Ranked above it
CB
Care Bare Rx
Names both compounds directly — but two of its four pharmacies carry FDA letters.
#1 on our NAD+ provider ranking, above Sprout Health at #5.
Read the Care Bare Rx review →
Provider review
Sprout Health review
Names both pharmacies and a real 44-state list — but every price is a starting floor.
Sprout Health is more forthcoming than most of this roster about who fills your prescription and where it will ship: it names both pharmacies and publishes a state list that actually matches its own exclusions. What it doesn't tell you is what you'll really pay — $149 and $199 are lowest-dose starting rates, and no higher-dose pricing appears anywhere before checkout.
Verified August 2026Partner
Reviewed by Marcus Webb
Transparency scorecard
3 of 4 disclosed openly
What Sprout Health discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Not disclosed
Does not name a pharmacy or state a regulatory category anywhere on its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Disclosed
The advertised price is the ongoing price — no prepay or auto-refill required to unlock it.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
At a glance
Visit Sprout HealthReal monthly cost
Every figure is a lowest-dose starting rate
Pharmacy
Two pharmacies named
Labs
Not stated.
States
44 states
On this page
What it actually costs
High confidence
What they advertise
Compounded semaglutide from $149/month, compounded tirzepatide from $199/month, and compounded NAD+ from $199. Sprout also sells brand-name Wegovy ($1,799/mo) and Zepbound ($1,999/mo).
What you actually pay, month to month
Every figure is a lowest-dose starting rate. Semaglutide and tirzepatide are normally dosed upward over the first months, and Sprout publishes no tier table, so the number you actually pay will land above the advertised one and you won't see it until you're inside the signup flow. Prices at checkout do include the mandatory consultation, per its own terms.
Money you will meet later
- A flat $50 clinical review fee is retained if you cancel after a provider has reviewed your intake but before the prescription reaches the pharmacy.
- Cancellation must reach Sprout at least 48 hours before your next billing date, or that charge still applies.
Price read from https://joinsprouthealth.com/.
The bottom line
Sprout Health sells compounded semaglutide from $149/mo, compounded tirzepatide from $199/mo, and compounded NAD+ from $199, on a subscription that renews monthly, quarterly, or every six months. Two things stand out against its peers. Its coverage disclosure is genuinely good — it names the six states it won't serve and separately lists the 44 it will, and the two agree. And its refund terms are unusually worked out: full refund before a provider reviews your intake, minus a flat $50 clinical fee after that, nothing once the prescription reaches the pharmacy, with prepaid multi-month plans refunded pro-rata on the months not yet shipped. The gap is the price itself, which is a floor rather than a figure.
Sprout Health appears on our tirzepatide provider ranking, our semaglutide provider ranking, our NAD+ provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- Knowing exactly which states are covered before you start matters to you — Sprout publishes the list rather than claiming "all 50."
- You want the pharmacy filling your prescription named, not described as a "partner network."
- A prepaid 3- or 6-month plan appeals to you, and you want to know it's refundable pro-rata if you stop early.
Look elsewhere if
- You live in Alabama, Arkansas, Mississippi, Louisiana, California, or North Dakota — Sprout doesn't serve any of them.
- You want the real monthly cost for your actual dose before handing over payment details.
- The 503A/503B distinction matters to you; Sprout names its pharmacies but never states which category either falls under.
What is included
The cheapest headline number in this category is often the one with the least attached to it. Here is what Sprout Health bundles in, and what it does not.
Clinician consult
Included
— prices shown at checkout cover the mandatory clinician consultation, run through MD Integrations.
Bloodwork / labs
Not stated.
Follow-ups and dose changes
Not itemized.
Human support
A Patient Care team handles support questions
No dietitian, nurse, or coaching program.
Injection supplies
Not itemized beyond the medication.
Shipping
Shipped to your door; temperature-sensitive medication ships…
with ice packs.
Also sells
Beyond what this board tracks, Sprout Health's own site names this additional compound — read live off the same product pages, not inferred.
- Compounded NAD+ Therapy$199
Who fills it, and who's watching
The pharmacy
Two pharmacies named — Foothills Pharmacy and Promise Pharmacy — in its own Terms, alongside its clinical network, MD Integrations. Neither is tied to a 503A or 503B category anywhere on the site, and Sprout states plainly that it is not itself a pharmacy or manufacturer.
Oversight
Included — prices shown at checkout cover the mandatory clinician consultation, run through MD Integrations. Not itemized.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not.
Where you can get it
44 states. Sprout excludes Alabama, Arkansas, Mississippi, Louisiana, California, and North Dakota, and separately lists all 44 it does serve — the two statements agree exactly, which is rarer here than it should be.
The honest cons
The part they would rather you skipped
Its refund page gives three different deadlines for the same thing. If a shipment arrives damaged, one section says report it within 24 hours, another says 48, and a third is headed "Outside the 48-Hour Window" while its text refers to 72 hours. Anyone whose medication arrives warm has to guess which deadline is real. Sprout also states it isn't liable for shipping or shortage delays, and that its practice in a shortage is to ship late rather than refund.
- Advertised prices are lowest-dose floors; no higher-dose pricing is published before checkout.
- Named pharmacies, but no 503A/503B category stated for either.
- Three conflicting deadlines for reporting a damaged or missing shipment on one page.
- Not liable for delays, and shortages are handled by shipping late rather than refunding.
None of this is unique to Sprout Health — the whole category shares it.
How it compares
The providers we rank on our NAD+ provider ranking — the most specific board Sprout Health sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- CBCare Bare RxNames both compounds directly — but two of its four pharmacies carry FDA letters.
- TRTelos RxA specific, sourced state-exclusion list — next to an unconfirmed "compare" price.
- BMBreeze MedsNames the specific compound in its own nav menu — pricing is quiz-gated.
- EMEnhance MDA clean 503A claim and clear pricing — but "all 50 states" narrows to 41 in its own FAQ.
- LTLttlBrands itself "Priced Honestly" — its own headline price is a 12-month prepay rate.
- SRSynergy RxSells no GLP-1 at all — and its own legal terms undercut its "all 50 states" marketing.
- Strut HealthAn FDA warning letter over labeling, plus an auto-refill price on every product.
- OAOakA flat, no-subscription price — but no pharmacy is named anywhere on the site.
38 more providers rank on our NAD+ provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
Facts on this page reflect Sprout Health's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Sprout Health's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.
Sprout Health
Every figure is a lowest-dose starting rate