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bmiMD vs Fitish RX

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

bmiMD vs Fitish RX: Overview

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

bmiMD offers both semaglutide and tirzepatide at $129/month with a rating of 8/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.

The price difference of $90/month is significant - bmiMD is the more budget-friendly option, while Fitish RX positions itself as a premium service.

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

$90/mo

Rating Difference

0.4

Winner

bmiMD

Best For

Budget

bmiMD

View full bmiMD review →

Rating

8/10Better

Monthly Price

$129Cheaper

Medications

semaglutidetirzepatidemetformin

Pros

✓The full price ladder is published on the product page, not hidden behind a quiz: compounded semaglutide is $129 billed monthly, $119/mo on 3 months ($357), $109/mo on 6 months ($654) and $99/mo on 12 months ($1,188), checked July 26, 2026
✓You are not charged until a licensed provider confirms you are eligible. bmiMD authorises your card, releases the hold if you do not qualify, and states you 'won't incur any charges'
✓A 100% money-back guarantee if you are not approved for treatment, including the assessment
✓Unusually broad catalogue beyond GLP-1s: microdose semaglutide and tirzepatide, metformin from $19/mo, MIC + B12 from $69/mo, naltrexone/bupropion, sermorelin and NAD+
✓Free shipping on every subscription order and 24/7 clinician access included in the plan price
✓The compounded disclosure is explicit and specific, naming FDA-registered facilities while stating the drugs are not FDA-approved
✓Subscriptions can be cancelled or paused from your account rather than only by email

Cons

✗A $50 non-refundable cancellation fee applies if you cancel after your intake is approved but before the pharmacy processes the order - a charge most competitors do not levy
✗Once the prescription reaches the pharmacy, all sales are final: 'we do not offer refunds for partially used subscription periods'
✗The site runs constant price-increase pressure - a sitewide 'Prices increase soon, lock in today's rate before it goes up' banner, a 'Price increases in' countdown, 'LIMITED TIME' on every plan tier and 'Lock This Price Now' on every product
✗The homepage contradicts itself on tirzepatide, listing it at 'Starting as low as $149/mo' in one block and 'As low as $139/month' in another
✗The $99 headline requires committing to 12 months and paying $1,188 upfront; month to month is $129
✗This offer is not available in Alabama, Arkansas, California, Kentucky, Louisiana, Mississippi, North Carolina, North Dakota or South Carolina
✗No BBB profile and a relatively small Trustpilot sample mean limited independent history to check
✗No published customer phone number, and the compounded disclosure sits on product pages rather than the landing page

Fitish RX

View full Fitish RX review →

Rating

7.6/10

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	bmiMD	Fitish RX
Monthly Price	$129	$219
Rating	8/10	7.6/10
Medications	semaglutide, tirzepatide, metformin	semaglutide
Insurance Accepted	No	No
Support Hours	24/7 clinician access claimed	Patient portal messaging; hours not published
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Free shipping on subscription orders; timeframe not published	Free standard shipping on all orders over $100; monthly cadence
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	24/7 clinician access with refills delivered on subscription	Ongoing care-team access through the patient portal at no added cost
Money-back Guarantee	100% refund if you are not approved for treatment; otherwise all sales are final once the prescription reaches the pharmacy	None published
Cancellation Policy	Cancel or pause from your account any time, but a $50 non-refundable fee applies after intake approval and there are no refunds for partially used periods	Not published

Which should you choose?

Choose bmiMD if you:

→Want to save $90/month with a more affordable option
→Prefer a higher-rated service (8/10 vs 7.6/10)
→Want more medication options to choose from
→Value: the full price ladder is published on the product page, not hidden behind a quiz: compounded semaglutide is $129 billed monthly, $119/mo on 3 months ($357), $109/mo on 6 months ($654) and $99/mo on 12 months ($1,188), checked july 26, 2026

Get started with bmiMD

Choose Fitish RX if you:

→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

bmiMD

bmiMD website

Fitish RX

Fitish RX website

Our recommendation

bmiMD comes out ahead with a higher rating of 8/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with bmiMD

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