Fitish RX is the telehealth arm of the Fitish clean beauty brand, offering compounded semaglutide at $219 a month, compounded tirzepatide at $339, and a separate $179 GLP-1 microdosing programme.
Overview
Fitish began as a clean, sweat-friendly skincare line founded by Jenna Owens and has grown into a combined telehealth and beauty brand. The prescription arm, Fitish RX, offers provider-prescribed GLP-1 programmes in both full-dose and microdose formats, plus peptide therapies including sermorelin, NAD+ and MIC B12, alongside the original cosmetics range.
Pricing is published and all-inclusive. Compounded semaglutide with B6 is $219 for a monthly supply, compounded tirzepatide is $339, oral tirzepatide tablets are $339 for a four-week supply, and the GLP-1 microdosing programme is $179 for a 28-day supply. Fitish states each price includes the provider consult, the medication if approved, and shipping, with no separate consult or membership fees.
The structural feature worth understanding is the two-lane model. Full-dose compounded semaglutide is for patients whose BMI and medical history meet clinical eligibility criteria. Microdose semaglutide is a lower, fixed dose that does not titrate up, and Fitish states explicitly that patients whose BMI falls below the threshold for the compounded GLP-1 programme may still be candidates for microdosing. That is a clear commercial pathway for people who would otherwise be screened out, and it is worth weighing on its merits.
Fitish RX at a Glance
| Detail | What Fitish RX Publishes |
|---|---|
| Type of company | Telehealth and clean beauty brand; Fitish RX is the prescription arm |
| Founder | Jenna Owens |
| Compounded semaglutide + B6 | $219 per monthly supply |
| Compounded tirzepatide | $339 per monthly supply |
| Oral tirzepatide tablets | $339 per four-week supply |
| GLP-1 microdosing programme | $179 per 28-day supply, fixed dose, no titration |
| Membership or consult fee | None; pricing is all-in |
| Other treatments | Sermorelin, NAD+ injection and nasal spray, MIC B12, GHK-Cu |
| Pharmacy | State-licensed sterile compounding pharmacy, not named |
| Shipping cadence | Monthly |
| Insurance | Not accepted; direct-pay telehealth |
Medications Offered
- Compounded semaglutide with B6, once-weekly subcutaneous injection
- Compounded tirzepatide, once-weekly subcutaneous injection
- Oral tirzepatide tablets, a needle-free alternative
- Microdose semaglutide at a lower fixed dose that does not titrate
- Sermorelin, NAD+ injection and nasal spray, and MIC B12
- GHK-Cu face cream and oral tablets on the cosmetic side
Brand-Name or Compounded?
Compounded, and Fitish states the position accurately: compounded semaglutide is prepared by a state-licensed sterile compounding pharmacy, is not FDA-approved and does not undergo FDA review for safety, effectiveness or manufacturing quality. It also notes that FDA-approved semaglutide products including Ozempic, Wegovy and Rybelsus are commercially available, and that a provider may recommend compounded semaglutide where clinically appropriate. That is a more complete disclosure than most.
Consultation Process
Complete the online intake
A short intake covering your health and goals. Fitish states a licensed provider reviews every intake.
Provider reviews and recommends a lane
If you are not eligible for full-dose compounded GLP-1, your provider may recommend the microdosing programme instead.
Prescription written if appropriate
A licensed Fitish provider writes the prescription if the medication is a clinical fit.
Monthly shipment and portal support
Medication ships from a licensed compounding pharmacy on a monthly cadence, with dose questions handled through the patient portal at no added cost.
Eligibility
- Adults pursuing medical weight management
- Full-dose eligibility based on BMI and medical history meeting clinical criteria
- A licensed Fitish provider reviews every intake
- Patients below the BMI threshold for full-dose may be offered the microdosing programme
- The site requires visitors to confirm they are 21 or older
- Specific BMI thresholds are not published numerically
Provider Involvement and Lab Requirements
Provider Involvement
Fitish states that a licensed provider reviews every intake, writes prescriptions where clinically appropriate, titrates doses gradually and documents them in the patient portal, and remains available for dose questions and support at no added cost. The provider also decides which of the two GLP-1 lanes fits, rather than the patient self-selecting.
Lab Requirements
No lab requirement is published for the GLP-1 programmes. Fitish does publish a lab results page for its products, which is a different thing: product testing rather than patient bloodwork. Ask your provider what baseline testing they want before starting.
Pharmacy Fulfillment and Shipping
Pharmacy Fulfillment
Described as a state-licensed sterile compounding pharmacy but not named. Fitish is otherwise notably specific in its disclosures, so the absence of a pharmacy name stands out, and it is the question we would put first if considering the programme.
Shipping Frequency
Medication ships from a licensed compounding pharmacy on a monthly cadence, with shipping included in the published price. Fitish does not describe cold-chain packaging in detail, which is worth confirming for injectable preparations in warm weather.
