Last reviewed: September 5, 2026 Last updated: September 5, 2026

Written by: Jay Hastings, CEO of PlexusDx

Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations. He has more than 20 years of experience across healthcare innovation, genomics, laboratory operations, healthcare investing, and strategic finance. His work has included scaling healthcare startups, leading CLIA lab integrations, and helping expand consumer access to precision health tools.

Medically reviewed by: Jayden Lee, PharmD, EMBA

Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Science Liaison with a PharmD and MBA specializing in pharmacogenomics and clinical product development, with a proven ability to bridge the gap between genomic research and practical patient outcomes. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.

PlexusDx publishes this comparison and is one of the providers discussed. We use the same evidence rules for our own program and competing programs.

The short answer

Found differentiates itself through a bundled membership model: compounded GLP-1 prescriptions (semaglutide or tirzepatide injections) plus 24/7 app-based coaching, an AI lifestyle assistant, and access to board-certified clinicians. The program accepts insurance—offering in-network coverage for roughly one in three Americans—and provides a full refund if you are not clinically eligible. Found also offers branded GLP-1 medications and newer oral options (Foundayo orforglipron, metformin), though branded drugs are billed separately from the membership price.

Found's pricing structure requires understanding two distinct tracks. On the insurance track, a monthly plan costs $199 per month (with typical copays around $30 per visit), or an effective rate of $99 per month when you prepay $1,188 for a 12-month plan upfront. On the cash-pay track, compounded semaglutide costs $289 per month on a rolling basis, or an effective rate of $169 per month when you prepay $2,028 for a 12-month plan. Tirzepatide runs $359 per month or $239 per month prepaid annually. Found bills its monthly plans every four weeks—thirteen charges per year instead of twelve—making direct cost comparisons to calendar-month programs important.

PlexusDx offers a simpler cash-only model with no membership layer: compounded semaglutide injection at $189 per month with no long-term commitment, or $149 per month on a six-month plan (billed every calendar month, twelve charges annually). PlexusDx holds a 4.3-star rating on Trustpilot, with 79% of reviews at five stars and 83% at four stars or higher (captured September 9, 2026). Found carries a 4.1-star Trustpilot rating across approximately 732 reviews (captured September 4, 2026).

Where Found wins: insurance acceptance, a richer support infrastructure (live coaching, AI tools, personalized care plans), medication variety (branded options, oral formulations, microdosing programs), and a 12-month prepaid rate that can beat PlexusDx's month-to-month price when you commit upfront. Where PlexusDx wins: lower month-to-month cash pricing with no prepayment required, calendar billing (avoiding the hidden thirteenth charge), and transparent per-month rates across injectable, oral, and microdose formats.

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Found at a glance

Attribute Found
Insurance acceptance Yes—in-network clinicians for ~1 in 3 Americans; accepts most major insurers
Monthly insurance plan $199/month plus typical copays (~$30/visit)
12-month insurance prepaid $99/month effective ($1,188 upfront)
Monthly cash (sema) $289/month (billed every 4 weeks = 13×/year)
12-month cash prepaid (sema) $169/month effective ($2,028 upfront)
Monthly cash (tirz) $359/month (billed every 4 weeks = 13×/year)
12-month cash prepaid (tirz) $239/month effective ($2,868 upfront, our calculation)
Medications included Compounded semaglutide or tirzepatide injection; branded GLP-1s billed separately
Branded options Ozempic, Wegovy, Zepbound, Mounjaro, Saxenda, Victoza (separate billing)
Oral GLP-1 options Foundayo (orforglipron), metformin
Microdosing program Yes
Support infrastructure 24/7 app access to care team, Aimee AI lifestyle concierge, personalized care plans
Cancellation Cancel anytime in app; full refund if not clinically eligible
States served 43 states
Trustpilot rating 4.1 stars (~732 reviews, captured Sept 4, 2026)

All prices and features captured September 4, 2026, unless noted. Prescriptions are up to medical provider discretion and medication is not available in all states.

