Hims vs Fitish RX

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

Hims vs Fitish RX: Overview

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

Hims offers both semaglutide and tirzepatide at $298/month with a rating of 8.5/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.

The price difference of $79/month is significant - Fitish RX is the more budget-friendly option, while Hims 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
$79/mo
Rating Difference
0.9
Winner
Hims
Best For
Quality

Hims

View full Hims review →
Rating
8.5/10Better
Monthly Price
$298
Medications
semaglutidetirzepatide

Pros

  • The entire weight-loss line is FDA-approved branded medication - Wegovy pen and pill, Zepbound vial and KwikPen, Ozempic, Ozempic pill, Mounjaro and the new Foundayo pill - with no compounded product in the lineup
  • Genuinely competitive medication pricing for branded drugs: the Wegovy pill and Foundayo pill from $149/mo and the Wegovy pen and Ozempic from $199/mo (checked July 26, 2026)
  • A microdosing plan for the Wegovy pill is offered at the same $149/mo, which is unusual for a branded product
  • Zepbound vial and KwikPen at $299/mo undercut what many telehealth platforms charge for the same branded product
  • Every product carries an 'Important safety information' link directly beside it
  • A large, established, publicly listed company with real regulatory exposure, rather than an anonymous LLC
  • Ongoing care is included from day one alongside the medication

Cons

  • The advertised prices are medication only. A Hims Weight Loss Membership is required on top - $39 for the first month, then auto-renewing at $149/month - so the realistic all-in cost starts near $298/month and reaches about $448/month for Zepbound
  • The membership 'does not include or guarantee a prescription', and medication 'is not available without a membership'. You can pay $149 a month and be declined treatment
  • The $39 introductory membership auto-renews at nearly four times that rate
  • Mounjaro and Zepbound are listed at $1,899/month, far above the manufacturers' own direct-pay programmes
  • Trustpilot sits at 3.0 out of 5 across 8,862 reviews - the weakest independent score of any major provider we have reviewed here, despite the FDA-approved lineup
  • The '32 lbs' figure beside the Wegovy pill is asterisked to trial data for the branded drug, not to outcomes among Hims members
  • Ozempic and Mounjaro are FDA-approved for type 2 diabetes, so prescribing them for weight loss is off-label and depends on your clinical picture
  • Because medication and membership are billed separately, the headline price understates what leaves your account each month
Choose Hims

Fitish RX

View full Fitish RX review →
Rating
7.6/10
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

Feature-by-feature comparison

FeatureHimsFitish RX
Monthly Price$298$219
Rating8.5/107.6/10
Medicationssemaglutide, tirzepatidesemaglutide
Insurance AcceptedNoNo
Support Hours24/7Patient portal messaging; hours not published
Live ChatAvailableNo
Free ShippingYesYes
Shipping Speed2-4 daysFree standard shipping on all orders over $100; monthly cadence
Mobile AppAvailableNo
Dedicated CoachNot includedNot included
Follow-up FrequencyOngoing care included with the membership from day oneOngoing care-team access through the patient portal at no added cost
Money-back GuaranteeNone published for the weight-loss membership; medication is billed separately from the membership feeNone published
Cancellation PolicyMembership auto-renews monthly at $149 after the $39 first month; cancel before renewal to stop billingNot published

Which should you choose?

Choose Hims if you:

  • Prefer a higher-rated service (8.5/10 vs 7.6/10)
  • Want more medication options to choose from
  • Need 24/7 customer support availability
  • Value: the entire weight-loss line is fda-approved branded medication - wegovy pen and pill, zepbound vial and kwikpen, ozempic, ozempic pill, mounjaro and the new foundayo pill - with no compounded product in the lineup

Choose Fitish RX if you:

  • Want to save $79/month with a more affordable option
  • 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

Website previews

Hims

Hims website

Fitish RX

Fitish RX website

Our recommendation

Hims comes out ahead with a higher rating of 8.5/10. It also provides multiple medication options including both semaglutide and tirzepatide.
Get started with Hims

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