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EllieMD vs Fitish RX

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

EllieMD vs Fitish RX: Overview

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

EllieMD offers both semaglutide and tirzepatide at $229/month with a rating of 7.2/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.

With only a $10/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

$10/mo

Rating Difference

0.4

Winner

Fitish RX

Best For

Budget

EllieMD

View full EllieMD review →

Rating

7.2/10

Monthly Price

$229

Medications

semaglutidetirzepatide

Pros

✓Published pricing for both microdose programmes: $229/month for the single-agonist GLP-1 ($687 total) and $239/month for the dual-agonist ($717 total)
✓No hidden membership, shipping or consultation fees, stated as a headline on the microdose page
✓Available in all 50 states
✓The partner pharmacy is named - Clover Pharmacy - and described as dispensing from 503A-compliant, state-licensed facilities
✓Payment is refunded if the medical provider determines you are not eligible for an EllieMD programme
✓24/7 access to a provider is included in the plan rather than sold as an upgrade
✓A state-licensed, board-certified MD, DO or qualified medical provider reviews your intake, and a phone call may be required rather than everything being asynchronous
✓The compounding disclaimer is explicit: compounded medications are not FDA-approved and the FDA does not review them for safety, efficacy or quality
✓It discloses that vial appearance, contents and dosage may vary based on your personalised prescription
✓Offers a paid 15-minute consultation with a wellness expert that comes with a $25 credit toward your next order

Cons

✗The whole proposition is microdosing, which has no controlled trial evidence behind it. Every published GLP-1 outcome - the 15% and 20% figures the category is built on - comes from full therapeutic doses
✗Both prices are quoted per month but billed as a multi-month total ($687 and $717), so the real commitment is three months up front
✗Compounded medication, not FDA-approved
✗The catalogue mixes prescription GLP-1s with Thymosin Alpha-1, hormone therapy, protein supplements and skincare, which blurs the line between medicine and wellness retail
✗The claim that "community support can double weight loss efficacy" is footnoted to a 2015 Northwestern citation and used to market a product that citation did not test
✗No phone number, support email or business address is published
✗No insurance billing and no HSA/FSA information
✗It is not clear from the site whether full therapeutic dosing is available at all, or only microdoses

Fitish RX

View full Fitish RX review →

Rating

7.6/10Better

Monthly Price

$219Cheaper

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	EllieMD	Fitish RX
Monthly Price	$229	$219
Rating	7.2/10	7.6/10
Medications	semaglutide, tirzepatide	semaglutide
Insurance Accepted	No	No
Support Hours	Company advertises 24/7 support from doctors and specialists, included in the plan	Patient portal messaging; hours not published
Live Chat	Available	No
Free Shipping	Yes	Yes
Shipping Speed	Typically 2-10 business days; no shipping fees	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 direct access to a provider included in the plan	Ongoing care-team access through the patient portal at no added cost
Money-back Guarantee	Payment refunded if the medical provider determines you are not eligible	None published
Cancellation Policy	A refund and returns policy is published; multi-month programmes are billed as a total	Not published

Which should you choose?

Choose EllieMD if you:

→Want more medication options to choose from
→Value: published pricing for both microdose programmes: $229/month for the single-agonist glp-1 ($687 total) and $239/month for the dual-agonist ($717 total)

Get started with EllieMD

Choose Fitish RX if you:

→Want to save $10/month with a more affordable option
→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

EllieMD

EllieMD 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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