Normalizing Found's pricing: insurance versus cash, prepaid versus rolling

Found's pricing model splits into two distinct tracks—insurance-based and cash-pay—each with monthly and annual-prepaid options. Because Found bills its monthly plans every four weeks rather than every calendar month, subscribers pay thirteen times per year instead of twelve, adding a hidden surcharge that materializes in annualized comparisons.

Insurance track

If you have qualifying insurance, Found's monthly plan costs $199 per month, plus typical copays around $30 per provider visit. Over twelve calendar months, that is 13 × $199 = $2,587 in base membership fees (our calculation), not including copays.

Prepaying for a full year lowers the effective rate to $99 per month—a single $1,188 upfront charge. Over the same twelve-month period, the prepaid plan saves $1,399 compared to the rolling monthly option (our calculation), though you surrender access to that capital and the flexibility to leave without sunk cost.

Insurance coverage for the medication itself varies by plan and is billed separately where applicable; Found's $199 or $99 membership fee covers the care program, clinician access, and compounded medication where insurance does not cover the drug.

Cash-pay track: compounded semaglutide

On the cash track, compounded semaglutide costs $289 per month on a rolling basis. Because Found bills every four weeks, you pay 13 × $289 = $3,757 per year (our calculation), or an effective $313.08 per calendar month (our calculation).

The 12-month prepaid cash plan brings the rate down to $169 per month—$2,028 upfront. That is a $1,729 annual saving over the rolling monthly option (our calculation), but again requires full prepayment with no pro-rated refund structure disclosed for early discontinuation.

Found also offers intermediate commitment lengths: a three-month plan at an effective $249 per month for semaglutide (billed every 12 weeks) and a six-month plan at $219 per month (billed every 24 weeks), both captured July 20, 2026.

Cash-pay track: compounded tirzepatide

Tirzepatide follows a similar structure at a higher price point. The rolling monthly rate is $359 per month, billed every four weeks—13 × $359 = $4,667 per year, or $388.92 per calendar month (our calculation). The 12-month prepaid plan costs $239 per month effective, which we calculate as $2,868 upfront (the source states "billed every 48 weeks"). That saves $1,799 annually versus the rolling option (our calculation).

Intermediate tiers: three-month tirzepatide runs $309 per month effective (billed every 12 weeks), and six-month runs $289 per month (billed every 24 weeks).

The four-week billing trap

Found's every-four-weeks cadence is the single largest hidden cost difference when comparing to calendar-month programs. A $289 nominal monthly charge becomes $3,757 annually—$313 per calendar month—while a competitor charging $289 on a true monthly cycle costs $3,468 annually. That thirteen-versus-twelve structure adds $289 to Found's annual cost on the semaglutide plan and $359 on tirzepatide, relative to a same-price calendar-month competitor.

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Head-to-head: Found versus PlexusDx cash pricing

Commitment Found Semaglutide PlexusDx Semaglutide 12-Month Cost
Month-to-month $289/mo × 13 = $3,757/yr $189/mo × 12 = $2,268/yr PlexusDx saves $1,489/yr
Best prepaid/multi-month $169/mo (12-mo prepaid) = $2,028/yr $149/mo (6-mo plan) = $1,788/yr PlexusDx saves $240/yr
Commitment Found Tirzepatide PlexusDx Tirzepatide 12-Month Cost
Month-to-month $359/mo × 13 = $4,667/yr $289/mo × 12 = $3,468/yr PlexusDx saves $1,199/yr
Best prepaid/multi-month $239/mo (12-mo prepaid) = $2,868/yr $249/mo (6-mo plan) = $2,988/yr Found saves $120/yr

All 12-month costs are our calculations. Found monthly plans billed every 4 weeks (13 charges/year); PlexusDx billed every calendar month (12 charges/year). Figures captured July 20 and September 4, 2026.

