Head-to-head · Value Score
Precision Telemed vs LillyDirect Foundayo
Two GLP-1 deals, scored on the same six factors. Precision Telemed lands a Value Score of 89, LillyDirect Foundayo a 75. Here's who gives you the honest lower price — and where each one bites back.
Precision Telemed
#10 · Grade A · Great Deal
Est. first month
$149/mo
Save ~89% vs brand-nameLillyDirect Foundayo
#132 · Grade C+ · Fair Price
Est. first month
From $149/mo (brand Foundayo)
The verdict
Precision Telemed takes it on Value Score, 89 to 75 — an est. $149/mo first month, with no teaser step-up baked in. LillyDirect Foundayo isn't out of it: Patients with commercial insurance who want the cheapest legal brand-name GLP-1.
Deal-by-deal
The numbers that decide it. Green ✓ marks the stronger side on each line.
| Deal | Precision Telemed | LillyDirect Foundayo |
|---|---|---|
| Value Score | 89 (A) | 75 (C+) |
| Est. first month | $149/mo | From $149/mo (brand Foundayo) |
| Save vs brand-name | ~89% | — |
| Semaglutide | $149/mo | Not disclosed |
| Tirzepatide | $199/mo | Not disclosed |
| Both molecules | Yes | No |
| Pricing | Flat — no step-up | Watch |
| Coverage | All 50 states | All 50 states |
Factor by factor
The six factors behind each Value Score. The orange bar marks the stronger side. See the methodology.
Precision Telemed
A LegitScript-certified, all-50-state program with an honest $149 / $199 flat price on both molecules.
Why it's a deal
- LegitScript-certified and available in all 50 states
- Flat $149 semaglutide / $199 tirzepatide — no step-up
- Both molecules priced up front
The fine print
- Not the rock-bottom sticker — sub-$100 sema tiers exist
- No brand-name or oral option
LillyDirect Foundayo
Eli Lilly's manufacturer direct-pay channel for Foundayo (orforglipron), the first oral GLP-1 pill for weight loss.
Why it's a deal
- 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
The fine print
- 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
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes a Value Score.
Neither one the right fit? Every program that outscores Precision Telemed is ranked on the Precision Telemed alternatives board, and the same list for the other side is on alternatives to LillyDirect Foundayo.
More head-to-heads
Prices, states and verification reflect each program's public disclosures at last check; the Value Score is our editorial judgment per the methodology. “Save vs brand-name” compares the lowest disclosed monthly price against a ~$1,349/mo brand-name cash reference. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.