CoreAge Rx vs LillyDirect Foundayo
An in-depth comparison of two leading GLP-1 Providers
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CoreAge Rx
Best for best overall valueStarting at $149/mo
LillyDirect Foundayo
Best for patients with commercial insurance who want the cheapest legal brand-name GLP-1Starting at $25/mo
Side-by-Side Comparison
| Feature | CoreAge Rx | LillyDirect Foundayo |
|---|---|---|
| Overall Score | ✓9.0/10 | 8.5/10 |
| Starting Price | $149/mo | ✓$25/mo |
| Customer Rating | 4.7 ★ | — |
| Features | ✓6 features | 5 features |
| States Available | 50 | ✓51 |
| Compounded | ✓ Yes | — |
| Brand Name | — | ✓ Yes |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
CoreAge Rx
Pros
- ✓LegitScript certified — rigorous pharmacy standards
- ✓Free 2-day shipping nationwide
- ✓Both semaglutide and tirzepatide available
- ✓Lowest per-month pricing in the compounded segment
- ✓24/7 support team
- ✓All 50 states covered
Cons
- ✗Compounded only — no brand-name Ozempic or Wegovy
- ✗Newer brand with fewer independent reviews than legacy players
LillyDirect Foundayo
Pros
- ✓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
Cons
- ✗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
Our Verdict
CoreAge Rx edges out LillyDirect Foundayo with a higher overall score of 9.0/10 and is particularly strong for best overall value. LillyDirect Foundayo remains a solid alternative, especially if you're looking for patients with commercial insurance who want the cheapest legal brand-name GLP-1.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.