Head-to-head · Cost-Efficiency Index
Fresh Day Meds vs Fitish
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
Fresh Day Meds
Shoppers comfortable prepaying a 3-month quarterly bundle for the lowest per-month rate.
Visit Fresh Day MedsFitish
Shoppers who want a genuinely all-in price with no separate consult fee, or a fixed low-dose 'microdose' option.
Visit FitishThe verdict
Fresh Day Meds takes it, leading the Cost-Efficiency Index 70 to 69. Fresh 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. Fitish still earns a C — Shoppers who want a genuinely all-in price with no separate consult fee, or a fixed low-dose 'microdose' option.
Worth knowing either way: our overall #1 pick is CoreAge Rx (Cost-Efficiency Index 94/100 — the top of the ranking). See how it stacks up: CoreAge Rx vs Fresh Day Meds.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | Fresh Day Meds | Fitish |
|---|---|---|
| Cost-Efficiency Index | 70/100 | 69/100 |
| Semaglutide / mo | $140/mo (compounded) | $219/mo (microdose tier, plus a separate fee, compounded) |
| Tirzepatide / mo | $179/mo (compounded) | $339/mo (microdose tier, compounded) |
| Semaglutide / yr (modeled) | $1,680 | $2,628 |
| Tirzepatide / yr (modeled) | $2,148 | $4,068 |
| Coverage | All 50 states | All 50 states |
| Oral / sublingual | No | Yes |
| Brand-name access | Yes | Yes |
| Rank here | #87 | #92 |
Fresh Day Meds
70/100Where the value is
- No membership fees and free expedited shipping stated on-site
- LegitScript seal displayed
- Transparent quarterly-renewal totals shown next to the monthly-equivalent price, so the prepay isn't hidden
The tradeoffs
- The 'from $99/mo' headline is a new-patient-only, low-dose, 3-month-prepay price ($299 upfront) — the flat month-to-month rate is $140/mo
- No named compounding pharmacy or medical director/prescriber disclosed
Fitish
69/100Where the value is
- Price genuinely includes consult, medication, and shipping — confirmed in the product page's own text, not just marketing copy
- A real microdose tier exists at a meaningfully lower fixed price for both drugs
- Injectable and oral tablet formats both offered
The tradeoffs
- No stated minimum commitment or cancellation terms found on the product pages
- No named prescriber, medical director, or specific compounding pharmacy
Regulatory note: the FDA issued a warning letter to FITISH in June 2026. We still list and link to Fitish; you should know the letter is on the public record before you decide.
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.