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Fitish RX vs US Scripts MD

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

Fitish RX vs US Scripts MD: Overview

Choosing between Fitish RX and US Scripts MD 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. US Scripts MD also provides both semaglutide and tirzepatide at $299/month with a 7/10 rating.

The price difference of $80/month is significant - Fitish RX is the more budget-friendly option, while US Scripts MD 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

$80/mo

Rating Difference

0.6

Winner

Fitish RX

Best For

Budget

Fitish RX

View full Fitish RX review →

Rating

7.6/10Better

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

US Scripts MD

View full US Scripts MD review →

Rating

7/10

Monthly Price

$299

Medications

liraglutidesemaglutide

Pros

✓One of very few telehealth providers offering liraglutide, which suits people who cannot tolerate weekly dosing or who need a shorter-acting GLP-1
✓No price increase as your dose rises: "we keep our prices as low as possible and don't increase prices for high doses"
✓Free consultation, prescription, ongoing support and shipping are all bundled into the programme price
✓Free overnight, temperature-controlled shipping - genuine cold-chain handling rather than "ships fast"
✓An injection kit with spare syringes is included in every shipment
✓Anti-nausea medication is included with your first order, which is a thoughtful touch given how common GI side effects are
✓24/7 access to board-certified doctor support is advertised
✓You can cancel any time before your order ships, and there is a full refund if the providers decide you are not a fit for the programme
✓A $100 discount on the first month of weight-loss treatment

Cons

✗Expensive, and it gets more expensive: $299 for the first month, then $349/month thereafter
✗The alternative framing - "starter doses as low as $9.97/day" - is a per-day figure that works out to roughly $300 a month, which is not obviously cheap
✗Liraglutide is a daily injection and produced around 8% mean weight loss in the SCALE trial, meaningfully less than semaglutide or tirzepatide achieved in theirs
✗The medication is compounded and not FDA-approved
✗The refund guarantee only covers being declined - there is no satisfaction refund once you are on treatment
✗The dispensing pharmacy is not named
✗No insurance billing, and HSA/FSA acceptance is not stated
✗No published phone number

Choose US Scripts MD

Feature-by-feature comparison

Feature	Fitish RX	US Scripts MD
Monthly Price	$219	$299
Rating	7.6/10	7/10
Medications	semaglutide	liraglutide, semaglutide
Insurance Accepted	No	No
Support Hours	Patient portal messaging; hours not published	Company advertises 24/7 access to partnering board-certified doctors
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Free standard shipping on all orders over $100; monthly cadence	Free overnight shipping in temperature-controlled packaging
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	24/7 access to partnering board-certified doctors for questions and support
Money-back Guarantee	None published	Full refund if the medical providers determine you are not a fit for the programme
Cancellation Policy	Not published	Cancel any time before your order ships; no contracts

Which should you choose?

Choose Fitish RX if you:

→Want to save $80/month with a more affordable option
→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 US Scripts MD if you:

→Want more medication options to choose from
→Value: one of very few telehealth providers offering liraglutide, which suits people who cannot tolerate weekly dosing or who need a shorter-acting glp-1

Get started with US Scripts MD

Website previews

Fitish RX

Fitish RX website

US Scripts MD

US Scripts MD 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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