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Fitish RX vs MEDVi

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

Fitish RX vs MEDVi: Overview

Choosing between Fitish RX and MEDVi 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. MEDVi also provides both semaglutide and tirzepatide at $99/month with a 7/10 rating.

The price difference of $120/month is significant - MEDVi 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

$120/mo

Rating Difference

0.6

Winner

Fitish RX

Best For

Quality

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

MEDVi

View full MEDVi review →

Rating

7/10

Monthly Price

$99Cheaper

Medications

semaglutidetirzepatide

Pros

✓Offers FDA-approved brand-name options alongside compounded ones: the Wegovy pill, Wegovy injection and Zepbound injection are all listed at '$99 membership + medication cost'
✓Trustpilot rating of 4.4 from over 14,000 reviews, a far larger and better sample than most competitors in this category
✓Free dietitian visits and care coaching are advertised as included, and the program is listed as HSA/FSA eligible
✓Both injectable and daily dissolvable tablet formats are offered
✓Clinical services run through OpenLoop Health, an established nationwide clinician network
✓Full refund if a provider disqualifies you, and a full refund if you cancel within the first 72 hours before receiving any services
✓The terms state plainly that compounded GLP-1s are 'not FDA-approved or evaluated for safety, efficacy, or quality'
✓Published cancellation route by email or in-portal chat, with a named support address

Cons

✗The FDA issued MEDVi a warning letter on February 20, 2026 for misbranding its compounded semaglutide and tirzepatide, including for labelling vials as though MEDVi compounded them when it does not, and for 'same active ingredient as Wegovy' style claims the agency said imply FDA approval. This is the most serious regulatory finding against any provider on this site
✗We could not verify what the compounded plans actually cost. The affiliate landing page renders its own price placeholders unsubstituted - the page literally reads 'Only ${seminject_sale_price}' and 'Starting at ${semtab_sale_price}' in eight places
✗The only price that does render, $99, is a membership fee that explicitly excludes the medication cost, so it is not comparable to the all-in prices quoted by other providers
✗The same page claims 'No membership or hidden fees!' while listing '$99 Membership + Medication Cost' for the brand-name options a few lines below
✗Patient counts contradict each other on one page: 'Join 500,000+ MEDVi patients' at the top, '10,000+ Patients Agree' further down
✗The customer testimonials are word-for-word identical to those published on TrimRx's landing page under the label 'Verified TrimRX Customer', so at least one set is not what it claims to be
✗Monthly subscribers get no refund for the month in which they cancel or for any prior month - the policy states this in capitals
✗The user agreement imposes mandatory arbitration and waives class action and jury trial rights
✗Cancellation must reach the company at least 72 hours before the next billing date or the next charge still goes through

Feature-by-feature comparison

Feature	Fitish RX	MEDVi
Monthly Price	$219	$99
Rating	7.6/10	7/10
Medications	semaglutide	semaglutide, tirzepatide
Insurance Accepted	No	No
Support Hours	Patient portal messaging; hours not published	Not published
Live Chat	No	Available
Free Shipping	Yes	Yes
Shipping Speed	Free standard shipping on all orders over $100; monthly cadence	Fast, free shipping claimed; no timeframe published
Mobile App	No	No
Dedicated Coach	Not included	Included
Follow-up Frequency	Ongoing care-team access through the patient portal at no added cost	Free dietitian visits and care coaching advertised as included
Money-back Guarantee	None published	Full refund only if a provider disqualifies you, or if you cancel within the first 72 hours before receiving any services
Cancellation Policy	Not published	Cancel anytime with at least 72 hours notice before the next billing date; no refund for the month you cancel in or any prior month

Which should you choose?

Choose Fitish RX if you:

→Prefer a higher-rated service (7.6/10 vs 7/10)
→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

Choose MEDVi if you:

→Want to save $120/month with a more affordable option
→Want more medication options to choose from
→Want personalized coaching support included
→Value: offers fda-approved brand-name options alongside compounded ones: the wegovy pill, wegovy injection and zepbound injection are all listed at '$99 membership + medication cost'

Get started with MEDVi

Website previews

Fitish RX

Fitish RX website

MEDVi

MEDVi 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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