Head-to-head · WeighScore
Enara Health vs LillyDirect Foundayo
The verdict
LillyDirect Foundayo takes it — 67.2/100 to 65.3/100, but only just.
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. Enara Health 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 | Enara Health | LillyDirect Foundayo |
|---|---|---|
| WeighScore | 65.3/100 | 67.2/100 |
| Grade | C | C |
| Scorecard rank | #221 | #165 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | 6 states | All 50 states |
| Brand-name access | Yes | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #221 · C
Strengths
- Prescribes FDA-approved branded GLP-1s (Wegovy, Zepbound) not compounded
- Insurance-based with prior-auth coverage for over 65% of members
- Board-certified obesity-medicine physicians
- Comprehensive program: dietitian, coaching, metabolic and genetic testing
- Established since 2015 with clinical track record
Where it loses points
- Available in only six states via partner clinics
- Requires in-network insurance; not a flat cash-pay option
- Not a pure-telehealth nationwide service
- Out-of-pocket cost varies by insurance coverage
- No compounded budget alternative for the uninsured
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.