Fitish vs MadeMed
Fitish and MadeMed both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Fitish
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Fitish →
If you are choosing between Fitish and MadeMed, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Fitish leads our six-part score, 7.2 to 6.5. One of the two has an FDA warning letter on record, covered below.
Fitish vs MadeMed price
Fitish and MadeMed start at the same figure, $219 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, $219 a month; tirzepatide is cheaper at MadeMed ($299 a month on a prepaid plan vs $339 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, Fitish prices compounded injections, while MadeMed prices compounded injections and an oral option.
Where each one treats patients
Fitish lists 50 states, and MadeMed does not publish where it ships.
Pricing
Fitish
MadeMed
Quarterly plan $239/mo (billed $717/3mo); 6-month plan drops to $199/mo (the site's 'From $199/mo'). Includes L-Carnitine; 2-month supplies.
Quarterly $399/mo (billed $1,197/3mo); 6-month $369/mo.
Quarterly $219/mo (billed $657/3mo); 6-month $179/mo. Includes B6.
Quarterly $299/mo (billed $897/3mo); 6-month $279/mo.
What each price covers
Fitish's price also covers the clinician visit, the medication itself and shipping, which MadeMed does not claim.
Fitish is silent on lab work and coaching.
MadeMed does not say what its price includes.
That matters most for the drug: unless MadeMed confirms otherwise, budget for medication on top of its listed price.
Fitish
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
MadeMed
Inclusions not disclosed.
Where each one scores higher
Overall, Fitish scores 7.2 and MadeMed 6.5 out of 10.
Fitish is stronger on value (3.8 vs 3.2), accessibility (10.0 vs 5.0) and support (7.0 vs 5.0).
MadeMed is stronger on trust & safety (6.5 vs 5.5).
Effectiveness and user experience are within half a point.
Fitish
7.2/10
MadeMed
6.5/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Fitish a warning letter dated June 8, 2026 (letter 728280), and it is still open.
MadeMed has no FDA warning letter on record with us.
Features & Coverage
| Feature | Fitish | MadeMed |
|---|---|---|
| Starting Price | $219/mo | $219/mo prepaid |
| Features | 6 features | 6 features |
| States Available | 50 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | ✓None |
About Fitish
Fitish sells compounded semaglutide at $219 per 28 days and compounded tirzepatide at $339 per 28 days, consultation and shipping included. LegitScript certified, ships to all US states. It also offers GLP-1 microdosing.
Read our full Fitish review →About MadeMed
Nothing is priced in public at MadeMed; the number waits inside the product pages or the checkout. Its catalog runs to four distinct products, compounded semaglutide and compounded tirzepatide, each offered as an injection or by mouth, so patients who dislike needles get more choice here than most rivals allow. A LegitScript certification badge is displayed, and unlike chat-only competitors it publishes a phone line for support.
Read our full MadeMed review →Pros & Cons
Fitish
What we like
- 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
- Serves all 50 states
Watch-outs
- Semaglutide costs $219 a month, 18% above the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $339 a month, 36% above the $250 median for compounded tirzepatide across the sellers we compare
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued Fitish 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
MadeMed
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- We found no FDA warning letters issued to MadeMed
Watch-outs
- Semaglutide costs $239 a month, 29% above the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $399 a month, 60% above the $250 median for compounded tirzepatide across the sellers we compare
- 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
Our Verdict
Fitish wins this one, 7.2 to 6.5, above all for coverage in all 50 states, which most sellers will not confirm. MadeMed fits better if compounded semaglutide at $239/month is your priority.
Choose Fitish if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $219 a month.
Choose MadeMed if…
You want compounded semaglutide at $239/month and an opening price near $219 a month.
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Get started →Fitish vs MadeMed: FAQ
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