FitRx vs Heva Health
Heva Health costs $2 less a month, and both sell semaglutide.
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FitRx
Best for: coverage in all 50 states, which most sellers will not confirm
Visit FitRx →Heva Health
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
With insurance coordination
Heva Health
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.
FitRx
7.6/10
Heva Health
7.2/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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
| Feature | FitRx | Heva Health |
|---|---|---|
| Starting Price | $151/mo prepaid | ✓$149/mo |
| Features | ✓8 features | 7 features |
| States Available | 51 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 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
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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