Fitish review
Fitish charges $219 a month for compounded semaglutide and $339 for tirzepatide, flat, with the consult and shipping in the price. There is no plan ladder on the site.
- Pricing grade
- AVerified
- Monthly price
- $179/mo
- semaglutide microdose, monthly supply
- Price comparison
- See every price ↓
- FDA warning letter
- Yes
Pricing transparency · How we grade · How we verify prices
- Month-to-month price published
- Coverage not verified
The verdict
One number per drug, stated on the product page, with what it covers spelled out. The rarest thing in this market and the reason it grades where it does.
Quick facts
Key facts
- One month, semaglutide
- $219
- One month, tirzepatide
- $339
- Microdose lanes
- $179 semaglutide, $269 tirzepatide
- Plan ladder
- None. One price per product.
- Membership fee
- None, stated in the product FAQ
- States served
- Not published on any page we read
Pros and cons
What we like
- One flat figure per product, identical on the page heading and in the page's own FAQ, with nothing to divide by a plan length.
- The price is stated to include the provider consult, the medication if approved, and shipping, with no separate consult or membership fees.
- Full-dose and microdose options are explained side by side at their real prices instead of being split across pages.
- The legal entity and a street address are published on the privacy policy and repeated on the returns page.
What could be better
- No prepay discount exists, so a shopper who was going to commit for six months anyway gains nothing.
- No compounding pharmacy is named; the pages say only that a state-licensed pharmacy prepares the medication.
- No state coverage list appears on any page we read.
- At $339 a month, tirzepatide is above the middle of the market for a compounded product.
What it is
A women-focused telehealth line selling compounded semaglutide with B6, compounded tirzepatide, two microdose lanes, sermorelin and NAD+ in both injectable and nasal form. Provider-led intake, direct pay, no insurance. Compounded is not the branded drug, and the pages say so on every product.
Under every price is the line "Pricing is for a monthly supply." The FAQ on the same page answers what that covers without being asked twice: the provider consult, the medication if approved, and shipping, with no separate consult or membership fees.
Every price we found at Fitish
| Plan | Published price |
|---|---|
| Compounded semaglutide with B6, monthly supplyProvider consult, medication if approved, and shipping included. No membership. | $219 |
| Compounded tirzepatide, monthly supplySame inclusions. Flat price, no plan tiers. | $339 |
| Semaglutide microdose, monthly supplyA fixed low dose. The page states it does not titrate up. | $179 |
| NAD+, monthly supplyThe nasal spray is $149 for the same monthly supply. | $219 |
What it actually costs at Fitish
There is nothing to decode. Semaglutide with B6 is $219 a month, tirzepatide is $339, the semaglutide microdose is $179 and the tirzepatide microdose is $269. Sermorelin is $149 and NAD+ is $219 as an injection or $149 as a nasal spray. No prepay tier exists to divide by twelve, so the starts-at problem that runs this whole market simply does not arise here.
The full-dose and microdose options are explained side by side in the body copy at their real prices rather than split across pages, and the microdose page states outright that the dose does not titrate up. That is the fact that decides whether the cheaper lane suits you, and it is said plainly.
- Semaglutide: $219 full dose, $179 microdose.
- Tirzepatide: $339 full dose, $269 microdose.
- Longevity: sermorelin $149, NAD+ $219 injectable or $149 nasal.
- For a comparably flat price on a different catalog, DrMedHealth publishes one figure per drug across four products.
Who it's wrong for
People who would rather commit and save: there is no prepay discount, so a shopper certain of six months has nothing to gain here. And Edessa's plan table gets a six-month rate down to a third less if the commitment is not the problem.
- Wanting a named pharmacy: the pages say a state-licensed pharmacy prepares the medication and never say which.
- Wanting a state list: none appears on the eight pages or the seven policy pages we read.
Medications available
- Compounded semaglutide with B6Compounded$219 a month
- Compounded tirzepatideCompounded$339 a month
- Semaglutide microdoseCompounded$179 a month
- Tirzepatide microdoseCompounded$269 a month
- SermorelinCompounded$149 a month
- NAD+Compounded$219 injectable, $149 nasal spray
Is Fitish legit?
Fitish is operated by Fitish, LLC, 2311 East Loop 820 North, Fort Worth, Texas 76118, according to its privacy policy.
