Alternatives to Fitish

A weight-focused program that also offers an oral/sublingual route for the needle-averse.

Sema

$199/mo

Tirz

$303/mo

Coverage

All 50 states

Nationwide access to both molecules in injectable and oral form, from a program that names its doctors and all four of its pharmacies.

Sema

$253/mo

Tirz

$405/mo

Coverage

All 50 states

The best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.

Sema

$99/mo at every dose

Tirz

$149/mo at every dose

Coverage

All 50 states

Both molecules plus an oral semaglutide tablet, priced in the open before any intake quiz — as long as you know that every price on display is the twelve-month prepay rate.

Sema

$253/mo

Tirz

$354/mo

Coverage

44 states — no list published on the site

Four distinct products — injectable and oral, both molecules — priced flat at every dose and printed openly, with a real phone number attached.

Sema

$242/mo

Tirz

$405/mo

Coverage

Not disclosed

A polished, high-disclosure compounded program with strong nationwide coverage and hands-on support.

Sema

$198/mo

Tirz

$298/mo

Coverage

All 50 states

HealthSource is a telehealth weight-management platform offering compounded semaglutide and tirzepatide (injectable and oral sublingual) dispensed through a US-based FDA 503A licensed partner pharmacy.

Sema

$199/mo (all doses, compounded)

Tirz

$299/mo (all doses, compounded)

Coverage

All 50 states

The only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry in this ranking.

Sema

$131/mo

Tirz

$151/mo

Coverage

49 states — list not disclosed