Head-to-head · WeighScore
California Trim Clinic vs LillyDirect Foundayo
The verdict
LillyDirect Foundayo takes it — 67.2/100 to 53.2/100.
LillyDirect Foundayo grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Eli Lilly's manufacturer direct-pay channel for Foundayo (orforglipron), the first oral GLP-1 pill for weight loss.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | California Trim Clinic | LillyDirect Foundayo |
|---|---|---|
| WeighScore | 53.2/100 | 67.2/100 |
| Grade | C | C |
| Scorecard rank | #470 | #165 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | Coverage not published | All 50 states |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #470 · C
Strengths
- Women's microdosing program specifically designed for perimenopause/menopause weight management
- 100% virtual nationwide telehealth; medications shipped discreetly to patients' homes
- 503A state-licensed compounding pharmacies with patient-specific prescription preparation
- $199 initial plan covers doctor consultation, telehealth setup, and full onboarding
- Ongoing 3-month treatment plans include compounded medication and licensed provider check-ins
Where it loses points
- Ongoing medication pricing not publicly disclosed — revealed only after $199 intake and provider approval
- No LegitScript certification or any other third-party accreditation visible on the site
- No physician names or clinical leadership disclosed publicly
- States served listed as 'nationwide' for telehealth but no state-by-state list published
- Microdose framing uses sub-clinical doses — potentially lower weight-loss efficacy than standard GLP-1 protocols
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.