For semaglutide, PlexusDx undercuts Found at every commitment level. On a rolling basis, PlexusDx's month-to-month rate of $189 saves $1,489 annually versus Found's $289 monthly (which becomes $3,757 after the thirteen-charge year). Even when Found's 12-month prepaid plan drops the rate to $169 per month, PlexusDx's six-month plan at $149 per month—requiring half the upfront commitment—saves an additional $240 per year.

For tirzepatide, the picture is more nuanced. PlexusDx's month-to-month rate of $289 saves $1,199 annually versus Found's $359 rolling monthly. But Found's 12-month prepaid tirzepatide plan—$239 per month effective—edges ahead of PlexusDx's six-month rate of $249 per month by $120 per year. If you are willing to prepay a full year and you need tirzepatide, Found's annual plan is the lowest per-month rate in this comparison. If you prefer shorter commitment windows or month-to-month flexibility, PlexusDx wins.

Membership features: what Found includes beyond the prescription

Found positions itself as a comprehensive weight management program rather than a prescription-only service. Every plan includes access to the Found app, which provides 24/7 messaging with a care team, personalized care plans, and "Aimee," an AI-powered lifestyle and nutrition assistant. You also get access to board-certified clinicians (physicians, nurse practitioners, or physician assistants depending on your state) who write prescriptions and adjust treatment plans.

The program emphasizes behavioral support—habit coaching, meal logging, activity tracking—alongside medication. For patients who value integrated coaching or who have struggled with adherence in purely transactional prescription models, that infrastructure may justify a higher per-month cost. For patients who prefer a streamlined medication-focused service or who already have separate coaching resources, the bundled model may feel like paying for features you will not use.

PlexusDx takes the opposite approach: a cash-pay prescription service with no membership layer, optional add-ons (a $99 drug-metabolism gene test for active members, free check-ins with a Doctor of Pharmacy), and no app-based tracking or coaching. You pay for medication, prescriber oversight, and compounding; everything else is unbundled.

Medication variety: compounded injectables, branded drugs, and oral options

Found offers a broader medication menu than most telehealth GLP-1 programs. The base membership includes compounded semaglutide or tirzepatide injectables. Beyond that, Found can prescribe branded GLP-1 medications—Ozempic, Wegovy, Zepbound, Mounjaro, Saxenda, and Victoza—though these are billed separately from the membership fee and subject to insurance coverage or out-of-pocket branded pricing.

Found also provides access to Foundayo, an oral formulation of orforglipron (a next-generation GLP-1 receptor agonist), as well as metformin and a microdosing GLP-1 program for patients seeking lower-dose maintenance therapy. This variety matters for patients with needle aversion, those transitioning between medication tiers, or individuals whose insurance covers branded drugs but not compounded alternatives.

PlexusDx offers compounded semaglutide and tirzepatide in both injectable and oral capsule formats, plus a standalone microdose injection protocol at $129 per month. PlexusDx does not prescribe or bill for branded GLP-1 medications.

Cancellation, refunds, and plan switching

Found states that you can cancel anytime through its app and promises a full refund if you are deemed not clinically eligible after intake. The refund-if-ineligible policy is standard across telehealth weight management platforms and protects against paying for a service you cannot legally receive.

What is less clear—and not documented in Found's public-facing terms captured in our review—is whether the 12-month prepaid plans allow pro-rated refunds if you cancel mid-term for reasons other than clinical ineligibility (e.g., side effects, financial hardship, preference change). Prepaid annual plans in the telehealth GLP-1 space typically do not refund unused months, which means a $2,028 prepayment carries financial risk if your circumstances or tolerance change six months in. If this matters to your decision, confirm the refund policy for voluntary early cancellation during the intake process or via Found's support before committing to an annual plan.

Found allows you to switch between monthly and prepaid plans, or between insurance and cash tracks, by contacting support. That flexibility is a meaningful advantage if your insurance status changes mid-treatment or if you initially choose a monthly plan and later want to lock in the annual rate.

