If you're comparing TelosRX and Fitish for a compounded GLP-1 weight-loss program, the real differences come down to how much pricing is published up front, whether a video visit is required, and how much support is included after you're approved.
The Short Answer
TelosRX offers compounded tirzepatide (standard, oral, and microdosed) and compounded semaglutide through a fully asynchronous online intake — no mandatory video visit — with published pricing as low as $99/month for semaglutide and $116/month for microdosed tirzepatide. Fitish also runs a GLP-1 program (compounded semaglutide, compounded tirzepatide, oral tirzepatide, and a microdosing option) reviewed through an online questionnaire. The clearest difference we found is pricing transparency: TelosRX publishes complete tier-by-tier pricing on-site, while Fitish publishes pricing on some individual product pages (reportedly around $269/month for microdose tirzepatide and $339/month for full-dose tirzepatide) without the same breadth of publicly listed pricing or a comparably low entry price.
Start your intake →Quick comparison: TelosRX vs Fitish
| Feature | TelosRX | Fitish |
|---|---|---|
| Model | ✓ Fully asynchronous online telehealth — no mandatory video visit | Online questionnaire reviewed by a licensed provider; no video-visit requirement stated |
| GLP-1 medications | ✓ Compounded tirzepatide (standard, oral, microdosed) and compounded semaglutide | Compounded semaglutide, compounded tirzepatide, oral tirzepatide tablets, GLP-1 microdosing option |
| Starting price | ✓ As low as $99/month (semaglutide); $116/month (microdosed tirzepatide) | Reportedly ~$269/month (microdose tirzepatide); ~$339/month (full-dose tirzepatide) |
| Pricing transparency | ✓ Full pricing published on-site for every medication | Pricing shown on some individual product pages; not all plans/medications publicly listed |
| Provider review / care model | ✓ ~5-minute intake; licensed provider review often within hours | Online intake reviewed by a licensed provider; review timing not published |
| Support / coaching | ✓ Unlimited care-team messaging; quarterly labs included | General care referenced on-site; specific coaching cadence not published |
| Shipping | ✓ Free 48-hour shipping | Ships from a compounding pharmacy; site-wide orders $100+ ship free (2–5 business days per general shipping policy) |
| Cancel policy | ✓ Cancel anytime | Not publicly stated for GLP-1 subscription plans |
Compounded medications referenced in this article, including compounded tirzepatide and compounded semaglutide, are not FDA-approved. They are prepared by licensed compounding pharmacies under state and federal compounding regulations. This comparison covers each company's compounded GLP-1 programs — not the branded, patent-protected versions of these medications.
What is TelosRX?
TelosRX is an online-first telehealth company offering compounded tirzepatide, oral tirzepatide, microdosed tirzepatide, and compounded semaglutide for eligible adults pursuing medically supervised weight management. The entire process happens online: patients complete a roughly five-minute health questionnaire, and a licensed provider reviews it — often within hours — with no mandatory video visit required.
TelosRX is LegitScript-certified, a pharmacy-industry credentialing program that evaluates online pharmacy and telehealth operations against a defined set of standards. The service is cash-pay and FSA/HSA-eligible, ships approved prescriptions with free 48-hour delivery, and includes unlimited care-team messaging plus quarterly labs. There's no long-term contract — patients can cancel at any time. If you'd like to see whether you qualify, you can start your intake directly on the TelosRX site.
What is Fitish?
Fitish (fitish.com) is a telehealth and wellness brand that, alongside a broader lineup of supplements, NAD+, B12, and skincare products, offers a GLP-1 weight-loss program. According to Fitish's own site, this program includes compounded semaglutide, compounded tirzepatide, an oral tirzepatide tablet option, and a microdosing program, positioned as pairing GLP-1 medication with personalized telehealth care.
Fitish's stated process is questionnaire-based: patients complete an online intake, and medication is issued only after a licensed provider evaluates it and determines it's clinically appropriate, per the company's own description. We did not find a mandatory video-visit requirement referenced on Fitish's site, though the company hasn't published how quickly that provider review typically happens. Pricing for some tirzepatide options is listed on individual product pages, but we could not confirm published pricing for semaglutide or for alternative plan lengths at the time of writing — prospective patients would need to check fitish.com directly or go through checkout to see full, current costs.
Medications: what each program offers
Both companies work with the same underlying medication class — GLP-1 receptor agonists, which includes semaglutide and tirzepatide. General background on how these medications work and who they're intended for is available from the National Institute of Diabetes and Digestive and Kidney Diseases and the FDA. It's worth noting that FDA approval pathways like the one described in that release apply to the branded, patent-protected versions of these drugs — not to the compounded versions offered by either TelosRX or Fitish. Compounded medications are prepared by licensed pharmacies under separate compounding regulations, and individual results vary from person to person regardless of which company's program you use.
TelosRX offers compounded tirzepatide in standard, oral, and microdosed forms, plus compounded semaglutide. Fitish offers compounded semaglutide, compounded tirzepatide, an oral tirzepatide tablet, and its own microdosing option. The medication classes overlap closely between the two companies — the more meaningful differences are in pricing transparency, care model, and the support wrapped around the prescription.
Key takeaway: Both TelosRX and Fitish offer compounded tirzepatide and semaglutide GLP-1 programs. TelosRX publishes complete pricing on-site and requires no video visit, while Fitish publishes pricing selectively on individual product pages and reviews intakes through a questionnaire-based process it hasn't fully detailed publicly.
