FitRx review
Insurance help or bundled plans
A telehealth weight program that files prior authorizations for brand-name GLP-1s and sells compounded semaglutide bundles at $297 a month with medication included.
Our verdict
FitRx gives you two routes, and it's upfront that most members start on the second while working on the first. If you have commercial insurance, its coordinators submit the prior authorization for Wegovy, Ozempic, Zepbound or Mounjaro and will try up to three times, so a covered drug may cost you a copay. Meanwhile, or instead, you can buy compounded semaglutide or tirzepatide shipped to your home, either inside an all-in bundle ($297 a month for semaglutide after the first month) or on top of the membership from $151 a month on a three-month supply. Care is fully online with a provider, a coach and monthly video or phone check-ins. The catches are that membership and consultation fees are never refunded, government insurance isn't accepted, the regular membership price sits behind a first-month discount, and the FDA sent the company a warning letter in February 2026 about how it marketed its compounded drugs.
Disclosure: Aminoscope is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. Partners are listed first; a commission never changes what we write about a provider. How we make money.
FDA warning letter on record — public record, does not change our verdict.
At a glance
- Category
- GLP-1 telehealth
- Access
- Compounded bundles $297/mo semaglutide, $449/mo tirzepatide, medication included; brand-name route is a membership plus the drug through insurance
- Medications
- Compounded semaglutide · Compounded tirzepatide · Branded
- Insurance
- Works with insurance
- Visit
- Quiz intake / Async intake / Video visit
- Availability
- All 50 states and D.C.
Partner alternative
yourEra
A low-cost entry point into compounded GLP-1 treatment
Check yourEra availability →What it is
FitRx is a brand of FitRX, LLC, a New York company at 30 Irving Place in Manhattan; the site's footer names FitRx, Inc. The same company operates the Zealthy telehealth brand, and the two weight programs share much of their structure and pricing. Medical care is provided by Bruno Health, P.A., Outlast Health and affiliated medical groups, with U.S.-licensed physicians and nurse practitioners. Besides weight loss, FitRx offers primary care, mental health care, birth control, hair loss, erectile dysfunction, skin care and enclomiphene. It says free consultations and ongoing support are available from licensed providers in all 50 states and D.C. The site shows a LegitScript badge image without a seal number, so check LegitScript directly if that matters to you. Its terms include a binding individual arbitration clause for disputes.
How it works
You answer an online questionnaire about your goals and health, and a licensed provider reviews it within one to two business days to set a plan, which may include a GLP-1 if it's clinically appropriate. No in-person visit is needed. After that you have unlimited secure messaging with your provider, monthly video or phone visits, a care coordinator in the portal and a dedicated weight-loss coach for nutrition and activity. If a brand-name GLP-1 is prescribed, the insurance team handles the prior authorization, and decisions usually come back within two to fourteen business days; you have to keep your membership active for the authorization to stay in place. Compounded semaglutide or tirzepatide ships from a partner pharmacy once the prescription is written, usually arriving within five to nine business days, and a three-month order comes as three vials in one package. Memberships can't be paused, though you can delay a shipment from the portal.
Pricing transparency
The membership's first month is advertised at $39, which includes medical care, coaching and insurance coordination; the regular monthly price isn't shown on its weight-loss page or FAQ, and the membership does not include GLP-1 medication. Bought separately, compounded semaglutide starts at $151 a month and tirzepatide at $216 a month when you order a three-month supply, which comes with 20% off and a 20% membership discount for the next two months. The simpler option is a bundle with the medication included: semaglutide is $217 for the first month, then $297 a month, and tirzepatide is $349, then $449; higher doses beyond standard titration can cost extra. Memberships bill monthly on the same date, and you can cancel any time from the portal. Quarterly, semi-annual and annual memberships are also offered at a discount. Membership, consultation and visit fees are non-refundable, and filled prescriptions can't be returned. If you're found ineligible for compounded medication, FitRx refunds you. HSA and FSA cards are accepted. Medicare and Medicaid members can't use the program.
Branded vs compounded
Brand-name Zepbound, Wegovy, Ozempic and Mounjaro through insurance, and compounded semaglutide and tirzepatide by weekly injection; oral options may be prescribed in some cases. Wegovy and Zepbound are FDA-approved for weight management, while Ozempic and Mounjaro are approved for type 2 diabetes. Compounded versions are not FDA-approved, which the homepage disclaimer states. In February 2026 the FDA sent FitRX, LLC, doing business as FitRx, a warning letter about this website. The agency said product images labeled "FitRx" suggested the company was the compounder when it is not, and that describing its compounded drugs as the active ingredient in Wegovy, Zepbound, Ozempic and Mounjaro implied FDA approval. Its FAQ today describes semaglutide as the active ingredient in Wegovy and Ozempic, so read those comparisons as describing the molecule, not the product you'd receive. The letter is disclosed and linked on this page.
