LillyDirect Foundayo vs Novi
An in-depth comparison of two leading GLP-1 Providers
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LillyDirect Foundayo
Best for patients with commercial insurance who want the cheapest legal brand-name GLP-1Starting at $25/mo
Novi
Best for transparent all-in compounded GLP-1 pricingStarting at $174/mo
Side-by-Side Comparison
| Feature | LillyDirect Foundayo | Novi |
|---|---|---|
| Overall Score | 8.5/10 | ✓8.6/10 |
| Starting Price | ✓$25/mo | $174/mo |
| Editorial Rating | 4.3 ★ /5 | 4.3 ★ /5 |
| Features | 5 features | 5 features |
| States Available | ✓51 | 0 |
| Compounded | — | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warnings | None | None |
Pros & Cons
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
Novi
Pros
- ✓Transparent all-in monthly pricing — medication, clinician support, and shipping bundled with no hidden fees or membership add-ons
- ✓Both compounded semaglutide and tirzepatide available
- ✓Unlimited clinician messaging included at no extra cost
- ✓Free 2-day shipping on every refill
Cons
- ✗Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro option
- ✗3-month minimum commitment is non-refundable per Terms of Service unless a clinician deems treatment medically inappropriate
- ✗State availability and pharmacy partners not publicly listed — patients learn during intake which states and pharmacies serve them
Our Verdict
Novi edges out LillyDirect Foundayo with a higher overall score of 8.6/10 and is particularly strong for transparent all-in compounded GLP-1 pricing. 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.