Sprout (Sprout Health) is one of the newer entrants in compounded GLP-1 telehealth, advertising low entry prices, fast prescribing, and a flat-price-at-every-dose pledge. Pallas Health shares several of those traits — no membership, flat dosing, free shipping — so this comparison is mostly about what's published versus what isn't, and the terms that apply when plans change.
Pricing on both sides changes often; figures reflect each platform's published pricing as of August 2026 — confirm current numbers on both sites before signing up.
The three differences that matter most
- Published renewal terms. Sprout advertises compounded semaglutide "starting at $149/month" and tirzepatide at $199/month — but its ongoing renewal prices aren't published on the site; they appear at checkout. Pallas prints the whole arc in one sentence on every surface: $139 first month, then $199 every 4 weeks, charged once a clinician prescribes. Cancel anytime. Whichever platform you choose, get the renewal number in writing before you pay.
- The refund mechanics. Per Sprout's published policy, refunds are full before a provider reviews your intake; after review but before pharmacy fulfillment, a flat $50 clinical review fee is withheld; after fulfillment, orders are non-refundable — and cancellation needs 48 hours' notice before billing. Pallas charges nothing until a clinician prescribes, so there is no fee to withhold, and its plans cancel anytime.
- State coverage. Per its own terms, Sprout doesn't serve Alabama, Arkansas, Mississippi, Louisiana, California, or North Dakota. Pallas serves all 50 states plus DC.
About compounded medications
Compounded medications are prepared on a per-patient basis by US-licensed compounding pharmacies, regulated under federal law (FDCA §503A) and by state boards of pharmacy. A licensed clinician decides whether a compounded preparation — for example, a dose level or a formulation a brand-name product doesn't offer — is appropriate for you.
Pallas offers both FDA-approved and compounded medications. Compounded medications are not FDA-approved and are not generic versions of brand-name drugs. Eligibility and treatment are determined by a US-licensed clinician; results vary. Private pay only (no insurance). Operated by Brentmoor, Inc.
Quick comparison
| Pallas Health | Sprout | |
|---|---|---|
| Compounded semaglutide injection | Yes — one all-in price, renewal stated up front | Yes — "starting at $149/mo"; renewal shown at checkout |
| Compounded tirzepatide injection | Yes — one all-in price | Yes — "starting at $199/mo"; renewal shown at checkout |
| FDA-approved brand (Wegovy®, Zepbound®) | Yes — $499 first month, then from $599/mo, cash-pay | Yes — Wegovy® $1,799/mo, Zepbound® $1,999/mo |
| Membership fee | None | None |
| Price changes as your dose increases | No — flat at every dose | No, per their pledge |
| If a clinician doesn't prescribe | Nothing charged | Full refund before review; $50 fee withheld after review |
| Cancellation | Anytime, self-serve in portal | 48-hour notice before billing |
| States served | All 50 + DC | 44 states (excludes AL, AR, MS, LA, CA, ND) |
| Companion app | Free on iOS and Android, no subscription | Not offered |
| Year founded | 2026 | 2025 |
What Sprout does well
Low advertised entry pricing. Sprout's $149 semaglutide and $199 tirzepatide entry prices — with promo codes running on top — are among the lower advertised numbers in the category, with free shipping and no membership fee, and it pledges that your price won't rise as your dose does.
Fast prescribing. Sprout advertises clinician review and, when appropriate, a prescription within 24–48 hours of its quiz-based intake, through a physician-only clinical network.
What Pallas does differently
Everything on the label. Pallas publishes the full pricing arc — intro, renewal amount, interval, and monthly average — in one sentence on every surface: $139 first month, then $199 every 4 weeks, charged once a clinician prescribes. Cancel anytime. Tirzepatide is $179 first month, then $299 every 4 weeks, charged once a clinician prescribes. Cancel anytime. No checkout reveal, no fee schedule to discover later. Both plans — compounded semaglutide and compounded tirzepatide — are weekly injections with clinician care included.
Charged only if prescribed. Nothing is charged until a clinician prescribes, so there is no $50 fee to withhold. Cancel anytime, no notice window, self-serve in the portal.
Every state, both tiers, verifiable. All 50 states plus DC, brand-name pens dispensed cash-pay at $499 for the first month and then from $599/month (roughly $1,200–1,400/month below Sprout's listed brand prices), and LegitScript Healthcare Merchant Certification you can confirm in LegitScript's public database. The free Pallas companion app (iOS and Android) covers protein, steps, weight trend, and dose reminders.
Who should pick which
Sprout may fit if:
- Its advertised entry price plus a current promo code beats what you've found elsewhere — after you've confirmed the renewal price at checkout
- You live in one of its 44 covered states and want a quiz-fast intake
Pallas is probably the better fit if:
- You want the renewal price published before you start, not revealed at checkout
- You want nothing charged unless a clinician prescribes, with no review fee withheld
- You live in Alabama, Arkansas, Mississippi, Louisiana, California, or North Dakota — or want DC coverage
- You may want brand-name medication — Pallas's brand tier is substantially cheaper
- You want a self-serve portal
Switching between them
Bring your medication name, current dose, and titration history, and mind Sprout's 48-hour billing notice when timing a switch. A Pallas clinician picks up from your current dose — no restart of titration unless you've been off medication for more than four weeks. For the clinical side of choosing between molecules, see semaglutide vs tirzepatide.
Bottom line: Sprout advertises sharp entry prices with a flat-dose pledge and fast prescribing — with renewal prices revealed at checkout, a $50 fee withheld on post-review refunds, and six states unserved. Pallas publishes the entire price arc up front, charges nothing until a clinician prescribes, serves every state, and dispenses brand-name medication at far lower cash prices. If an entry-price promo decides it for you, confirm Sprout's renewal number first; if published terms and exit flexibility decide it, that's what Pallas is built on.