FDA warning letter on record
The FDA issued a warning letter naming FitRX, LLC dba FitRx, the company behind FitRx.
- Letter 717987, issued February 20, 2026 — read it on fda.gov
We publish this because it is a matter of public record and a reader weighing this provider should have it. A warning letter is the FDA setting out alleged violations; it is not a court finding, and a company may have responded or corrected since. It does not remove FitRx from this site, and it does not change our verdict — read the letter and decide for yourself.
Pros and watch-outs
What we like
- Insurance team files prior authorizations and will try up to three times
- All-in compounded bundles from $297 a month with medication included
- Monthly video or phone visits plus unlimited messaging
- A dedicated weight-loss coach is part of the membership
- Care offered in all 50 states and D.C.
Watch-outs
- Membership and consultation fees are never refunded
- Regular membership price isn't shown past the first-month discount
- No Medicare or Medicaid
- Memberships can't be paused
- FDA warning letter in February 2026 over compounded-drug marketing
Best for
People with commercial insurance who want a team to chase coverage for a brand-name GLP-1, with a bundled compounded plan to use in the meantime.
Who should look elsewhere
Medicare or Medicaid members, anyone who wants refundable fees, or buyers who want to see every price before signing up.
The evidence behind what FitRx prescribes
We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.
- What the semaglutide weight-loss trials actually showed
STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.
- Tirzepatide vs semaglutide for weight loss: what the trials actually support
Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.
- GLP-1 cost and insurance coverage: what drives the price, and what's actually covered
List price, net price, and your price are three different numbers. Indication drives coverage, savings cards have fine print, and cost is itself a clinical variable.
- Compounded vs branded GLP-1: regulatory status, sourcing and the evidence
Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.
How FitRx compares
A few alternatives worth a look, depending on what you’re optimizing for.
Gala HealthA guided, program-style GLP-1 weight-care experience
See Gala Health →
Direct MedsStraightforward compounded GLP-1 without an insurance requirement
See Direct Meds →
ZealthyPeople with insurance who want help getting a brand-name GLP-1 covered, with a compounded fallback while they wait
See Zealthy →
More GLP-1 telehealth reviews: Oria MedsRENN HealthSexyMDSolaya MDVevaRXRx.com
Pharmacology & mechanisms
How we assessed this. This review reflects Aminoscope’s own read of FitRx’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- How much does FitRx cost?
- The compounded semaglutide bundle is $217 for the first month, then $297 a month, with medication included; tirzepatide is $349, then $449. On the membership route, compounded drugs start at $151 a month for semaglutide on a three-month supply, plus the membership.
- Does FitRx take insurance?
- It works with commercial insurance for brand-name GLP-1s: its coordinators submit the prior authorization and can appeal up to three times. The membership fee itself isn't covered, and Medicare and Medicaid members can't join.
- Is FitRx the same company as Zealthy?
- Both are run by FitRX, LLC in New York, and their weight programs share similar plans and prices. They are marketed as separate brands with separate websites.
- Can I get a refund from FitRx?
- Membership, consultation and visit fees aren't refundable, and filled prescriptions can't be returned. If a provider finds you ineligible for compounded medication, FitRx refunds you. You can cancel the monthly membership any time from your portal.
- Has FitRx received an FDA warning letter?
- Yes. In February 2026 the FDA cited its website for product images labeled "FitRx" that suggested it compounded the drugs, and for comparing its compounded semaglutide and tirzepatide to Wegovy, Ozempic, Zepbound and Mounjaro. The letter is linked on this page.
- Is FitRx legit?
- FDA has a warning letter on record against FitRX, LLC dba FitRx, the company behind FitRx, issued February 20, 2026 as letter 717987; it is linked further down this page. A warning letter is a public record worth reading. It doesn't by itself mean you can't use this provider. FitRx is a GLP-1 telehealth service you reach through an online questionnaire, an online intake a clinician reviews and a video visit with a clinician. The medications it names are Compounded semaglutide, Compounded tirzepatide and branded medication. Its stated availability: All 50 states and D.C. What it publishes up front: Compounded bundles $297/mo semaglutide, $449/mo tirzepatide, medication included; brand-name route is a membership plus the drug through insurance. It states it works with insurance. Those are the provider's own published claims rather than checks we could run ourselves, so get the ones that matter to you confirmed in writing before you pay.
- Is FitRx expensive compared with other GLP-1 telehealth providers?
- FitRx publishes a starting figure of $297/mo. Across the 78 GLP-1 telehealth providers we review that publish a single monthly figure, those run $49 to $399 with a median of $189, which puts FitRx above the median. The other 87 GLP-1 telehealth providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.