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Head-to-head dispatch

MDLive vs Sprout Health

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Dispatch #372
MDLive

MDLive (an Evernorth/Cigna company) is a large telehealth provider offering urgent care, primary care, dermatology and behavioral health.

Marked down on: GLP-1s only at clinician discretion in a Primary Care routine visit

vs
Dispatch #13Desk pick
Sprout Health

A LegitScript-certified desk that pairs low-cost compounded semaglutide and tirzepatide with a real brand-name Wegovy and Zepbound path — and a near-frictionless, often visit-free start.

$299/mo sema · $349/mo tirz · Verified August 28, 2026

Marked down on: FDA issued Sprout Health Partners LLC dba Sprout Health a warning letter in September 2025; the letter is public in FDA's warning-letter database

FDAWarning letter issued to Sprout Health Partners LLC dba Sprout Health in September 2025. See the FDA warning-letter database.

Sprout Health takes this head-to-head with the higher Desk Score, 86/100 (B) against 55/100 (C) for MDLive. MDLive still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

MDLive

55/100

C

Overall

Sprout Health

86/100

B

Price transparency

54
90

State access

24
82

Molecule range

53
88

Onboarding speed

66
92

Support responsiveness

82
78

Licensing & trust

75
84

The spec sheet

FieldMDLiveSprout Health
SemaglutideNot listed on MDLive's site (checked July 26, 2026)$299/mo
TirzepatideNot listed on MDLive's site (checked July 26, 2026)$349/mo
CoverageNot listed on MDLive's site (checked July 26, 2026)Not listed on Sprout Health's site (checked August 28, 2026)
Brand-nameYesYes
Oral optionInjectable onlyInjectable only
Best forInsured or employer-covered patients wanting GLP-1s within full primary care.Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding.
Desk Score55/100C86/100B

The verdict

Desk pick — Sprout Health

Sprout Health takes this head-to-head with the higher Desk Score, 86/100 (B) against 55/100 (C) for MDLive. MDLive still holds its ground where its strengths line up with yours.

Choose MDLive if…

Insured or employer-covered patients wanting GLP-1s within full primary care.

Choose Sprout Health if…

Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding.

$299/mo sema · $349/mo tirz

FDAWarning letter issued to Sprout Health Partners LLC dba Sprout Health in September 2025. See the FDA warning-letter database.

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: MDLive · Sprout Health.

Also here

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: one price at every dose, both molecules, all 50 states — but the $99 and $149 figures are 12-month plans paid up front, not a monthly bill.

More head-to-heads

Or see the full comparison hub and the complete ranking.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.