How Much Does MEDVi Cost? GLP-1 Pricing Guide (2026)
What MEDVi charges for your first month of GLP-1 care, what refills cost after that and at a higher dose, how it stacks against Wegovy and Zepbound self-pay, and which details MEDVi leaves unpublished.
The MEDVi GLP-1 weight loss program starts at $179 for your first month, and the MEDVi site FAQ says refills are locked in at $299 after that. That $179 entry price sits in the upper half of the compounded-GLP-1 programs in our provider database as of September 11, 2026: above Strut Health, HealthRx, SkinnyRx, and Shed, level with TrimRx, and below Sprout Health. The $179 offer is MEDVi's price for your first month of the semaglutide program, and it is compounded medication; refills run $299 per month after that. In a February 20, 2026 warning letter, the FDA said that when it reviewed the MEDVi website in December 2025, the pictured labels on the compounded semaglutide and tirzepatide products displayed there identified MEDVi, suggesting MEDVi is the compounder of those drugs when in fact it is not. Compounded GLP-1s are not FDA-approved and not reviewed by the FDA for safety, effectiveness, or quality. This page covers where $179 sits next to comparable programs, what your cost becomes at the $299 refill price and at a higher dose, and how that compares with paying for Wegovy or Zepbound directly. Confirm your exact medication and your price at signup. The headline number alone guarantees neither.
Average Costs Comparison
The $179 MEDVi first-month price sits in the upper half of the compounded-GLP-1 programs we track. The six other programs below are shown at the entry prices in our provider database as of September 11, 2026. None of the compounded products in this table is FDA-approved or reviewed by the FDA for safety, effectiveness, or quality; the FDA-approved brand options are priced further down the page:
| Provider | Monthly Cost | Per Dose | Consultation | Shipping | Notes |
|---|---|---|---|---|---|
| Strut Health | From $99/month | Free online visit | Free | Compounded injectable semaglutide, not FDA-approved; shares the low end of this set with HealthRx. Every figure in this column is an entry price, not a maintenance-dose price. | |
| HealthRx | $99/month | Full refund if a provider does not approve you | Free, 24-48 hours | The $99 figure is its 12-month-plan rate; its own listing puts a 3-month plan at $133/month. Compounded semaglutide and tirzepatide either way, so neither carries FDA approval. | |
| SkinnyRx | From $149.25/month | Check at sign-up | Check at sign-up | Compounded injectable semaglutide, not FDA-approved; tirzepatide tablets from $224.25/month per its listing, and no tirzepatide tablet is FDA-approved. SkinnyRx also lists FDA-approved Wegovy. | |
| Shed | $159/month (12 months); $179 (6 months); $199 (1 month) | Check at sign-up | Check at sign-up | Compounded semaglutide, not FDA-approved; the lowest rate requires a 12-month term, and tirzepatide starts at $239/month per its listing. Health coaching included. | |
| MEDVi | $179 first month; refills $299 per the MEDVi site | Not itemized in the MEDVi listing | Ships to your door, cost not broken out | Compounded semaglutide program. Free dietician visits and care coaching included with your plan, per its listing. Compounded GLP-1s are not FDA-approved and not reviewed by the FDA for safety, effectiveness, or quality. | |
| TrimRx | From $179/month | Free consultation | Free tracked shipping | Ties the MEDVi first-month price at the entry number. Compounded semaglutide, not FDA-approved; tirzepatide from $259/month per its listing. | |
| Sprout Health | From $199/month | Check at sign-up | Refrigerated shipping from a US pharmacy | Compounded semaglutide and tirzepatide, dosed by US-licensed clinicians per its listing; the compounded products it offers are not FDA-approved or reviewed by the FDA for safety, effectiveness, or quality. |
Top Weight Loss Providers by Value
GLP-1 Weight Loss From $179/mo - Free 2-Minute Assessment
- Compounded GLP-1 (semaglutide) from $179/mo, GLP-1 + GIP (tirzepatide) from $259/mo
- Brand-name Ozempic®, Mounjaro®, Zepbound® and Wegovy® also available
- Free 2-minute qualification quiz and FREE doctor consultation - no cost, no obligation
- Free tracked shipping straight to your door after approval
First Month $179, Then $299/mo With No Membership Fee
- Doctor-guided compounded GLP-1 care, 100% online. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
- Free dietician visits and care coaching included with your plan
- Doctor-formulated plans adjusted as your body responds
- Fast, discreet shipping to your door

Compounded Semaglutide From $150/mo on Prepaid Plans
- Compounded semaglutide from $150/mo, tirzepatide from $240/mo on prepaid plans
- Insurance concierge works to maximize your coverage
- GLP-1 microdosing option and a custom plan in under 3 minutes
Month One, Month Two, and Your Maintenance Dose
Your First Month
The MEDVi site FAQ says the MEDVi Semaglutide program starts at $179 for your first month with no contract. That first month is the number to set against the entry prices of other programs.
