Best-value alternatives
Alternatives to Fitish
Fitish scores 69/100 on our Cost-Efficiency Index (ranked #92 of 539). Here are the closest-ranked programs that beat it, plus our #1 pick — all scored the same way.
- Our #1 pick01A94/ 100Index
CoreAge Rx
Ranked #1Best value in the ranking: both molecules at one flat, all-50 price with no teaser step-ups — the lowest true cost of ownership, not the lowest teaser.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
- 02C70/ 100Index
Edessa
Ranked #91Clean three-rung tables one click in, behind a front page whose three cards all quote six-month rungs and whose cheapest belongs to a different drug.
- Sema
- $179/mo month-to-month for the injection; $160 on three months and $135 on six
- Tirz
- $239/mo month-to-month; $219 on three months and $209 on six
- Coverage
- Not disclosed
- Brand
- Compounded
- 03C70/ 100Index
Andrew Meds
Ranked #90Andrew Meds publishes $199 semaglutide and $299 tirzepatide on its product pages, then sends every Get Started button to an intake that sells a $99 low-dose program and never offers tirzepatide at all.
- Sema
- $199/month month-to-month (the intake this page opens sells a $99 low-dose program instead)
- Tirz
- $299/month month-to-month
- Coverage
- All 50 states
- Brand
- Compounded
- 04C70/ 100Index
AHBARx
Ranked #89AHBARx sells compounded semaglutide at $249 and tirzepatide at $349 a month with the consultation and shipping folded into the figure, and shows both prices at checkout before you make an account.
- Sema
- $249/mo month-to-month (a $50 consultation and $25 shipping are inside the figure)
- Tirz
- $349/mo month-to-month (consultation and shipping included in the figure)
- Coverage
- All 50 states
- Brand
- Compounded
- 05C70/ 100Index
NuuVim
Ranked #88NuuVim is a Texas-based DTC telehealth program offering compounded semaglutide and tirzepatide in both injectable and oral forms — oral access is uncommon here — plus limited brand-name Ozempic and Zepbound.
- Sema
- $79/mo (all doses, 3-mo plan, new patients only, compounded)
- Tirz
- $133/mo (all doses, 3-mo plan, new patients only, compounded)
- Coverage
- Multi-state
- Brand
- Yes
- 06C70/ 100Index
Fresh Day Meds
Ranked #87Fresh Day Meds is a multi-category telehealth brand (weight loss, hair, testosterone, sexual wellness, longevity) selling compounded semaglutide and tirzepatide with no membership fee and free shipping.
- Sema
- $140/mo (compounded)
- Tirz
- $179/mo (compounded)
- Coverage
- All 50 states
- Brand
- Yes
- 07C70/ 100Index
Bionomy Health
Ranked #86Bionomy Health is a physician-led, direct-to-consumer men's telehealth service selling compounded GLP-1 weight-loss medication alongside testosterone, peptides and longevity protocols.
- Sema
- $189/mo (starting dose, compounded)
- Tirz
- $249/mo (compounded)
- Coverage
- 48 states
- Brand
- Compounded
- 08C70/ 100Index
altRX
Ranked #85altRx is a compounded GLP-1 telehealth platform run through Usable Health, PC and its affiliated medical practices, offering semaglutide and tirzepatide at a flat 'same price at every dose' rate with no membership fee.
- Sema
- $89/mo (all doses, promotional rate, plus a separate fee, compounded)
- Tirz
- $149/mo (all doses, promotional rate, compounded)
- Coverage
- Multi-state
- Brand
- Yes
Regulatory note: the FDA issued a warning letter to Trinity HealthCare Supply, LLC dba altRx in June 2026. We still list and link to altRX; you should know the letter is on the public record before you decide.
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.