Head-to-head · WeighScore
BioGlow Health vs LillyDirect Foundayo
The verdict
BioGlow Health takes it — 69.2/100 to 67.2/100, but only just.
BioGlow Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. BioGlow Health is a physician-supervised multi-vertical telehealth brand — weight loss, peptides, testosterone, ED and hair — that ships compounded medication to all 50 states with a free consultation and… 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 | BioGlow Health | LillyDirect Foundayo |
|---|---|---|
| WeighScore | 69.2/100 | 67.2/100 |
| Grade | C | C |
| Scorecard rank | #129 | #165 |
| Semaglutide | $349/mo (compounded) | Not disclosed |
| Tirzepatide | $169/mo (compounded) | Not disclosed |
| Coverage | All 50 states | All 50 states |
| Brand-name access | Yes | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #129 · C
Strengths
- Free consultation and free shipping nationwide
- Ships compounded GLP-1s to all 50 states
- Physician-supervised intake before any prescription
- One platform for weight loss plus peptides, testosterone, ED and hair
Where it loses points
- Premium pricing — compounded semaglutide starts higher than most competitors
- Sells retatrutide, an investigational molecule the FDA has not approved
- Prescribing clinicians and compounding-pharmacy partner not named
- No insurance accepted — cash-pay only
- Operating entity and credentials lightly disclosed
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.