- Program fee
- $75/month, or $150 for 3 months ($50/month)
- Medication (LillyDirect self-pay)
- $149/month for 0.8 & 2.5 mg, $199 for 5.5 mg, $299 for 9 mg, 14.5 mg & 17.2 mg
- Form
- Once-daily tablet
- FDA status
- FDA-approved brand-name medicine
How Foundayo Pills works
Book a live visit with a licensed clinician. If Foundayo fits your health and goals, your prescription goes directly to LillyDirect, which bills you for the medicine and delivers it to your home. Your HealifyMD program fee covers the clinical care.
Who it’s for, and who it isn’t
May be a fit
- Adults with a BMI of 30 or more, or 27 or more with a weight-related condition
- People who would rather take a pill than inject
- People who find the empty-stomach routine of semaglutide tablets hard to keep up
- People who want an FDA-approved brand-name medicine
Usually not a fit
- Pregnancy, breastfeeding or plans to conceive soon
- Anyone already taking another GLP-1 or tirzepatide product
- A history of pancreatitis or severe gastrointestinal disease, unless your clinician advises otherwise
- Anyone under 18
What’s included
- Live visit with a licensed clinician
- A Foundayo prescription sent to LillyDirect, only if it is medically appropriate
- Monthly dose-step plan
- Follow-up for side effects and dose questions
- Subscription you can cancel anytime
Possible side effects
- Common: nausea, diarrhea, vomiting, constipation, stomach pain, indigestion and reduced appetite, mostly while doses are rising
- Less common but serious: pancreatitis, gallbladder problems, kidney injury from dehydration and low blood sugar when combined with insulin or a sulfonylurea
- Seek urgent care for severe stomach pain that does not go away, signs of an allergic reaction or trouble swallowing
- Some medicines, such as oral ketoconazole or clarithromycin, raise orforglipron levels, so your clinician checks your medication list
This isn’t a complete list. Your clinician reviews risks, interactions and warnings with you before prescribing. In an emergency, call 911.
What the evidence says
Foundayo's approval rested largely on the 72-week ATTAIN-1 trial in adults with obesity or overweight, where average weight loss among people who stayed on treatment was 7.8%, 9.3% and 12.4% across the three doses tested. Mild to moderate stomach side effects such as nausea were the most common.
Program fee and medicine cost
The HealifyMD program is $75 a month, or $150 for 3 months ($50 a month), for your clinician visit, the prescription if you qualify and follow-up.
Foundayo is paid for separately to LillyDirect. If prescribed, your prescription is sent directly to LillyDirect for billing and home delivery. Current self-pay prices:
- $149/month: 0.8 mg and 2.5 mg
- $199/month: 5.5 mg
- $299/month: 9 mg
- $299/month: 14.5 mg and 17.2 mg
A different kind of GLP-1 pill
Semaglutide is a peptide that the stomach breaks down, so the Wegovy and Rybelsus tablets need a strict routine: an empty stomach, a small sip of water and a 30-minute wait. Orforglipron is a small molecule built to be swallowed. It acts on the same GLP-1 receptor but survives digestion, so Foundayo has no food or water rules.
How the doses build up
Foundayo comes in six strengths, from 0.8 mg to 17.2 mg. You start on 0.8 mg once a day for at least 30 days, then step up about every 30 days through 2.5 mg and 5.5 mg toward a maintenance dose between 5.5 mg and 17.2 mg.
That is why the first months cost less: the two starting strengths are $149 a month. Your clinician decides how far to go based on how you respond and how well you tolerate each step.
How it compares with injections
Average weight loss in Foundayo's main trial was lower than in the trials of injectable Wegovy or Zepbound. For many people the trade is worth it: no needles, no refrigeration and no morning routine. Your clinician can compare the options with you, including the Wegovy pill.
Safety points to know first
Nausea, vomiting and diarrhea are the most common side effects, mostly while the dose is rising. Drink enough fluids and tell your clinician if stomach problems last. Ask about the specific warnings on the Foundayo label, and never combine it with another GLP-1 medicine.
Prescription treatments are available only to eligible patients after a clinical evaluation by an independently licensed clinician.
Foundayo Pills: common questions
How much does Foundayo cost through HealifyMD?
The program is $75 a month or $150 for 3 months. LillyDirect bills Foundayo separately: $149 a month for 0.8 mg and 2.5 mg, $199 for 5.5 mg and $299 for 9 mg, 14.5 mg and 17.2 mg.
Do I have to take it on an empty stomach?
No. Foundayo can be taken once a day at any time, with or without food.
Is Foundayo the same as the Wegovy pill?
No. The Wegovy pill contains semaglutide and must be taken on an empty stomach. Foundayo contains orforglipron, a different drug with its own trials.
Can the price change?
Yes. Foundayo pricing and eligibility are set by Eli Lilly and may change at any time. Additional terms and eligibility requirements may apply.
Will I be prescribed Foundayo?
Only if it is medically appropriate. Not everyone qualifies.
Can I cancel?
Yes. The program is a subscription you can cancel anytime.
Sources
We cite government agencies, professional societies and peer-reviewed research. See our editorial policy.
- FDA approves orforglipron, an oral GLP-1, for adults with obesityHealio
- FoundayoEli Lilly (LillyDirect)
- Foundayo dosagesGoodRx
- Prescription medications to treat overweight and obesityNational Institute of Diabetes and Digestive and Kidney Diseases