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Head-to-head · The Match Score

Vaylen vs 1st Optimal

Both scored on the same six-factor Match Score. Vaylen wins this matchup with a 87 to 45 edge.

Higher Match Score

Vaylen

#8 · Grade B+

People who want maximum options — injectable, oral, compounded or brand — in one LegitScript-certified place.

Visit Vaylen
VS

1st Optimal

#489 · Grade C

Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Visit 1st Optimal

Factor by factor

The six sub-scores behind each Match Score. The quiz reweights these to your priorities — one provider can pull ahead for you on the factors you care about.

Budget Fit
82
48
Speed to Start
88
33
Formulary Match
94
51
Support Level
86
82
Flexibility
86
37
Transparency
88
20

Price, coverage & formulary

DetailVaylen1st Optimal
Semaglutide$179/moNot disclosed
Tirzepatide$239/moNot disclosed
CoverageAll 50 statesCoverage not published
Brand-name accessYesCompounded only
Oral / sublingualYesYes
Match Score87 · B+45 · C
Winner: Vaylen

Vaylen edges out 1st Optimal, 87 to 45 on the default Match Score. One of the widest formularies on the board — both molecules, an oral route, and brand access, all nationwide.

1st Optimal is still a fair pick if its strengths line up with yours — best for: Patients wanting GLP-1 therapy within a lab-driven functional-medicine program.

Worth a look either way: our overall #1 pick is CoreAge Rx (Match Score 91) — nationwide access, both molecules at one flat price, easy to cancel. Or take the 6-question quiz to see your personalized match.

Visit Vaylen Visit 1st Optimal

Assume any provider we list may compensate us, at no cost to you. It never changes the Match Score.

Full Vaylen reviewFull 1st Optimal review

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Or browse alternatives to Vaylen and all comparisons.

Pricing, states and verification reflect each provider's public disclosures at last review; the Match Score and its sub-scores are our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.