← All providers

Foundayo vs Fitish RX

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

Foundayo vs Fitish RX: Overview

Choosing between Foundayo and Fitish RX for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

Foundayo focuses on orforglipron at $149/month with a rating of 9.2/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.

The price difference of $70/month is significant - Foundayo 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

$70/mo

Rating Difference

1.6

Winner

Foundayo

Best For

Budget

Foundayo

View full Foundayo review →

Rating

9.2/10Better

Monthly Price

$149Cheaper

Medications

orforglipron

Pros

✓The first and only FDA-approved GLP-1 pill for weight loss that can be taken at any time of day with no food or water restrictions, approved 1 April 2026
✓In the ATTAIN-1 trial, participants on the highest dose who stayed on treatment lost an average of 27.3 pounds (12.4% of body weight) against 2.2 pounds (0.9%) on placebo
✓Counting everyone randomised regardless of whether they finished, the average was still 25 pounds (11.1%) versus 5.3 pounds (2.1%) on placebo - Lilly published both numbers rather than only the flattering one
✓A once-daily tablet, so there is no injection, no needle disposal and no refrigeration to organise
✓Self-pay pricing is published up front at $149 per month for the lowest dose through LillyDirect, with free home delivery
✓Eligible people with commercial insurance may pay as little as $25 per month with the Foundayo savings card
✓Eligible Medicare Part D patients may be able to get it for $50 per month from as early as 1 July 2026 - a rarity in this category
✓Lilly reported reductions in waist circumference, non-HDL cholesterol, triglycerides and systolic blood pressure across all doses
✓It is a small-molecule (non-peptide) GLP-1, which is why it can be manufactured as a pill rather than an injection

Cons

✗Weight loss is meaningfully lower than the best injectables. 12.4% at the top dose sits below tirzepatide territory, so if maximum weight loss is the goal an injection still wins
✗It carries the class boxed warning: it may cause thyroid tumours including thyroid cancer, and must not be used by anyone with a personal or family history of medullary thyroid carcinoma or MEN 2
✗Should not be used alongside another GLP-1 receptor agonist
✗Common side effects include nausea, constipation, diarrhoea, vomiting, indigestion, abdominal pain, headache, fatigue, heartburn, gas and hair loss
✗Serious risks in the label include pancreatitis, dehydration leading to kidney problems, gallbladder problems, severe allergic reactions and aspiration risk under anaesthesia
✗Safety and effectiveness in children have not been established
✗$149 is the price of the lowest dose only - higher doses cost more, and the $25 and $50 figures depend on insurance eligibility rather than being available to everyone
✗Very new to market, so there is no long-term real-world safety and adherence record yet

Choose Foundayo

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

Feature-by-feature comparison

Feature	Foundayo	Fitish RX
Monthly Price	$149	$219
Rating	9.2/10	7.6/10
Medications	orforglipron	semaglutide
Insurance Accepted	Yes	No
Support Hours	Not published	Patient portal messaging; hours not published
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Free home delivery via LillyDirect; shipping began 6 April 2026	Free standard shipping on all orders over $100; monthly cadence
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	As directed by your prescriber	Ongoing care-team access through the patient portal at no added cost
Money-back Guarantee	None published; this is a prescription medicine, not a subscription service	None published
Cancellation Policy	Prescription-based - stopping treatment is a decision for you and your prescriber	Not published

Which should you choose?

Choose Foundayo if you:

→Want to save $70/month with a more affordable option
→Prefer a higher-rated service (9.2/10 vs 7.6/10)
→Need insurance coverage for your treatment
→Value: the first and only fda-approved glp-1 pill for weight loss that can be taken at any time of day with no food or water restrictions, approved 1 april 2026

Get started with Foundayo

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

Website previews

Foundayo

Foundayo website

Fitish RX

Fitish RX website

Our recommendation

Foundayo comes out ahead with a higher rating of 9.2/10.

Get started with Foundayo

Related comparisons

Foundayo vs CoreAge Rx

Foundayo vs Zepbound

Foundayo vs Mounjaro

Foundayo vs Wegovy Pill

Foundayo vs Wegovy

Foundayo vs NovoCare Pharmacy

Foundayo vs Ozempic

Foundayo vs Form Health

Foundayo vs Henry Meds

Foundayo vs Sesame Care

Foundayo vs FuturHealth

Foundayo vs Circle Medical

Foundayo vs Ro

Foundayo vs Midi Health

Foundayo vs Noom Med

Foundayo vs Precision Telemed

Foundayo vs Hims

Foundayo vs Calibrate

Foundayo vs PlushCare

Foundayo vs LifeMD

Compare other providers

Compare GLP-1 Brands

First Brand

vs

Second Brand