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Direct Meds vs Fay: Which Is Better?

Head-to-head comparison of Direct Meds and Fay based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Direct Meds scores higher overall in our independent evaluation (74.5/100 vs 61.9/100), leading on trust & safety, value, experience, product range, reputation. Fay has the lower entry price (from $0/mo vs $53/mo), so the better value depends on which treatment you need.

75

Cash-pay pharmacy and telehealth combo focused on transparent pricing and no-surprise billing.

Visit Direct Meds
62
Fay
Fair

Insurance-billed marketplace for virtual registered-dietitian care (weight management, diabetes, GLP-1 support, PCOS); it does not prescribe medication.

Visit Fay

Score Breakdown

DimensionDirect MedsFay
Overall Score74.5/100 ✓61.9/100
Trust & Safety30%72/100 ✓66/100
Value25%82/100 ✓70/100
Experience20%74/100 ✓62/100
Product Range15%72/100 ✓40/100
Reputation10%68/100 ✓62/100

At a Glance

Founded20212022
HeadquartersMiami, FLSchaumburg, IL
Publicly tradedNoNo
Treatment categories62
Treatments listed91
Starting price$53/mo$0/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryDirect MedsFay
Weight Loss / GLP-1$237–$249
Compounded Semaglutide (sublingual)
Free–$150
Registered Dietitian Sessions

Direct Meds

+Transparent cash-pay pricing with no hidden fees
+Integrated pharmacy for fast fulfillment
+Competitive GLP-1 pricing
−GLP-1 tiers carry a three-month billing commitment while the same pages display a Cancel Anytime badge
−Marketing site publishes only two of sixteen-plus prices, one of them only inside invisible schema markup; the real prices sit on a storefront the marketing pages never link to
−FDA warning letter (Sept 2025, ref 716822) — compounded semaglutide and tirzepatide cited as misbranded over claims that they contain the same active ingredient as the branded drugs
Read the full Direct Meds review →

Fay

+Registered dietitians only, in-network with 700+ plans; many members pay $0 per session
+Pre-booking price estimator based on the member's insurance benefits
+Large clinician bench (3,400+ RDs) covering 30+ specialties including diabetes, PCOS and GLP-1 nutrition support
−No prescribers: Fay cannot prescribe or supply GLP-1s or any other medication
−Insurance estimates are unreliable per reviewers, with '$0 copay' visits later billed at $230 up to $1,400
−Reports of unexpected recurring charges and charges continuing after cancellation
Read the full Fay review →

Direct Meds vs Fay — FAQ

Is Direct Meds better than Fay?

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Direct Meds scores higher overall in our independent evaluation (74.5/100 vs 61.9/100), leading on trust & safety, value, experience, product range, reputation. Fay has the lower entry price (from $0/mo vs $53/mo), so the better value depends on which treatment you need.

Is Direct Meds or Fay cheaper?

▾

Fay has the lower starting price (from $0/mo vs $53/mo for Direct Meds). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Direct Meds and Fay both offer?

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Both platforms treat Weight Loss / GLP-1. Direct Meds covers 6 treatment categories total and Fay covers 2.

Still deciding?

Direct Meds alternativesFay alternativesTake the Match Quiz