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Josie vs Sprout Health: Which Is Better?

Head-to-head comparison of Josie and Sprout Health based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Josie scores higher overall in our independent evaluation (57.6/100 vs 50.9/100), leading on trust & safety, value, experience, product range, reputation.

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Josie
Fair

Small menopause-focused telehealth brand selling compounded and branded GLP-1s, microdose GLP-1 maintenance plans and estradiol/progesterone HRT at flat published prices.

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51
Sprout Health
Below Average

Sprout Health is an Encinitas, CA telehealth brand selling compounded semaglutide, tirzepatide and NAD+. It received an FDA warning letter in September 2025 and has an F rating from the BBB.

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Score Breakdown

DimensionJosieSprout Health
Overall Score57.6/100 ✓50.9/100
Trust & Safety30%50/100 ✓45/100
Value25%70/100 ✓62/100
Experience20%58/100 ✓48/100
Product Range15%60/100 ✓55/100
Reputation10%45/100 ✓40/100

At a Glance

Founded—2021
Headquarters—Encinitas, CA
Publicly tradedNoNo
Treatment categories32
Treatments listed75
Starting price$90/mo$149/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryJosieSprout Health
Weight Loss / GLP-1$189
Microdose GLP-1 Maintenance (semaglutide or tirzepatide)
$149–$249
Compounded Semaglutide

Josie

+Flat pricing at any dose, published before intake: compounded semaglutide $249/mo ($194/mo prepaid annually), tirzepatide $349/mo ($233/mo annually)
+Offers injectable, oral ODT and microdose ($189/mo) GLP-1 formats alongside HRT in one women's-midlife intake
+Names its lead clinician (Dr. Ana Lisa Carr, MD, board-certified in family medicine) and says it serves all 50 states
−FDA warning letter (Feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing
−White-label setup: Josie is a trade name of One Eleven Nutrition LLC on the CareValidate platform, and its terms say it doesn't control provider decisions
−An $80 consultation fee applies if a provider approves a plan and the patient declines medication, and filled orders are non-refundable
Read the full Josie review →

Sprout Health

+Offers both compounded (semaglutide, tirzepatide) and branded (Wegovy, Zepbound) GLP-1s alongside NAD+
+Entry pricing ($149/mo semaglutide, $199/mo tirzepatide) is published before intake
+Prescribing runs through MD Integrations, an established white-label physician network
−FDA warning letter (Sept 9, 2025) for marketing compounded GLP-1s as 'FDA-approved'
−BBB rating of F for failing to respond to complaints; multiple reports of patients forced to use chargebacks or stop-payments to cancel
−Recurring complaints of late or missing refills, wrong doses shipped, and no phone support
Read the full Sprout Health review →

Josie vs Sprout Health — FAQ

Is Josie better than Sprout Health?

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Josie scores higher overall in our independent evaluation (57.6/100 vs 50.9/100), leading on trust & safety, value, experience, product range, reputation.

Is Josie or Sprout Health cheaper?

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Josie has the lower starting price (from $90/mo vs $149/mo for Sprout Health). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Josie and Sprout Health both offer?

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Both platforms treat Weight Loss / GLP-1. Josie covers 3 treatment categories total and Sprout Health covers 2.

Still deciding?

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