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LifeMD vs Fitish RX

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

LifeMD vs Fitish RX: Overview

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

LifeMD offers both semaglutide and tirzepatide at $199/month with a rating of 8.5/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 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

0.9

Winner

LifeMD

Best For

Budget

LifeMD

View full LifeMD review →

Rating

8.5/10Better

Monthly Price

$199Cheaper

Medications

semaglutidetirzepatide

Pros

✓Prescribes FDA-approved branded GLP-1s - Zepbound and Wegovy - rather than compounded preparations, so you get the exact product the trials studied
✓Accepts insurance including Medicare, and advertises as low as $0 copay for branded GLP-1s where coverage applies
✓Publishes cash prices too: Wegovy Pen from $199/month and Zepbound Vial from $349/month (checked July 28, 2026)
✓Offers an outcome-based guarantee: 'lose 10% of your weight or your money back', which ties the promise to a result rather than a satisfaction survey
✓HSA and FSA eligible
✓Weight care sits inside a full telehealth service, so urgent care, labs and other specialties are available under the same account

Cons

✗The rotating banner on the weight-management page shows the Wegovy Pen at both '$199' and '$499' in the same carousel, which makes the real starting price unclear before you sign up
✗The money-back guarantee carries a footnote marker on site, so read the qualifying conditions before relying on it
✗Insurance coverage for obesity medication is patchy, so the '$0 copay' outcome will not apply to many people and the cash prices are what you should plan around
✗A 4.0 Trustpilot average is mid-range for this category
✗Branded GLP-1s at $199-$349/month are more expensive than compounded alternatives, which is the trade-off for using an FDA-approved product
✗GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy

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	LifeMD	Fitish RX
Monthly Price	$199	$219
Rating	8.5/10	7.6/10
Medications	semaglutide, tirzepatide	semaglutide
Insurance Accepted	Yes	No
Support Hours	Mon-Fri 8AM-8PM ET	Patient portal messaging; hours not published
Live Chat	Available	No
Free Shipping	Yes	Yes
Shipping Speed	3-5 days	Free standard shipping on all orders over $100; monthly cadence
Mobile App	Available	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Quarterly	Ongoing care-team access through the patient portal at no added cost
Money-back Guarantee	Lose 10% of your weight or your money back (conditions apply)	None published
Cancellation Policy	Cancel anytime	Not published

Which should you choose?

Choose LifeMD if you:

→Want to save $20/month with a more affordable option
→Prefer a higher-rated service (8.5/10 vs 7.6/10)
→Want more medication options to choose from
→Need insurance coverage for your treatment
→Value: prescribes fda-approved branded glp-1s - zepbound and wegovy - rather than compounded preparations, so you get the exact product the trials studied

Get started with LifeMD

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

LifeMD

LifeMD website

Fitish RX

Fitish RX website

Our recommendation

LifeMD 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 LifeMD

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