Review snapshot: Found on Trustpilot

Found holds a 4.1-star rating on Trustpilot across approximately 732 reviews (captured September 4, 2026). By comparison, PlexusDx holds a 4.3-star rating on Trustpilot, with 79% of reviews at five stars and 83% at four stars or higher (captured September 9, 2026).

A 4.1-star average on Trustpilot is above the platform median for telehealth weight loss services but reflects a mixed experience base—most reviews cluster at five stars (satisfied patients) and one or two stars (service complaints), with fewer moderate ratings in between. Common themes in lower-rated reviews across the telehealth GLP-1 category (not specific to Found but typical of the sector) include delays in prescription fulfillment, difficulty reaching live support, confusion over billing cadence (the every-four-weeks cycle is a frequent surprise), and dissatisfaction when insurance claims are denied or when eligibility is determined after payment.

We did not identify specific attributable negative review themes in the dataset for this article, so we state the rating and volume as verified facts and note the general reliability profile. Prospective patients should review recent Trustpilot entries directly and weigh the volume of feedback (732 reviews is a substantial sample) against the 4.1-star average.

Insurance acceptance and the value question

Found's insurance track is its clearest differentiator from cash-only competitors like PlexusDx. If you have qualifying insurance and Found is in-network, the $199 monthly rate or $99 prepaid annual rate—plus copays—can be meaningfully cheaper than any cash-pay option, especially for patients whose plans cover the compounded or branded medication itself.

The catch: "in-network for one in three Americans" means two in three will pay out-of-network rates or fall back to the cash track. Insurance coverage for GLP-1 medications remains inconsistent, and even when a plan covers Wegovy or Zepbound, it may not cover the Found membership fee or may require prior authorization that delays treatment. If you are considering Found primarily for insurance savings, verify in-network status, medication coverage, and total out-of-pocket cost (membership + copays + medication if billed separately) before enrolling.

For cash-pay patients, the value calculation is straightforward: does Found's coaching, app infrastructure, and medication variety justify paying $100 to $125 more per month than PlexusDx for semaglutide on a month-to-month basis? For some patients—especially those new to GLP-1 therapy who want structured behavioral support—the answer is yes. For others who prioritize cost efficiency and are comfortable managing lifestyle changes independently, PlexusDx's leaner model wins.

Choose Found if…

  • You have qualifying insurance and Found is in-network, making the $199 or $99 membership fee (plus copays) cheaper than cash alternatives.
  • You value integrated behavioral coaching, 24/7 app-based support, and an AI assistant as part of your weight management program.
  • You want access to branded GLP-1 medications (Ozempic, Wegovy, Zepbound, etc.) through a single prescriber relationship, even if billed separately.
  • You prefer oral GLP-1 options (Foundayo orforglipron) or are interested in a microdosing maintenance protocol after initial weight loss.
  • You are willing to prepay $2,028 (semaglutide) or $2,868 (tirzepatide) for a full year to lock in the lowest per-month rate Found offers.
  • You want a full-featured app with meal tracking, habit logging, and progress dashboards as part of the included service.

Choose PlexusDx if…

  • You prefer month-to-month flexibility with no long-term commitment and want the lowest rolling monthly rate for compounded semaglutide ($189) or tirzepatide ($289).
  • You want calendar-month billing (twelve charges per year) rather than every-four-weeks billing (thirteen charges per year), avoiding the hidden surcharge.
  • You do not need or want bundled coaching, app-based tracking, or behavioral support—you are focused on medication access and prescriber oversight.
  • You value transparent per-month pricing with no distinction between "membership" and "medication" fees.
  • You want the option to add a drug-metabolism gene test ($99 for members) to guide medication selection and dose optimization.
  • You are interested in oral GLP-1 capsules (semaglutide at $289/month or tirzepatide at $349/month) or a dedicated microdose protocol ($129/month) without a separate membership layer.
  • You want a six-month rate ($149 semaglutide, $249 tirzepatide) that beats Found's 12-month prepaid price on semaglutide and comes close on tirzepatide—without requiring a full-year upfront payment.

