VialsRx
“We partner with trusted, US-based compounding pharmacies — VialsRx and Greenwich RX — that operate in full compliance with FDA guidelines and USP <797> sterile compounding standards.”
FitFlow Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 8.3/10
Best for: a flat dose-independent GLP-1 price with a published 50-state list
8.3
★★★★☆8.3/10
FitFlow scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $175 a month; its compounded tirzepatide, at $235, is 13% below the $269 median among the sellers we compare.
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$175/mo
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
See plans →See plans at FitFlow →
Compare top-rated alternatives ↓Prices checked October 2026
FitFlow sells compounded semaglutide and tirzepatide online, and charges the same at every dose. Month to month, semaglutide costs $175 and tirzepatide $235, with the provider visit and shipping included. The advertised $99 and $134 are annual plans paid up front ($1,188 and $1,608). VialsRx and GreenwichRx fill the prescriptions.
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
GLP-1 from $175/moPrice shown up frontIncludes medication + consultAll 50 statesPharmacy namedNo FDA warning letters found
Is FitFlow legit?
Yes. FitFlow is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 8.3/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there a FitFlow promo or coupon code?
We know of no promo or coupon code for FitFlow. Its listed price is $175 a month. Coupon sites advertising "FitFlow discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how FitFlow compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to FitFlow
9.1/ 10
Verified partnerCollective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
★★★★★9.1/10
Editorial score · methodology
$59/mo+ membership
CompoundedSemaglutideTirzepatide
Get StartedRead full Collective review →9.3/ 10
Verified partnerEmbody
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
★★★★★9.3/10
Editorial score · methodology
$79/mo
CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full Embody review →7.9/ 10
Verified partnerLuvo Health
Best for: moving between compounded and brand without changing seller
★★★★☆7.9/10
Editorial score · methodology
$179/mo
CompoundedSemaglutideTirzepatideGonadorelinNAD+LegitScript Verified
Get StartedRead full Luvo Health review →FitFlow at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $175/mo
- What's included
- Medication · Consult · Shipping
- Availability
- All 50 states
- FDA status
- No FDA warning letters found
How FitFlow scores
Six columns, each one computed from something FitFlow has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
6.0/10$235/month is 13% below the $269 median for compounded tirzepatide across the sellers we compare.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
9.0/10It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.
Accessibility10%
10.0/10Serves all 50 states.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
6weighted dimensions
734sellers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on FitFlow
Last checked October 2026- Checked the listed price across 2 dose or plan tiers
- Checked state coverage: all 50
- Checked what the monthly price covers, and what it leaves out
- Recorded which pharmacies the seller names as filling its prescriptions, with the page and date
- Checked FDA warning letters for FitFlow
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with FitFlow involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1FitFlow shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2FitFlow names 2 pharmacies that fill its prescriptions, including VialsRx, which most sellers do not do.
- 3The monthly price includes the medication, clinician visits and shipping.
Price shown before you start
- Lowest ongoing monthly price: semaglutide $175, tirzepatide $235. That leaves out membership fees, first-month rates and insurance copays.
- FitFlow serves all 50 states.
- The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Contacting FitFlow
- Phone
- +1 201-639-4659
- FitFlow offers email support
Cancelling FitFlow
Taken from the terms FitFlow publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None month to month; longer plans are prepaid for their full term
- Refund policy
- Refund only before the prescription reaches the pharmacy, or if a provider finds you ineligible; no prorated refunds
- Early-termination fee
- None
Medications FitFlow lists
FitFlow lists compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Pricing
Prices re-verified
Monthly plan, billed monthlyCompounded
$175/mo
semaglutide
Same price at every dose. Prepaid plans: $435 every 3 months ($145/mo), $720 every 6 months ($120/mo), $1,188 a year ($99/mo).
Monthly plan, billed monthlyCompounded
$235/mo
tirzepatide
Same price at every dose. Prepaid plans: $597 every 3 months ($199/mo), $1,050 every 6 months ($175/mo), $1,608 a year ($134/mo).
Check the price yourself before you pay
Every figure here comes from FitFlow's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
FitFlow compounding-pharmacy partners
FitFlow names each pharmacy below as one that compounds or fills its prescriptions, in its own site, terms or filings. The quote under each one is the seller’s own wording.
GreenwichRx
“We partner with trusted, US-based compounding pharmacies — VialsRx and Greenwich RX — that operate in full compliance with FDA guidelines and USP <797> sterile compounding standards.”
