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CoreAge Rx vs LillyDirect Foundayo

An in-depth comparison of two leading GLP-1 Providers

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
CoreAge Rx logo

CoreAge Rx

8.3
★★★★4.2/5

Best for: best overall value

Visit CoreAge Rx
VS
LillyDirect Foundayo logo

LillyDirect Foundayo

8.1
★★★★4.1/5

Best for: patients with commercial insurance who want the cheapest legal brand-name GLP-1

Visit LillyDirect Foundayo

CoreAge Rx and LillyDirect Foundayo are both GLP-1 Providers competing for the same patients, but they make different trade-offs on price, coverage, and what's included. In our scoring, both start around $149/mo, and CoreAge Rx edges ahead overall (8.3 vs 8.1 out of 10). Below we break down pricing, what each plan covers, the six-dimension score, pros and cons, and exactly who should pick which.

Pricing

CoreAge Rx

0.25mgCompounded
$149/mo
semaglutide
0.5mgCompounded
$199/mo
semaglutide
1mgCompounded
$249/mo
semaglutide
1.7mgCompounded
$299/mo
semaglutide
2.5mgCompounded
$349/mo
tirzepatide

LillyDirect Foundayo

Foundayo (with commercial insurance + savings card)Brand-name
$25/mo
orforglipron

Requires commercial insurance; Medicare/Medicaid not eligible. 'Starting at $25 per month'.

Foundayo 0.8 mg (self-pay)Brand-name
$149/mo
orforglipron

Regular self-pay price, 1-month (30-day) supply.

Foundayo 2.5 mg (self-pay)Brand-name
$199/mo
orforglipron

Regular self-pay price, 1-month supply.

Foundayo 5.5 mg & 9 mg (self-pay)Brand-name
$299/mo
orforglipron

Regular self-pay price, 1-month supply.

Foundayo 14.5 mg & 17.2 mg (self-pay)Brand-name
$349/mo
orforglipron

Regular self-pay price $349; available for $299 via an automatic purchase offer ONLY if you complete your refill within 45 days of the delivery/receipt date of your previous Foundayo fill (14.5/17.2 mg only).

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What’s included

CoreAge Rx

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

LillyDirect Foundayo

Inclusions not disclosed.

Score breakdown

Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.

CoreAge Rx

8.3/10

Overall

LillyDirect Foundayo

8.1/10

Value25%

8.5A
vs
B
9.0

Effectiveness25%

8.5A
vs
B
7.0

User Experience15%

8.5A
vs
B
7.5

Trust & Safety15%

7.8A
vs
B
9.3

Accessibility10%

8.0A
vs
B
9.0

Support10%

8.4A
vs
B
6.5

Features & Coverage

FeatureCoreAge RxLillyDirect Foundayo
Starting Price$149/mo$149/mo
Features6 features5 features
States Available5051
Compounded✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA WarningsNoneNone

About CoreAge Rx

CoreAge Rx offers LegitScript-verified compounded semaglutide and tirzepatide with free 2-day shipping to all 50 states. Backed by licensed physicians and 24/7 support, it delivers the most competitive pricing in the compounded GLP-1 space.

Read our full CoreAge Rx review →

About LillyDirect Foundayo

Eli Lilly's manufacturer direct-pay channel for Foundayo (orforglipron), the first oral GLP-1 pill for weight loss. With the Lilly Savings Card, commercially insured patients pay $25/month; cash-pay patients pay $149-$299/month depending on labeled dose. Requires a valid US prescription from any licensed prescriber.

Read our full LillyDirect Foundayo review →

Pros & Cons

CoreAge Rx

What we like

  • LegitScript certified — rigorous pharmacy standards
  • Free 2-day shipping nationwide
  • Both semaglutide and tirzepatide available
  • Lowest per-month pricing in the compounded segment
  • 24/7 support team
  • All 50 states covered

Watch-outs

  • Compounded only — no brand-name Ozempic or Wegovy
  • Newer brand with fewer independent reviews than legacy players

LillyDirect Foundayo

What we like

  • 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

Watch-outs

  • 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

Our Verdict

Winner: CoreAge Rx

CoreAge Rx edges out LillyDirect Foundayo with a higher overall score of 8.3/10 and is particularly strong for best overall value. LillyDirect Foundayo remains a solid alternative, especially if you're looking for patients with commercial insurance who want the cheapest legal brand-name GLP-1.

Choose CoreAge Rx if…

You want best overall value and a starting price around $149/mo.

Choose LillyDirect Foundayo if…

You want patients with commercial insurance who want the cheapest legal brand-name GLP-1 and a starting price around $149/mo.

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CoreAge Rx vs LillyDirect Foundayo: FAQ

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Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.