Pricing and transparency
TelosRX publishes its full pricing directly on its site:
- Compounded semaglutide: as low as $99/month
- Microdosed tirzepatide: as low as $116/month
- Oral tirzepatide: as low as $129/month
- Standard tirzepatide: as low as $139/month
Fitish publishes some pricing directly on its product pages: its microdose tirzepatide option is listed at roughly $269 per monthly supply, and its full-dose compounded tirzepatide option at roughly $339 per monthly supply, with the site noting the price includes the provider consultation, medication (if approved), and shipping, with no separate consult or membership fee. We could not confirm published pricing for Fitish's compounded semaglutide or oral tirzepatide tablet options, or for options comparable to the full TelosRX medication lineup, as of this writing. Prospective Fitish patients should confirm current pricing and plan lengths directly on fitish.com or during checkout.
How the process works
With TelosRX, the process starts with a short online health questionnaire, typically completed in about five minutes. A licensed provider reviews the intake, often within hours, and determines whether compounded tirzepatide or semaglutide is appropriate. If approved, the prescription ships free with 48-hour delivery. From there, patients can message their care team at any time and receive quarterly labs as part of ongoing monitoring, with the flexibility to cancel anytime since there's no long-term contract.
Fitish describes a similar starting point: patients fill out an online questionnaire, and a licensed provider evaluates it before any medication is issued. Fitish's site does not detail typical turnaround time for that review, whether ongoing coaching or messaging is included, or what the cancellation process looks like for its GLP-1 subscriptions — patients would need to check directly with Fitish for those specifics before enrolling.
Guarantees and ongoing support
TelosRX includes unlimited care-team messaging and quarterly labs as part of its programs, and patients can cancel at any time with no long-term lock-in. Pricing is fully published up front on-site, so patients know the cost before they start.
We did not find a published money-back guarantee, satisfaction guarantee, or detailed description of ongoing coaching cadence on Fitish's site. Fitish's stated pricing for its tirzepatide options appears to bundle the provider consultation and shipping into the monthly cost, which is a point of similarity with TelosRX's all-in approach — though comparable details for semaglutide pricing, cancellation terms, and support structure were not published on the pages we reviewed.
Safety and medical oversight
Compounded GLP-1 medications aren't appropriate for everyone. Regardless of which telehealth provider you use, medical intake questions typically screen for a personal or family history of medullary thyroid carcinoma or MEN 2 syndrome, a history of pancreatitis, and pregnancy or plans to become pregnant, among other factors — any of these can be reasons a licensed provider declines to prescribe. Gastrointestinal side effects such as nausea, diarrhea, or constipation are commonly reported with this medication class. Approval is never guaranteed with any provider, including TelosRX, and is always subject to independent clinical judgment by a licensed provider reviewing your individual health history.
Which service is right for you?
Recommended
TelosRX
Best if you want fully published pricing, a fast async intake with no video visit, licensed provider review often within hours, free 48-hour shipping, and the flexibility to cancel anytime.
Start your intake →Fitish
May be worth considering if you're interested in Fitish's broader wellness and skincare lineup alongside a GLP-1 option, and you're comfortable confirming full pricing, plan lengths, and cancellation terms directly with the company before enrolling.
Whichever program you're evaluating, take the time to confirm current pricing, medication options, and cancellation terms directly from the source before enrolling. If you're ready to see whether TelosRX's compounded tirzepatide or semaglutide programs are a fit for you, you can start your intake in about five minutes.
Frequently Asked Questions
Is TelosRX legitimate?
Yes. TelosRX is LegitScript-certified, works with licensed providers and licensed pharmacies, and publishes its full pricing, medication options, and policies directly on telosrx.com.
Are the medications FDA-approved?
No. The compounded tirzepatide and compounded semaglutide offered by TelosRX (and by Fitish) are not FDA-approved. They're prepared by licensed compounding pharmacies under state and federal compounding regulations, not the FDA's drug-approval process used for branded medications.
How much does TelosRX cost vs Fitish?
TelosRX publishes full pricing on its site: compounded semaglutide as low as $99/month, microdosed tirzepatide as low as $116/month, oral tirzepatide as low as $129/month, and standard tirzepatide as low as $139/month. Fitish lists some pricing on individual product pages — reportedly around $269/month for its microdose tirzepatide option and $339/month for its full-dose option — though we could not confirm published pricing for all of its medications and plan lengths. Check both companies' current sites for up-to-date pricing.
Is TelosRX fully online?
Yes. TelosRX's entire process, from intake to prescription to ongoing care-team messaging, happens online, with no mandatory video visit required.
Can I switch from Fitish to TelosRX?
Many patients switch telehealth weight-loss providers. If you're currently working with Fitish or another provider, you can complete TelosRX's online intake and a licensed provider will review your information to determine whether TelosRX's compounded tirzepatide or semaglutide programs are appropriate for you.
How fast is provider review?
With TelosRX, licensed provider review often happens within hours of completing the roughly five-minute intake questionnaire. Fitish's site does not publish a specific review-time estimate for its questionnaire-based process.
TelosRX is LegitScript-certified. Compounded tirzepatide and compounded semaglutide are not FDA-approved and are prepared under state and federal compounding regulations. Provider approval is subject to an individual clinical evaluation by a licensed provider and is never guaranteed. Individual results vary. TelosRX operates as an online-first, asynchronous telehealth service. Visit TelosRX to learn more, or begin your intake today.