Foundayo (orforglipron): price and where to get it online (2026)
Verified July 2026: Foundayo (orforglipron) is Eli Lilly's FDA-approved once-daily oral GLP-1 pill, approved April 1, 2026. Cash price starts at ~$149/month (starter dose) via LillyDirect, rising to ~$299/month at maintenance. We compared 4 verified telehealth sources plus LillyDirect below.
What is Foundayo (orforglipron)?
Foundayo is the brand name. Orforglipron is the generic drug name. They are the same medicine.
Foundayo is Eli Lilly's once-daily oral GLP-1 receptor agonist. Unlike Ozempic, Wegovy, or Zepbound, it is a non-peptide small molecule. That structure survives stomach acid, so it works as a pill with no injection and no meal-timing fast.
The FDA approved Foundayo on April 1, 2026 for chronic weight management in adults with BMI ≥30, or BMI ≥27 with a weight-related condition. Commercial launch followed April 6, 2026.
In the ATTAIN-1 Phase 3 trial (N=1,401, 72 weeks, NEJM), Foundayo produced 12.4% mean body weight loss versus 2.3% for placebo. It is the first FDA-approved non-peptide oral GLP-1 for weight loss.
7.8/10 score. Users who want fast delivery and a streamlined compounded GLP-1 experience
Read our full Shedreview →Where can I get Foundayo online?
These telehealth sources carry Foundayo (orforglipron), sorted by their program starting price. Foundayo itself is a brand-name Lilly pill, so the drug's cash price is roughly consistent (~$149/mo starter to ~$299/mo maintenance). The difference between providers is any added membership or consult fee, and how they handle insurance.
“Program from” is each provider's starting monthly price from our data file, not necessarily the Foundayo-specific price. Confirm the exact Foundayo cost on the provider's site.
| # | Source | Program From | Score | Type | Insurance | |
|---|---|---|---|---|---|---|
| 1 | Sesame Care #7 overall | $99/mo | 7.9/10 | Both | Yes | Visit |
| 2 | Found #36 overall | $129/mo CORE plan; about $30/mo with insurance | 7.3/10 | Both | Yes | Visit |
| 3 | Ro #43 overall | $149/mo | 7.2/10 | Brand | Yes | Visit |
| 4 | Shed #15 overall | $199/mo | 7.8/10 | Both | No | Visit |
Buy Foundayo direct from Eli Lilly (LillyDirect)
You can also order Foundayo straight from the manufacturer. LillyDirect self-pay starts at ~$149/month at the 12mg starter dose, rising to ~$299/month at full maintenance dosing. Foundayo is also dispensed through Amazon Pharmacy and GoodRx.
Visit LillyDirect →LillyDirect is the manufacturer's own pharmacy. This is an informational link, not an affiliate placement.
Foundayo vs the Wegovy pill vs compounded oral GLP-1
Three ways to take a GLP-1 by mouth in 2026. Only two are FDA-approved for weight loss.
| Factor | Foundayo (orforglipron) | Wegovy pill (semaglutide 25mg) | Compounded oral semaglutide |
|---|---|---|---|
| FDA-approved for weight loss | Yes (Apr 1, 2026) | Yes (Dec 2025) | No (not FDA-approved) |
| Phase 3 weight loss | 12.4% at 72 wks (ATTAIN-1) | 16.6% at 68 wks (OASIS) | No trial data |
| Fasting required | No | Yes (30-min pre-dose fast) | Varies by formulation |
| Lowest self-pay cost | ~$149/mo (LillyDirect starter) | $1,349/mo list; $25/mo insured | ~$199/mo |
| Structure | Non-peptide small molecule | Peptide (semaglutide) | Peptide (pharmacy-mixed) |
For context, a pill's ~12–17% weight loss trails injectables: injectable semaglutide reached 14.9% in STEP-1 (NEJM) and tirzepatide reached 20.9% in SURMOUNT-1 (NEJM). The tradeoff for a pill is convenience, not maximum results.
Compounded note: compounded oral semaglutide is not FDA-approved and has no dedicated trial data; bioavailability and quality vary by pharmacy. With two FDA-approved oral pills now available, the case for compounded oral semaglutide is weaker than it was in 2024–2025.
How much does Foundayo cost with insurance?
Foundayo's list price (WAC) is about $649/month. Most people pay far less.
With commercial insurance + Lilly's savings card: ~$25/month (the same copay structure as Zepbound). CVS Caremark added Foundayo to its standard commercial formulary effective June 1, 2026.
With Medicare: $50/month flat. Starting July 1, 2026, Medicare Part D covers Foundayo at a $50 copay through the GLP-1 Bridge demonstration. See our Medicare GLP-1 Bridge guide for eligibility and how to enroll.
Paying cash: ~$149/month starter via LillyDirect, up to ~$299/month at maintenance dosing.
What are Foundayo's side effects?
Foundayo's most common side effects are gastrointestinal and mirror other GLP-1 drugs: nausea, diarrhea, constipation, and vomiting. In ATTAIN-1, symptoms were most frequent during dose escalation and eased at steady state.
This page is a pricing and access overview, not medical guidance. For dose-by-dose management protocols and red flags, read our full breakdown.
Foundayo side effects: full guide →Frequently Asked Questions
What is Foundayo?+
Is Foundayo the same as orforglipron?+
How much does Foundayo cost?+
Where can I get Foundayo online?+
Foundayo vs the Wegovy pill: which is better?+
Does Medicare cover Foundayo in 2026?+
Next step: read our full Shed review (our top telehealth pick for Foundayo access), or take the 2-minute match quiz to find the right GLP-1 program for you.