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Head-to-head for women

Fresh Day Meds vs Sprout Health

Fresh Day Meds and Sprout Health both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.

Fresh Day Meds

Ranked #51 for women · Grade C

Best for: Women transferring an existing GLP-1 prescription who want a standard dose at a low month-to-month price and will read a subscription-terms page carefully.

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vs

Sprout Health

Higher score

Ranked #10 for women · Grade B

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

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The verdict for women

Higher Luna Fit Score: Sprout Health

Sprout Health edges out Fresh Day Meds on the Luna Fit Score, 84 to 71 (B vs C). Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding. The reasoning behind that number is in our Sprout Health write-up for women.

Fresh Day Meds is still a genuine option — publishes its entire plan matrix in its own subscription terms — every tier, every dose band, every billing cadence — and then locks your price when the dose goes up, which is rarer than it sounds. Weigh the six women's-health factors below against your own priorities; what we found reviewing Fresh Day Meds goes through each of them, and if neither of these two is the one, the alternatives to Fresh Day Meds we rank for women widens the field.

Side-by-side on the six factors

Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.

Fresh Day Meds Sprout Health
PCOS & hormonal suitability6283
Fresh
Sprout
Clinical oversight & labs7480
Fresh
Sprout
Price transparency6689
Fresh
Sprout
Nationwide access8482
Fresh
Sprout
Ongoing support7685
Fresh
Sprout
Cancellation fairness6683
Fresh
Sprout

Price, access & features

DetailFresh Day MedsSprout Health
Luna Fit Score71/100 · C84/100 · B
Overall rank#51#10
Semaglutide$140/mo standard doses, no commitment (from $99/mo microdose on a 3-month prepay); renews every 23 days$149/mo
Tirzepatide$179/mo standard doses, no commitment (from $140/mo microdose on a 3-month prepay); renews every 23 days$199/mo
Coverage48 states and DC (not Arkansas or Virginia)Not disclosed
Brand-name accessCompounded onlyYes
Oral / sublingualInjection onlyInjection only

Fresh Day Meds

Ranked #51 · Grade C

What we like

  • Publishes the full price matrix — one-month, three-month, new-patient and transfer, for both molecules — inside its own subscription terms rather than in marketing copy
  • Price lock: your rate does not rise when your prescribed dose increases at renewal
  • A genuine no-commitment standard-dose option at $140 semaglutide and $179 tirzepatide for transfers

The caveats

  • The advertised $99 and $140 headline rates are microdose tiers on a three-month prepay — roughly a tenth of a standard dose
  • Plans renew every 23 days rather than monthly, so the effective annual cost is about 9% above the '/mo' figure
  • A $75 non-refundable consultation fee if you miss the physician's callback, and the order is cancelled

Sprout Health

Ranked #10 · Grade B

What we like

  • LegitScript-certified with a listed address and contact line
  • Both compounded ($149 semaglutide / $199 tirzepatide) and a genuine brand-name Wegovy/Zepbound route
  • Low-friction intake — no labs and often no telehealth visit required

The caveats

  • Compounded semaglutide and tirzepatide are not FDA-approved
  • No oral or sublingual route — injectable only
  • Thin transparency — no named medical director, and state availability is quiz-gated

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

More head-to-heads

Neither Fresh Day Meds nor Sprout Health is only worth comparing with the other. Fresh Day Meds is also written up against CoreAge Rx, 22 points apart on the Luna Fit Score — see how Fresh Day Meds and CoreAge Rx compare on the Luna Fit Score. Sprout Health is also written up against CoreAge Rx, 9 points apart — see the Sprout Health–CoreAge Rx head-to-head.

Or browse the full comparison hub.