Compounded semaglutide

Fitish review

By ·Editor·Reviewed

The semaglutide Fitish RX prescribes comes compounded with vitamin B6, at $219 for each monthly supply. That covers the provider consult, the medication if you're approved, and shipping. Two things weigh against it: the FDA warned Fitish in June 2026, and completed sales are final.

A real month costs$219245 of 379 by price
EvidenceVerified
Billing cyclemonthly
Price across dosesSame at every dose
Where it ships50 states
FDA warning letterOne on filestill listed here
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On this page

Is it right for you?

Worth a look if

  • You'd like semaglutide with B6 in the same vial.
  • You want to pay nothing until a provider has said yes.
  • A small, fixed microdose appeals more than a full titration, since Fitish sells that as its own lower-priced lane.

Skip it if

  • You want room to change your mind after paying. Fitish RX doesn't refund completed sales.
  • You need insurance to pay for it.

What's included

Fitish lists this product as Semaglutide + B6, a weekly injection your provider titrates over time. A state-licensed sterile compounding pharmacy prepares it for you by prescription. Every monthly supply costs $219, and Fitish says there are no separate consult or membership fees.

Fitish is also a Texas beauty and wellness brand, and The Clinic is its telehealth arm. Questions and dose adjustments go through a patient portal. Shipments leave the pharmacy by FedEx or UPS Priority Overnight, with a tracking number emailed to you.

From sign-up to refills

  1. Fill in a short online intake about your health and goals. Some states also require a live consultation.
  2. Within 1 to 2 business days, a licensed provider approves or declines the prescription.
  3. Approval triggers the charge, and the prescription goes straight to a partner pharmacy.
  4. Processing takes 2 to 6 business days, not counting Friday, Saturday or Sunday. Refills ship on a monthly cadence.

What's good, what isn't

What's good

  • Each vial pairs compounded semaglutide with vitamin B6, a combination Fitish sells as Semaglutide + B6.
  • One flat $219 per monthly supply covers the consult, the medication and shipping, with no membership fee.
  • Fitish offers a separate, cheaper Microdose semaglutide lane that stays at one low dose.

What isn't

  • Fitish received an FDA warning letter in June 2026 over false and misleading telehealth claims.
  • Under the Fitish RX refund policy, every sale is final apart from errors Fitish itself makes.
  • Fitish says an HSA or FSA card may be declined at checkout for compounded prescriptions.

Read these terms first

The FDA letter
On June 8, 2026, the FDA sent Fitish a warning letter about false and misleading claims and misbranding in telehealth sales.
Asking for a refund
Refunds cover only mistakes on Fitish's side, such as the wrong prescription or a wrong address it caused. Contact The Clinic within 10 days of purchase.
B6 in the formula
The full-dose semaglutide Fitish lists always includes B6. If you need a formula without it, ask your provider whether one is available before approval.
FDA warning letter
FDA sent Fitish a warning letter in June 2026. Read what it covers.

Price

Fitish costs $219 a month for compounded semaglutide.

How we got $219

The arithmeticOne month = 30.4375 days

  1. Fitish advertises

    Read on Fitish's own site

    $219.00

  2. The card is charged $219.00 — exactly what it advertises

    + $0.00

  3. And it is charged once a calendar month

    + $0.00

A real month$219.00

Reconciles exactly — the advertised figure is a real month.

Where it sits, and what costs less

$54median $199$325+

244 cheaper · 64%130 dearer · 34%

The most expensive 10 sellers charge between $325 and $540 a month.

  1. Fidelity Medical Clinicstarting dose$54
  2. Collective$76
  3. NextMeds$79
  4. Lean Meds$79
  5. RxPepsDirectstarting dose$80
  6. Fitish$219

Another 239 sellers are cheaper than Fitish. The whole cheapest list →

Where it says it operates

Listed in 50 states, all but 1 of the 51 we track.

State pages this seller appears on: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

What else this seller sells

The same seller appears in our data for one other medication.

Each figure is a real month for that medication, and none of it is part of the compounded semaglutide price above. How the two molecules compare at every seller that sells both: compounded semaglutide vs compounded tirzepatide.

FDA has written to this seller

In , FDA sent warning letter 728280 to FITISH (Fort Worth, TX). The letter’s subject:

False & Misleading Claims/Misbranded (Telehealth)

Read the letter on fda.gov · The letter names fitish.com — the same site this page links to.

This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →

Common questions about Fitish

Is Fitish RX safe to buy semaglutide from?
Fitish RX uses a telehealth platform with board-certified providers, and a state-licensed sterile compounding pharmacy fills each prescription. The FDA issued Fitish a warning letter in June 2026 over its marketing claims. Compounded semaglutide isn't Wegovy or Ozempic, and it isn't FDA-approved.
How much is Fitish semaglutide a month?
$219 for a monthly supply of Semaglutide + B6, including the consult and shipping. The fixed-dose microdose option is priced lower.
Can I use insurance at Fitish?
No. Fitish RX is direct-pay. You can try an HSA or FSA card, or pay by another card and submit the receipt to your plan.
When does Fitish charge you?
Only after a provider approves your prescription. The charge runs automatically at that point, and the order then goes to the pharmacy.