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LillyDirect Foundayo vs T2D.com

An in-depth comparison of two leading GLP-1 Providers

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8.5

LillyDirect Foundayo

Best for patients with commercial insurance who want the cheapest legal brand-name GLP-1

Starting at $25/mo

Manufacturer DirectFoundayoBrand NameLilly Savings Card
Visit LillyDirect Foundayo
6.1

T2D.com

Best for diabetic GLP-1 access

Starting at $999/mo

CompoundedSemaglutideTirzepatidePrescriber Included
Visit T2D.com

Side-by-Side Comparison

FeatureLillyDirect FoundayoT2D.com
Overall Score8.5/106.1/10
Starting Price$25/mo$999/mo
Customer Rating
Features5 features7 features
States Available511
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

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

T2D.com

Pros

  • Built specifically for type 2 diabetic and pre-diabetic patients
  • Integrated service — prescriber, pharmacy, and delivery handled in one flow
  • Offers both compounded semaglutide and compounded tirzepatide
  • Temperature-controlled home delivery via UPS or FedEx
  • Ongoing prescriber monitoring and support included

Cons

  • No pricing published on the public website — must register to see costs
  • No states list published on the site
  • Newer brand with limited independent reviews
  • Compounded only — no brand-name Ozempic, Wegovy, or Mounjaro

Our Verdict

Winner: LillyDirect FoundayoScore: 8.5/10

LillyDirect Foundayo edges out T2D.com with a higher overall score of 8.5/10 and is particularly strong for patients with commercial insurance who want the cheapest legal brand-name GLP-1. T2D.com remains a solid alternative, especially if you're looking for diabetic GLP-1 access.

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.