Medivive vs Fitish RX
Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey
Medivive vs Fitish RX: Overview
Choosing between Medivive and Fitish RX for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.
Medivive offers both semaglutide and tirzepatide at $162/month with a rating of 7.4/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.
The price difference of $57/month is significant - Medivive 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
$57/mo
Rating Difference
0.2
Winner
Fitish RX
Best For
Quality
Medivive
View full Medivive review →Rating
7.4/10
Monthly Price
$162Cheaper
Medications
semaglutidetirzepatide
Pros
- ✓One all-in price with nothing bolted on: "Starting at $162/month. Billed monthly. One simple all-in price — medication and care included"
- ✓A hard commitment on the fee that catches most patients: "$0 membership fee... Many telehealth programs tack on a monthly membership fee just to stay a patient — on top of your medication. We don't. Ever."
- ✓Free to start, with nothing to pay until a provider has reviewed your case
- ✓Licensed providers in all 50 states
- ✓It rejects the form-filling model directly - a conversational intake that takes about two minutes rather than a long questionnaire
- ✓It is explicit that a clinician, not software, makes the call: "Not a chatbot, not a vending machine. A Medivive clinician reviews your history and prescribes only when it's clinically appropriate"
- ✓Compounded by a licensed US pharmacy with refills arriving on schedule and dose adjustments as your labs change
- ✓The compounded disclaimer is correctly stated: compounded medications are not FDA-approved finished drug products and are not reviewed by the FDA for safety or efficacy
- ✓A published support email, care@mymedivive.com
- ✓A published library of educational content on semaglutide, tirzepatide, how GLP-1s work and side effects
Cons
- ✗The medication is compounded, so it has not been evaluated by the FDA for safety, quality or efficacy
- ✗"Starting at $162" is a floor price and no dose ladder is published, so higher doses may cost more
- ✗The pharmacy is described only as "a licensed U.S. pharmacy" and is never named
- ✗No phone number or business address is published
- ✗The site references your provider adjusting treatment "as your labs change" without stating whether labs are required, who orders them or who pays
- ✗No insurance billing and no HSA/FSA information
- ✗No published refund or cancellation policy
- ✗A young brand with no verifiable third-party review presence yet
Fitish RX
View full Fitish RX review →Rating
7.6/10Better
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
Feature-by-feature comparison
| Feature | Medivive | Fitish RX |
|---|---|---|
| Monthly Price | $162 | $219 |
| Rating | 7.4/10 | 7.6/10 |
| Medications | semaglutide, tirzepatide | semaglutide |
| Insurance Accepted | No | No |
| Support Hours | Not published | Patient portal messaging; hours not published |
| Live Chat | No | No |
| Free Shipping | Yes | Yes |
| Shipping Speed | Delivered to your door; refills arrive on schedule | Free standard shipping on all orders over $100; monthly cadence |
| Mobile App | No | No |
| Dedicated Coach | Not included | Not included |
| Follow-up Frequency | Provider adjusts treatment over time as labs change; no fixed schedule published | Ongoing care-team access through the patient portal at no added cost |
| Money-back Guarantee | Nothing to pay until a provider reviews your case | None published |
| Cancellation Policy | Billed monthly; cancellation terms not published | Not published |
Which should you choose?
Choose Medivive if you:
- →Want to save $57/month with a more affordable option
- →Want more medication options to choose from
- →Value: one all-in price with nothing bolted on: "starting at $162/month. billed monthly. one simple all-in price — medication and care included"
Choose Fitish RX if you:
- →Prefer a higher-rated service (7.6/10 vs 7.4/10)
- →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
Website previews
Medivive
Fitish RX
Our recommendation
Fitish RX comes out ahead with a higher rating of 7.6/10.
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