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Henry Meds vs ReflexMD

Both sell compounded semaglutide and tirzepatide shots, and both charge about $300 a month for the semaglutide shot. Henry adds GLP-1 tablets, prepay discounts and menopause hormone therapy, while ReflexMD charges less for tirzepatide and says it is licensed nationwide.

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Head to head

Henry Meds
ReflexMD
All-in monthly cost at the starting dose
Semaglutide shot about $300/mo · Tirzepatide shot about $450/mo · Tablets from about $250/mo · Visits and shipping included
Semaglutide shot about $300/mo · Tirzepatide shot about $365–$400/mo · Weight-control pill about $200/mo · Visit and shipping included
Does the price rise with your dose?
Henry says price varies with dosing · Higher-dose prices not published
Not published · A doctor reviews your dose before each refill charge
Prepay plans
6 and 12 months · Semaglutide shot about $195/mo needs a year paid upfront · Balance may be owed if you cancel early
3 and 6 months · Prices not listed on its site · Fall code takes 15% off 3-month plans
Medications and formats
Semaglutide and tirzepatide · Shots or tablets · Also liraglutide and phentermine
Semaglutide and tirzepatide shots · A 3-in-1 weight-control pill · No GLP-1 tablet listed
Compounded or FDA-approved
Compounded, not FDA-approved · 503A pharmacy or 503B outsourcing facility
Compounded, not FDA-approved · US state-licensed partner pharmacies · Pharmacy type not stated
Lab tests
Not part of the plan · Quest or a home kit if a provider asks
Not mentioned in its plan or help center
Consult fee and how prescribing works
First evaluation free · You pay only if prescribed · Video or written review, by state
Consult included in the plan · Online quiz with photo ID · Then a video visit
Insurance and HSA/FSA
No insurance · HSA or FSA may work, depending on your plan
No private insurance or Medicare · Says FSA, HSA and HRA eligible
States covered
About 40 states plus DC · Not in AL, AK, AR, HI, LA, MS, MO, SC, TN, WV
Says it is licensed nationwide · Terms say some services vary by state
Cancellation and refunds
Monthly plan: cancel anytime online · Medicines final sale · $30 consult fee kept on refunds
Auto-renews · Cancel at least 2 days before renewal · By phone outside California · Fees paid are not refunded
Trustpilot and BBB
Trustpilot 4.4 on about 12,500 reviews · BBB F, not accredited, 234 complaints
Trustpilot 4.6 on about 3,200 reviews · BBB A-, not accredited, 27 complaints in 3 years
Menopause hormone therapy
Yes, about $150/mo · Estradiol and progesterone · Testosterone cream extra
No · Weight care only

Which one is right for you

You want the lowest semaglutide bill
Henry Meds

Month to month, both charge about $300. Henry's 12-month plan brings the shot to about $195 a month, but it needs a year paid upfront.

You want the tirzepatide shot, month to month
ReflexMD

ReflexMD lists it at about $365 to $400 a month. Henry's tirzepatide shot is about $450.

You want a GLP-1 without needles
Henry Meds

Henry sells semaglutide and tirzepatide as tablets. ReflexMD's only pill is a separate weight-control tablet, not a GLP-1 it names.

You also want menopause hormone therapy
Henry Meds

Henry runs a women's hormone therapy program at about $150 a month. ReflexMD treats weight only.

You live in a state Henry skips
ReflexMD

Henry is not available in ten states, including Alabama, Louisiana and Tennessee. ReflexMD says it is licensed nationwide.

You want FDA-approved medicine or insurance
Neither

Both sell compounded medicine only and take no insurance. Look at brand-name Wegovy or Zepbound programs instead.

Henry Meds vs ReflexMD: which costs less all-in?

For the semaglutide shot, the two are close to a tie. Semaglutide is the active ingredient in Wegovy and Ozempic. Both companies charge about $300 a month for it at the starting price.

That price is the whole bill at both companies. It covers the doctor, the medicine, supplies and shipping. Neither one adds a membership fee on top.

Paid month to month, the semaglutide shot comes to about $3,600 a year at either company. That figure assumes the starting price all year. Henry says its price varies with your dose. ReflexMD does not publish what happens to its price at higher doses.

