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Winona vs Foundayo

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

Winona vs Foundayo: Overview

Choosing between Winona and Foundayo for GLP-1 weight loss medication? Both are highly-rated providers, but they differ in pricing, medication options, and service features.

Winona offers both semaglutide and tirzepatide at $89/month with a rating of 8.4/10. Foundayo offers orforglipron at $149/month with a 9.2/10 rating.

The price difference of $60/month is significant - Winona is the more budget-friendly option, while Foundayo 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

$60/mo

Rating Difference

0.8

Winner

Foundayo

Best For

Quality

Winona

View full Winona review →

Rating

8.4/10

Monthly Price

$89Cheaper

Medications

bioidentical estradiolprogesteroneestriolDHEAsildenafilminoxidil

Pros

✓The full price list is published openly, with no intake required to see it: progesterone capsules from $39/mo, estrogen tablets from $54/mo, estrogen body cream (with progesterone) from $89/mo, vaginal estrogen cream from $89/mo and the estrogen patch from $149/mo (checked July 28, 2026)
✓Multiple delivery routes are offered - patch, body cream, vaginal cream, tablet and capsule - so treatment can be matched to preference rather than to whatever the company happens to stock
✓Winona owns its own 503A compounding pharmacies rather than outsourcing to a partner, which gives it direct control over formulation and consistency
✓Its pharmacy page explains the 503A/503B distinction correctly and states that 503A pharmacies are regulated by State Boards of Pharmacy, not the FDA - an accurate description that competitors routinely overstate
✓Roughly 8,000 Trustpilot reviews at 4.6, with 99% of negative reviews answered and a typical reply time under 24 hours
✓The rating advertised on site matches the rating on the public Trustpilot profile
✓The initial visit is free, so you can be assessed before paying for treatment
✓Editorial content carries numbered citations rather than unsourced assertions, and the site runs a public subreddit alongside a help centre and published phone number
✓HSA/FSA eligible, with a dedicated page explaining eligibility
✓Adjacent products are priced transparently too - DHEA from $27 per 3-month supply, sildenafil arousal cream at $79 per order, minoxidil hair serum at $150 per 3-month supply

Cons

✗Everything Winona dispenses is compounded in its own 503A pharmacies, which means it is not FDA-approved and has not been evaluated by the FDA for safety, efficacy or quality. The site explains 503A status clearly but does not foreground the 'not FDA-approved' consequence as plainly
✗Pharmaceutical products cannot be returned, per the terms - so once a prescription ships, you own it
✗The terms carry a mandatory arbitration clause on an individual basis with a class-action waiver, set out in capitals at the top of the document
✗Every headline price is a 'from' figure, so the actual monthly cost depends on the dose your clinician prescribes and is not knowable before the consultation
✗The hormone therapy explainer describes HRT as 'scientifically proven to be the safest, most effective treatment' for menopause symptoms. It is cited, but that is a strong framing for a therapy whose risk profile still depends heavily on age, time since menopause and personal history
✗Trustpilot notes Winona invites customers to review, which tends to lift scores relative to organic-only profiles, and that it may use AI-assisted replies
✗Systemic estrogen is not appropriate for everyone - women with a history of breast or endometrial cancer, unexplained vaginal bleeding, blood clots, stroke or liver disease should not start it without specialist input
✗Compounded hormone therapy in general lacks the long-term outcome data that exists for FDA-approved products, so the evidence cited for HRT as a class does not transfer automatically to these specific preparations

Foundayo

View full Foundayo review →

Rating

9.2/10Better

Monthly Price

$149

Medications

orforglipron

Pros

✓The first and only FDA-approved GLP-1 pill for weight loss that can be taken at any time of day with no food or water restrictions, approved 1 April 2026
✓In the ATTAIN-1 trial, participants on the highest dose who stayed on treatment lost an average of 27.3 pounds (12.4% of body weight) against 2.2 pounds (0.9%) on placebo
✓Counting everyone randomised regardless of whether they finished, the average was still 25 pounds (11.1%) versus 5.3 pounds (2.1%) on placebo - Lilly published both numbers rather than only the flattering one
✓A once-daily tablet, so there is no injection, no needle disposal and no refrigeration to organise
✓Self-pay pricing is published up front at $149 per month for the lowest dose through LillyDirect, with free home delivery
✓Eligible people with commercial insurance may pay as little as $25 per month with the Foundayo savings card
✓Eligible Medicare Part D patients may be able to get it for $50 per month from as early as 1 July 2026 - a rarity in this category
✓Lilly reported reductions in waist circumference, non-HDL cholesterol, triglycerides and systolic blood pressure across all doses
✓It is a small-molecule (non-peptide) GLP-1, which is why it can be manufactured as a pill rather than an injection

Cons

✗Weight loss is meaningfully lower than the best injectables. 12.4% at the top dose sits below tirzepatide territory, so if maximum weight loss is the goal an injection still wins
✗It carries the class boxed warning: it may cause thyroid tumours including thyroid cancer, and must not be used by anyone with a personal or family history of medullary thyroid carcinoma or MEN 2
✗Should not be used alongside another GLP-1 receptor agonist
✗Common side effects include nausea, constipation, diarrhoea, vomiting, indigestion, abdominal pain, headache, fatigue, heartburn, gas and hair loss
✗Serious risks in the label include pancreatitis, dehydration leading to kidney problems, gallbladder problems, severe allergic reactions and aspiration risk under anaesthesia
✗Safety and effectiveness in children have not been established
✗$149 is the price of the lowest dose only - higher doses cost more, and the $25 and $50 figures depend on insurance eligibility rather than being available to everyone
✗Very new to market, so there is no long-term real-world safety and adherence record yet

Choose Foundayo

Feature-by-feature comparison

Feature	Winona	Foundayo
Monthly Price	$89	$149
Rating	8.4/10	9.2/10
Medications	bioidentical estradiol, progesterone, estriol, DHEA, sildenafil, minoxidil	orforglipron
Insurance Accepted	No	Yes
Support Hours	Help centre and chat available; hours not published	Not published
Live Chat	Available	No
Free Shipping	Yes	Yes
Shipping Speed	Shipped to your door after clinician review; free shipping included	Free home delivery via LillyDirect; shipping began 6 April 2026
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Ongoing clinician access through the patient portal; cadence not published	As directed by your prescriber
Money-back Guarantee	None published; pharmaceutical products cannot be returned. A separate cancellation and refund policy governs subscriptions	None published; this is a prescription medicine, not a subscription service
Cancellation Policy	Subscriptions can be cancelled from your account; a separate cancellation policy governs when it takes effect	Prescription-based - stopping treatment is a decision for you and your prescriber

Which should you choose?

Choose Winona if you:

→Want to save $60/month with a more affordable option
→Want more medication options to choose from
→Value: the full price list is published openly, with no intake required to see it: progesterone capsules from $39/mo, estrogen tablets from $54/mo, estrogen body cream (with progesterone) from $89/mo, vaginal estrogen cream from $89/mo and the estrogen patch from $149/mo (checked july 28, 2026)

Get started with Winona

Choose Foundayo if you:

→Prefer a higher-rated service (9.2/10 vs 8.4/10)
→Need insurance coverage for your treatment
→Value: the first and only fda-approved glp-1 pill for weight loss that can be taken at any time of day with no food or water restrictions, approved 1 april 2026

Get started with Foundayo

Website previews

Winona

Winona website

Foundayo

Foundayo website

Our recommendation

Foundayo comes out ahead with a higher rating of 9.2/10.

Get started with Foundayo

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