Head-to-head · WeighScore
Blue Sky MD vs Fitness RX
The verdict
Fitness RX takes it — 76.7/100 to 67.5/100.
Fitness RX grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Fitness RX (fitnessrx.com) is a GLP-1 weight-loss program that bundles medication with fitness and nutrition coaching across a three-phase plan.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Blue Sky MD | Fitness RX |
|---|---|---|
| WeighScore | 67.5/100 | 76.7/100 |
| Grade | C | C |
| Scorecard rank | #170 | #50 |
| Semaglutide | $160/mo (starting dose, compounded) | $119/mo (promotional rate, compounded) |
| Tirzepatide | $240/mo (starting dose, compounded) | $119/mo (promotional rate, compounded) |
| Coverage | 1 states | Coverage not published |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #170 · C
Strengths
- LegitScript certified and physician-led since 2008; one of the most established GLP-1 practices in the Southeast
- Compounded semaglutide from $40/week (~$160/month) and tirzepatide from $60/week (~$240/month) — well below brand-name cost
- Comprehensive program includes 1-on-1 wellness coaching, nutrition plans, hormone analysis, and a proprietary mobile app
- Medication shipped directly to patients’ homes within 3–5 business days; telehealth visits available
- Insurance accepted in many cases; affordable self-pay options for uninsured patients
Where it loses points
- Geographic reach unclear — physical clinics in NC only; telehealth states beyond NC unconfirmed despite 'from virtually anywhere' claim
- Pricing quoted per-week ($40 sema / $60 tirz) rather than per-month; higher-dose pricing not disclosed
- Must enroll in full medical weight-loss program to access GLP-1 medications — medication-only Rx not offered
- No explicit lab testing protocol published; online FAQ does not confirm labs are included
- Small regional provider vs. national platforms; limited provider footprint outside North Carolina
Graded #50 · C
Strengths
- $119/mo all-in including medication, 1:1 physician consults, and unlimited messaging ($100-off-for-life intro promo)
- Both compounded (injectable + sublingual semaglutide/tirzepatide) and brand GLP-1 (Wegovy, Zepbound)
- Integrated fitness and nutrition/behavioral coaching (linked to the BodyFX brand)
- Publishes Terms, Privacy, and data-privacy policies; links to LegitScript verification
Where it loses points
- Promo-driven landing page; compounding pharmacy and legal entity not named
- Tirzepatide and brand pricing may differ from the advertised $119/mo plan
- LegitScript status links to a CAPTCHA-gated checker — not independently confirmed here
- Exact drug and dose are shown only after the intake quiz
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.