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Fay vs Josie: Which Is Better?

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

Our Verdict

Fay scores higher overall in our independent evaluation (61.9/100 vs 57.6/100), leading on trust & safety, experience, reputation. Josie comes out ahead on product range.

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
58
Josie
Fair

Small menopause-focused telehealth brand selling compounded and branded GLP-1s, microdose GLP-1 maintenance plans and estradiol/progesterone HRT at flat published prices.

Visit Josie

Score Breakdown

DimensionFayJosie
Overall Score61.9/100 ✓57.6/100
Trust & Safety30%66/100 ✓50/100
Value25%70/10070/100
Experience20%62/100 ✓58/100
Product Range15%40/10060/100 ✓
Reputation10%62/100 ✓45/100

At a Glance

Founded2022—
HeadquartersSchaumburg, IL—
Publicly tradedNoNo
Treatment categories23
Treatments listed17
Starting price$0/mo$90/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.

CategoryFayJosie
Weight Loss / GLP-1Free–$150
Registered Dietitian Sessions
$189
Microdose GLP-1 Maintenance (semaglutide or tirzepatide)

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 →

Josie

+Flat pricing at any dose, published before intake: compounded semaglutide $249/mo ($194/mo prepaid annually), tirzepatide $349/mo ($233/mo annually)
+Offers injectable, oral ODT and microdose ($189/mo) GLP-1 formats alongside HRT in one women's-midlife intake
+Names its lead clinician (Dr. Ana Lisa Carr, MD, board-certified in family medicine) and says it serves all 50 states
−FDA warning letter (Feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing
−White-label setup: Josie is a trade name of One Eleven Nutrition LLC on the CareValidate platform, and its terms say it doesn't control provider decisions
−An $80 consultation fee applies if a provider approves a plan and the patient declines medication, and filled orders are non-refundable
Read the full Josie review →

Fay vs Josie — FAQ

Is Fay better than Josie?

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Fay scores higher overall in our independent evaluation (61.9/100 vs 57.6/100), leading on trust & safety, experience, reputation. Josie comes out ahead on product range.

Is Fay or Josie cheaper?

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Fay has the lower starting price (from $0/mo vs $90/mo for Josie). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Fay and Josie both offer?

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Both platforms treat Weight Loss / GLP-1. Fay covers 2 treatment categories total and Josie covers 3.

Still deciding?

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