VivioMD vs Fitish RX

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

VivioMD vs Fitish RX: Overview

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

VivioMD focuses on semaglutide at $179/month with a rating of 7.8/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.

With only a $40/month price difference, your choice will likely come down to features, support quality, and medication options.

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
$40/mo
Rating Difference
0.2
Winner
VivioMD
Best For
Budget

VivioMD

View full VivioMD review →
Rating
7.8/10Better
Monthly Price
$179Cheaper
Medications
semaglutide

Pros

  • Affordable
  • Quick process
  • Good support
  • Simple platform

Cons

  • Limited options
  • Basic features
  • Newer provider
Choose VivioMD

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

FeatureVivioMDFitish RX
Monthly Price$179$219
Rating7.8/107.6/10
Medicationssemaglutidesemaglutide
Insurance AcceptedNoNo
Support HoursMon-Fri 8AM-7PM ETPatient portal messaging; hours not published
Live ChatAvailableNo
Free ShippingYesYes
Shipping Speed3-5 daysFree standard shipping on all orders over $100; monthly cadence
Mobile AppAvailableNo
Dedicated CoachNot includedNot included
Follow-up FrequencyMonthlyOngoing care-team access through the patient portal at no added cost
Money-back GuaranteeFirst month refundNone published
Cancellation PolicyCancel anytimeNot published

Which should you choose?

Choose VivioMD if you:

  • Want to save $40/month with a more affordable option
  • Prefer a higher-rated service (7.8/10 vs 7.6/10)
  • Value: affordable

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

VivioMD

VivioMD website

Fitish RX

Fitish RX website

Our recommendation

VivioMD comes out ahead with a higher rating of 7.8/10.
Get started with VivioMD

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