Foundayo is not purchased at Gentle Health. Patients in Missouri first request an online clinical evaluation; a licensed doctor may prescribe after reviewing their history and may use video. The prescription then goes to LillyDirect Pharmacy, where the patient pays for the product. Gentle Health’s $28-per-month care fee begins only if a prescription is written. Messaging and video visits are part of that fee, and no prescription is promised.
What online providers charge for Foundayo care in Missouri
Foundayo’s self-pay price is set by LillyDirect, so the medicine costs the same whichever provider prescribes it. What differs is the provider’s fee for the doctor’s care. These national telehealth providers name Foundayo on their own sites; fees are as published there, opened October 19–23, 2026, showing the ongoing price rather than any first-month offer. Availability can differ by state, so confirm that a provider serves Missouri before you sign up.
| Provider | Care fee | Commitment | Insurance or prior-authorization help |
|---|---|---|---|
| Gentle Health | $28/month, charged once the doctor writes the prescription | none; cancel any time | no |
| Counsel Health | $29 per visit, or $300 a year ($25 a month) for unlimited visits; labs extra | none per visit; the annual plan is prepaid | no |
| General Medicine | $25 typical visit copay with insurance; self-pay visit price not published | no subscription | takes insurance, including Medicare and Medicaid |
| Amazon One Medical | $39 per message visit or $59 per video visit | no membership | no prior-authorization support |
| Mochi Health | $79/month, or $49/month prepaid for a year | month to month, or prepaid | yes |
| Sesame | $99/month, or $59/month on a 12-month commitment | month to month, or 12 months | yes |
| WeightWatchers | $84/month on a 6-month plan, $74/month on a 12-month plan | 6 or 12 months, auto-renews | yes |
| Ro | $149/month; $99, $89 or $74/month prepaid for 3, 6 or 12 months | month to month, or prepaid | yes |
| Hims & Hers | $149/month after a $39 first month | multi-month plans, prices not published | not checked |
| Calibrate | $199/month | 3-month minimum | yes |
| Knownwell | self-pay $299 first visit, $149 follow-up | not stated | yes |
Prices change often, so check each provider’s site before you sign up. Gentle Health publishes this comparison and appears in it; it compares published prices only, not the quality of anyone’s care. The full table, with the maker prices alongside, is in what online providers charge to prescribe Zepbound, Wegovy and Foundayo.
Insurance and public-program choices in Missouri
An insured route might cost less than buying Foundayo directly for cash. In Missouri, verify the plan’s preferred pharmacy, covered device or tablet, authorization conditions and expected copay first. Our practice is self-pay for doctor care; the insurer’s paperwork and payment are not handled by Gentle Health.
Missouri MO HealthNet’s April 2026 policy lists Foundayo as a preferred anti-obesity drug for eligible adults, subject to prior authorization. State program source. Check your own plan’s current criteria; a manufacturer’s cash price does not establish Medicaid coverage or reimbursement.
Medicare eligibility is not the same as paying our cash price. CMS describes a GLP-1 Bridge running from July 1, 2026, to December 31, 2027, for beneficiaries who meet its clinical and plan-approval requirements. For weight management it lists Foundayo tablets with a $50 copay. Missouri patients should confirm approval with their plan; the CMS provider explanation was updated August 6, 2026.
Doctor review for Missouri patients
In Missouri, a licensed physician reviews your medical intake online and decides whether a video visit is needed. You can ask for a video visit. The doctor considers your medical history, other medicines and the Foundayo label before deciding; an online form alone does not establish that the medicine is right for you in Missouri. Gentle Health serves adults 18 and older.
James Simmons, MD, holds Missouri medical license 2026045637. Check that number with the Missouri State Board of Registration for the Healing Arts before you start. Our service covers eligible adults in Kansas City, St. Louis, Springfield, Columbia and other communities in Missouri; the current Missouri service page has the local service details.
Foundayo tablet price and dose steps for Missouri
When planning Foundayo care in Missouri, allow time for dose steps. The first daily strength is 0.8 mg for at least 30 days, according to the label; it then moves to 2.5 mg. Subsequent increases are at least 30 days apart. Options are 0.8, 2.5, 5.5, 9, 14.5 and 17.2 mg, and tablets may be taken with or without food. The doctor, not the offer, sets the dose.
A Missouri Foundayo buyer pays LillyDirect for a 30-tablet month, not for our doctor care. Its cash ladder, checked October 19, 2026, begins at $149 for 0.8 and 2.5 mg, reaches $199 at 5.5 mg and $299 at 9 mg. The 14.5- and 17.2-mg fills cost $299 only with the 45-day refill offer, or $349 without it. Discounts at 2.5 and 5.5 mg expire December 31, 2026. See our dose-price guide.
Budget two separate charges for Foundayo: $28 each calendar month for our medical service and the pharmacy’s medication price. In Missouri, that care fee starts only if the doctor prescribes. Video visits and messages are included; there is no prepaid term or per-visit charge, and you may cancel whenever you choose. We do not dispense or deliver the drug.
From a Missouri prescription to LillyDirect delivery
Once the Missouri doctor’s Foundayo prescription reaches LillyDirect Pharmacy, its dispensing partner sends a checkout link by text or email. Lilly’s FAQ asks for at least 3–5 business days of verification time; most orders then ship within 1–4 days after checkout, with free home delivery. Those are estimates rather than delivery promises. See our LillyDirect guide for the steps.
A Missouri patient taking 14.5 or 17.2 mg Foundayo should track the prior delivery date. Buying the next fill within 45 days keeps the $299 maker offer; after that, the fill can cost $349. Only a clinician can change the prescribed strength through a new prescription, not the pharmacy at checkout.
Foundayo is FDA-approved for adult weight management under the conditions in its prescribing information, not for type 2 diabetes. The Missouri doctor reviews relevant risks and other medicines; Foundayo is contraindicated with a personal or family history of medullary thyroid carcinoma or MEN2. Gentle Health is not affiliated with Eli Lilly.
Other treatment routes in Missouri
Our Missouri GLP-1 guide describes other treatment routes. Foundayo is FDA-approved; compounded medications are not, and they are not the same product.
Frequently asked questions
Can I start Foundayo care online in Missouri? In Missouri, a licensed physician reviews your medical intake online and decides whether a video visit is needed. The doctor decides whether to prescribe; approval is not automatic.
Where can I verify the Missouri doctor? Look up James Simmons, MD, license 2026045637, through the Missouri State Board of Registration for the Healing Arts.
What does Foundayo cost before our care fee? As of October 19, 2026, LillyDirect lists $149 for 30 tablets at the 0.8 mg starting dose. Gentle Health doctor care is $28 a month on top.
How does the 30-day dose-step schedule work? The label starts at 0.8 mg daily for at least 30 days, then 2.5 mg. Later dose increases are also at least 30 days apart; the doctor directs each step.
Does Gentle Health bill insurance for Foundayo? No. We provide self-pay doctor care; you purchase Foundayo from LillyDirect. Ask your plan whether another route costs less.
Dr. James Simmons, MD