Hands-on review · Updated June 2026Unlimited visits, watch the refills
MEDVi bundles unlimited provider access and both injections and needle-free tablets into one monthly price, and my intake was genuinely fast. But the jump from the $179 intro to roughly $299 refills, plus a cancellation process that trips a lot of people up, is something you want to go in knowing. Here is my honest take after 120 days.
Dana Whitfield
43, started compounded semaglutide after insurance denied Wegovy · Tried MEDVi for 120 days
The right answer depends on whether you want a fast cash-pay compounded GLP-1 route or a more traditional brand-name and insurance workflow.
I started with the online questionnaire on the MEDVi site - height and weight, medical history, current meds, the usual GLP-1 intake questions. It took me barely a minute or two. You pick your medication and your form (injection or dissolvable tablet) before you pay, which I liked because I knew exactly what I was committing to. There was no upfront membership charge separate from the medication, which is genuinely different from a couple of other programs I priced out where the membership and the drug are billed separately. My one note: the flow moves you toward checkout quickly, so read carefully before you click - more on that later.
My intake was reviewed asynchronously by a provider rather than over a scheduled video call, and I was approved in a little over a business day. That is fast, and the upside MEDVi sells is real: once you are a patient, the provider messaging is unlimited, so I never felt like I was rationing questions or paying per visit. When I messaged about which starting dose made sense, I got a substantive reply, not a copy-paste. If you specifically want a face-to-face consult before your first dose, know that the default path is text-based review, and a few reviewers wished the initial clinical conversation had been more hands-on.
My compounded semaglutide arrived cold-packed with shipping included, and the vial, syringes and alcohol swabs were all in the box. Delivery landed within the window I was quoted. I used the weekly injection; MEDVi also sells needle-free dissolvable tablets, which I asked about for later titration. To be clear and fair: compounded semaglutide and tirzepatide are not FDA-approved products, they are made by compounding pharmacies and require a prescription, and oral absorption is different from an injection. Any results I had were my own and are individual - this is not a guarantee of what anyone else would experience.
This is where MEDVi earned its keep for me. The unlimited messaging meant that when I hit nausea in week three, I could flag it and get guidance on slowing my titration without booking anything or paying extra. The care side - check-ins and coaching - is included rather than upsold. That matches the broadly positive Trustpilot picture (around 4.5 stars across roughly 11,500 reviews), where people praise quick approvals and a responsive care team. Just be aware the picture is not uniform across platforms, and the friction tends to show up on the billing side, not the clinical side.
The $179 first month is real, but it is an intro. My refills moved to roughly $299/mo, and the tablet and tirzepatide tiers run higher still. None of it is billed to insurance. The bigger issue, and the reason I dropped the transparency score, is the renewal model. MEDVi auto-renews monthly, and the policy is essentially no refunds once you are medically approved. ConsumerAffairs sits at about 3.6 stars and the BBB customer reviews average roughly 1.7 across about 491 reviews, with billing and cancellation as the dominant theme - charges continuing after a pause, or after someone believed they had cancelled. I did not personally get double-charged, but I cancelled deliberately and in writing well before a renewal date, and I would tell anyone to do the same.
Curious if MEDVi fits you?
Check current pricing and see if you qualify — takes about a minute.
MEDVi's care layer is more substantial than a bare checkout flow. Unlimited messaging and provider access are helpful when dose changes, side effects, or form questions come up.
That does not mean the initial review is a deep live appointment. The default path is still a fast online intake and async approval, so patients who want a full medical visit should calibrate expectations.
The $179 first month is attractive, but it is not the maintenance price. Once semaglutide moves closer to $299/mo, MEDVi shifts from budget pick to support-access pick.
That can still be worth it if you use the care team. It looks less compelling if you barely message the provider and only wanted the cheapest vial.
MEDVi's negative reviews cluster around auto-renewal, pause and cancellation confusion, and refund expectations after medical approval. That pattern is common in GLP-1 telehealth, but the volume is high enough to affect the recommendation.
If I used MEDVi again, I would cancel in writing well before renewal, keep screenshots, and never assume a pause is the same as a cancellation.
MEDVi fits a cash-pay patient who wants ongoing access to a provider and is willing to pay more after the intro month for that access. It is a weaker fit for someone who wants a simple low-cost refill service with lenient refund terms.
Online intake covering weight, history, current medications and goals - took me about a minute or two.
Pick semaglutide or tirzepatide, and injection or needle-free dissolvable tablet, before you pay.
