Sprout Health Review 2026: Prices, Refunds and States

The good news first. Sprout says the consultation is not an extra: “All prices displayed at checkout are comprehensive and include the fees for the mandatory doctor consultation.” And the funnel site commits the rate against dose escalation: “Your monthly price stays the same as your dose changes. No surprise fees.”

The complication is that no single price exists: compounded GLP-1 entry prices appear as $110, $149, $199, $249 and $299 depending on the page, and nothing reconciles them. Compounded semaglutide and tirzepatide are not FDA-approved; the FDA does not review compounded drugs for safety, effectiveness or quality before they are marketed.

Four weight-management products are on the menu: compounded semaglutide, compounded tirzepatide, Wegovy and Zepbound. A fifth, compounded NAD+ injection, is sold as a wellness product.

Compounded semaglutide and compounded tirzepatide are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness or quality before they are marketed, and a compounded preparation is not a generic of, or therapeutically equivalent to, an approved medicine. Sprout says the same in its footer: “Compounded GLP-1 and GIP/GLP-1 are not approved by the FDA and have not been evaluated for safety, effectiveness, or quality by the FDA.”

Wegovy and Zepbound are FDA-approved medicines for chronic weight management. The FDA approved Zepbound (tirzepatide) on November 8, 2023 for adults with obesity, or overweight plus at least one weight-related condition.

Compounded NAD+ is a third case: no FDA-approved NAD+ injection exists, so it has no approved counterpart. Sprout’s page says it “has not been evaluated by the FDA for safety, effectiveness, or quality.” Sprout presents it as supporting “day-to-day energy and vitality”; that is its claim, and we make no representation that any product works or is safe for you.

Sprout’s own note says compounded GLP-1s “may not be right for everyone and may have certain side effects”.

The operating entity is Sprout Health Partners LLC, at 1042 El Camino Real, Encinitas, CA 92024. The site spells it two ways: the Terms say “Sprout Health Partners LLC” and the privacy policy “Sprouth Health Partners LLC”. Those differ.

Prescribing is outsourced, and disclosed: “Our platform collaborates with MD Integrations (MDI), a physician-only clinical network”. The company says treatments are “prescribed (if appropriate) and overseen by licensed medical professionals”. No medical director, named physician or branded medical group appears on the site.

Dispensing is the clearer half. The Terms name both partner pharmacies outright — Foothills Pharmacy and Promise Pharmacy — which lets you check them yourself. Both describe themselves as 503A compounding pharmacies — Foothills “licensed in all 50 states”, Promise with 42 state licences. Our 503A and 503B guide explains what that distinction means. Neither claims PCAB accreditation, and the privacy policy names no pharmacy at all.

Sprout says it is “fully HIPAA compliant; your data is encrypted and only accessible to your care team.”

The Terms are direct: “Our services are available to patients in all U.S. states, except: AL, AR, MS, LA, CA, ND.” That is a whole-service exclusion covering every product; the same page then lists the states served individually, and we count 44 of them (our calculation: 44 listed plus the six excluded makes 50).

The list lives only inside the Terms — no product or landing page publishes one — and Sprout’s pages give different answers. The NAD+ quiz page says “we are unable to ship NAD+ to Arkansas, Kansas, or New Mexico” and does not mention California, while the Terms exclude California from everything and count Kansas and New Mexico among the served states. The two pages differ, so if you are in AR, CA, KS, NM or ND, ask before you pay.

Age: “The Site is intended for users who are at least 18 years old.”

The default visit is asynchronous, with no video step on the How It Works page. The Terms say MDI doctors provide synchronous visits in the 15 states where state law requires them: AR, CO, ID, IL, IN, MD, MO, MT, NE, NY, OK, SD, VT, VA and WI. In those states, expect a live visit. Note that the Terms contradict themselves here: Arkansas is excluded from the service on the same page that lists it as a synchronous-visit state.

Support hours are published two ways: “Monday to Friday, 9:00am – 17:30pm” on the home page and “Mon-Fri, 9am-5:30pm Mountain Time” on two others. They differ on format and time zone.

Shipping is free. The estimate is “Ships in 2-3 days” on the funnel site, “3 – 7 business days” on How It Works and “5-7 business days” on the tirzepatide pages.

The strongest money term sits at the front: “If you cancel or your order is withdrawn before a provider has completed reviewing your medical intake, you’ll receive a complete refund”. Alongside it, “If your clinician determines treatment isn’t appropriate for you, your order is cancelled and refunded.” You are not out of pocket for a consultation that ends in a decline. Cancelling later is self-serve: “Open the subscriptions tab in your Sprout account to pause or cancel an active subscription.”

The rest of the policy:

• After provider review but before the pharmacy fills the order: “Refund minus a flat $50 clinical review fee”. That is the qualification on the “no hidden fees or consultation charges” line.
• Once the prescription reaches pharmacy fulfilment the order is non-refundable, and “Sprout cannot accept returns of any prescription medication”.
• Once medication “has already shipped, we’re unable to stop, recall, or refund that shipment.”
• Prepaid multi-month plans are prorated and refunded “for any months of medication that have not yet been shipped.”
• Damage or loss: notify within “24 hours of delivery”; “reshipments outside the 72-hour window are not guaranteed.”

The cancellation deadline is given two ways. The refund policy asks for the request “at least 48 hours before your next scheduled billing date”; the semaglutide program page says you can cancel “anytime before your next refill is processed”. Those deadlines differ; work to the 48-hour version.

Two structural notes: the Terms contain no billing, auto-renewal, cancellation or refund clause — all of the above lives on a separate refund page — and disputes go to “binding arbitration” under AAA rules, seated in Wayne, Michigan, under Michigan law.

All figures below were read on September 20, 2026.

• Better Business Bureau (profile “Sprout Health”, Encinitas, CA): rating F, and “This business is NOT BBB Accredited.” The profile records “64 complaint(s) filed against business” and “Failure to respond to 32 complaint(s) filed against business”, all 64 closed in the last twelve months. Customer reviews average “1/5 stars” across an “Average of 16 Customer Reviews”.
• Trustpilot: TrustScore 2.5 out of 5 from 24 reviews. The profile is claimed; the platform notes the company “Replied to 35% of negative reviews”.

On the regulatory record: the FDA’s Center for Drug Evaluation and Research issued a warning letter dated September 9, 2025 to “Sprout Health Partners LLC dba Sprout Health” alleging misbranding of compounded semaglutide and tirzepatide under sections 502(a) and 502(bb) of the Federal Food, Drug, and Cosmetic Act, and introduction of misbranded drugs into interstate commerce under section 301(a), over the website statement “GLP-1 medications are FDA-approved and backed by extensive clinical research”; we found no close-out letter as of September 20, 2026.

Both named pharmacies also carry FDA records of their own. FDA issued a warning letter to Foothills Professional Pharmacy, LTD dated September 22, 2020, citing insanitary conditions and violations of section 503A of the FD&C Act; and an FDA State Referral Letter concerning Promise Pharmacy LLC of Palm Harbor, Florida is dated July 27, 2022 — that page returned an HTTP 429 error on our reads, so we do not quote its contents.

Sprout displays a LegitScript badge in its footer. The public LegitScript lookup for joinsprouthealth.com returned no record on September 20, 2026, so we could not confirm it.

• What is the recurring amount, and on what interval?
• Which figure applies to me: $110, $149, $199, $249 or $299?
• Is my state served? Get that in writing.
• Which pharmacy fills it, and when does the $50 fee attach?

Compare with our Trim Rx review and our guide to compounded GLP-1 clinics, and see how we review.