Foundayo is the first oral GLP-1 you can take whenever you want — with breakfast, at lunch, at bedtime, on an empty stomach, or after a full meal. No restrictions. That alone makes it a potential game-changer for the millions of people who avoided GLP-1 treatment because of injection anxiety or the Wegovy pill's empty-stomach requirement.
Foundayo Pricing
| How You Pay | Monthly Cost | Notes |
|---|---|---|
| Commercial insurance + savings card | $25/mo | Government insurance excluded |
| Medicare Part D (July 2026+) | $50/mo | Via GLP-1 Bridge program |
| Self-pay (lowest dose: 0.8mg) | $149/mo | Via LillyDirect |
| Self-pay (mid doses) | $199–299/mo | Via LillyDirect |
| Self-pay (highest dose: 17.2mg) | $349/mo | Via LillyDirect |
How Foundayo Works
Foundayo is a small-molecule, non-peptide GLP-1 receptor agonist. Unlike injectable semaglutide or tirzepatide (which are large peptide molecules), Foundayo is a small molecule — similar in concept to a traditional pill. This is why it can be taken orally without food restrictions: it doesn't need special absorption enhancers to survive the digestive tract.
Dosing Schedule
| Dose | Duration | Purpose |
|---|---|---|
| 0.8mg | At least 30 days | Starting dose |
| 2.5mg | At least 30 days | Titration |
| 5.5mg | At least 30 days | Titration |
| 9mg | At least 30 days | Optional increase |
| 14.5mg | At least 30 days | Optional increase |
| 17.2mg | Maintenance | Highest dose |
Foundayo vs. Wegovy Pill vs. Compounded
| Feature | Foundayo | Wegovy Pill | Compounded Sema |
|---|---|---|---|
| Manufacturer | Eli Lilly | Novo Nordisk | Compounding pharmacy |
| Starting price | $149/mo | $149/mo | $119/mo |
| FDA-approved | Yes | Yes | No |
| Format | Daily pill | Daily pill | Weekly injection |
| Food restrictions | None | Empty stomach, 30 min | None (injection) |
| Avg weight loss | 12.4% (highest dose) | 13.6% | ~15% (injectable) |
| Drug class | Small molecule | Peptide | Peptide |
| Medicare Bridge | Yes ($50/mo) | Yes ($50/mo) | No |
Where to Get Foundayo
Foundayo is available through LillyDirect (shipping started April 6, 2026) and is rolling out to US retail pharmacies and telehealth providers. You need a prescription from a licensed healthcare provider.
Alternative GLP-1 Options
| Provider | Starting Price | Details |
|---|---|---|
| Get Thin MD | $119/mo | Check Price → Paid link |
| Yucca Health | $149/mo | Check Price → Paid link |
| Embody | $149/1st mo | Check Price → Paid link |
| Sesame Care | from $199 | Check Price → Paid link |
Key Takeaways
- Foundayo: first GLP-1 pill with no food or water restrictions
- Self-pay from $149/month; $25/month with commercial insurance; $50/month Medicare
- FDA-approved April 1, 2026 — fastest NME approval since 2002
- Average 12.4% weight loss at highest dose (slightly less than injectable semaglutide's ~15%)
- Available via LillyDirect and rolling out to retail pharmacies
- Compounded semaglutide from $119/month is still cheaper for budget-conscious patients
Compare All GLP-1 Prices
See today's lowest verified prices from vetted telehealth providers.
Compare Prices →