Head-to-head · WeighScore
DoctorAdam vs LillyDirect Foundayo
The verdict
DoctorAdam takes it — 75.7/100 to 67.2/100.
DoctorAdam grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. DoctorAdam is a Shopify-based telehealth platform offering compounded semaglutide and tirzepatide in both injection and oral tablet forms, with flat all-in monthly pricing covering physician evaluation,…
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | DoctorAdam | LillyDirect Foundayo |
|---|---|---|
| WeighScore | 75.7/100 | 67.2/100 |
| Grade | C | C |
| Scorecard rank | #55 | #173 |
| Semaglutide | $129/mo (starting dose, compounded) | Not disclosed |
| Tirzepatide | $229/mo (starting dose, compounded) | Not disclosed |
| Coverage | 44 states | All 50 states |
| Brand-name access | Yes | Yes |
| Oral / sublingual | Yes | Yes |
Graded #55 · C
Strengths
- Offers both injection and oral tablet forms of compounded semaglutide and tirzepatide
- Flat all-in pricing — physician evaluation, medication, and free shipping included
- Named pharmacy partners: Olympia Pharmaceuticals (Orlando, FL) and Carie Boyd Pharmaceuticals (Irving, TX)
- LegitScript certified with 4.8/5 Trustpilot score from 5,400+ reviews and 100K+ patients
- No hidden fees, no required recurring commitment, full refund if not prescribed
Where it loses points
- Compounded medications are not FDA-approved individual drugs
- No labs or dedicated coaching disclosed on public pages
- Only 44 states served — AK, MA, MS, NJ, RI, and VT excluded despite homepage '50 states' claim
- Dose-tier pricing not published; only starting prices visible without quiz
- Shopify-based store rather than a dedicated health platform
Graded #173 · 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.