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Head-to-head for women

Fitish vs RxSpan MD

Fitish and RxSpan MD both offer GLP-1 telehealth to women, but they make different trade-offs on PCOS and hormonal suitability, clinical oversight, price and access. Here they are side-by-side on the Luna Fit Score — our women's-health rubric.

Fitish

Ranked #15 for women · Grade B

Best for: Women who want an oral option from a LegitScript-accredited, all-50-states provider and don't mind paying at the higher end.

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vs

RxSpan MD

Ranked #10 for women · Grade B

Best for: Women who prioritize an accredited, brand-capable program with an oral route and don't mind paying at the higher end.

Visit RxSpan MD

The verdict for women

Fitish and RxSpan MD tie on the Luna Fit Score at 86/100 apiece, so neither runs away with it. The right pick comes down to the factors that matter most to you — compare them below.

Side-by-side on the six factors

Both providers scored on the same women's-health rubric — the higher side on each factor is marked. See the methodology.

Fitish RxSpan MD
PCOS & hormonal suitability8586
Fitish
RxSpan
Clinical oversight & labs8788
Fitish
RxSpan
Price transparency8080
Fitish
RxSpan
Nationwide access9595
Fitish
RxSpan
Ongoing support8484
Fitish
RxSpan
Cancellation fairness8383
Fitish
RxSpan

Price, access & features

DetailFitishRxSpan MD
Luna Fit Score86/100 · B86/100 · B
Overall rank#15#10
Semaglutide$219/mo$249/mo
Tirzepatide$339/mo$329/mo
CoverageAll 50 statesAll 50 states
Brand-name accessCompounded onlyYes
Oral / sublingualYesYes

Fitish

Ranked #15 · Grade B

What we like

  • Offers an oral/sublingual form as well as injections
  • LegitScript-accredited and nationwide across all 50 states
  • Both molecules disclosed, tirzepatide available for insulin resistance

The caveats

  • Premium pricing — $219 semaglutide, $339 tirzepatide
  • No FDA-approved brand access; general program, not hormone-specialized

RxSpan MD

Ranked #10 · Grade B

What we like

  • FDA-approved brand access, oral option, and both molecules on one account
  • LegitScript-accredited, nationwide across all 50 states
  • Comprehensive feature set for women who want every option available

The caveats

  • Highest-tier pricing among the accredited options — $249 semaglutide, $329 tirzepatide
  • General metabolic program, not hormone-specialized

Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Luna Fit Score. Pricing, states and verification reflect each provider's public disclosures at last review; the Luna Fit Score is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.

More head-to-heads

Keep comparing Fitish and RxSpan MD against other providers we review for women.

Or browse the full comparison hub.