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Fitish RX vs Brightmeds

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

Fitish RX vs Brightmeds: Overview

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

Fitish RX focuses on semaglutide at $219/month with a rating of 7.6/10. Brightmeds also provides both semaglutide and tirzepatide at $289/month with a 8.2/10 rating.

The price difference of $70/month is significant - Fitish RX is the more budget-friendly option, while Brightmeds 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

$70/mo

Rating Difference

0.6

Winner

Brightmeds

Best For

Quality

Fitish RX

View full Fitish RX review →

Rating

7.6/10

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

Brightmeds

View full Brightmeds review →

Rating

8.2/10Better

Monthly Price

$289

Medications

semaglutidetirzepatide

Pros

✓Offers FDA-approved Zepbound pens and vials alongside its compounded range, so the branded route is available without leaving the platform
✓The compounded disclosure names both 503A and 503B pathways and explains why compounded drugs are not FDA-approved, rather than reciting boilerplate
✓Trademark ownership is acknowledged explicitly - Zepbound and Mounjaro attributed to Eli Lilly - instead of presenting compounds as the brands
✓Same price regardless of prescribed dose, so titrating up does not raise the bill
✓Microdosing versions of both semaglutide and tirzepatide are offered for people wanting a lower-intensity option
✓A full refund is given if you are not approved for treatment
✓Trustpilot rating of 4.8 across 906 reviews
✓Treatments are prescribed and monitored by board-certified US-licensed physicians, and the price includes medication, the online consult and ongoing support

Cons

✗The semaglutide page quotes two different starting prices in the same view: 'Get started for $183' in one block and 'Starting at $189/first month' in another, with no explanation of the difference
✗The introductory price rises sharply at renewal - $189 for the first month becomes $289/month thereafter, so the headline is a first-month figure rather than what you will pay ongoing
✗The affiliate link for this offer lands on Brightmeds' sermorelin funnel rather than its GLP-1 pages, so anyone following it for weight loss arrives at a growth-hormone peptide product
✗Basic copy errors appear on the purchase page, including '$289/mo therafter' and 'Save $50 on our First Order'
✗A 'Weight Loss Guarantee' is linked in the footer but its terms are not surfaced anywhere on the product pages
✗No BBB profile or complaint history exists to set against the Trustpilot score
✗No published customer phone number or support hours
✗As with all compounded GLP-1s, the products have not been evaluated by the FDA for safety, efficacy or quality - Brightmeds says so clearly, but it remains the core caveat

Choose Brightmeds

Feature-by-feature comparison

Feature	Fitish RX	Brightmeds
Monthly Price	$219	$289
Rating	7.6/10	8.2/10
Medications	semaglutide	semaglutide, tirzepatide
Insurance Accepted	No	No
Support Hours	Patient portal messaging; hours not published	Not published
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Free standard shipping on all orders over $100; monthly cadence	Shipped to your door; timeframe not published
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Ongoing care-team access through the patient portal at no added cost	Ongoing support from the care team with physician monitoring
Money-back Guarantee	None published	Full refund if you are not approved for treatment; a separate 'Weight Loss Guarantee' is linked but its terms are not published
Cancellation Policy	Not published	Not published on the product pages

Which should you choose?

Choose Fitish RX if you:

→Want to save $70/month with a more affordable option
→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

Choose Brightmeds if you:

→Prefer a higher-rated service (8.2/10 vs 7.6/10)
→Want more medication options to choose from
→Value: offers fda-approved zepbound pens and vials alongside its compounded range, so the branded route is available without leaving the platform

Get started with Brightmeds

Website previews

Fitish RX

Fitish RX website

Brightmeds

Brightmeds website

Our recommendation

Brightmeds comes out ahead with a higher rating of 8.2/10. It also provides multiple medication options including both semaglutide and tirzepatide.

Get started with Brightmeds

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