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Fitish RX vs SkinnyRx

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

Fitish RX vs SkinnyRx: Overview

Choosing between Fitish RX and SkinnyRx 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. SkinnyRx also provides both semaglutide and tirzepatide at $199/month with a 8/10 rating.

With only a $20/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

$20/mo

Rating Difference

0.4

Winner

SkinnyRx

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

SkinnyRx

View full SkinnyRx review →

Rating

8/10Better

Monthly Price

$199Cheaper

Medications

semaglutidetirzepatide

Pros

✓Trustpilot rating of 4.8 across 5,272 reviews, an unusually strong independent signal for this category
✓Publishes a customer phone number, +1 (888) 979-9580, and a support email rather than hiding behind a portal
✓Full refund available any time before a licensed provider completes your prescription
✓Compounded injectable semaglutide from $199/month and tirzepatide, as tablets or injection, from $299/month, with microdose options (checked July 26, 2026)
✓Carefully separates compounded from brand-name in its own disclosures instead of implying the two are the same
✓Buy-now-pay-later through Affirm with the APR disclosed openly - the site gives a worked example of $800 split into 12 payments of $72.21 at 15% APR
✓A mobile app for meal plans, medication tracking and weight logging, plus unlimited provider messaging and free shipping
✓A substantial clinical content library covering practical issues like GLP-1s with levothyroxine, gallbladder pain and surgery timing

Cons

✗A '90-day money-back guarantee' is advertised in a banner on every page, but the site's own /money-back-guarantee link returns a 404 reading 'Page not found... Probably the link is broken'. We could not find the terms of that guarantee anywhere
✗The hero promises 'FDA-approved Wegovy, Foundayo and other GLP-1s', yet both the Wegovy Pill and Foundayo Pill are marked 'Unavailable' in the product list directly below
✗Pricing is at the higher end for compounded product: $199/month for semaglutide and $299/month for tirzepatide, where several rivals advertise under $150
✗'Lose up to 14.9% of your body weight' takes the figure from the STEP 1 trial of branded semaglutide and applies it to a compounded preparation that has not been trialled
✗The published refund window closes as soon as a provider completes your prescription, which can be the same day you sign up
✗A pop-up offers 'up to 43% off' without stating what plan or commitment unlocks that discount
✗No BBB profile or complaint history to cross-check the Trustpilot score against
✗No published support hours, so the phone line's availability is unknown

Choose SkinnyRx

Feature-by-feature comparison

Feature	Fitish RX	SkinnyRx
Monthly Price	$219	$199
Rating	7.6/10	8/10
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	Not published
Mobile App	No	Available
Dedicated Coach	Not included	Not included
Follow-up Frequency	Ongoing care-team access through the patient portal at no added cost	Unlimited provider messaging plus app-based tracking
Money-back Guarantee	None published	A 90-day money-back guarantee is advertised sitewide, but its terms page returns a 404; a full refund is available before a provider completes your prescription
Cancellation Policy	Not published	Cancel anytime; full refund only before the prescription is completed by a provider

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

Get started with Fitish RX

Choose SkinnyRx if you:

→Want to save $20/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: trustpilot rating of 4.8 across 5,272 reviews, an unusually strong independent signal for this category

Get started with SkinnyRx

Website previews

Fitish RX

Fitish RX website

SkinnyRx

SkinnyRx website

Our recommendation

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

Get started with SkinnyRx

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