MEDVi pricing at a glance
MEDVi's compounded semaglutide injections cost $179 for the first month and $299/month for refills on month-to-month plans. Compounded tirzepatide injections start at $279 first month and run $399–$499/month for refills depending on dose. 12-month prepaid plans drop semaglutide to $179/mo and tirzepatide to $299/mo but lock you in. Medication, physician review, and shipping are all included. MEDVi bills every 28 days — not monthly — so budget for 13 charges per year.
If you've searched for "MEDVi pricing compounded semaglutide tirzepatide 2026" you probably want one thing: the actual numbers, laid out cleanly, without wading through another 4,000-word review that buries the pricing under testimonials. This page is that.
MEDVi is a cash-pay telehealth platform that prescribes compounded semaglutide and compounded tirzepatide — the same active ingredients as Ozempic, Wegovy, Mounjaro, and Zepbound, prepared by licensed U.S. compounding pharmacies. The pitch is simple: skip the $1,000+/month brand-name pricing, skip the insurance fights, and pay cash for the same molecule at a fraction of the cost.
Below is everything you need to know about what MEDVi actually charges in 2026, what's included, what isn't, and where it fits in the broader market.
Full MEDVi pricing table (April 2026)
Here's the complete MEDVi pricing matrix, verified against MEDVi's current website and cross-referenced with reporting from U.S. News Health and Consumer Affairs:
| Medication & Format | First Month | Refill (Monthly) | 12-Mo Prepay |
|---|---|---|---|
| Compounded semaglutide injection | $179 | $299 | $179/mo |
| Compounded semaglutide tablet (oral) | $249 | $369 | — |
| Compounded tirzepatide injection | $279–$349 | $399–$499 | $299/mo |
| Compounded tirzepatide tablet (oral) | $279 | $399 | — |
| Brand Ozempic (when available) | $750+ | $950+ | — |
| Brand Wegovy (when available) | $950+ | $1,150+ | — |
Prices confirmed against MEDVi's published rates and third-party reviews from U.S. News Health, Consumer Affairs, and Vaccine Alliance as of April 2026. MEDVi does not offer brand-name tirzepatide (Zepbound or Mounjaro).
Compounded semaglutide from $179
Take MEDVi's 2-minute quiz to see if you qualify and lock in first-month pricing. Physician review, medication, and shipping all included — no separate consultation or membership fees.
Check MEDVi Pricing & QualifyWhat's actually included in MEDVi's price
A lot of telehealth pricing is advertised with a low number, then you get hit with consultation fees, membership fees, shipping fees, or lab fees at checkout. MEDVi doesn't work that way. The monthly price is the all-in price for most patients. Here's what you get:
- Physician review & prescription. A licensed provider reviews your intake, determines eligibility, and writes the prescription. No separate consult fee.
- The medication itself. Compounded semaglutide or tirzepatide from a licensed U.S. compounding pharmacy (MEDVi partners with Belmar Pharma Solutions).
- Cold-chain shipping. Free, with ice packs for temperature-sensitive injectables. Usually arrives within 7 business days of approval.
- 24/7 messaging support. Access to MEDVi's care team through the patient portal.
- Dose adjustments. Your provider titrates your dose as you progress — no extra fee for follow-ups.
- Labs when medically necessary. MEDVi partners with Quest Diagnostics. In most states, labs aren't required to start.
What's not included: insurance billing (MEDVi is strictly cash-pay), structured nutrition coaching, behavioral therapy, or a dedicated health coach. If you want a full-service weight loss program with coaching built in, MEDVi is not that — it's a medication-access platform with medical oversight.
The 28-day billing cycle: the detail most guides skip
Annualized, here's what that looks like for each format:
| Plan (refill pricing) | Per cycle | Cycles/year | Actual annual cost |
|---|---|---|---|
| Compounded sema injection (month-to-month) | $299 | ~13 | ~$3,887 |
| Compounded sema injection (12-mo prepay) | $179 | 12 | $2,148 |
| Compounded tirz injection low dose | $399 | ~13 | ~$5,187 |
| Compounded tirz injection higher dose | $499 | ~13 | ~$6,487 |
| Compounded tirz injection (12-mo prepay) | $299 | 12 | $3,588 |
The 12-month prepay options are a real discount — roughly 40% off month-to-month — but they require a full upfront payment and typically lock you in. If you're new to GLP-1s and unsure how your body will respond, month-to-month is the lower-commitment way to test the waters, even at higher per-cycle cost.
How dose increases affect your price
Compounded tirzepatide pricing at MEDVi scales with dose. You'll typically start at a lower dose (2.5 mg) where refills run around $399/mo, and progress upward as your provider titrates you. At higher maintenance doses, refills can reach $499/mo on month-to-month plans.
