Zepbound vs Fitish RX
Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey
Zepbound vs Fitish RX: Overview
Choosing between Zepbound and Fitish RX for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.
Zepbound focuses on tirzepatide at $450/month with a rating of 9.3/10. Fitish RX offers semaglutide at $219/month with a 7.6/10 rating.
The price difference of $231/month is significant - Fitish RX is the more budget-friendly option, while Zepbound 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
$231/mo
Rating Difference
1.7
Winner
Zepbound
Best For
Quality
Zepbound
View full Zepbound review →Rating
9.3/10Better
Monthly Price
$450
Medications
tirzepatide
Pros
- ✓FDA-approved for chronic weight management
- ✓Weekly injection
- ✓Superior weight loss results (~21% average)
- ✓Same active ingredient as Mounjaro
- ✓Dual GIP/GLP-1 receptor agonist
Cons
- ✗Requires prescription and medical supervision
- ✗Can cause GI side effects
- ✗High cost without insurance coverage
- ✗Not available in all pharmacies
Fitish RX
View full Fitish RX review →Rating
7.6/10
Monthly Price
$219Cheaper
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 | Zepbound | Fitish RX |
|---|---|---|
| Monthly Price | $450 | $219 |
| Rating | 9.3/10 | 7.6/10 |
| Medications | tirzepatide | semaglutide |
| Insurance Accepted | Yes | No |
| Support Hours | Mon-Fri 8AM-8PM ET | Patient portal messaging; hours not published |
| Live Chat | No | No |
| Free Shipping | No | Yes |
| Shipping Speed | Varies by pharmacy | Free standard shipping on all orders over $100; monthly cadence |
| Mobile App | No | No |
| Dedicated Coach | Not included | Not included |
| Follow-up Frequency | As prescribed by physician | Ongoing care-team access through the patient portal at no added cost |
| Money-back Guarantee | Savings card available for eligible patients | None published |
| Cancellation Policy | Prescription-based, consult doctor | Not published |
Which should you choose?
Choose Zepbound if you:
- →Prefer a higher-rated service (9.3/10 vs 7.6/10)
- →Need insurance coverage for your treatment
- →Value: fda-approved for chronic weight management
Choose Fitish RX if you:
- →Want to save $231/month with a more affordable option
- →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
Zepbound
Fitish RX
Our recommendation
Zepbound comes out ahead with a higher rating of 9.3/10.
Get started with ZepboundRelated comparisons
Zepbound vs CoreAge Rx
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