Your Refills After Month One
The MEDVi site FAQ says refills are locked in at $299 and include all the same program benefits. That makes $299 your monthly price from month two, unless MEDVi quotes you a different number at checkout. At that rate your first year costs $3,468: $179 plus eleven refills at $299.
If Your Dose Increases
We have no dose-by-dose MEDVi price on record. The MEDVi site FAQ says refills are locked in at $299, so ask whether that price holds at every dose before you commit.
Where Insurance Stops and Your HSA Card Starts
We have no record of MEDVi billing insurance, so budget for it as a cash-pay program and confirm at signup. Before you pay with an HSA or FSA card, check with your plan administrator.
Commercial Insurance
Coverage: Not billed by MEDVi in our records
We have no record of MEDVi billing insurance, so budget for it as a cash-pay program. If your plan covers Wegovy or Zepbound, ask your insurer what you would pay for the FDA-approved brand before you choose a cash-pay compounded program.
Medicare / Medicaid
Coverage: Medicare GLP-1 Bridge for eligible Part D members
The Novo Nordisk Wegovy site says that from July 1, 2026 through December 31, 2027, the Medicare GLP-1 Bridge gives eligible Medicare Part D beneficiaries all dose strengths of the Wegovy pen and pill for $50 a month, and that this is not a guarantee of coverage; Lilly says your Zepbound KwikPen cost under the Bridge is no more than $50 a month if you are eligible. Both are FDA-approved brands, not the MEDVi compounded program. For Medicaid, check your state formulary.
HSA/FSA
Coverage: Check with your plan administrator
Ask your HSA or FSA administrator whether a compounded GLP-1 prescription qualifies before you pay with the card.
MEDVi vs. Paying for Wegovy or Zepbound Directly
The MEDVi program is compounded medication, made by a compounder rather than the brand manufacturer, and the price gap against Wegovy or Zepbound reflects that. Compounded GLP-1s are not FDA-approved and not reviewed by the FDA for safety, effectiveness, or quality, while Wegovy and Zepbound are FDA-approved brands. Those two brands are also the ones carrying head-to-head trial data. In the SURMOUNT-5 trial, participants taking brand tirzepatide (Zepbound) lost an average of 20.2% of body weight at 72 weeks, versus 13.7% for participants taking brand semaglutide (Wegovy); in STEP 1, semaglutide 2.4mg averaged 14.9% over 68 weeks. Individual results vary, and both trials studied the FDA-approved brand products, not compounded versions of them.
