Medvi Review 2026: Tirzepatide, Semaglutide, and the Real Cost
Medvi is a real telehealth service with licensed prescribers, but it drew an FDA warning letter over its ads. The price those ads show only covers your first month.
Medically reviewed by Jill Garnier, MDMedvi is a real telehealth service with licensed prescribers and named partner pharmacies. It offers compounded semaglutide and tirzepatide as a tablet or a shot, plus a path to brand-name Zepbound and Wegovy. It suits cost-minded buyers who are fine with compounded medicine. Budget for the regular monthly price, not the first-month deal. And know the FDA sent it a warning letter in February 2026 over its ads.
On this page
- What you will actually pay
- What does Medvi sell?
- What does Medvi really cost after the first month?
- Is Medvi legit and safe to use?
- How the Medvi process works
- What do real Medvi customers say?
- Medvi vs. Zepbound and other GLP-1 telehealth names
- Who Medvi is right for, and who should look elsewhere
- How to enroll, and what to check first
- Frequently asked questions
What you will actually pay
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The lowest regular price at Medvi, and the cheapest first month
Get startedTirzepatide, the stronger molecule, at a lower price than brand-name Zepbound at higher doses
Get startedBuyers who want the FDA-approved brand rather than a compounded version, on the same platform
Get startedEstimated all-in cost: ~$2,150–$4,670 in the first year (semaglutide shot prepaid for 12 months at the low end; tirzepatide paid month to month at the high end: $279 + 11 × $399). The brand-name Zepbound or Wegovy path costs more once the medication's own price is added.
- ✓ Real medical intake with licensed prescribers from the OpenLoop Health network, and state-licensed partner pharmacies named on its site
- ✓ Wide compounded menu: semaglutide and tirzepatide, each as a tablet or a weekly shot, under one intake
- ✓ A separate $99/mo membership for FDA-approved Zepbound or Wegovy, without switching platforms
- ✓ Low first month: $179 for the semaglutide shot, $279 for tirzepatide
- ✓ Prepaid bundles cut the monthly price: about $180/mo for the semaglutide shot and about $300/mo for tirzepatide on 12 months
- ✓ No membership fee on the compounded plans; the site says HSA and FSA cards are accepted
- ✓ Trustpilot rating of about 4.3/5 from about 15,000 reviews, mostly praising results and responsive providers
- ✓ Serves every state except North Dakota
- ⚑ FDA warning letter on Feb 20, 2026, over ads implying its compounded products matched FDA-approved Wegovy, Ozempic, Mounjaro and Zepbound
- ⚑ F rating with the Better Business Bureau, not accredited, with about 770 complaints in three years, mostly about billing and cancellations
- ⚑ Ads show the first-month price; the regular monthly price is higher and only shows at checkout
- ⚑ Strict refunds: a full refund only within 72 hours and before anything ships; a monthly plan is never refunded for the current month
- ⚑ Medvi owns no pharmacy and employs no prescribers; the care is run by outside companies such as OpenLoop Health
- ⚑ Independent reporting found AI-made ads and fake testimonials; Medvi's site now says some images and text may be AI-generated
- ⚑ Compounded GLP-1 rules are still unsettled while the FDA decides on its 503B bulks-list proposal
- ⚑ ConsumerAffairs rating of about 3.3/5 is much lower than Trustpilot's, with billing the main complaint
What does Medvi sell?
Medvi's ads mostly show one product: a dissolving tirzepatide tablet. The real menu is wider. Medvi offers two GLP-1 weight-loss drugs, semaglutide and tirzepatide. GLP-1 drugs are weekly or daily medicines that calm appetite and slow digestion.
Each drug comes as a daily tablet or a weekly shot. All four options are compounded. That means a pharmacy mixes the medicine for you, instead of a drug company making it and the FDA approving it.
Medvi also runs a separate membership for brand-name drugs. It covers Zepbound as a shot and Wegovy as a pill or a shot. This path is for you if you want the FDA-approved product, not a compounded version.
Medvi does not make the medicine or employ the prescribers. It runs the website, the intake and the ads. Licensed clinicians from OpenLoop Health review your answers and write the prescription. State-licensed partner pharmacies fill the order.
Medvi's site names three of them: Triad Rx, RedRock Pharmacy and Beaker Pharmacy. Many GLP-1 telehealth brands work this way. Still, it means several companies are involved if a bill or a refill goes wrong.
What does Medvi really cost after the first month?
The price in Medvi's ads is the first month only. After that, you pay the regular monthly price. Medvi's checkout lists one monthly price per drug, not one per dose. The compounded plans include the prescriber, the medicine and shipping, with no membership fee.
