Head-to-head · WeighScore
AZ Health vs LillyDirect Foundayo
The verdict
AZ Health takes it — 69/100 to 67.2/100, but only just.
AZ Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. AZ Health (AZHM) is an Arizona-based, 100% virtual medical weight-loss clinic offering physician-prescribed compounded semaglutide (from $179/mo) and tirzepatide (from $199/mo), plus NAD+ injections, on… LillyDirect Foundayo is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | AZ Health | LillyDirect Foundayo |
|---|---|---|
| WeighScore | 69/100 | 67.2/100 |
| Grade | C | C |
| Scorecard rank | #133 | #165 |
| Semaglutide | $179/mo (all doses, compounded) | Not disclosed |
| Tirzepatide | $199/mo (all doses, compounded) | Not disclosed |
| Coverage | Coverage not published | All 50 states |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #133 · C
Strengths
- Transparent flat monthly pricing — semaglutide from $179/mo, tirzepatide from $199/mo, no insurance required
- Discloses that compounded medications are not FDA-approved and require a prescription
- FSA/HSA eligible, free discreet shipping, and cancel anytime
- Ongoing physician check-ins; also offers NAD+ injections
Where it loses points
- LegitScript certification is self-stated on the site and not independently verifiable
- Single-page site with no published Terms, Privacy, or HIPAA policy
- Compounding pharmacy partner not named (states only 'FDA-registered pharmacies')
- Legal entity not disclosed; availability limited (~half of US states, Arizona-focused)
Graded #165 · C
Strengths
- 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
Where it loses points
- 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
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.