Prepaying is where Henry pulls ahead. Its 12-month plan brings the semaglutide shot to about $2,400 for the year, paid upfront. ReflexMD offers 3-month and 6-month plans, but it does not list their prices on its site.

Tirzepatide flips the result. It is the active ingredient in Zepbound and Mounjaro. ReflexMD's homepage shows two prices for its tirzepatide shot, about $365 and about $400 a month. Henry lists its tirzepatide shot at about $450.

The full Henry price list, with every prepay total, is in our Henry Meds cost breakdown.

Is ReflexMD legit, and is it still prescribing in 2026?

Yes. ReflexMD was taking new patients on October 6, 2026, with a working phone line and online intake. The company behind it is ReflexMD, Inc., registered at an address in Claymont, Delaware.

Its BBB profile shows a business start date of March 2023. It rates ReflexMD A-, and the company is not BBB-accredited. We found no court case naming ReflexMD on CourtListener, the public federal court database.

In March and June 2026, the FDA sent warning letters to dozens of telehealth companies over how they advertised compounded GLP-1s. We found no letter naming ReflexMD or Henry Meds in news coverage of those batches.

Henry Meds has a longer record. Its legal name is Adonis Health, Inc. Eli Lilly is suing it over advertising words such as "personalized." That is a civil dispute between companies, not a fraud finding. The Henry Meds legitimacy check walks through the court record.

Where the compounded semaglutide comes from: 503A vs 503B

Both companies sell compounded medicine. A compounding pharmacy mixes the drug itself instead of shipping the factory-made brand. The FDA does not approve the finished product.

There are two kinds of compounder. A 503A pharmacy prepares medicine for one named patient, under a state license. A 503B outsourcing facility registers with the FDA and makes larger batches.

Henry's product pages say its medicine comes from either type. ReflexMD says its partner pharmacies are US-based, state-licensed and accredited by PCAB and ACHC, two pharmacy quality programs. It does not name them or say which type they are.

That distinction may matter soon. On April 30, 2026, the FDA proposed not adding semaglutide, tirzepatide and liraglutide to the list of bulk ingredients 503B facilities may use. Comments closed on July 30, 2026.

We found no final decision as of October 6, 2026. The proposal does not cover 503A pharmacies. Either way, asking which pharmacy will fill your order is a fair question at both companies.

How you get a prescription at each one

Henry starts with an online health questionnaire. The first evaluation is free, and you pay only if a provider prescribes. Depending on your state, the review happens by video call or in writing.

ReflexMD starts with a short online quiz and a photo ID check. Its help center says a doctor then meets you by video before deciding on treatment. The consult fee is built into the monthly price.

ReflexMD bills in a set rhythm. You are charged in the third week of the month after your delivery. At that point you fill in a new form so the doctor can review your dose for the next month.

Neither company includes lab tests in its GLP-1 plan. Henry can send you to a Quest lab or mail a home kit if a provider asks for one. ReflexMD's plan and help center do not mention labs.

Medications and formats: shots, tablets and a pill

Henry has the wider menu. It sells semaglutide and tirzepatide as weekly shots or as tablets. It also offers liraglutide, a daily shot, and phentermine, an older appetite pill.

The tablets are the draw for anyone who has put off a GLP-1 because of needles. Henry's semaglutide tablets start at about $250 a month. Its tirzepatide tablets are billed by the 3-month supply.

ReflexMD keeps it shorter. It sells semaglutide and tirzepatide as shots, and a 3-in-1 weight-control pill at about $200 a month. Its homepage lists the pill apart from its GLP-1 plans and does not name the ingredients.

ReflexMD reviews vs Henry Meds: Trustpilot and BBB

On Trustpilot, ReflexMD scores 4.6 out of 5 across about 3,200 reviews. Reviewers often praise friendly, helpful staff. Some mention packages arriving warm or slow replies from support.

Its BBB file is small and mostly calm. It lists 27 complaints over three years, mainly about billing and the product. The BBB ties its A- rating to how long ReflexMD took to answer some of them.

Henry's two scores pull apart. It holds 4.4 stars on Trustpilot across about 12,500 reviews. It also carries an F rating with the BBB, built on 234 complaints about billing, cancellation and orders.

Henry is the bigger company, with about four times as many Trustpilot reviewers. Its BBB complaints still center on billing and cancellation, so read its cancel rules before you prepay.

