Provider review
Fitish RX review
A flat price across all three compounds — but a real FDA letter is on record.
Fitish RX's own product pages price compounded semaglutide, compounded tirzepatide, and sermorelin each at a single flat "Regular price," no promo-vs-standing gap. The real, unusual finding is a recent FDA warning letter — FITISH, MARCS-CMS 728280, June 8, 2026 — for website claims implying Fitish itself compounds the drug.
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 plainly — some 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.
On this page
What it actually costs
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, month to month
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.
Checked live on Fitish RX's own site at https://fitish.com/products/compounded-tirzepatide in August 2026. Prices change without notice — confirm before you buy. Every figure here was read off Fitish RX's own public pages on the date shown, not from a third-party comparison table.
The bottom line
Fitish RX (fitish.com, legal entity Fitish, LLC) is a real, live telehealth company selling compounded tirzepatide, compounded semaglutide, and sermorelin from one company, discovered this round via Chrome after a plain text fetch never reached its real product catalog.
Fitish RX appears on our sermorelin provider ranking, our tirzepatide provider ranking and our semaglutide provider 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.
- You want all three of this site's tracked compounds from one company.
- 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 no close-out letter was found yet.
- You want a named 503A/503B pharmacy — only a generic "state licensed sterile compounding pharmacy" claim is made.
- You need a medication-specific refund policy in writing — its only Return & Exchange Policy addresses unused merchandise, never prescriptions.
What is included
The cheapest headline number in this category is often the one with the least attached to it. Here is what Fitish RX bundles in, and what it does not.
Clinician consult
Included
— "a licensed provider reviews every intake before any prescription is issued," per its own site.
Bloodwork / labs
Not stated on the pages checked.
Follow-ups and dose changes
Not itemized beyond general "provider led" care language on the…
pages checked.
Human support
No dietitian, nurse, or structured coaching program is named…
anywhere on the pages checked.
Injection supplies
Not itemized beyond the medication itself on the pages checked.
Shipping
Not itemized beyond standard shipping on the pages checked.
Who fills it, and who's watching
The pharmacy
Unknown. Its own product pages state only "a state licensed sterile compounding pharmacy" — no 503A/503B category and no specific pharmacy named anywhere reached.
Oversight
Included — "a licensed provider reviews every intake before any prescription is issued," per its own site. Not itemized beyond general "provider led" care language on the pages checked.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while 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.
Where you can get it
A real, specific NO-SHIP state list is published on its sermorelin page: AK, AR, CA, IN, MI, MN, SC. Not independently re-confirmed for the GLP-1 products.
The honest cons
The part they would rather you skipped
A real, recent FDA warning letter is on record: FITISH, MARCS-CMS 728280, June 8, 2026 — "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," the same mislabeled-compounder template already carried by several peers on this roster, plus a cited claim ("Tirzepatide is the active ingredient in Mounjaro® and Zepbound®") the FDA found misleading. No close-out letter was found as of this review. Separately, no medication-specific refund or cancellation policy was found anywhere reached — its only "Return & Exchange Policy" addresses unused merchandise (its skincare line), never prescriptions.
- A real, recent (June 2026) FDA warning letter is on record, not yet closed out.
- No 503A/503B regulatory category or specific pharmacy name is disclosed anywhere on the site.
- No medication-specific refund or cancellation policy was found anywhere reached.
None of this is unique to Fitish RX — the whole category shares it.
How it compares
The providers we rank on our sermorelin provider ranking — the most specific board Fitish RX sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- TRTelos RxA specific, sourced state-exclusion list — next to an unconfirmed "compare" price.
- Strut HealthAn FDA warning letter over labeling, plus an auto-refill price on every product.
- MAMangoRxA flat, "price locked in" semaglutide product — its pharmacy is described, not named.
- SRSynergy RxSells no GLP-1 at all — and its own legal terms undercut its "all 50 states" marketing.
- EHEOS HealthNames five 503A pharmacies — but its own legal pages disagree on HIPAA.
- PLPlexusDxPriciest starting-price seller; the only one admitting it's not FDA-approved.
- PRPreventiveMDShows every price tier in one table — but its own headline is the cheapest one.
- ZHZera HealthNames its pharmacy directly — but issues no refund except medical disqualification.
46 more providers rank on our sermorelin provider ranking — see the full ranking. Every provider we review →
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.
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.