| Medication | Compounded/Generic | Brand-Name | Savings |
|---|---|---|---|
| MEDVi (compounded semaglutide program) | Cost: $179 for your first month, then refills locked in at $299 per the MEDVi site FAQ. | Compounded program, not made by the brand manufacturer; not FDA-approved and not reviewed by the FDA for safety, effectiveness, or quality. | Below the $349/month NovoCare Wegovy pen rate in month one and at the $299 refill price, but above the NovoCare $199 intro fills and the $149 and $199 Wegovy pill doses. |
| Wegovy via NovoCare Pharmacy (self-pay) | Cost: $349/month for the pen at 0.25mg to 2.4mg and $399/month for the 7.2mg HD pen; if you are new, your first two fills at 0.25mg or 0.5mg are $199 each through December 31, 2026. The Wegovy pill is $149 (1.5mg), $199 (4mg), or $299 (9mg and 25mg) a month. | FDA-approved brand semaglutide, manufacturer self-pay channel. | The $199 intro fills and the $149 and $199 pill doses cost less than the $299 MEDVi refill price, so compare both before choosing. |
| Zepbound via LillyDirect (self-pay) | Cost: $299/month (2.5mg starting dose) up to $449/month (7.5mg+), as long as you refill within 45 days; $499-$699/month if you lapse. | FDA-approved brand tirzepatide, manufacturer self-pay channel. | The $299/month LillyDirect starting dose matches the $299 MEDVi refill price, so compare directly if tirzepatide suits you. |
How to Avoid Overpaying for MEDVi
- Your $179 first month is the MEDVi compounded semaglutide program, which is not FDA-approved and not reviewed by the FDA for safety, effectiveness, or quality. Confirm the exact medication and dose on your prescription before you sign up. Want the brand-name drug instead? MEDVi lists a separate $99 membership with the Wegovy pill or injection billed on top, and shows no combined total.
- Two numbers matter more than the headline: your refill price and your price at a maintenance dose. The MEDVi site FAQ says refills are locked in at $299, which is $120 more than the first month, and we have no dose-by-dose price on record.
- Compare against the NovoCare $199 Wegovy intro fills (your first two fills if you are new, through December 31, 2026), the $149 Wegovy pill starting dose, and the $299/month LillyDirect Zepbound starting dose before assuming compounded is always cheaper.
- Ask your HSA or FSA administrator whether a compounded prescription qualifies before you pay with the card.
- Every price on this page reflects our provider database and the manufacturer pricing pages as of September 11, 2026, and telehealth GLP-1 pricing moves fast. Check the current MEDVi number at checkout before you commit to it.
Where the Bill Can Grow After Signup
- The step from $179 in month one to the $299 refill price the MEDVi site FAQ lists, so budget for $299 from month two.
- Dose changes: ask whether the $299 refill price holds at every dose, since we have no dose-by-dose MEDVi price on record.
- Labs and follow-up visits: confirm whether the $179 first month and the $299 refills include them before you pay.
- Cancellation timing: the renewal that ends your intro price is the one to get ahead of, so find your billing date before month one runs out.
Frequently Asked Questions
How much does MEDVi cost per month?
The MEDVi site FAQ says the MEDVi Semaglutide program starts at $179 for your first month with no contract, and that refills are locked in at $299. It is compounded semaglutide, which is not FDA-approved. Budget $299 a month from month two, and confirm both numbers at checkout.
Is MEDVi's GLP-1 medication compounded or brand-name?
Both paths exist, but the $179 first month is the compounded semaglutide program, not brand-name medication. In a February 20, 2026 warning letter, the FDA said that when it reviewed the MEDVi website in December 2025, the pictured labels on the compounded semaglutide and tirzepatide products displayed there identified MEDVi, suggesting MEDVi is the compounder of those drugs when in fact it is not. Compounded GLP-1s are not FDA-approved and not reviewed by the FDA for safety, effectiveness, or quality. Separately, MEDVi lists a brand-name path for the Wegovy pill or injection: a $99 membership plus the cost of the medication. Confirm which path and which drug you are getting before you enroll.
Does MEDVi bill insurance, or is it cash and HSA/FSA only?
We have no record of MEDVi billing insurance, so budget for it as cash-pay. Before you pay with an HSA or FSA card, ask your plan administrator whether a compounded GLP-1 prescription qualifies. Compounded GLP-1s are not FDA-approved.
Does MEDVi still beat Wegovy and Zepbound self-pay after the intro period?
At $179 for your first month and $299 per refill, MEDVi costs less than the $349/month NovoCare Wegovy pen rate. The NovoCare $199 intro fills (your first two if you are new, through December 31, 2026) and the $149 and $199 Wegovy pill doses cost less than a MEDVi refill. The $299 MEDVi refill price matches the $299/month LillyDirect Zepbound starting dose; LillyDirect charges $399 at 5mg and $449 from 7.5mg when you refill within 45 days. The MEDVi program is compounded and not FDA-approved, while Wegovy and Zepbound are FDA-approved brands. Compare your actual MEDVi price against both manufacturer options before deciding.
