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MEDVi Quad vs Fitish RX

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

MEDVi Quad vs Fitish RX: Overview

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

MEDVi Quad offers both semaglutide and tirzepatide at $114/month with a rating of 6.5/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.

The price difference of $105/month is significant - MEDVi Quad 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

$105/mo

Rating Difference

1.1

Winner

Fitish RX

Best For

Quality

MEDVi Quad

View full MEDVi Quad review →

Rating

6.5/10

Monthly Price

$114Cheaper

Medications

sildenafiltadalafilbremelanotide (PT-141)L-citrulline

Pros

✓$114/month, reduced from a stated $179, and the price is all-in: doctor consultation, free rush shipping and 24/7 medical support are included with no separate consultation fee (checked July 28, 2026)
✓Cancel anytime, and the page states you are not charged if you do not qualify
✓All four active ingredients are named openly - PT-141 (bremelanotide), L-citrulline, sildenafil and tadalafil - rather than hidden behind a proprietary blend name
✓Sublingual delivery is a real advantage over tablets: it bypasses first-pass metabolism, so onset is faster and a heavy meal does not blunt absorption the way it can with oral sildenafil
✓Backed by a substantial independent review record - roughly 14,000 Trustpilot reviews at 4.4, with 99% of negative reviews answered
✓A published phone number, email address and physical address, which many competitors in this category omit entirely

Cons

✗'Peak rigidity guaranteed' appears directly in the product copy. No prescription medication can guarantee an outcome, and this is the most explicit outcome promise we have seen across every provider reviewed on this site
✗The formula stacks two PDE5 inhibitors - sildenafil and tadalafil - and then adds L-citrulline, a nitric oxide precursor. All three act on the same nitric oxide and cGMP pathway, so the blood-pressure-lowering effect compounds three ways rather than one
✗PT-141 adds a fourth agent that independently causes low blood pressure, nausea and flushing. Four actives, four routes to hypotension, and no discussion anywhere on the page of the combined risk
✗Bremelanotide's only FDA approval is as Vyleesi, an autoinjector for premenopausal women with hypoactive sexual desire disorder. Prescribing it to men in a compounded sublingual liquid is off-label and a different route of administration
✗The word FDA does not appear on the page at all. The product is compounded, and the page never states the consequence - that compounded preparations are not reviewed or approved by the FDA for safety, efficacy or quality
✗'The world's first 4-in-1 formula' and 'hospital-grade power' are unverifiable marketing superlatives attached to a prescription product
✗The advertised Trustpilot score covers MEDVi's business as a whole rather than this specific product
✗The published address is a suite at a Delaware registered-agent building, not a clinical facility
✗Anyone taking nitrates or riociguat must not use this product. The PT-141 component also interacts with 5-HT3 anti-emetics such as ondansetron, and stacking two PDE5 inhibitors makes the nitrate contraindication more dangerous, not less

Choose MEDVi Quad

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

Choose Fitish RX

Feature-by-feature comparison

Feature	MEDVi Quad	Fitish RX
Monthly Price	$114	$219
Rating	6.5/10	7.6/10
Medications	sildenafil, tadalafil, bremelanotide (PT-141), L-citrulline	semaglutide
Insurance Accepted	No	No
Support Hours	24/7 medical support advertised	Patient portal messaging; hours not published
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Free rush shipping included in the monthly price	Free standard shipping on all orders over $100; monthly cadence
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	24/7 medical support advertised; follow-up cadence not published	Ongoing care-team access through the patient portal at no added cost
Money-back Guarantee	No charge if you do not qualify; no refund policy published for dispensed medication	None published
Cancellation Policy	Cancel anytime	Not published

Which should you choose?

Choose MEDVi Quad if you:

→Want to save $105/month with a more affordable option
→Want more medication options to choose from
→Value: $114/month, reduced from a stated $179, and the price is all-in: doctor consultation, free rush shipping and 24/7 medical support are included with no separate consultation fee (checked july 28, 2026)

Get started with MEDVi Quad

Choose Fitish RX if you:

→Prefer a higher-rated service (7.6/10 vs 6.5/10)
→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

Website previews

MEDVi Quad

MEDVi Quad website

Fitish RX

Fitish RX 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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