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Head-to-head dispatch

Optimized Health vs TelePeptide

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 #70Desk pick
Optimized Health

Verified and oral-capable, but availability is limited to five states — a narrow-reach specialist.

Marked down on: Only five states served

vs
Dispatch #184
TelePeptide

TelePeptide is a LegitScript-certified US direct-pay telehealth practice offering physician-supervised compounded GLP-1 therapy — semaglutide and tirzepatide — in injectable and oral dissolvable tablet…

Marked down on: Compounded medications are not FDA-approved; no pharmacy partner named publicly

Optimized Health takes this head-to-head with the higher Desk Score, 78/100 (C+) against 67/100 (C) for TelePeptide. TelePeptide 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.

Optimized Health

78/100

C+

Overall

TelePeptide

67/100

C

Price transparency

82
68

State access

55
24

Molecule range

90
83

Onboarding speed

82
80

Support responsiveness

82
85

Licensing & trust

88
84

The spec sheet

FieldOptimized HealthTelePeptide
Semaglutide$200/mo$199/mo (starting dose, annual plan, compounded oral)
Tirzepatide$250/mo$219/mo (starting dose, annual plan, compounded oral)
CoverageMO, IA, KS, UT, WACoverage not published
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forPatients in MO, IA, KS, UT, or WA who want a verified, oral-capable program.Readers who want all-in compounded GLP-1 (sema/tirz, injectable + oral) from $169/mo; LegitScript-certified, 48 states.
Desk Score78/100C+67/100C

The verdict

Desk pick — Optimized Health

Optimized Health takes this head-to-head with the higher Desk Score, 78/100 (C+) against 67/100 (C) for TelePeptide. TelePeptide still holds its ground where its strengths line up with yours.

Choose Optimized Health if…

Patients in MO, IA, KS, UT, or WA who want a verified, oral-capable program.

$200/mo sema · $250/mo tirz · MO, IA, KS, UT, WA

Choose TelePeptide if…

Readers who want all-in compounded GLP-1 (sema/tirz, injectable + oral) from $169/mo; LegitScript-certified, 48 states.

$199/mo (starting dose, annual plan, compounded oral) sema · $219/mo (starting dose, annual plan, compounded oral) tirz · Coverage not published

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: Optimized Health · TelePeptide.

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: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

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.