Fitish RX vs Precision Telemed

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

Fitish RX vs Precision Telemed: Overview

Choosing between Fitish RX and Precision Telemed 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. Precision Telemed also provides both semaglutide and tirzepatide at $150/month with a 8.6/10 rating.

The price difference of $69/month is significant - Precision Telemed is the more budget-friendly option, while Fitish RX positions itself as a premium service.

VERIFIED

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.

At a glance

Price Difference
$69/mo
Rating Difference
1.0
Winner
Precision Telemed
Best For
Budget

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

Precision Telemed

View full Precision Telemed review →
Rating
8.6/10Better
Monthly Price
$150Cheaper
Medications
semaglutidetirzepatide

Pros

  • Flat pricing that does not climb as you titrate: $149.99/month covers compounded semaglutide from 0.25 mg through 2.5 mg, and $249.99/month covers tirzepatide from 2 mg through 15 mg
  • It calls out the industry's worst habit by name - "no price hikes as you dose up, no hidden fees, no first-month gimmicks" - and the maintenance semaglutide plan is cheaper still at $139.99/month
  • Names its pharmacy. Every tirzepatide vial is compounded and fulfilled by Rush Pharmacy, a 503A licensed compounding pharmacy, which is far more disclosure than most compounders offer
  • Cold-chain, temperature-controlled shipping is stated explicitly
  • HSA/FSA accepted, and cancellation is anytime
  • Publishes its clinicians individually - names, credentials, training institutions and NPI numbers - which is the most verifiable provider roster we have seen on a compounded GLP-1 site
  • A published phone and text line, (877) 745-4115, plus info@precisiontelemed.com and a Tampa business address
  • The Trustpilot profile for precisiontelemed.com carried a 4.8-5.0 TrustScore from roughly 64 reviews when we checked, which matches what the site advertises
  • Same-day physician consultation is offered, often on the day you sign up
  • HIPAA-compliant platform, and it draws a hard line at "human-grade only. Never research-grade"

Cons

  • The headline product is compounded, not FDA-approved. Compounded semaglutide and tirzepatide are not reviewed by the FDA for safety, efficacy or manufacturing quality
  • The tirzepatide programme uses first-month pricing ($199 then $249.99/month) even though the semaglutide page criticises exactly that tactic
  • A single 503A pharmacy partner means a single point of failure for supply
  • Testimonials on the page make strong comparative claims - "the results are identical" against brand-name - which no compounded product has trial data to support
  • The review count is small in absolute terms. Sixty-odd Trustpilot reviews is a thin evidence base compared with the thousands some competitors have
  • No published money-back guarantee
Choose Precision Telemed

Feature-by-feature comparison

FeatureFitish RXPrecision Telemed
Monthly Price$219$150
Rating7.6/108.6/10
Medicationssemaglutidesemaglutide, tirzepatide
Insurance AcceptedNoNo
Support HoursPatient portal messaging; hours not publishedNot published; phone and text on (877) 745-4115
Live ChatNoNo
Free ShippingYesYes
Shipping SpeedFree standard shipping on all orders over $100; monthly cadenceFree shipping included in every plan; cold-chain temperature-controlled delivery
Mobile AppNoNo
Dedicated CoachNot includedNot included
Follow-up FrequencyOngoing care-team access through the patient portal at no added costOngoing physician access; no fixed schedule published
Money-back GuaranteeNone publishedNone published
Cancellation PolicyNot publishedCancel anytime; the site states no subscription is required

Which should you choose?

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

Choose Precision Telemed if you:

  • Want to save $69/month with a more affordable option
  • Prefer a higher-rated service (8.6/10 vs 7.6/10)
  • Want more medication options to choose from
  • Value: flat pricing that does not climb as you titrate: $149.99/month covers compounded semaglutide from 0.25 mg through 2.5 mg, and $249.99/month covers tirzepatide from 2 mg through 15 mg

Website previews

Fitish RX

Fitish RX website

Precision Telemed

Precision Telemed website

Our recommendation

Precision Telemed comes out ahead with a higher rating of 8.6/10. It also provides multiple medication options including both semaglutide and tirzepatide.
Get started with Precision Telemed

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