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WeighLab

Pillar Health vs Fitstry

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Pillar Health

Provider comparison

Shoppers who want one flat monthly price for compounded semaglutide or tirzepatide that won't rise as the dose goes up.

Semaglutide / month
$189/moCompounded, same price at every dose; first month $94.50 with the welcome code
Tirzepatide / month
$249/moCompounded, same price at every dose; first month $124.50 with the welcome code
Index 75/100 · Grade CChecked October 2026

Fitstry

Provider comparison

Shoppers who want month-to-month compounded GLP-1 pricing with coaching, labs and a named physician setting the protocols.

Semaglutide / month
$249Every 4 weeks (month-to-month, compounded; daily tablet $279)
Tirzepatide / month
$339Every 4 weeks (month-to-month, compounded)
Index 74/100 · Grade CChecked October 2026

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Pillar Health has the higher Cost-Efficiency Index: 75/100 versus 74/100. That is a value comparison under our published methodology, not a measure of medical suitability or a guarantee of results.

Check the difference in state access

Pillar Health
48 states + DC
Fitstry
49 states

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Pillar Health

Fitstry

Semaglutide / month
Pillar Health: $189/moCompounded, same price at every dose; first month $94.50 with the welcome code
Fitstry: $249Every 4 weeks (month-to-month, compounded; daily tablet $279)
Tirzepatide / month
Pillar Health: $249/moCompounded, same price at every dose; first month $124.50 with the welcome code
Fitstry: $339Every 4 weeks (month-to-month, compounded)
Semaglutide / year (modeled)
Pillar Health: $2,268
Fitstry: $3,23713 charges
Tirzepatide / year (modeled)
Pillar Health: $2,988
Fitstry: $4,40713 charges
State availability
Pillar Health: 48 states + DC
Fitstry: 49 states
Oral / sublingual option listed
Pillar Health: Not listed
Fitstry: Yes
Brand-name access listed
Pillar Health: Not confirmed
Fitstry: Not confirmed
Provider facts checked
Pillar Health: October 2026
Fitstry: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Pillar Health

Shoppers who want one flat monthly price for compounded semaglutide or tirzepatide that won't rise as the dose goes up.

Reasons to consider it

  • Both monthly prices are on the weight-loss and product pages before any questionnaire, with $0 membership and free shipping
  • The program price covers every dose in the titration ladder, from 0.25 mg to 2.4 mg of semaglutide and 2.5 mg to 15 mg of tirzepatide
  • Publishes where it serves: 48 states and Washington, D.C., with Alaska and Mississippi excluded

What to weigh up

  • Pillar is a storefront: starting treatment hands you to a separate checkout platform whose own terms set the charges, renewals, cancellations and refunds
  • Its refund policy points you to that provider's terms rather than stating its own cancellation or refund rules
  • It doesn't name the pharmacy that fills your prescription

Fitstry

Shoppers who want month-to-month compounded GLP-1 pricing with coaching, labs and a named physician setting the protocols.

Reasons to consider it

  • Publishes month-to-month prices: compounded semaglutide $249, tirzepatide $339 and a daily tablet $279, cancel any time
  • No program fee for now, and the first month is refunded in full if a clinician doesn't approve you
  • Clinical protocols set by a named board-certified physician, Dr. Sergio Naccarato, MD

What to weigh up

  • Bills every four weeks, so a year is 13 charges, not 12
  • The lower 'starting at' prices on its cards aren't tied to a stated plan length
  • The program fee is waived only for a limited time, and its amount isn't published

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

Pillar HealthFitstry
Normalized Cost/Month
Pillar Health:
72/100
Fitstry:
56/100
Price Transparency
Pillar Health:
94/100
Fitstry:
86/100
Nationwide Access
Pillar Health:
78/100
Fitstry:
78/100
Formulation Options
Pillar Health:
66/100
Fitstry:
77/100
Clinical Oversight
Pillar Health:
71/100
Fitstry:
81/100
Contract Flexibility
Pillar Health:
55/100
Fitstry:
77/100

Before you sign up

  • Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
  • Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
  • Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

Keep comparing

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.