Oak Longevity vs Fitish RX
Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey
Oak Longevity vs Fitish RX: Overview
Choosing between Oak Longevity and Fitish RX for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.
Oak Longevity offers both semaglutide and tirzepatide at $119/month with a rating of 7.7/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.
The price difference of $100/month is significant - Oak Longevity 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
$100/mo
Rating Difference
0.1
Winner
Oak Longevity
Best For
Budget
Oak Longevity
View full Oak Longevity review →Rating
7.7/10Better
Monthly Price
$119Cheaper
Medications
semaglutidetirzepatide
Pros
- ✓Among the lowest advertised prices in the category: compounded semaglutide from $119/month and tirzepatide from $185/month (checked July 27, 2026)
- ✓One price at every dosage, so titrating up does not increase what you pay
- ✓Free shipping and free health coaching are included, with no separate membership fee
- ✓Same-day approval is offered and no video call is required, which suits people who cannot take time out for an appointment
- ✓Publishes a phone number, an email address and the legal entity behind the brand
- ✓The compounded explanation distinguishes 'not FDA-approved as finished products' from the ingredients and conditions used, which is more accurate than the blanket claims some rivals make
- ✓A comparison calculator and a public price comparison table let you check the maths before signing up
- ✓Cancellation can be done from your own account by cancelling the prescription or deleting the account, rather than only by emailing support
Cons
- ✗The homepage advertises 'One price · All dosages · No subscriptions', but the terms contain a 'Refund, Shipping, Cancellation Policy' describing how cancelling will 'stop any future subscription renewals or charges'. Those two statements cannot both be right
- ✗A third price appears in Oak's own comparison table, which lists 'Oak $167/mo' against headline rates of $119 and $185. The table never explains which product $167 refers to
- ✗'Same Active Ingredient' is used as a feature row comparing Oak to brand-name drugs. That is the precise claim the FDA cited in a February 2026 warning letter to another telehealth firm, on the basis that it implies FDA approval the compounded product does not have
- ✗Promotions stack confusingly - a 'SUMMER SALE - Save up to 60% vs. retail pricing' banner sits alongside a separate '$200 off new patient offer' with no terms for either
- ✗Trustpilot carries only 53 reviews, far too few to corroborate the '10,000+ Satisfied Patients' claim
- ✗There is no dedicated refund policy page; refund terms are buried inside the general Terms of Use
- ✗The Terms of Use include a dispute resolution and arbitration agreement
- ✗'Up to 50% cheaper than competitors' is asserted repeatedly in a scrolling banner without naming the competitors or the basis for the figure
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
Feature-by-feature comparison
| Feature | Oak Longevity | Fitish RX |
|---|---|---|
| Monthly Price | $119 | $219 |
| Rating | 7.7/10 | 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 | Same-day approval claimed; delivery time not published | Free standard shipping on all orders over $100; monthly cadence |
| Mobile App | No | No |
| Dedicated Coach | Included | Not included |
| Follow-up Frequency | Free health coaching included | Ongoing care-team access through the patient portal at no added cost |
| Money-back Guarantee | None published; refund terms appear only inside the Terms of Use | None published |
| Cancellation Policy | Cancel from your account by cancelling the prescription or deleting the account; charges already processed by a provider are not reversed | Not published |
Which should you choose?
Choose Oak Longevity if you:
- →Want to save $100/month with a more affordable option
- →Prefer a higher-rated service (7.7/10 vs 7.6/10)
- →Want more medication options to choose from
- →Want personalized coaching support included
- →Value: among the lowest advertised prices in the category: compounded semaglutide from $119/month and tirzepatide from $185/month (checked july 27, 2026)
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
Website previews
Oak Longevity
Fitish RX
Our recommendation
Oak Longevity comes out ahead with a higher rating of 7.7/10. It also provides multiple medication options including both semaglutide and tirzepatide.
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