In its favor
- Semaglutide costs $175 a month, 12% below the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $235 a month, 13% below the $269 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
- Serves all 50 states
- Names 2 pharmacies that fill its prescriptions, which most sellers do not
- We found no FDA warning letters issued to FitFlow
Against it
- 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
What FitFlow charges
FitFlow lists $175/month.
- Compounded semaglutide: $175/month
- Compounded tirzepatide: $235/month
For compounded tirzepatide, the median across the sellers we compare is $269/month, so FitFlow's $235 is genuinely below the middle, not just advertised that way. Before you pay, compare FitFlow's cancellation terms with other sellers' cancellation and refund policies. Across the compounded market the dearest tenth of sellers charges about three times what the cheapest tenth does; how much GLP-1 prices actually vary explains the spread.
DudeMeds, at about $175/month, is the closest like-for-like alternative we review.
What FitFlow dispenses
FitFlow prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two molecules with the largest published weight-loss trial programs behind them. What arrives is compounded at a licensed pharmacy, not an approved pen. That is the reason it costs less, and the reason the finished preparation carries no FDA review behind it. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder.
Safety and disclosure
FitFlow tells you its price before you start the medical questionnaire, that it treats patients in all 50 states, and the pharmacy that fills its prescriptions. It also offers clinician messaging between visits. We found no FDA warning letters issued to FitFlow. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. The FDA's warning signs for online medicine sellers are a quick check to run on any seller before you pay. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether FitFlow bills your plan before you start.
It fits if
- the lowest standing monthly cost is what you are solving for
- you need access wherever you live
- reaching a clinician between visits matters to you
Our read
FitFlow competes on price without an obvious sacrifice elsewhere: $235/month for compounded tirzepatide, no FDA warning letters, and wide state coverage.
The Bottom Line
FitFlow scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on follow-up care. It charges from $175 a month; its compounded tirzepatide, at $235, is 13% below the $269 median among the sellers we compare.
Score: 8.3/10Best for: a flat dose-independent GLP-1 price with a published 50-state listFrom: $175/mo
Before you pay FitFlow
Starting at $175 a month. Check today's price, then start the intake.
Where FitFlow is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider WellMedRx.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo + membership).
- If you want a human checking in, not just a prescription, consider Eden.
If none of these fits, our guide to alternatives to FitFlow sets more sellers in the same category beside FitFlow on price, states and what the price includes.
Frequently Asked Questions
FitFlow sells compounded semaglutide and tirzepatide online, and charges the same at every dose. Month to month, semaglutide costs $175 and tirzepatide $235, with the provider visit and shipping included. The advertised $99 and $134 are annual plans paid up front ($1,188 and $1,608). VialsRx and GreenwichRx fill the prescriptions. We rate it 8.3/10 overall.
FitFlow starts at $175 a month. The pricing table above lists every tier.
FitFlow says it treats patients in all 50 states.
FitFlow lists compounded semaglutide and compounded tirzepatide.
FitFlow lists compounded GLP-1s only. A licensed compounding pharmacy prepares them: same active ingredient as the brand drug, lower cash price, and no FDA approval of the finished product. That last part is the one readers underestimate, and the review above says why.
Check whether FitFlow bills your insurance before you sign up. It also takes FSA and HSA cards. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
FitFlow says the price covers medication, the clinician visit and shipping. The strip near the top of this review shows what is included and what is not.
You fill in an online intake, a licensed clinician decides whether a GLP-1 is appropriate, and if the answer is yes the medication ships to you. FitFlow runs that whole sequence on its own site.
We found no FDA warning letters issued to FitFlow. Before you buy, weigh these: 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. None of them rules FitFlow out, but each is worth settling before you pay.
Other sellers we cover include DudeMeds, Gala, and Luvo Health. Which one fits depends on the medication, the monthly price you can sustain and whether it ships to your state, so compare those three facts before you switch.
How to check FitFlow yourself
- How to Verify an Online GLP-1 Pharmacy: Six Public Checks
- Is Ozempic Available Over the Counter? No GLP-1 Is, and What Is Sold Instead
- FDA Warning Letters to Peptide Sellers: What FDA Has Cited, 2023 to 2026
Every seller that ships to your state, side by side: California, Florida, Iowa, Kansas, Louisiana, Montana, Virginia, Wisconsin and every other state.
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this FitFlow review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See FitFlow's current pricing
Plans start at $175 a month. Whether you qualify is a clinician's decision, made after your intake.
Not sold on FitFlow?
Vetted alternatives