By You can get a Foundayo prescription online from a licensed telehealth doctor, then buy the tablets yourself from LillyDirect, Eli Lilly’s direct-to-patient service. At Gentle Health, our doctor prescribes Foundayo in all 41 jurisdictions where our physician is licensed. You pay us $28/month for the doctor’s care, and you pay LillyDirect $149 to $299 a month for the tablets, as of October 18, 2026. How our care fee compares with other online providers is on our comparison page.
Here is who qualifies, what happens after the prescription is sent, what each month costs, and when another route may cost you less.
Who Foundayo is for
Foundayo (orforglipron) is a once-daily GLP-1 pill. The FDA approved it on April 1, 2026, alongside a reduced-calorie diet and more physical activity, to reduce excess body weight and keep it off long term “in adults with obesity or adults with overweight in the presence of at least one weight-related comorbid condition” (Foundayo prescribing information). It is approved for adults only, and it is not approved for type 2 diabetes.
It is not for anyone with a personal or family history of medullary thyroid carcinoma or MEN2, it should not be taken with another GLP-1 medicine, and it may harm a fetus. The doctor will ask about your other medicines and health history before deciding. You must be 18 or older to use our service. A prescription is never guaranteed: the doctor writes one only if Foundayo is appropriate for you.
How it works with Gentle Health
- You complete the online intake. The doctor reviews it in writing, or by video visit where your state requires one or you ask for one.
- The doctor sends the prescription to LillyDirect if Foundayo is right for you. Make sure your account has your current mobile number and email, because LillyDirect uses them to reach you.
- LillyDirect checks the prescription. Lilly asks you to “allow a minimum of 3–5 business days for us to verify your prescription information” (LillyDirect FAQ).
- You check out. The dispensing pharmacy sends you a checkout link by text or email, and you pay there.
- It ships. Lilly says most prescriptions ship “within 1–4 days of checkout,” and home delivery is free.
You pay us only once the doctor writes the prescription. There is no minimum, and you can cancel any time. Gentle Health does not sell or ship Foundayo, and is not affiliated with Eli Lilly. How the LillyDirect side works, step by step, is in how LillyDirect works.
What each month costs
| Dose (daily) | LillyDirect self-pay, per month | Gentle Health doctor’s care, per month |
|---|---|---|
| 0.8 mg | $149 | $28 |
| 2.5 mg | $149 (reduced from $199 until December 31, 2026) | $28 |
| 5.5 mg | $199 (reduced from $299 until December 31, 2026) | $28 |
| 9 mg | $299 | $28 |
| 14.5 mg or 17.2 mg | $299 if refilled within 45 days, otherwise $349 | $28 |
LillyDirect prices checked October 18, 2026 (LillyDirect). A month is 30 days, and taxes or fees may be added.
Two details change the total:
- The 45-day rule. At the two highest doses, the $299 price depends on refilling within 45 days. A late refill costs $349.
- The temporary reductions end December 31, 2026. After that, LillyDirect lists 2.5 mg at $199 and 5.5 mg at $299 unless it announces otherwise.
There are no needles to buy: Foundayo is a tablet.
Doses, refills and dose changes
You start at 0.8 mg a day and move up no sooner than every 30 days, through 2.5 mg to 5.5 mg, and then one step at a time to 9 mg, 14.5 mg and 17.2 mg if the doctor decides to go higher based on how you respond and tolerate it. You take one tablet a day, at any time, “with or without food,” swallowed whole. The label has no rule about waiting before eating or drinking.
A dose change means a new prescription, which the doctor sends to LillyDirect; the pharmacy fills prescriptions as written. When you are running low, we check in before you run out, and messaging the doctor about side effects or a dose question is part of the care.
Two points from the label to raise with the doctor: if you take birth-control pills, switch to another method or add a barrier method for 30 days after starting and after each dose increase; and list every other medicine you take, because some change how much Foundayo reaches your blood.
What the trials showed
In the main 72-week trial, in adults without diabetes, people on the highest dose (17.2 mg) lost 11.1% of their body weight on average, against 2.1% on placebo. Side effects were mostly digestive and most common while the dose was going up: on 17.2 mg, 35% had nausea at some point (10% on placebo). Who Foundayo suits, and how it compares with the Wegovy pill and weekly injections, is in Foundayo: cost, who it is for, and how it compares.
When another route may cost less
With commercial insurance that covers Foundayo, Lilly’s savings card can bring a fill down to as little as $25, with savings capped at $100 a month and $1,000 a year. The card excludes anyone on Medicare, Medicaid or other government coverage, and Lilly’s cards end December 31, 2026 (Foundayo savings terms). Gentle Health does not bill insurance or handle prior authorizations, so if your plan is likely to cover Foundayo, a prescriber who files the request may cost you less overall.
With Medicare, the temporary Medicare GLP-1 Bridge covers Foundayo for eligible people with a $50 monthly copay, from July 1, 2026 through December 31, 2027 (CMS). It runs through your Part D plan, not LillyDirect self-pay.
A weekly injection may suit you better if you would rather take one dose a week. Our doctor also prescribes Zepbound and the Wegovy pen; see how to get a Zepbound prescription online and how to get a Wegovy prescription online. We also prescribe compounded semaglutide and tirzepatide, from $135 and $169 a month with the medication included. Compounded medications are not FDA-approved, and they are not generic or equivalent versions of any brand-name medicine.
Frequently asked questions
Can I get Foundayo prescribed online? Yes. A licensed telehealth doctor can prescribe it after reviewing your health history. At Gentle Health our doctor sends the prescription to LillyDirect, and you buy the tablets there.
What does Foundayo cost in total? $28/month to us for the doctor’s care, plus LillyDirect’s self-pay price: $149 a month at 0.8 mg and 2.5 mg, $199 at 5.5 mg and $299 at 9 mg and above, as of October 18, 2026. The two highest doses cost $349 if not refilled within 45 days.
How long does it take to get Foundayo? After the prescription is sent, LillyDirect asks for at least 3–5 business days to verify it, then texts or emails a checkout link. Most orders ship within 1–4 days of checkout, with free delivery.
Do I need to take Foundayo on an empty stomach? No. The label says once a day, with or without food, swallowed whole.
Do I have to commit to a minimum? No. Brand-name care with Gentle Health has no minimum, and you can cancel any time. You pay us only once the doctor writes the prescription.
For our prescribing process and care fee, see Gentle Health’s Foundayo page.
Dr. James Simmons, MD