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Head-to-head dispatch

Fitish vs Effecty

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Dispatch #12Editorial
Fitish

Oral-capable, LegitScript-verified, and nationwide — trust signals are strong, but pricing sits mid-to-high.

vs
Dispatch #7EditorialDesk pick
Effecty

Below-market pricing with brand access across all 50 states — a clean, no-frills value option.

Effecty takes this head-to-head with the higher Desk Score, 89/100 (B+) against 85/100 (B) for Fitish. Fitish still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

Fitish

85/100

B

Overall

Effecty

89/100

B+

Price transparency

78
88

State access

96
96

Molecule range

90
90

Onboarding speed

82
84

Support responsiveness

82
82

Licensing & trust

90
90

The spec sheet

FieldFitishEffecty
Semaglutide$219/mo$160/mo
Tirzepatide$339/mo$240/mo
CoverageAll 50 statesAll 50 states
Brand-nameCompounded onlyYes
Oral optionYesInjectable only
Best forPeople who prioritize a verified pharmacy and oral options over finding the lowest rate.Patients who want affordable brand-capable care nationwide without extra program layers.
Desk Score85/100B89/100B+

The verdict

Desk pick — Effecty

Effecty takes this head-to-head with the higher Desk Score, 89/100 (B+) against 85/100 (B) for Fitish. Fitish still holds its ground where its strengths line up with yours.

Choose Fitish if…

People who prioritize a verified pharmacy and oral options over finding the lowest rate.

$219/mo sema · $339/mo tirz · All 50 states

Choose Effecty if…

Patients who want affordable brand-capable care nationwide without extra program layers.

$160/mo sema · $240/mo tirz · All 50 states

Neither provider here is a commercial partner. Read full breakdowns: Fitish · Effecty.

Also on the board

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

Or see the full comparison hub and the complete board.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.