Insurance, HSA, cancellation and refunds

Neither company takes insurance for these medicines. ReflexMD says it does not accept private insurance or Medicare. Insurers generally do not cover compounded GLP-1s.

Tax-free health accounts are the main way to soften the cost. ReflexMD says its service qualifies for FSA, HSA and HRA reimbursement. Henry says an HSA or FSA card may work, depending on your plan.

Cancelling works differently. At Henry, a monthly plan can be cancelled anytime in your account and runs to the end of the paid month. On a multi-month prepay plan, you may owe the rest of the balance.

ReflexMD renews on its own unless you cancel at least two days before the renewal date. Outside California, you must phone to cancel. Its terms say fees and other charges "are not refundable in whole or in part."

Henry's refunds are narrow too. Its medicines are final sale, and it keeps a $30 consultation fee once you are prescribed. ReflexMD's terms also send disputes to private arbitration rather than court.

Which states each one covers

Henry does not publish a state list. An August 2026 check of its intake found about 40 states plus DC. It was missing Alabama, Alaska, Arkansas, Hawaii, Louisiana, Mississippi, Missouri, South Carolina, Tennessee and West Virginia.

ReflexMD says it is licensed nationwide. Its terms add that some services are only available in certain states. If you live in one of Henry's missing states, ReflexMD is the one of these two to try. Its intake will confirm your state.

Which fits a woman in perimenopause or menopause?

Henry is the more complete fit. Besides GLP-1s, it runs a women's hormone therapy program at about $150 a month. Options include estradiol patches or tablets, compounded estrogen creams and progesterone.

ReflexMD treats weight only. If hot flashes, sleep or mood are part of what you are managing, you would need a second provider for hormone care.

Neither GLP-1 intake is built around menopause. Both ask about general health history, not where you are in the transition. If you pick ReflexMD, our menopause telehealth comparison lists services for hormone care.

If neither one fits

If you want an FDA-approved, brand-name medicine, or hope insurance will help, both are the wrong tool. Our best online GLP-1 providers ranking includes Wegovy and Zepbound programs.

If price is what matters most, compare the cheapest semaglutide and cheapest tirzepatide options side by side. For a branded alternative to Henry, see Henry Meds vs Ro, or read the full Henry Meds review.

Frequently asked questions

Is Henry Meds or ReflexMD cheaper?+

It depends on the medicine. For the semaglutide shot, both charge about $300 a month at the starting price. Henry gets cheaper if you prepay a year, at about $195 a month. For the tirzepatide shot, ReflexMD is cheaper at about $365 to $400 a month, against about $450 at Henry.

Is ReflexMD legit and still open in 2026?+

Yes. ReflexMD, Inc. is based in Claymont, Delaware, and has been in business since March 2023. Its site and phone line were working on October 6, 2026. It holds an A- rating with the BBB and 4.6 stars on Trustpilot. We found no lawsuit or FDA warning letter naming it.

Is compounded semaglutide from Henry Meds or ReflexMD safe and legal in 2026?+

Compounding is legal, but a compounded medicine is not FDA-approved as a finished product. Henry says its compounds come from a 503A pharmacy or a 503B outsourcing facility. ReflexMD says its partner pharmacies are US-based, state-licensed and accredited, but it does not say which type. In April 2026 the FDA proposed not adding these drugs to the list of bulk ingredients that 503B facilities may use. No final decision had been published as of October 6, 2026. See our compounded GLP-1 guide for the details.

Do Henry Meds or ReflexMD take insurance or HSA cards?+

Neither takes insurance. ReflexMD says its service qualifies for FSA, HSA and HRA reimbursement. Henry says an HSA or FSA card may work, depending on your plan's rules. Check with your account provider before you pay.

Can I switch from one to the other without restarting my dose?+

Maybe, but it isn't guaranteed. A compounded prescription does not transfer between companies, so the new provider writes a fresh one. ReflexMD's help center says a consultation is required even if you have taken the medicine before. Have the name, strength and date of your last dose ready for the intake form.

Which is better for menopause-related weight gain?+

Henry Meds covers more ground. It sells a GLP-1 and a separate women's hormone therapy program at about $150 a month. ReflexMD offers weight care only. Neither GLP-1 intake is built around perimenopause or menopause.

Read the full review: Henry Meds