Fitish RX vs Sprout Health
Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey
Fitish RX vs Sprout Health: Overview
Choosing between Fitish RX and Sprout Health 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. Sprout Health also provides both semaglutide and tirzepatide at $149/month with a 7.8/10 rating.
The price difference of $70/month is significant - Sprout Health 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.
At a glance
Price Difference
$70/mo
Rating Difference
0.2
Winner
Sprout Health
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
Sprout Health
View full Sprout Health review →Rating
7.8/10Better
Monthly Price
$149Cheaper
Medications
semaglutidetirzepatide
Pros
- ✓Publishes a real customer phone number with hours - +1 (833) 496-4020, Monday to Friday 9:00am to 5:30pm Mountain Time - which most competitors in this category do not
- ✓Names its legal entity and a physical address rather than hiding behind a brand
- ✓Compounded semaglutide from $149/month and compounded tirzepatide from $199/month, with brand-name Wegovy (from $1,579) and Zepbound (from $1,249) also offered (checked July 26, 2026)
- ✓If a clinician decides treatment is not appropriate, the order is automatically cancelled and refunded
- ✓The not-FDA-approved disclosure is explicit and appears in the site footer, not buried in a policy page
- ✓LegitScript certification displayed, and medication ships in discreet refrigerated packaging
- ✓Same-day clinician review is offered, with the intake quiz taking about two minutes
- ✓Cancel anytime, with no advertised minimum term
Cons
- ✗All prescription medications are non-refundable once dispensed - the policy states this flatly, with no goodwill window
- ✗Damaged, lost or undelivered shipments must be reported within 48 hours, with an order number, tracking number and photo evidence, or you lose the claim
- ✗Three different prices appear across the site: '$99 first month' in the footer, 'Starting at $149' on the product card, and a published customer testimonial describing 'a flat fee of $299 each month'. The page never reconciles them
- ✗The refund policy was last updated in February 2025 and refers to 'Sprouth Health Partners LLC', misspelling the company's own name
- ✗Brand-name pricing is very high: Wegovy at $1,579 and Zepbound at $1,249 a month are above the manufacturers' own direct-pay programmes
- ✗Shipping takes 3 to 7 business days after the prescription is issued, slower than the 1-2 day delivery several rivals advertise
- ✗Trustpilot sits at 3.6 from only 118 reviews, against a claim of 50,000+ clients
- ✗This offer is not available in Alabama, Arkansas, California, Louisiana, Mississippi or North Dakota
Feature-by-feature comparison
| Feature | Fitish RX | Sprout Health |
|---|---|---|
| Monthly Price | $219 | $149 |
| Rating | 7.6/10 | 7.8/10 |
| Medications | semaglutide | semaglutide, tirzepatide |
| Insurance Accepted | No | No |
| Support Hours | Patient portal messaging; hours not published | Mon-Fri 9:00am-5:30pm Mountain Time |
| Live Chat | No | No |
| Free Shipping | Yes | Yes |
| Shipping Speed | Free standard shipping on all orders over $100; monthly cadence | Typically ships within 3-7 business days of prescription |
| 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 | Monthly questionnaires and clinician review |
| Money-back Guarantee | None published | Order cancelled and refunded if a clinician finds treatment inappropriate; otherwise all prescription medications are non-refundable |
| Cancellation Policy | Not published | Cancel anytime; dispensed medication cannot be returned or refunded |
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 Sprout Health if you:
- →Want to save $70/month with a more affordable option
- →Prefer a higher-rated service (7.8/10 vs 7.6/10)
- →Want more medication options to choose from
- →Value: publishes a real customer phone number with hours - +1 (833) 496-4020, monday to friday 9:00am to 5:30pm mountain time - which most competitors in this category do not
Website previews
Fitish RX
Sprout Health
Our recommendation
Sprout Health comes out ahead with a higher rating of 7.8/10. It also provides multiple medication options including both semaglutide and tirzepatide.
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