Head-to-head · WeighScore
Heva Health vs LillyDirect Foundayo
The verdict
Heva Health takes it — 69.7/100 to 67.2/100.
Heva Health grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Heva Health (hevahealth.com) is a LegitScript-certified concierge telehealth platform offering compounded GLP-1s with a 91-biomarker comprehensive lab panel, hormone optimization (HRT/TRT), and concierge care.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Heva Health | LillyDirect Foundayo |
|---|---|---|
| WeighScore | 69.7/100 | 67.2/100 |
| Grade | C | C |
| Scorecard rank | #119 | #173 |
| Semaglutide | $149/mo (compounded) | 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 #119 · C
Strengths
- $149/mo entry pricing for compounded GLP-1 is competitive
- LegitScript Certified
- Claims licensure in all 50 states
- Comprehensive 91-biomarker lab panel bundled — a differentiator vs compounded-GLP-1-only peers
- Concierge care plus HRT/TRT alongside GLP-1 for an integrated longevity stack
Where it loses points
- Tirzepatide pricing not shown — only the generic $149/mo weight-loss entry
- Legal entity name and state of incorporation not disclosed
- Partner pharmacy not named
- Per-state availability not listed despite the all-50-states claim
- Brand-name GLP-1 options (Wegovy/Zepbound/Mounjaro/Ozempic/Foundayo) not addressed
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.