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Aspen Health vs Fitish RX

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Aspen Health vs Fitish RX: Overview

Choosing between Aspen Health and Fitish RX for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

Aspen Health offers both semaglutide and tirzepatide at $179/month with a rating of 7.2/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.

With only a $40/month price difference, your choice will likely come down to features, support quality, and medication options.

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$40/mo

Rating Difference

0.4

Winner

Fitish RX

Best For

Quality

Aspen Health

View full Aspen Health review →

Rating

7.2/10

Monthly Price

$179Cheaper

Medications

semaglutidetirzepatide

Pros

✓Pricing is at least indicated before signup - "as low as $179/mo" - and the plan is described as covering medication, care and shipping together
✓Separate semaglutide and tirzepatide intake paths, so you know which molecule you are applying for
✓Available to eligible patients in all 50 US states and Washington DC, subject to provider review and state regulations
✓The compounded-medication disclaimer is present and correctly worded: compounded medications are prepared by licensed pharmacies and are not FDA-approved finished drug products
✓It states clearly that Aspen Health is a technology platform and not a healthcare provider, and that clinical decisions are made solely by independent licensed providers
✓A published phone number, (307) 301-5303, and a named legal entity, Aspen Health Systems LLC
✓A refund policy, telehealth consent, HIPAA notice and privacy policy are all published and linked from the footer
✓It is honest that treatment is not guaranteed: "Treatment is only provided when a licensed provider determines it is medically appropriate"
✓A LegitScript verification link is present in the footer

Cons

✗The medication is compounded and therefore not FDA-approved or reviewed for safety, effectiveness or quality
✗"As low as $179/mo" is the floor, and no dose-by-dose price ladder is published, so what you actually pay only becomes clear inside the intake
✗The quality claims are vague to the point of being uninformative: "Partner pharmacies operate under applicable licensing and quality control requirements" says nothing a non-compliant pharmacy could not also say
✗No pharmacy is named
✗Shipping timelines are explicitly not committed to - "Shipping timelines may vary by treatment, pharmacy, and prescription status"
✗The company address is a suite address in Sheridan, Wyoming, which is a common corporate-registration location rather than a clinical or pharmacy facility
✗The Aspen+ premium tier (overnight shipping, dedicated concierge) is marketed as "Coming Soon" rather than being available
✗No insurance billing and no HSA/FSA information
✗Testimonials are anonymous and unattributed

Choose Aspen Health

Fitish RX

View full Fitish RX review →

Rating

7.6/10Better

Monthly Price

$219

Medications

semaglutide

Pros

✓One number, everything in it: $219 for a monthly supply including the provider consult, the medication if approved, and shipping, with no separate consult or membership fees
✓A cheaper, honestly-labelled microdose lane at $179 a month for people who want a gentler approach - and it says outright that the microdose "does not titrate up"
✓It draws the distinction between the two lanes plainly rather than upselling: full dose for "serious, sustained weight management", microdose for a "gentle, mindful, cosmetic approach"
✓The compounding disclosure is unusually complete - it names the FDA-approved alternatives (Ozempic, Wegovy, Rybelsus) and states they are commercially available
✓A licensed provider reviews every intake, and the care team stays reachable through the patient portal for dose questions at no added cost
✓Medication ships monthly from a state-licensed sterile compounding pharmacy
✓Payment plans are offered (five payments of $43.80 shown on the product page)
✓Free standard shipping on orders over $100

Cons

✗Compounded semaglutide is not FDA-approved and does not undergo FDA review for safety, effectiveness or manufacturing quality
✗The microdosing lane is marketed for cosmetic weight loss, which is not an evidence-based clinical indication - no trial has tested fixed sub-therapeutic semaglutide dosing for that purpose
✗Only semaglutide. There is no tirzepatide option, so if semaglutide does not suit you there is nowhere to go inside the service
✗No phone number is published
✗The dispensing pharmacy is described only as "a state licensed sterile compounding pharmacy" and is never named
✗No refund, cancellation or money-back policy is published on the product page
✗No insurance billing and no HSA/FSA guidance
✗Marketed specifically to women, which is a positioning choice rather than a clinical one

Choose Fitish RX

Feature-by-feature comparison

Feature	Aspen Health	Fitish RX
Monthly Price	$179	$219
Rating	7.2/10	7.6/10
Medications	semaglutide, tirzepatide	semaglutide
Insurance Accepted	No	No
Support Hours	Not published	Patient portal messaging; hours not published
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Discreet delivery included in the plan; timelines explicitly not guaranteed	Free standard shipping on all orders over $100; monthly cadence
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Ongoing support described but no fixed schedule published	Ongoing care-team access through the patient portal at no added cost
Money-back Guarantee	A refund policy is published; terms are not summarised on the programme page	None published
Cancellation Policy	Not summarised on the programme page; a refund policy page is linked in the footer	Not published

Which should you choose?

Choose Aspen Health if you:

→Want to save $40/month with a more affordable option
→Want more medication options to choose from
→Value: pricing is at least indicated before signup - "as low as $179/mo" - and the plan is described as covering medication, care and shipping together

Get started with Aspen Health

Choose Fitish RX if you:

→Prefer a higher-rated service (7.6/10 vs 7.2/10)
→Value: one number, everything in it: $219 for a monthly supply including the provider consult, the medication if approved, and shipping, with no separate consult or membership fees

Get started with Fitish RX

Website previews

Aspen Health

Aspen Health website

Fitish RX

Fitish RX website

Our recommendation

Fitish RX comes out ahead with a higher rating of 7.6/10.

Get started with Fitish RX

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