Head-to-head · WeighScore
Factor Health MD vs LillyDirect Foundayo
The verdict
Factor Health MD takes it — 67.5/100 to 67.2/100, but only just.
Factor Health MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Factor Health MD is a Florida-based multi-vertical telehealth platform with an unusually broad GLP-1 lineup — compounded semaglutide, tirzepatide, and the rarely offered liraglutide — plus longevity,… 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 | Factor Health MD | LillyDirect Foundayo |
|---|---|---|
| WeighScore | 67.5/100 | 67.2/100 |
| Grade | C | C |
| Scorecard rank | #171 | #173 |
| Semaglutide | $99/mo (starting dose, compounded) | Not disclosed |
| Tirzepatide | $149/mo (compounded) | Not disclosed |
| Coverage | Coverage not published | All 50 states |
| Brand-name access | Compounded only | Yes |
| Oral / sublingual | Injection only | Yes |
Graded #171 · C
Strengths
- Three-GLP-1 lineup including liraglutide — rare in DTC and useful for patients sensitive to newer molecules
- Aggressive $99/mo starting tier with all doses included
- Multi-product platform (GLP-1, longevity, vitamin injectables, men's health, bundles)
- HSA/FSA accepted — uncommon for compounded GLP-1
- St. Petersburg, FL location and phone (305-930-8817) for accountability
Where it loses points
- 503A/503B pharmacy partner not named
- Full states-served list not disclosed
- No named medical director
- FDA compounded-medication disclaimer not prominently displayed
- Corporate legal entity not disclosed
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.