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Head-to-head dispatch

Fitish vs TelePeptide

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 #27Desk 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
Dispatch #183
TelePeptide

TelePeptide is a LegitScript-certified US direct-pay telehealth practice offering physician-supervised compounded GLP-1 therapy.

$199/mo (starting dose, annual plan, compounded oral) sema · $219/mo (starting dose, annual plan, compounded oral) tirz · Verified July 4, 2026

Marked down on: Compounded medications are not FDA-approved; no pharmacy partner named publicly

Fitish takes this head-to-head with the higher Desk Score, 85/100 (B) against 67/100 (C) for TelePeptide. TelePeptide 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

TelePeptide

67/100

C

Price transparency

78
68

State access

96
24

Molecule range

90
83

Onboarding speed

82
80

Support responsiveness

82
85

Licensing & trust

90
84

The spec sheet

FieldFitishTelePeptide
Semaglutide$219/mo$199/mo (starting dose, annual plan, compounded oral)
Tirzepatide$339/mo$219/mo (starting dose, annual plan, compounded oral)
CoverageAll 50 statesNot listed on TelePeptide's site (checked July 4, 2026)
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forPeople who prioritize a verified pharmacy and oral options over finding the lowest rate.All-in compounded GLP-1 (sema/tirz, injectable + oral) from $169/mo; LegitScript-certified, 48 states.
Desk Score85/100B67/100C

The verdict

Desk pick — Fitish

Fitish takes this head-to-head with the higher Desk Score, 85/100 (B) against 67/100 (C) for TelePeptide. TelePeptide 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 TelePeptide if…

All-in compounded GLP-1 (sema/tirz, injectable + oral) from $169/mo; LegitScript-certified, 48 states.

$199/mo (starting dose, annual plan, compounded oral) sema · $219/mo (starting dose, annual plan, compounded oral) tirz

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

Also here

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: one price at every dose, both molecules, all 50 states — but 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.