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Provider review

Fitish RX cost: $339/mo tirzepatide

A flat price across all three compounds — but a real FDA letter is on record.

Fitish RX prices compounded semaglutide, compounded tirzepatide and sermorelin each at a single flat "Regular price" — no promo, no standing-rate gap to decode. The catch is elsewhere: an FDA warning letter (FITISH, MARCS-CMS 728280, June 8, 2026) over website claims implying Fitish compounds the drug itself.

Verified August 2026

Reviewed by Marcus Webb

Transparency scorecard

3 of 4 disclosed openly

What Fitish RX discloses about itself, read from its own pages — not estimated.

Pharmacy named & regulated

Not disclosed

Does not name a pharmacy or state a regulatory category anywhere on its own site.

State coverage published

Disclosed

Publishes which states it actually serves.

A real price is published

Disclosed

A real dollar figure is published on its own site, not estimated.

No hidden commitment trap

Disclosed

The advertised price is the ongoing price — no prepay or auto-refill required to unlock it.

This review's stake, stated plainlysome of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.

At a glance

Visit Fitish RX

Pharmacy

Not categorized

Labs

Not stated.

States

Published state list

On this page

What it actually costs

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Not disclosed

See plans at Fitish RX

Prices read from Fitish RX's own site · August 2026

What they advertise

Fitish RX's own product pages state "Regular price $219" (compounded semaglutide), "Regular price $339" (compounded tirzepatide), and "Regular price $149" (sermorelin).

What you actually pay

The "Regular price" IS the standing, all-in monthly price — "including your provider consult, the medication if approved, and shipping. No separate consult or membership fees," per its own FAQ. No prepay-vs-standing gap was found.

The bottom line

Fitish RX (fitish.com, legal entity Fitish, LLC) sells compounded tirzepatide, compounded semaglutide and sermorelin — all three from one company.

Fitish RX appears on our sermorelin provider ranking, our tirzepatide provider ranking, our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.

Who it is for, and who it is not

A good fit if

  • You want a genuinely flat, all-in price with no prepay tier to decode — "Regular price" IS the standing price on every product page.
  • Tirzepatide, semaglutide and sermorelin from one company are worth something to you.
  • You're comfortable weighing a real, recent FDA warning letter about labeling claims, not a pharmacy-quality finding.

Look elsewhere if

  • You want zero FDA regulatory history — this letter is recent (June 2026) and there is no close-out letter yet.
  • A named 503A/503B pharmacy matters to you — only a generic "state licensed sterile compounding pharmacy" claim is made.
  • You need a refund policy for medication in writing — Fitish's only Return & Exchange Policy covers unused merchandise, never prescriptions.

What Fitish RX offers

Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.

Who fills your prescription

No category stated

Fitish RX does not name the pharmacy that fills your prescription.

What its own site says

Unknown. Its own product pages state only "a state licensed sterile compounding pharmacy" — no 503A/503B category and no specific pharmacy named anywhere.

What's the difference between 503A and 503B?

A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.

Where you can get it

Published state list

A real, specific NO-SHIP state list is published on its sermorelin page: AK, AR, CA, IN, MI, MN, SC. Not confirmed for the GLP-1 products.

The honest cons

The part they would rather you skipped

FDA wrote to Fitish on June 8, 2026 (FITISH, MARCS-CMS 728280) about the labels on its own website: "the compounded semaglutide and tirzepatide products displayed on your website identify 'FITISH' on the pictured label, suggesting FITISH is the compounder of those drugs when in fact it is not." That is the same mislabeling several peers here carry. Fitish also drew a second citation, for the claim "Tirzepatide is the active ingredient in Mounjaro® and Zepbound®," which FDA found misleading. No close-out letter exists. Separately, Fitish publishes no refund or cancellation policy for medication at all — its only "Return & Exchange Policy" covers unused merchandise from its skincare line, and says nothing about prescriptions.

  • A June 2026 FDA warning letter is on record and not closed out.
  • No 503A/503B category and no pharmacy name appears anywhere on the site.
  • No refund or cancellation policy for medication exists — only one covering skincare merchandise.

None of this is unique to Fitish RX — the whole category shares it.

How it compares

Read this before you buy

A provider comparison is half the decision. The other half is whether the compound does anything for you at all — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.

Ready to get started?

Prices and plans in this category change often — check Fitish RX's current pricing before you decide. Ours was read from their own site in August 2026.

See Fitish RX pricing

Facts on this page reflect Fitish RX's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on Fitish RX's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.

Fitish RX

3 compounds from $149/mo

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