Sources & References
Our comparisons are informed by official sources and regulatory guidelines. We encourage you to verify information with authoritative sources.
- FDA Drug InformationGLP-1 medication approvals and safety
- NIH National Institute of DiabetesWeight management research
- CDC Obesity InformationObesity statistics and health impacts
- Obesity Medicine AssociationClinical obesity treatment guidelines
Editorial Note: Researched and edited by our editorial team. AI tools assist with initial research and drafting; all content is fact-checked and edited by humans before publication. Learn more about our editorial standards
Start With a Top Weight Loss Provider
GLP-1 Weight Loss From $179/mo - Free 2-Minute Assessment
- Compounded GLP-1 (semaglutide) from $179/mo, GLP-1 + GIP (tirzepatide) from $259/mo
- Brand-name Ozempic®, Mounjaro®, Zepbound® and Wegovy® also available
- Free 2-minute qualification quiz and FREE doctor consultation - no cost, no obligation
- Free tracked shipping straight to your door after approval
First Month $179, Then $299/mo With No Membership Fee
- Doctor-guided compounded GLP-1 care, 100% online. Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
- Free dietician visits and care coaching included with your plan
- Doctor-formulated plans adjusted as your body responds
- Fast, discreet shipping to your door

Compounded Semaglutide From $150/mo on Prepaid Plans
- Compounded semaglutide from $150/mo, tirzepatide from $240/mo on prepaid plans
- Insurance concierge works to maximize your coverage
- GLP-1 microdosing option and a custom plan in under 3 minutes
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Disclaimer: Pricing information is based on publicly available data and may change without notice. Actual costs depend on your specific treatment plan, insurance coverage, and provider. Always verify current pricing with providers before purchasing. This article is for informational purposes only and is not financial or medical advice. We may receive compensation through affiliate links, which helps support our research.
Regulatory noticeRegulatory note (verified October 8, 2026): On February 20, 2026 the FDA issued MEDVi, LLC a warning letter (MARCS-CMS 721455) citing misbranding under sections 502(a) and 502(bb) of the FD&C Act. Reviewing medvi.io in December 2025, the FDA said labels bearing "MEDVi" implied MEDVi compounds the drugs when it does not, and that site copy presenting the compounded drug as having the same active ingredient as Wegovy and Ozempic, and as Mounjaro and Zepbound, implied an FDA approval compounded drugs do not have. The letter adds that introducing or delivering the products it identifies into interstate commerce is a prohibited act under section 301(a), that receiving them in interstate commerce and delivering or offering to deliver them also violates section 301(c), and that a compounded drug product must meet the conditions of section 503A or 503B of the FD&C Act to be exempt from certain requirements, including the new drug approval requirements. When we checked FDA's warning letter index for MEDVi, LLC on October 8, 2026 it showed no response letter and no close-out letter entered against it, so the letter is not closed out on the public record. MEDVi states medvi.io is affiliate-operated rather than company-operated; we could not verify that, and the letter is addressed to MEDVi, LLC. Read the FDA letter
Regulatory noticeRegulatory note (verified October 8, 2026): The FDA reviewed struthealth.com in December 2025 and, on February 20, 2026, issued Strut Health, LLC a warning letter, MARCS-CMS 721448. It raises two separate problems. Pictured product labels carry the "Strut" name, which the agency said represents Strut as the compounder of the semaglutide and tirzepatide products when it is not. The letter also quotes three claims from the site, among them "Generic Zepbound, Mounjaro", along with site copy naming semaglutide and tirzepatide as the active ingredient in the brand medications. Because compounded drugs hold no FDA approval, the FDA said wording of that kind implies one, and it cited misbranding under sections 502(a) and 502(bb) of the FD&C Act. The letter adds that introducing or delivering the products it identifies into interstate commerce is a prohibited act under section 301(a), that receiving them in interstate commerce and delivering or offering to deliver them also violates section 301(c), and that a compounded drug product must meet the conditions of section 503A or 503B of the FD&C Act to be exempt from certain requirements, including the new drug approval requirements. When we checked FDA's warning letter index for Strut Health, LLC on October 8, 2026 it showed no response letter and no close-out letter, so we treat the matter as open. Read the FDA letter
