Head-to-head · WeighScore
LillyDirect Foundayo vs Neo Soma Healthcare
The verdict
LillyDirect Foundayo takes it — 67.2/100 to 65.8/100, 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. Neo Soma Healthcare is close behind and may still be the better fit — see the factor split below.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | LillyDirect Foundayo | Neo Soma Healthcare |
|---|---|---|
| WeighScore | 67.2/100 | 65.8/100 |
| Grade | C | C |
| Scorecard rank | #165 | #213 |
| Semaglutide | Not disclosed | $199/mo |
| Tirzepatide | Not disclosed | $330/mo |
| Coverage | All 50 states | Coverage not published |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Yes | Injection only |
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
Graded #213 · C
Strengths
- LegitScript verification badge present
- Publishes the FDA compounded-medication disclaimer
- Pricing shown publicly for all 6 product lines
- Multi-product platform (GLP-1, sexual health, peptide therapies)
- First-month discount on semaglutide ($99 entry)
Where it loses points
- Pharmacy partner not named (503A vs 503B unclear)
- States served not listed — no per-state availability table
- No named medical director
- Standard semaglutide pricing ($199/mo) above the cheapest providers ($150–180/mo)
- Tirzepatide entry pricing ($330) above the cheapest providers (~$200–250/mo)
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.