Quick Summary

  • Amazon Pharmacy has secured distribution rights for Eli Lilly’s oral weight-loss medication Foundayo, offering same-day delivery across nearly 3,000 U.S. cities.
  • Customers paying cash will spend $149 monthly; those with insurance coverage may access the medication starting at $25 per month, with automatic coupon application during purchase.
  • Select One Medical clinic locations will feature kiosks dispensing Foundayo, allowing patients to collect prescriptions within minutes following medical consultations.
  • The e-commerce giant aims to extend same-day delivery services to 4,500 locations by late 2026, supported by a $4 billion infrastructure investment completed in 2025.
  • Through automated coupon systems, Amazon Pharmacy has helped customers save more than $200 million, with GLP-1 medications representing the largest savings segment.

On April 9, Amazon Pharmacy integrated Eli Lilly’s recently approved oral weight-loss medication Foundayo into its distribution network, enabling same-day delivery and clinic-based pickup options throughout the United States.

Foundayo represents an oral GLP-1 treatment authorized for adult patients dealing with obesity or excess weight accompanied by related medical conditions. The pill format eliminates refrigeration requirements, simplifying storage and distribution through automated dispensing systems.


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Since 2021, Amazon Pharmacy has been distributing GLP-1 treatment options. The company introduced Novo Nordisk’s Wegovy pill through kiosk systems in January 2026, with Foundayo becoming the second oral GLP-1 medication available via this distribution method.

Patients with insurance coverage can obtain Foundayo beginning at $25 monthly, equivalent to $1 daily. The cash payment option starts at $149 each month. The platform automatically processes available manufacturer discounts during the checkout process.

Tanvi Patel, who serves as Vice President and General Manager of Amazon Pharmacy, explained that the initiative focuses on eliminating obstacles faced by patients seeking weight management therapies.

Same-day delivery currently covers nearly 3,000 urban and suburban areas. Following a $4 billion infrastructure investment during 2025, the company targets expansion to 4,500 locations by 2026’s conclusion. Customers in rural and isolated regions will receive next-day, two-day, or three-day shipping alternatives.

Kiosk Distribution at One Medical Facilities

Amazon will deploy automated dispensing kiosks at selected One Medical clinic sites. This enables customers to obtain Foundayo within minutes after completing medical appointments, eliminating delivery waiting periods.

The Wegovy pill kiosk program launched in California at five One Medical facilities. Patel indicated that future kiosk installations might include healthcare providers beyond Amazon-owned clinics, subject to individual state regulatory frameworks.

One Medical membership is optional for booking appointments or accessing kiosks. Annual membership pricing stands at $199 for individuals seeking continuous primary care services.

LillyDirect Integration and Partner Prescriber Network

Amazon Pharmacy processes prescriptions submitted via LillyDirect, Eli Lilly’s consumer-facing platform. Same-day delivery extends to customers using Lilly’s prescribing partner network, which includes WeightWatchers.

Laura Steele, Group Vice President of U.S. Cardiometabolic Health at Eli Lilly, noted that patients may receive Foundayo on the same day or collect it at their physician’s office.

Last week, Lilly launched Foundayo through LillyDirect at $149 monthly for the entry-level dosage for cash-paying customers.

Amazon Pharmacy delivers round-the-clock access to licensed pharmacy professionals and provides continuous care coordination through Amazon One Medical, encompassing clinical assessments and treatment guidance.

Amazon (AMZN) stock advanced approximately 3.5% during the trading session when the Foundayo distribution agreement was publicly announced.