FitFlow vs Genesis Health
FitFlow and Genesis Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Genesis Health
Best for: coaching bundled into the price rather than sold separately
Visit Genesis Health →If you are choosing between FitFlow and Genesis Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. FitFlow leads our six-part score, 7.2 to 5.2. One of the two has an FDA warning letter on record, covered below.
FitFlow vs Genesis Health price
FitFlow and Genesis Health start at the same figure, $175 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $175 a month; tirzepatide costs the same at both, $235 a month.
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Neither FitFlow nor Genesis Health publishes the states it serves, so enter your state at the very start of each sign-up.
Pricing
FitFlow
Month-to-month; drops to $145/mo (quarterly), $120/mo (6-month), or $99/mo on annual prepay. Same active ingredient as Wegovy.
Month-to-month; drops to $199/mo (quarterly), $175/mo (6-month), or $125/mo on annual prepay. Same active ingredient as Mounjaro.
Genesis Health
Compounded semaglutide injection. Monthly: $175/mo. Quarterly: $145/mo ($435 billed every 3 months). Bi-Annual: $120/mo ($720 every 6 months). Annual: $99/mo ($1,188/yr). Includes physician consult, medication, and free shipping.
Compounded tirzepatide injection. Monthly: $235/mo. Quarterly: $199/mo ($597 billed every 3 months). Bi-Annual: $175/mo ($1,050 every 6 months). Annual: $125/mo ($1,500/yr). Includes physician consult, medication, and free shipping.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Genesis Health's price also covers coaching, which FitFlow does not claim.
FitFlow is silent on lab work and coaching.
Genesis Health is silent on lab work.
FitFlow
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Genesis Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
In the price
Where each one scores higher
Overall, FitFlow scores 7.2 and Genesis Health 5.2 out of 10.
FitFlow is stronger on value (5.4 vs 3.0), user experience (8.0 vs 3.0) and trust & safety (6.5 vs 1.0).
Genesis Health is stronger on support (8.5 vs 7.0).
Effectiveness and accessibility are within half a point.
FitFlow
7.2/10
Genesis Health
5.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Genesis Health a warning letter dated February 20, 2026 (letter 721451), and it is still open.
FitFlow has no FDA warning letter on record with us.
Features & Coverage
| Feature | FitFlow | Genesis Health |
|---|---|---|
| Starting Price | $175/mo | $175/mo |
| Features | 8 features | 8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | ✓ Yes | ✓ Yes |
| FDA Warning Letters | ✓None | 1 letter |
About FitFlow
Month to month costs $175/mo for semaglutide and $235/mo for tirzepatide; prepay a year and those fall as low as $99 and $125/mo. FitFlow Health writes the two GLP-1s as 'semaglutide (=Wegovy)' and 'tirzepatide (=Mounjaro)', an equivalence it asserts itself. The platform is 100% online: a 4-step process reaches a board-certified provider, then US-licensed compounding pharmacies fill the order. Nationwide delivery, messaging and dose adjustments are included, FSA/HSA works, financing exists. Compounded drugs hold no FDA approval. No pharmacy, no state list, no LegitScript seal.
Read our full FitFlow review →About Genesis Health
Take the annual route and semaglutide falls to $99/mo with tirzepatide at $125/mo; paying monthly instead means $175/mo and $235/mo. Compounded injections of both sit beside Zepbound, Ozempic and Wegovy under brand names. Shipping is expedited at no cost, and access to an active community, health coaching, dosing set for the individual and a physician consultation costing nothing come with every plan. US compounding pharmacies that have been audited supply the drug. LegitScript certifies the platform, and FSA/HSA funds apply.
Read our full Genesis Health review →Pros & Cons
FitFlow
What we like
- Semaglutide costs $175 a month, close to the $184 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $235 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to FitFlow
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Genesis Health
What we like
- The monthly price includes the medication, clinician visits, shipping and coaching
Watch-outs
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued Genesis Health a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
FitFlow wins this one, 7.2 to 5.2, above all for compounded semaglutide at $175/month. Genesis Health fits better if coaching bundled into the price rather than sold separately is your priority.
Choose FitFlow if…
You want compounded semaglutide at $175/month and an opening price near $175 a month.
Choose Genesis Health if…
You want coaching bundled into the price rather than sold separately and an opening price near $175 a month.
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Oral orforglipron alongside the injectables
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Flat any-dose pricing, if you can absorb a $199 annual membership on top
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Get started →FitFlow vs Genesis Health: FAQ
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