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FitRx vs Heva Health

Heva Health costs $2 less a month, and both sell semaglutide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
FitRx logo

FitRx

7.6
★★★★☆3.8/5

Best for: coverage in all 50 states, which most sellers will not confirm

Visit FitRx →
VS
Heva Health logo

Heva Health

7.2
★★★★☆3.6/5

Best for: bloodwork inside the $149/month rather than billed on top

Visit Heva Health →

If you are choosing between FitRx and Heva Health, the first difference is cost: Heva Health is $2 a month cheaper at the entry price. Both prescribe semaglutide, so moving from one to the other would not change your drug. FitRx leads our six-part score, 7.6 to 7.2. One of the two has an FDA warning letter on record, covered below.

FitRx vs Heva Health price

Heva Health is the cheaper way in: $149 a month against $151 a month on a prepaid plan at FitRx. That is $2 less each month (1% lower), or about $24 over a year of treatment.

FitRx's figure is a monthly average of a plan billed for several months at once, so the first charge is larger than the number shown.

Drug by drug: Semaglutide is cheaper at Heva Health ($149 a month vs $151 a month on a prepaid plan).

Medications and formats

Both sell semaglutide.

On format they match: each offers compounded injections.

Where each one treats patients

FitRx lists 51 states, and Heva Health does not publish where it ships.

Pricing

FitRx

Brand GLP-1 with insuranceBrand-name
$25/mo
semaglutide

With insurance coordination

Compounded Semaglutide (quarterly)Compounded
$151/mo
semaglutide

Heva Health

Compounded GLP-1 (entry weight-loss tier)Compounded
$149/mo
semaglutide

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

Heva Health's price also covers lab work, which FitRx does not claim.

FitRx is silent on lab work and coaching.

Heva Health is silent on coaching.

FitRx

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

Heva Health

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

In the price

Coaching

Not stated

Where each one scores higher

Overall, FitRx scores 7.6 and Heva Health 7.2 out of 10.

FitRx is stronger on effectiveness (9.0 vs 8.5), user experience (8.0 vs 7.5) and accessibility (10.0 vs 5.0).

Heva Health is stronger on trust & safety (6.5 vs 5.5) and support (8.5 vs 7.0).

Value is within half a point.

How we score

FitRx

7.6/10

Overall

Heva Health

7.2/10

Value25%

6.4A
vs
B
6.5

Effectiveness25%

9.0A
vs
B
8.5

User Experience15%

8.0A
vs
B
7.5

Trust & Safety15%

5.5A
vs
B
6.5

Accessibility10%

10.0A
vs
B
5.0

Support10%

7.0A
vs
B
8.5

FDA warning letters

The FDA sent FitRx a warning letter dated February 20, 2026 (letter 717987), and it is still open.

Heva Health has no FDA warning letter on record with us.

Features & Coverage

FeatureFitRxHeva Health
Starting Price$151/mo prepaid✓$149/mo
Features✓8 features7 features
States Available51Not disclosed
Compounded✓ Yes✓ Yes
Brand Name✓ Yes—
FSA/HSA Accepted——
FDA Warning Letters1 letter✓None

About FitRx

Insurance coordination at FitRx can bring brand-name GLP-1s down to $25/month, and four are on offer: Mounjaro, Zepbound, Wegovy, and Ozempic. Skip insurance and compounded semaglutide starts at $151/month. DC and all 50 states are covered, and the platform holds LegitScript certification.

Read our full FitRx review →

About Heva Health

Heva Health starts weight loss pricing at $149/month. It is LegitScript-certified and sells compounded GLP-1s alongside a 91-biomarker comprehensive lab panel, hormone optimization (HRT/TRT) and concierge care. By its own account it operates across all 50 US states, with licensed-provider review handled asynchronously.

Read our full Heva Health review →

Pros & Cons

FitRx

What we like

  • Semaglutide costs $151 a month, 18% below the $184 median for compounded semaglutide 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
  • Serves all 50 states

Watch-outs

  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • The FDA has issued FitRx a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality

Heva Health

What we like

  • Semaglutide costs $149 a month, 19% below the $184 median for compounded semaglutide 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, shipping and lab work
  • We found no FDA warning letters issued to Heva Health
  • Baseline bloodwork is required before a prescription

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 is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: FitRx

FitRx wins this one, 7.6 to 7.2, above all for coverage in all 50 states, which most sellers will not confirm. Heva Health undercuts it by $2 a month, so if the monthly bill is what decides it, Heva Health is the pick. Heva Health fits better if bloodwork inside the $149/month rather than billed on top is your priority.

Choose FitRx if…

You want coverage in all 50 states, which most sellers will not confirm and an opening price near $151 a month.

Choose Heva Health if…

You want bloodwork inside the $149/month rather than billed on top and an opening price near $149 a month.

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FitRx vs Heva Health: FAQ

Heva Health. It starts at $149 a month; FitRx starts at $151 a month on a prepaid plan, $2 more per month.
Yes, both sell semaglutide.
FitRx lists 51 states; Heva Health does not publish where it ships. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping. Only Heva Health includes lab work.
FitRx has an open FDA warning letter from February 20, 2026. Heva Health has none.
No. Neither FitRx nor Heva Health pays us anything.

Or see the full category ranking.