Asynchronous clinical review, approved in a little over one business day in my case.
$179 first month for compounded semaglutide; cold-packed delivery within the quoted window.
Message the provider anytime; plan auto-renews monthly at the higher refill price unless you cancel before renewal.
Shipping
Free, including the cold-chain injectable
Unlimited telehealth visits and provider messaging
Included in the monthly price
Care coaching and check-ins
Included, not upsold
Separate membership fee on compounded plans
$0 - bundled into the monthly cost
Compounded semaglutide injection
$179 first month, then about $299/mo
Semaglutide oral tablets (needle-free)
$249 first month, then about $369/mo
Compounded tirzepatide injection
From about $349 first month, then about $399+/mo
Tirzepatide oral tablets (needle-free)
Pricing shown on site
Brand-name Wegovy / Zepbound / Ozempic
Membership plus medication cost, no insurance
Prescription required. Compounded GLP-1s are pharmacy-prepared products and are not the same as brand-name pens. Promo rates often rise on refills — confirm current pricing on MEDVi's site.
The support experience matters most after checkout, when refill timing, dose questions, side effects, cancellation rules, and price changes become more important than the headline offer.
I would use this section alongside the price table and pros/cons above. MEDVi may be convenient, but it is still a telehealth GLP-1 program where response time, refill operations, and billing policies need to match your own tolerance for friction.
My hunger was controlled by the drug in a way I never would have imagined. The most notable feature was the support system that MEDVi offered. I didn't have to do it all by myself.
The medication was effective, and over approximately 8 months I lost 25 pounds.
Although they did assist us in understanding various care options, there were times when it felt difficult to communicate. The encounter was mediocre rather than remarkable, although nothing significant went wrong.
I cancelled my account in March. I have been charged a recurring $299 for three months for nothing... I will not pay for this to the tune of $900 which was taken out of my personal bank.
I "clicked" on the 1 month option, but was immediately charged 3 months, $1047. I have never received my order. Their customer phone line is never answered... What lies and pure thievery!
Quotes are real customer reviews gathered from public sources and are the opinions of their authors.
See if you qualify and check current pricing on MEDVi's site. A US-licensed clinician decides whether a GLP-1 is right for you.
Check offerIt is an operating, LegitScript-certified telehealth company with a high Trustpilot score (around 4.5 across roughly 11,500 reviews). That said, it is not BBB accredited, and BBB and ConsumerAffairs reviews skew much lower, driven mostly by billing and cancellation disputes rather than the medication itself.
Compounded semaglutide is $179 the first month and roughly $299/mo after. Oral semaglutide tablets start at $249 then about $369/mo. Compounded tirzepatide starts around $349 the first month, then about $399+/mo. The intro price is the headline; budget for the refill price.
No. Everything is out of pocket, including brand-name options like Wegovy or Zepbound, which are billed as a membership plus the medication cost.
MEDVi offers both. Injections are once weekly; the dissolvable tablets are needle-free and taken daily. Oral absorption works differently from an injection, so discuss expectations and dosing with the provider before choosing.
No. Compounded semaglutide and tirzepatide are not FDA-approved products; they are prepared by compounding pharmacies and require a prescription. Brand-name Ozempic, Wegovy and Zepbound are the FDA-approved alternatives.
Cancel before your renewal date - the plan auto-renews monthly. The policy is effectively no refund once you have been medically approved, and several reviewers report that pausing an account did not stop charges, so cancel in writing and keep records.
My async provider review came back in a little over one business day, and the cold-packed medication arrived within the quoted shipping window at no extra charge.
| Metric | MEDVi | Typical other programs |
|---|---|---|
| Membership fee | None on compounded plans (brand-name is membership + med cost) | Many charge $99-$149/mo on top of the medication |
| Provider access | Unlimited visits and messaging bundled in | Often capped messaging or fees per visit |
| Medication forms | Injection plus needle-free oral tablets | Frequently injection only |
| Intro price (semaglutide) | $179 first month | Roughly $199-$299 first month |
| Refill price (semaglutide) | About $299/mo | Roughly $199-$299/mo |
| Billing reputation | 4.5 on Trustpilot but heavy billing complaints on BBB/ConsumerAffairs | Varies; cancellation friction common across the category |
Compare every online GLP-1 program we have reviewed in one place.
Side-by-side pricing and products for the top telehealth GLP-1 programs.
How semaglutide and tirzepatide work, who qualifies, dosing, and side effects.
The standard semaglutide titration schedule, week by week.