B−82/100
Desk Score
Dispatch #39
LillyDirect Foundayo
Eli Lilly's manufacturer direct-pay channel for Foundayo (orforglipron), the first oral GLP-1 pill for weight loss.
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- Semaglutide
- Not disclosed
- Tirzepatide
- Not disclosed
- Coverage
- All 50 states
- Brand-name
- Yes
Line LillyDirect Foundayo up against its closest alternatives. Or go one-on-one: LillyDirect Foundayo vs CoreAge Rx.
Desk Score breakdown
Each of the six scored dimensions. See the methodology.
Price transparency86/100
State access86/100
Molecule range69/100
Onboarding speed86/100
Support responsiveness71/100
Licensing & trust97/100
What the Desk likes
- Cheapest legal path to a brand-name GLP-1 in 2026 ($25/mo with savings card for commercial insurance)
- Direct from manufacturer — no compounding, no third-party reseller
- Daily oral pill, no injections, no refrigeration
- Available in all 50 states
Where points come off
- Lower mean weight loss vs Wegovy (14.9%) and Zepbound (20.9%) — labeled-dose 11.1% per Foundayo PI
- Requires existing prescription from a separate prescriber (LillyDirect does not write the prescription)
- $25 savings card requires commercial insurance — Medicare and Medicaid not eligible
- Strict empty-stomach 30-minute window may be hard for some patients to follow
The Desk's briefing — B−
Best for: Patients with commercial insurance who want the cheapest legal brand-name GLP-1.
LillyDirect Foundayo ranks #39 of 498 providers scored — see #1, CoreAge Rx on the board.
Related dispatches
- #28Gala Health82/100 · B−
- #29Direct Meds82/100 · B−
- #30HealthSource84/100 · B
- #31Found81/100 · B−
- #32Oak81/100 · B−
- #33Bionomy Health83/100 · B
Everyone else on the board (24)
- #40 Zera Health82
- #41 Breeze Meds79
- #42 Ro81
- #43 Cora Health81
- #44 Gimme Care81
- #45 NewSelf81
- #46 Tryozi81
- #47 Welling Health81
- #48 Primary Clinic (Direct GLP)80
- #49 Peak Wellness80
- #50 Amazon One Medical80
- #51 Apex MD80
- #52 Belle Health80
- #53 Bon Health80
- #54 GOAL.MD80
- #55 Independent Wellness80
- #56 Precision Telemed80
- #57 RestorLife Med80
- #58 Rivo Health80
- #59 Mochi Health79
- #60 Alan Meds79
- #61 AskRx79
- #62 Fresh Day Meds79
- #63 Heally79
Pricing and verification reflect LillyDirect Foundayo's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on LillyDirect Foundayo's site. Not medical advice; see our disclosure.