Support Services
- Patient portal messaging for dose questions and support at no added cost
- Dose titration documented in the portal by your provider
- A published product lab results page
- The Fitish Academy education programme and published guides on microdosing
- Sezzle instalment payments offered
- No coaching, dietitian or structured nutrition programme
Pricing
Fitish publishes a single all-in price for each product with no membership, consult fee or dose-based upcharge layered on top.
| Plan or Medication | Published Price | What It Covers |
|---|---|---|
| Compounded semaglutide + B6 | $219 per monthly supply | Provider consult, medication if approved, and shipping |
| Microdose semaglutide programme | $179 per 28-day supply | Lower fixed dose that does not titrate up |
| Compounded tirzepatide | $339 per monthly supply | Provider consult, medication if approved, and shipping |
| Oral tirzepatide tablets | $339 per four-week supply | Needle-free formulation |
| Consult or membership fee | None | Fitish states no separate consult or membership fees |
| Insurance | Not accepted | Direct-pay telehealth with all-in pricing |
Pricing reflects what Fitish RX published at the time of review and can change without notice. Confirm current pricing directly with the provider before enrolling.
Membership Fees
None. Fitish charges no membership or consult fee. Each published product price is stated to include the provider consult, the medication if approved, and shipping.
Medication Fees
Included in the published price for each product. Note that the price differs by product rather than by dose: semaglutide is $219 a month, tirzepatide $339, and the microdose lane $179, with titration handled inside the price for the full-dose lanes.
Cancellation and Refund Policy
Cancellation
Fitish does not publish detailed cancellation terms for the prescription programmes. Because products are sold as monthly supplies through a storefront rather than as a locked subscription, the practical question is whether shipments auto-renew and how to stop them. Confirm before your first order.
Refunds
Fitish links a return and exchange policy from its footer, which primarily covers the retail beauty range. Prescription compounded medication generally cannot be returned once prepared and dispensed, so treat the retail return terms as separate from the prescription side.
Insurance, HSA and FSA
Insurance
Not accepted. Fitish RX describes itself as direct-pay telehealth with transparent, all-in pricing.
HSA / FSA
The most candid answer in this category. Fitish states that some HSA and FSA cards will go through and others will not, that card networks currently treat compounded telehealth prescriptions inconsistently, and that a card can be declined even when the plan would allow the expense. It recommends checking with your administrator first, paying with another card and submitting for reimbursement, and notes your provider can issue a Letter of Medical Necessity to support that request.
For a fuller explanation of how these accounts work with GLP-1 care, see our GLP-1 insurance, HSA and FSA guide.
Who Fitish RX May Be Best For
- You want published, all-in pricing with no membership or consult fee
- You want an oral tirzepatide option as well as injectables
- You are interested in a lower-dose microdosing approach
- You want realistic guidance on using HSA or FSA funds
- You want provider messaging included rather than billed
- You already buy from the Fitish beauty range
- Tirzepatide at $339 a month is well above the category median
- The compounding pharmacy is not named
- Microdosing offered below the standard BMI threshold warrants careful thought
- No published lab requirements before starting
- No coaching or nutrition programming
- Prescription and retail cosmetics share one storefront, which can blur the two
Alternatives to Consider
PlexusDx
Also runs a dedicated microdose GLP-1 programme, at $129 a month.
Shed
Offers microdose GLP-1 alongside brand-name and oral options, from $159 a month.
Cora Health
Cheaper flat pricing with both compounding pharmacies named.
Noom Med
The best-known name in GLP-1 microdosing, with coaching attached.
You can also compare the whole field in our GLP-1 provider comparison and best online GLP-1 providers roundups.
Frequently Asked Questions
How much does Fitish RX cost?
Compounded semaglutide with B6 is $219 for a monthly supply, compounded tirzepatide is $339, oral tirzepatide tablets are $339 for four weeks and the GLP-1 microdosing programme is $179 for a 28-day supply. Each price includes the consult, medication if approved, and shipping.
What is the difference between the two Fitish GLP-1 lanes?
Full-dose compounded semaglutide at $219 is for patients meeting standard clinical eligibility criteria and titrates upward. Microdose semaglutide at $179 is a lower fixed dose that does not titrate, offered as a gentler option including to patients below the full-dose BMI threshold.
Can I use an HSA or FSA card at Fitish?
Sometimes. Fitish states card networks treat compounded telehealth prescriptions inconsistently, so a card can be declined even when your plan would allow the expense. It recommends checking with your administrator, paying with another card and claiming reimbursement, with a Letter of Medical Necessity available from your provider.
Does Fitish offer an oral GLP-1?
Yes. Fitish RX sells oral tirzepatide tablets at $339 for a four-week supply as a needle-free option alongside its injectables.
Which pharmacy compounds Fitish medication?
Fitish states medication is prepared by a state-licensed sterile compounding pharmacy but does not name the facility.
Is Fitish medication FDA-approved?
No. Fitish states clearly that compounded medications are not FDA-approved and do not undergo FDA review for safety, effectiveness or manufacturing quality, and notes that FDA-approved semaglutide products are commercially available.
Does Fitish accept insurance?
No. Fitish RX is direct-pay telehealth with all-in published pricing.
Medical Disclaimer
This review is for general information only and is not medical advice, a diagnosis, or a treatment recommendation. GLP-1 medications are prescription drugs with real risks and contraindications. Only a licensed clinician who knows your history can decide whether any medication is appropriate for you. Never start, stop, or change a prescription based on this page. If you have a medical emergency, call 911.
Details on this page describe what Fitish RX published at the time of review. Programs, pricing, pharmacy partners, and policies change; verify everything directly with the provider before enrolling. See our full medical disclaimer.
Date reviewed: August 30, 2026