Methodology and freshness

This comparison is based on publicly available pricing, service descriptions, and review data captured between July 20, 2026, and September 5, 2026. Found pricing was verified from checkout flows and marketing pages on September 4, 2026. PlexusDx pricing was captured July 20, 2026, and remains current as of publication. Trustpilot ratings and review volumes were captured September 4, 2026.

All 12-month cost comparisons, effective monthly rates for prepaid plans, and savings calculations are our own work, derived from the documented per-charge figures and billing cadences. We label every derived figure as "our calculation" in the text. Where evidence was incomplete or ambiguous (e.g., the exact upfront charge for Found's 12-month tirzepatide plan), we state the assumption and method used.

Neither Found nor PlexusDx guarantees medication, dose, eligibility, or treatment outcomes. Prescription decisions rest with licensed clinicians. Insurance coverage, copays, and in-network status vary by plan and geography. Readers should verify current pricing, insurance acceptance, and cancellation terms at checkout before enrolling.

Frequently Asked Questions

Does Found's membership fee include the medication?

On the cash-pay track, yes—Found's monthly or prepaid membership fee includes compounded semaglutide or tirzepatide. On the insurance track, the medication may be billed separately depending on your coverage. Branded GLP-1 drugs (Ozempic, Wegovy, Zepbound, etc.) are always billed separately from the membership fee, whether you use insurance or pay cash.

Why does Found charge thirteen times per year instead of twelve?

Found bills its monthly plans every four weeks rather than every calendar month. Four weeks × thirteen cycles = 364 days, nearly a full year. This cadence is common in subscription services but means you pay an extra monthly charge annually compared to true monthly billing. If you prepay for six or twelve months, the effective rate accounts for the full period and you avoid the thirteen-charge issue.

Can I cancel a Found annual plan mid-year and get a refund?

Found states you can cancel anytime and promises a full refund if you are not clinically eligible. What is not documented in public terms is whether voluntary cancellations (e.g., due to side effects or cost concerns) after starting treatment result in pro-rated refunds on prepaid annual plans. We recommend confirming this policy with Found support before committing to a $2,028 or $2,868 upfront payment.

Is Found's 4.1-star Trustpilot rating good for a telehealth GLP-1 service?

A 4.1-star rating on Trustpilot is above average for the telehealth weight loss category, which tends to show polarized feedback (many five-star reviews from satisfied patients, scattered one- and two-star reviews from those with service or billing issues). The ~732 review volume is substantial and reflects a meaningful sample size. PlexusDx holds a 4.3-star rating with 79% five-star reviews.

Does PlexusDx accept insurance or offer an insurance track?

No. PlexusDx is a cash-only program with transparent per-month pricing. There is no insurance billing, no claims submission, and no copays. If you have insurance that covers GLP-1 weight management and the provider is in-network, Found's insurance track will likely be cheaper. If you are paying cash either way, PlexusDx's lower per-month rates (month-to-month and multi-month) make it the more economical option for most patients.

Sources

  • Found Weight Loss checkout flow and pricing pages (captured July 20, 2026, and September 4, 2026)
  • Found marketing and product pages, including medication options and service descriptions (captured September 5, 2026)
  • Found Trustpilot profile and review data (captured September 4, 2026)
  • PlexusDx pricing and product data (captured July 20, 2026)
  • PlexusDx Trustpilot profile and review data (captured September 4, 2026)

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Compounded medication disclosure: Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. A licensed clinician determines whether a prescription is appropriate for an individual patient. PlexusDx works with licensed 503A compounding pharmacies.

Medical and Editorial Standards

Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims.

Sources and evidence: PlexusDx educational content is developed using peer-reviewed research, clinical literature, reputable medical references, and, where applicable, public health or regulatory guidance. References are included at the end of the article when scientific, medical, or health-related claims are discussed.

Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services. Product mentions are intended to help readers understand available options and should not be interpreted as medical advice.

Important disclaimer: PlexusDx educational content is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about medications, supplements, genetic testing, lab testing, or health-related care.

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