Budget vs premium
Refills vs Sprout Health: Which Costs Less Over 12 Months? (2026)
Refills costs $1,188 a year against $2,938 for Sprout Health. Full 2026 comparison of price, medication class and included support.
Published · Pricing as published in our provider dataset, synced · Editorial scores 7.7 and 7.4 out of 10
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Refills versus Sprout Health is a common shortlist, and it is a more interesting one than the two homepages suggest.
The gap is 2.5x: $99/mo at Refills, $249/mo at Sprout Health. Neither number is unusual for the market, but paying the higher one only makes sense if you can name what it adds.
The sections that follow price both programs across a full course of treatment rather than a first month, then set out which patient each one is actually built for. Every figure traces back to the provider's own published material, and the missing ones stay missing.
The short answer
- Lowest 12-month cost
- Refills — $1,188 against $2,938 at Sprout Health, on each provider's own best published pricing.
- Most predictable bill
- Refills — Flat rate at every dose, so titration does not change what you are charged.
- Tirzepatide access
- Refills — The only one of the two that publishes a dual GIP/GLP-1 option.
- Widest medication choice
- Refills — compounded semaglutide and GIP+GLP-1 dual agonist.
The short version: Refills vs Sprout Health
The table is built from each provider's published pricing and program detail; anything they decline to state is marked as such.
| Refills | Sprout Health | |
|---|---|---|
| Advertised price | GLP-1 from $99/mo, about $5 a day | $199 first month with $50 off, then $249/mo |
| Rate after promotions | $99/mo | $249/mo |
| Pricing structure | Flat rate at every dose | Promotional first month, then standard rate |
| Medication | Compounded semaglutide and GIP+GLP-1 dual agonist | Compounded GLP-1 |
| How fast you start | 3-minute approval quiz | Lightning-quick approval |
| State coverage | Availability varies by state | Not published |
| Payment options | Card only, no financing published | Card only, no financing published |
| Membership fee | None | None |
| Patient reviews | 7,400 | 14,569 |
| eRxDoctor score | 7.7/10 | 7.4/10 |
What Refills and Sprout Health actually cost over a year
GLP-1 treatment is not a one-month purchase, and neither of these prices it like one. So the table works in the timeframe treatment actually happens in.
| Refills | Sprout Health | |
|---|---|---|
| First month | $99 | $199 |
| Months 2 onward | $99/mo | $249/mo |
| 6-month total | $594 | $1,444 |
| 12-month total | $1,188 | $2,938 |
| Best published plan | No multi-month discount published | No multi-month discount published |
The twelve-month spread is $1,750. That is the number to hold Sprout Health against: it has to justify roughly $146 extra every month.
Price escalation to plan for: Sprout Health moves from $199 to $249, a 25% increase. Set a calendar reminder for the month it changes.
Where the extra money goes at Sprout Health
Before treating the cheaper option as the obvious one, it is worth naming what the more expensive one includes — at Sprout Health that is fast, hassle-free GLP-1 delivery, plus home delivery.
On the other side, Refills leads with $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing — with one qualification: clinicians come from partner networks and availability varies by state.
For a patient who has taken a GLP-1 before, knows how they titrate and needs a reliable monthly refill, the cheaper program is usually the correct one and the premium is a donation. For a first prescription, the calculus changes.
Refills in detail
The pitch is $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing. Refills offers personalized compounded GLP-1 from $99/month (~$5/day) with flat pricing, the same price at every dosage, plus free discreet shipping, 24/7 health concierge support, and no membership or app fees.
Getting started means 3-minute approval quiz, after which free, fast and discreet shipping on every order. Pricing runs on a flat rate at every dose basis, published upfront.
On the clinical side, free 24/7 health concierge, prescribing compounded semaglutide and GIP+GLP-1 dual agonist.
Refills pros
- 40% off new patient special offers
- No monthly memberships or app fees
- Flat pricing, the same low price at every dosage, no titration upcharges
- Personalized GLP-1 from $99/mo (~$5/day); GIP+GLP-1 dual agonist available
Refills cons
- Availability varies by state
- Clinicians come from partner telehealth networks (Beluga, Bask, Wasef Health)
- Compounded medication, not an FDA-approved branded product
The reservation worth holding, particularly next to Sprout Health: clinicians come from partner networks and availability varies by state.
Inside the Sprout Health program
Special Offer: Get $50 Off Your First Month In this pairing, its distinguishing feature is a no-frills route to a first injection for people who want to start this week.
