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Fierce Health vs Vytora Health

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
Fierce Health logo

Fierce Health

6.9
★★★3.5/5

Best for: compounded GLP-1: standard or microdose dosing, plus longevity add-ons

Visit Fierce Health
VS
Vytora Health logo

Vytora Health

8.4
★★★★4.2/5

Best for: compounded or brand-name GLP-1 with named pharmacy partners, 50 states

Visit Vytora Health

Fierce Health and Vytora Health 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, Vytora Health starts lower at $150/mo versus $197/mo, and Vytora Health edges ahead overall (8.4 vs 6.9 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

Fierce Health

Semaglutide Weight Loss Program, monthlyCompounded
$297/mo
semaglutide

Also sold as 3-month and 6-month paid-in-full cadences. Free US shipping.

Tirzepatide Weight Loss Program, monthlyCompounded
$497/mo
tirzepatide

Also sold as 3-month and 6-month paid-in-full cadences.

Semaglutide Microdose Program, monthly (low-dose protocol)Compounded
$197/mo
semaglutide

Listed as "From $197.00"; one vial per month.

Tirzepatide Microdose Program, monthly (low-dose protocol)Compounded
$297/mo
tirzepatide

Listed as "From $297.00"; one vial per month.

Vytora Health

All dosesCompounded
$180/mo
semaglutide
3-mo bundle ($450 billed)Compounded
$150/mo
semaglutide
All dosesCompounded
$249/mo
tirzepatide
3-mo bundle ($599 billed)Compounded
$200/mo
tirzepatide
Brand 5/7.5/10/12.5/15 mgBrand-name
$1399/mo
mounjaro
Brand 2.5/5/7.5/10/12.5/15 mgBrand-name
$1399/mo
zepbound

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What’s included

Fierce Health

What the monthly price covers

Medication

Not disclosed

Provider visits

Not disclosed

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Vytora Health

What the monthly price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

Score breakdown

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

Fierce Health

6.9/10

Overall

Vytora Health

8.4/10

Value25%

7.0A
vs
B
8.0

Effectiveness25%

7.0A
vs
B
8.5

User Experience15%

7.0A
vs
B
8.0

Trust & Safety15%

6.0A
vs
B
9.3

Accessibility10%

7.0A
vs
B
8.5

Support10%

7.0A
vs
B
8.4

Features & Coverage

FeatureFierce HealthVytora Health
Starting Price$197/mo$150/mo
Features5 features8 features
States Available3051
Compounded✓ Yes✓ Yes
Brand Name✓ Yes
FSA/HSA Accepted
FDA Warnings5 warningsNone

About Fierce Health

Fierce Health is a direct-to-consumer telehealth brand selling compounded semaglutide and tirzepatide in both standard and microdose programs, alongside a longevity catalog. Its four-program GLP-1 ladder is broader than peers that sell only one or two SKUs, with a microdose tier among the lower entry points. Pricing runs $197–$497/mo; service is limited to 30 enumerated states, and it's LegitScript Certified.

Read our full Fierce Health review →

About Vytora Health

Vytora Health is a 50-state-plus-DC telehealth platform offering compounded semaglutide and tirzepatide alongside brand-name Mounjaro and Zepbound, plus NAD+ and sermorelin peptides. It names its pharmacy partners publicly — Vials Pharmacy and Greenwich Biosciences — and discloses its operating physician group, uncommon transparency for the category. Compounded semaglutide runs $180/mo ($150 on a 3-month bundle) and tirzepatide $249/mo ($200 bundled).

Read our full Vytora Health review →

Pros & Cons

Fierce Health

What we like

  • 30-state service list spelled out in the Terms — buyers can verify eligibility before intake
  • LegitScript Certified
  • Publishes the FDA compounded-medication disclaimer on every product page
  • Four GLP-1 programs (standard and microdose semaglutide and tirzepatide) — a broader ladder than peers
  • Microdose tier at $197/mo is one of the lower entry points we've seen
  • Explicit refund policy if they can't ship to your state
  • Monthly, 3-month, and 6-month subscription options

Watch-outs

  • No named 503A compounding pharmacy partner — only generic 'partner pharmacies' language
  • Operating LLC name not disclosed anywhere on the site
  • Tirzepatide weight-loss program ($497/mo) showing 'sold out or unavailable' across all plans at review time
  • Clinical provider network not named
  • Sells gray-market longevity products (ivermectin, methylene blue) alongside GLP-1s — an unusual category mix
  • Only LegitScript — no PCAB, BBB, or NABP .pharmacy presence
  • Tirzepatide tier at $497/mo is at the high end of the segment
  • Compounded semaglutide and tirzepatide are not FDA-approved

Vytora Health

What we like

  • All 50 states plus DC, with per-state video-vs-audio compliance disclosed
  • Both compounded and brand-name options on one platform — uncommon
  • LegitScript Approved and HIPAA compliant
  • Pharmacy partners named publicly: Vials Pharmacy (TX) and Greenwich Biosciences
  • Operating entity disclosed: Wasef Health, PC (Pinellas Park, FL)
  • Competitive monthly pricing ($180 sema / $249 tirz) plus a 3-month bundle saving 17%
  • Brand-name Mounjaro and Zepbound available at $1,399/mo for FDA-approved options

Watch-outs

  • Brand-name Mounjaro/Zepbound at $1,399/mo is near retail — insured patients may do better via LillyDirect Self Pay ($449-$699/mo)
  • Compounded tirzepatide at $249/mo is mid-market, above the $149-199 floor
  • Dose tiers aren't broken out — 'all doses included' means low-dose patients pay the same as high-dose
  • Initial consultation cost not shown on the public pricing page
  • Limited per-prescriber state licensure detail

Our Verdict

Winner: Vytora Health

Vytora Health edges out Fierce Health with a higher overall score of 8.4/10 and is particularly strong for compounded or brand-name GLP-1 with named pharmacy partners, 50 states. Fierce Health remains a solid alternative, especially if you're looking for compounded GLP-1: standard or microdose dosing, plus longevity add-ons.

Choose Fierce Health if…

You want compounded GLP-1: standard or microdose dosing, plus longevity add-ons and a starting price around $197/mo.

Choose Vytora Health if…

You want compounded or brand-name GLP-1 with named pharmacy partners, 50 states and a starting price around $150/mo.

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7.7

TrimRx

Best overall value

7.6

Sprout Health

LegitScript-verified compounded GLP-1 via named pharmacies

7.5

PeterMD

Men wanting flat-priced compounded GLP-1 with TRT or peptides

Fierce Health vs Vytora Health: FAQ

Vytora Health is cheaper. Its lowest ongoing monthly cash price is $150/mo, compared with $197/mo for Fierce Health. We compare standing (not first-month promo) prices so the figures reflect what you'd actually pay month to month.
Vytora Health scores higher overall at 8.4/10 versus 6.9/10, and is particularly strong for compounded or brand-name GLP-1 with named pharmacy partners, 50 states. That said, Fierce Health is a better fit if you want compounded GLP-1: standard or microdose dosing, plus longevity add-ons.
Vytora Health covers more — 51 states versus 30.
Neither Fierce Health nor Vytora Health is currently an affiliate partner, so we earn no commission from either. We rank all providers editorially using the same six-dimension framework and disclose any commercial relationships.
For Semaglutide, Vytora Health is cheaper at $150/mo versus $197/mo at Fierce Health.

Key terms, explained

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Continue exploring Fierce Health and Vytora Health head-to-heads in the same category.

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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.