Compounded semaglutide injection pricing, by contrast, is advertised as "locked" at $299/month for refills across the full dose range — a genuine advantage if you plan to titrate up.
MEDVi pricing vs. the competition
Here's how MEDVi's core numbers stack up against other cash-pay GLP-1 telehealth platforms in April 2026. All figures are for compounded semaglutide unless noted:
| Provider | Sema first month | Sema refills | Tirz refills |
|---|---|---|---|
| MEDVi | $179 | $299 | $399–$499 |
| Wellorithm | $147 | $247+ | $249+ |
| Henry Meds | $197–$297 | $249 | $349+ |
| Eden Health | $129 (3-mo) | $196+ | $349 |
| Hims & Hers | $199 | $199+ | $299+ |
| Brand Wegovy (NovoCare direct) | $199 (intro) | $349 | n/a |
| Brand Zepbound (LillyDirect vial) | — | — | $299–$449 |
Read honestly, MEDVi isn't the absolute cheapest option on compounded semaglutide — Wellorithm and Eden Health undercut on starting prices. Where MEDVi competes is on the combined package: low entry price, LegitScript certification, 24/7 support, a money-back guarantee, and a generous 12-month prepay discount.
Not sold on MEDVi? Wellorithm starts at $147
If MEDVi's numbers don't fit your budget, Wellorithm offers compounded semaglutide at a lower entry price with a similar telehealth model. Worth comparing before you commit.
See Wellorithm PricingHSA/FSA eligibility
MEDVi accepts HSA and FSA payments. For a prescription weight-loss medication prescribed by a licensed provider for medical obesity or overweight with comorbidities, this typically qualifies as an eligible medical expense under IRS guidelines.
Paying with pre-tax HSA/FSA dollars effectively saves you 22–35% depending on your tax bracket. That brings a $299/mo semaglutide refill down to roughly $195–$233 in real after-tax cost. Confirm eligibility with your specific plan administrator before assuming — IRS rules allow it, but individual plans vary.
The money-back guarantee — read the fine print
MEDVi advertises a money-back guarantee if weight loss doesn't occur during treatment. Here's the fine print most reviews skim past: to be eligible for a refund, you generally need to demonstrate you followed the program for at least five months, and MEDVi deducts a 25% doctor consultation fee from the refund.
Put differently: this is a "we'll make you whole if the medication doesn't work" guarantee, not a "try us for a month and cancel" guarantee. It's a real safety net for patients who follow through. It's not a no-risk trial.
Who MEDVi is (and isn't) right for
MEDVi is a strong fit if you:
- Want the lowest entry price on semaglutide injections ($179)
- Prefer cash-pay simplicity over insurance battles
- Can commit to 12 months for 40% prepay savings
- Want LegitScript-certified compounded meds with medical oversight
- Plan to pay with HSA/FSA to save 22–35% on top
- Value 24/7 messaging and flexible dose adjustments
Consider alternatives if you:
- Have insurance that already covers brand-name Wegovy or Zepbound
- Want FDA-approved finished medications only
- Need structured coaching, nutrition plans, or behavioral therapy
- Aren't sure about month-to-month billing on a 28-day cycle
- Prefer providers with broader tirzepatide dose-range transparency upfront
- Want the absolute lowest price — Wellorithm or Eden start cheaper
MEDVi pricing FAQ
Does MEDVi take insurance?
Is MEDVi cheaper than getting Wegovy or Zepbound directly from the manufacturer?
Why does MEDVi cost more at higher tirzepatide doses?
What does MEDVi's 28-day billing cycle actually mean for my budget?
Are MEDVi's compounded medications FDA-approved?
Can I use HSA or FSA funds for MEDVi?
Is the money-back guarantee legitimate?
What's the cheapest way to get GLP-1 medication through MEDVi?
The bottom line
MEDVi has the lowest entry price among major cash-pay GLP-1 telehealth platforms for semaglutide injections ($179 first month), transparent pricing on its two headline products, and a LegitScript certification that matters when you're shopping a market full of gray-area sellers.
The tradeoffs are real. Refill pricing on tirzepatide escalates with dose. The 28-day billing cycle quietly adds a full month's charge to your annual cost. And compounded medications, here as everywhere, aren't FDA-approved — a reality every patient considering this path needs to understand.
If that's a tradeoff you're comfortable making, MEDVi is one of the better-priced, better-supported options in the market right now. If you want to see how it compares head-to-head with other top-ranked providers, or you want to look at brand-name options through NovoCare and LillyDirect, our full provider comparison lays the whole landscape out.
See if you qualify for MEDVi's $179 first month
Complete MEDVi's eligibility quiz, get reviewed by a licensed provider, and have medication shipped within about a week if approved. No insurance, no office visits, month-to-month cancellation.
Start MEDVi Qualification Quiz