The process is lightning-quick approval, then home delivery. On money, expect promotional first month, then standard rate — published upfront.
What continues after the first shipment: fast, hassle-free GLP-1 delivery. Formulary: compounded GLP-1.
Sprout Health pros
- Fully online with fast, hassle-free GLP-1 medication delivery
- Clear outcome framing, 10–26% body weight loss over 12 months
- Lightning-quick approval process
- $50 off the first month, bringing it to $199
Sprout Health cons
- Compounded medication only, no branded Ozempic or Wegovy
- No published outcome guarantee despite the outcome-focused marketing
- Price rises to $249/month after the discounted first month
The cost of choosing this over Refills: $249 a month ongoing is above the market and the outcome framing is marketing, not a guarantee.
Who each program is actually built for
Choose Refills if:
- you want the price you sign up at to survive titration
- the monthly rate is the constraint — $99/mo against $249/mo
- the twelve-month total is what you are optimizing ($1,188 against $2,938)
- you want tirzepatide available without changing provider later
Choose Sprout Health if:
- what it leads on is worth paying for in your case: a no-frills route to a first injection for people who want to start this week
- the level of clinical contact suits you: fast, hassle-free GLP-1 delivery
- you want to start on their timeline: lightning-quick approval
- delivery works the way you want it to: home delivery
The compromises on both sides
On price. $99/mo against $249/mo. Sprout Health is asking you to pay for a no-frills route to a first injection for people who want to start this week; decide whether that is a line item you will use.
On commitment. Neither publishes a multi-month discount, so both are month-to-month decisions and neither asks you to prepay for a response you have not had yet. Neither publishes financing options, so plan for the full amount each month.
On access. Refills advertises 3-minute approval quiz and free, fast and discreet shipping on every order; Sprout Health advertises lightning-quick approval and home delivery. Coverage differs too — availability varies by state against not published — which decides the question before price does if you are in a restricted state.
On predictability. The pricing structures differ (flat rate at every dose versus promotional first month, then standard rate), and structure, not headline rate, determines the twelve-month bill.
The medication, not the platform
Before either program's marketing claims, the underlying evidence — which belongs to the medication, not the platform.
The NIH position is that weight-management medication works alongside changes in eating and activity, not instead of them, per NIH, NIDDK.
Cardiovascular benefit has been demonstrated for semaglutide in a specific population: adults with overweight or obesity and existing cardiovascular disease but no diabetes, per NEJM, SELECT.
Neither platform's marketing changes any of that. It is the same evidence base whichever one takes your card.
Refills vs Sprout Health: common questions
Is Refills cheaper than Sprout Health?
Yes, on the ongoing rate. Refills runs $99/mo once promotional pricing ends, against $249/mo at Sprout Health — a difference of 2.5x. Compare the first-month offers separately, because both providers discount entry differently from the rate you will actually be paying by month three.
Which costs less over a year, Refills or Sprout Health?
Refills, at roughly $1,188 for twelve months against $2,938 at Sprout Health, using each provider's own best published pricing. Those totals cover medication and program fees as published; they exclude anything a provider bills separately, and they assume you stay on the same plan for the full year.
Do Refills and Sprout Health prescribe the same medication?
Both dispense compounded GLP-1 preparations. Refills lists compounded semaglutide and GIP+GLP-1 dual agonist and Sprout Health lists compounded GLP-1, so the molecules overlap even where the formulary does not match exactly.
Does Refills or Sprout Health offer tirzepatide?
Refills does. Sprout Health publishes compounded GLP-1 only, so moving to tirzepatide would mean moving provider — a new intake, a new price, and the loss of any rate you had locked in.
Can I switch from Refills to Sprout Health later?
Nothing stops you. The friction is administrative rather than clinical: a new intake, a new prescriber, and a delivery gap if you time it badly. Move while you still have two weeks of medication in the fridge.
The verdict
Strictly on cost, Refills takes it — $1,188 to $2,938 over twelve months.
The case for Sprout Health is a no-frills route to a first injection for people who want to start this week. That is worth $146 a month to some patients and nothing at all to others — be honest about which you are.
The failure mode here is not picking the wrong platform; it is stopping treatment because the bill moved. Choose the one whose bill you can predict.
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Disclaimers and methodology
Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.
Some links are affiliate links and may generate commission at no extra cost to you.
Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.
eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by Refills or Sprout Health, and does not sell treatment. Read our ranking methodology.