- FDA warning letter June 8, 2026 — about product photos with its name on the label, which FDA said suggested it compounded the drugs, and claims tying its compounded semaglutide and tirzepatide to Ozempic, Mounjaro and Zepbound. Read the letter →
Pharmacy, prescribers and safety checks
- Drug formCompounded, not the branded drug
- Pharmacy namedNo. The pages say a state-licensed pharmacy prepares it, without naming one.
- Membership feeNone, stated in the product FAQ
- States servedNot published
- FDA warning letterYes, June 2026, about its product labels and brand-name drug claims
Common questions
How much does Fitish charge for compounded semaglutide?
$219 for a monthly supply. The product page's own FAQ states that figure includes the provider consult, the medication if approved, and shipping, with no separate consult or membership fees.
What is the difference between the full dose and the microdose?
Price and titration. Full-dose semaglutide is $219 a month and microdose is $179; full-dose tirzepatide is $339 and microdose is $269. The page states the microdose is a lower fixed dose that does not titrate up.
Is there a prepay discount at Fitish?
No. There is no plan ladder anywhere on the site — each product carries one monthly figure, which is why the advertised price and the price of a single month are the same number.
Who is the company behind Fitish?
Fitish, LLC, a Texas company at a Fort Worth street address published on its own privacy policy and repeated on the returns page. FDA sent Fitish a warning letter in June 2026 over product photos with its name on the label and claims tying its compounded semaglutide and tirzepatide to Ozempic, Mounjaro and Zepbound.
Why we gave Fitish a A
Read the full grading rationale
No plan ladder, which is why Fitish grades where it does. Each product page prints one monthly figure — $219 for compounded semaglutide, $339 for tirzepatide, $179 and $269 for microdose — and its FAQ says that covers the provider consult, the medication if approved and shipping, with no membership fee. The company, Fitish, LLC, publishes a Fort Worth street address. Missing: a state coverage list and the name of the compounding pharmacy.
Read the evidence
How we reviewed Fitish
Every price here was read from Fitish's own product pages and quoted word for word.
We read each product's own FAQ as well as its heading, which is where the inclusions and the no-membership statement live.
Where each price comes from
- Compounded semaglutide page
en media 1 in modal COMPOUNDED SEMAGLUTIDE + B6 Regular price $219 START NOW Pricing is for a monthly supply. Prescription medication. Medical evaluation required. What it is Semaglutide + B6 is a GLP-1 receptor agonist, meaning it mimics a hormone your body naturally produces (glucagon-like peptide-1) that helps regulate appetite, blood sugar,
- Compounded tirzepatide page
en media 1 in modal COMPOUNDED TIRZEPATIDE Regular price $339 START NOW Pricing is for a monthly supply. Prescription medication. Medical evaluation required. What is compounded tirzepatide? Compounded tirzepatide is a dual-action GLP-1 and GIP therapy, compounded by a state-licensed pharmacy and prescribed through provider-led telehealth.
- Sermorelin page
en media 1 in modal SERMORELIN Regular price $149 START NOW Pricing is for a monthly supply. Prescription medication. Medical evaluation required. What it is Sermorelin is a growth hormone releasing hormone (GHRH) analog. Rather than introducing growth hormone dir
- Nad page
en media 1 in modal NAD+ Regular price $219 START NOW Pricing is for a monthly supply. Prescription medication. Medical evaluation required. What it is NAD+ (nicotinamide adenine dinucleotide) is a coenzyme central to how every cell in your body makes energy
- Nad nasal spray page
TO CONTENT SHOP THE CLINIC READ ABOUT Search our site Clear Log in Cart SKIP TO PRODUCT INFORMATION Open media 1 in modal NAD+ NASAL SPRAY Regular price $149 START NOW Pricing is for a monthly supply. Prescription medication. Medical evaluation required. What it is NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell in your body. It plays a
Alternatives to Fitish
| Provider | Grade | Published price context |
|---|---|---|
| Amble | AVerified | From $179/mo for glp-1 |
| Blue Haven Rx | CCaveat | From $179/mo for compounded semaglutide |
| Bodi Envi | CCaveat | From $179/mo for semaglutide |
| Claya | CCaveat | From $179/mo for semaglutide |
| Edessa | BMinor gap | From $179/mo for compounded semaglutide injection, one month |