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Head-to-head comparison

Fitish vs Näky

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.

Ranked #22Desk pick
Fitish

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

$219/mo sema · $339/mo tirz

Marked down on: Higher pricing than the value leaders

FDAWarning letter issued to FITISH in June 2026. See the FDA warning-letter database.

vs
Ranked #447
Näky

Näky is a LegitScript-approved telehealth platform offering compounded semaglutide and tirzepatide alongside an uncommon oral semaglutide drops product and a separate GLP-1 microdose program.

Marked down on: Ongoing monthly pricing for compounded semaglutide and tirzepatide isn't shown until intake

Fitish takes this head-to-head with the higher Desk Score, 86/100 (B) against 51/100 (C) for Näky. Näky 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

86/100

B

Overall

Näky

51/100

C

Price transparency

78
20

State access

96
24

Molecule range

90
77

Onboarding speed

82
77

Support responsiveness

82
69

Licensing & trust

90
71

The spec sheet

FieldFitishNäky
Semaglutide$219/mo$219/moNot listed on Näky's site (checked July 2026)
Tirzepatide$339/mo$339/moNot listed on Näky's site (checked July 2026)
CoverageAll 50 statesNot listed on Näky's site (checked July 2026)
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forPeople who prioritize a verified pharmacy and oral options over finding the lowest rate.Compounded oral semaglutide drops plus a microdose program.
Desk Score86/100B51/100C

The verdict

Desk pick — Fitish

Fitish takes this head-to-head with the higher Desk Score, 86/100 (B) against 51/100 (C) for Näky. Näky 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

FDAWarning letter issued to FITISH in June 2026. See the FDA warning-letter database.

Choose Näky if…

Compounded oral semaglutide drops plus a microdose program.

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Fitish · Näky.

Also here

CoreAge Rx leads the whole ranking at 94/100

Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.

More head-to-heads

Or see the full comparison hub and the complete ranking.

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.