Regulatory noticeRegulatory note (verified August 22, 2026): Eden Health International Inc. was sent FDA warning letter MARCS-CMS 728279 on June 8, 2026, following an agency review of tryeden.com in March 2026. The letter lists two findings. The first is the "Eden" name on pictured labels for compounded semaglutide and tirzepatide, which the FDA said represents Eden as the compounder when it is not. The second is the site’s description of its sourcing as "FDA-licensed 503(a) outsourcing facilities," a designation the agency says does not exist, because the FD&C Act creates no FDA approval or license for pharmacies or outsourcing facilities. Both were cited as misbranding under sections 502(a) and 502(bb). FDA has posted no close-out letter, so the matter reads as open. Read the FDA letter
Verification limitationVerification note (checked August 23, 2026): we could not identify the legal entity behind HealthRx through public records. Its website does not name an operating company, its domain registration is privacy-shielded, and we could not confirm a listing in any business registry or accreditation database we checked. This is not a finding of wrongdoing. It means our usual checks, including our search of FDA enforcement records, could only be run against the brand name and domain rather than a confirmed company.
Regulatory noticeRegulatory note (verified August 22, 2026): One sentence is all that FDA warning letter MARCS-CMS 715879 quotes. Sent to Sprout Health Partners LLC on September 9, 2025 after an August 2025 review of joinsprouthealth.com, it cites the line "GLP-1 medications are FDA-approved and backed by extensive clinical research..." Appearing on pages offering compounded semaglutide and tirzepatide, that statement implied to the agency that the compounded products themselves are FDA-approved, which they are not, and it was cited as misbranding under FD&C Act 502(a) and 502(bb). A search of FDA’s warning letter index turns up no close-out letter, so the matter appears open. Read the FDA letter
Regulatory noticeRegulatory note (verified August 22, 2026): Skinny.Rx operates as SkinnyRx, but the legal entity is Lean Rx, Inc., and that is the name on FDA warning letter MARCS-CMS 717989, dated February 20, 2026. Following a December 2025 review of skinnyrx.com, the agency objected to the "SkinnyRx" name on pictured labels, saying it implies SkinnyRx compounds the drugs itself, and to three marketing lines, including "Get access to the same active ingredient as name-brand GLP-1 medications" and "It contains the same active ingredient as FDA-approved medications." Compounded semaglutide and tirzepatide are not FDA-approved, so the FDA read those lines as implying an approval that does not exist and classed the products as misbranded. FDA's warning letter index carries no close-out letter for MARCS-CMS 717989, so read the matter as unresolved. Read the FDA letter
Regulatory noticeRegulatory note (verified August 22, 2026): Hers is a brand of Hims & Hers Health, Inc., and the FDA wrote to that company twice on September 9, 2025, once for each brand. The Hers letter, MARCS-CMS 716825, went to chief executive Andrew Dudum after an August 2025 review of forhers.com. It quotes two claims made for compounded semaglutide: "Weekly injectable GLP-1 with the same active ingredient as Ozempic and Wegovy" and "Clinically proven ingredients." The agency’s position is that compounded products carry no FDA approval, so claims like these imply a sameness with approved medicines that has not been established, making the products misbranded. FDA’s index lists neither a response nor a close-out letter, so the matter stands open. Read the FDA letter
Regulatory noticeRegulatory note (verified August 22, 2026): On September 9, 2025 the FDA sent Hims & Hers Health, Inc. a warning letter covering the Hims brand, MARCS-CMS 716567, drawn from a review of hims.com the previous month. Two lines about compounded semaglutide are quoted in it: "Same active ingredient as Ozempic and Wegovy" and "Clinically proven ingredients." Compounded drug products are not FDA-approved, and the agency said phrasing of this sort suggests otherwise, which is what makes the products misbranded under FD&C Act sections 502(a) and 502(bb). A companion letter went to the same company that day for its Hers brand. No close-out letter appears in FDA’s index; treat this as open. Read the FDA letter