who want commitment-discount pricing on compounded glp-1s ($158-$249/mo, medication included) or a $99/mo clinical path to brand wegovy or zepbound filled at their own pharmacy.

A side-by-side look at Sprout Health and TMates to help you decide. We compare them on:

•Starting price per month
•Our overall score, out of 10
•Medication type, brand-name or compounded
•Whether they accept insurance
•Who each one is best for

Sprout Health

#45 of 54

5.8/10

Well-established telehealth provider offering both compounded and brand-name GLP-1 medications with solid clinical support.

Visit Sprout Health

Higher Rated

TMates

#11 of 54

7.8/10

Telemedicine platform offering two distinct archetypes: compounded semaglutide and tirzepatide with medication included (commitment pricing $158-$249/mo), and a clinical-service-only path to brand-name Wegovy/Zepbound at $99/mo where the prescription is sent to the patient's pharmacy. Phentermine also available. 2026 expansion added brand-name FDA-approved options.

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Feature	Sprout Health	TMates
Why each one	The most consistent telehealth GLP-1 provider since 2022, no pricing changes, no service disruptions, and published outcome data that backs up their claims.	Two-archetype platform: (1) compounded GLP-1s with medication included and steep multi-month commitment discounts; (2) cheap $99/mo clinical service for brand Wegovy/Zepbound where you fill the prescription at your own pharmacy.
Our Score	5.8/10	7.8/10
Headline Price	$199 first month, then $249/mo	from $158/mo
Medication Type	Both	Both
Insurance Accepted	No	Yes
Best For	Users who want a dedicated care coordinator and locked titration pricing, and will judge service quality in month one	Users who want commitment-discount pricing on compounded GLP-1s ($158-$249/mo, medication included) or a $99/mo clinical path to brand Wegovy or Zepbound filled at their own pharmacy
Watch out for	$250/mo all-in sits in the upper-mid range, $90 more than Willow for a similar model; the premium pays for the dedicated coordinator and published outcomes	The $99/mo Wegovy/Zepbound tier is the clinical service only. Medication is billed separately at your pharmacy (can be $1,000+/mo cash without insurance). Choose this tier when your insurance covers the drug itself.
Ranking	#45	#11
Get started	Visit Sprout Health	Visit TMates

Pros & Cons Compared

Sprout Health

Pros

+Published average weight loss outcomes: 12-15% body weight at 6 months across their patient base
+Dedicated care coordinator assigned to each patient, not a rotating pool of providers
+Transparent pricing: $250/mo covers medication, shipping, and all consultations
+Operating since 2022 with a consistent track record, no sudden pricing changes or service disruptions

Cons

−$250/mo all-in sits in the upper-mid range, $90 more than Willow for a similar model; the premium pays for the dedicated coordinator and published outcomes
−No insurance accepted, and no superbill provided for FSA/HSA reimbursement

TMates

Pros

+Clinical-service-only path to brand Wegovy and Zepbound at $99/mo, prescription goes to patient's pharmacy (you fill separately using insurance or cash)
+Steep multi-month commitment discounts on compounded sema, $158/mo on 12-month plan ($1,900 upfront) vs $249/mo month-to-month
+Same price at all dose levels for compounded, no cost escalation as you titrate up
+Phentermine available at $149/mo for patients who benefit from a different appetite-suppressant approach

Cons

−The $99/mo Wegovy/Zepbound tier is the clinical service only. Medication is billed separately at your pharmacy (can be $1,000+/mo cash without insurance). Choose this tier when your insurance covers the drug itself.
−The best compounded rates require prepayment: $1,050 upfront for 6 months, $1,900 for 12. Start at $249 month-to-month if you want to test fit first.
−The intake is a 90-second quiz. Fast, but lighter screening than competitors with full medical intakes. Better suited to patients who already know GLP-1 basics.
−TMates prescribes brand-name but does not dispense it, and is not affiliated with Novo Nordisk (Wegovy) or Eli Lilly (Zepbound). Your own pharmacy fills the Rx.

Our Verdict

TMates edges out Sprout Health with a score of 7.8/10 vs 5.8/10. Published pricing is not a like-for-like monthly comparison: Sprout Health is $199 first month, then $249/mo; TMates is from $158/mo. TMates accepts insurance, which can significantly reduce your out-of-pocket costs.