- Semaglutide, shot or tablet: about $300/mo · First month about $180 for the shot, about $250 for the tablet · About $180/mo if you prepay 12 months of the shot
- Tirzepatide, shot or tablet: about $400/mo · First month about $280 · About $300/mo if you prepay 12 months of the shot
- Brand-name Zepbound or Wegovy: about $100/mo membership · The drug is billed on top, at its own price
Cheapest at Medvi: semaglutide, especially prepaid. Strongest drug: tirzepatide, which tends to bring more weight loss. If you want the FDA-approved brand: the membership.
Promo links on Medvi's homepage can lower the first month further. The semaglutide shot then starts at about $150.
The brand-name path works differently. The membership fee is the smaller part of the bill. Zepbound or Wegovy is charged on top at its own cash price, which usually costs more than the fee.
Insurance does not pay for compounded drugs. Medvi's site says you can use an HSA or FSA card, which are tax-free health savings accounts.
Is Medvi legit and safe to use?
Yes, in the way that matters most. Medvi runs a real medical intake. A licensed prescriber reviews your case before anything ships. A licensed pharmacy fills the order. That is very different from a scam selling an unregulated powder.
The FDA warning letter, explained
The FDA has flagged Medvi once. On February 20, 2026, it sent Medvi a warning letter about its website. The site said its drugs had the "same active ingredient as Wegovy® and Ozempic®." It said the same about Mounjaro® and Zepbound®.
The FDA said that wording suggests the compounded versions were reviewed and approved like the brands. They were not. The FDA also objected to product labels showing Medvi's name. Those labels suggested Medvi made the medicine, when a partner pharmacy does.
Medvi was not singled out. In March 2026, the FDA sent similar letters to 30 telehealth companies. It was an industry-wide cleanup of ads, not proof that Medvi's medicine is fake.
Independent reporting found another problem. In 2025, Futurism reported AI-made ads and fake testimonials on Medvi's site. Medvi's site now says some images and text may be AI-generated. So read its ads with care, even though real prescribers work behind them.
How the Medvi process works
The steps are standard for compounded GLP-1 telehealth.
- Intake: you fill in an online form about your weight, your health and the medicines you take.
- Review: a licensed provider from OpenLoop Health reads it. If it fits, they prescribe semaglutide, tirzepatide or a brand-name drug.
- Pharmacy: a partner pharmacy fills compounded orders. Brand-name drugs go through a separate pharmacy.
- Delivery: the medicine ships to your door, as the tablet or shot you chose.
- Follow-up: you can message your provider about dose changes and questions.
- States: Medvi serves every state except North Dakota. In a few states you may need a short video visit first.
What do real Medvi customers say?
Reviews are mixed, and they split by site. On Trustpilot, Medvi scores about 4.3 out of 5 from about 15,000 reviews. Most praise the weight loss, quick providers and the price.
ConsumerAffairs tells a rougher story, at about 3.3 out of 5. Billing is the main complaint. People report charges after they asked to pause, and refund requests met with stock replies.
The Better Business Bureau, or BBB, rates Medvi an F. Medvi is not accredited there. The BBB lists about 770 complaints filed in the past three years. Weigh that poor record against the good Trustpilot score, rather than averaging the two.
For the full background check, see is Medvi legit?
Medvi also appears in lawsuits, though not as the main target. It is one of several platforms named in a class action tied to its clinician network. A separate complaint filed in early 2026 is still open. These are claims, not court findings.
On Reddit weight-loss forums, people who stuck with Medvi report real weight loss. Many also distrust its ads and its billing. None of this is unique to Medvi, but it comes up often enough to take seriously.
Medvi vs. Zepbound and other GLP-1 telehealth names
People most often compare Medvi with Zepbound. Zepbound is Eli Lilly's FDA-approved tirzepatide shot. The FDA reviewed it as a finished drug. Medvi's compounded tirzepatide skipped that review, because a pharmacy makes it for each prescription.
On price, Medvi wins mainly at higher doses. There, Zepbound bought direct from Lilly costs about $450 a month, if you refill on time. At the lowest dose, Zepbound costs less than Medvi. The full Zepbound vs. Medvi comparison sets both price lists side by side.
Among compounded brands, Medvi's four-option menu is wider than most. Its semaglutide first month is also one of the lower entry prices.
- [Henry Meds](/reviews/henry-meds/): one all-in bill with no membership fee, and tablets or shots of both drugs. It has no brand-name option and no FDA warning letter.
- [Mochi Health](/reviews/mochi-health/): a care team that includes doctors board-certified in obesity medicine. Medvi does not advertise that.
- [Ro](/reviews/ro/): FDA-approved drugs only, such as Zepbound and Wegovy, with help getting insurance to pay.
Worried about the tablet? No compounder, Medvi included, has published data on how well a tirzepatide tablet reaches the blood. Novo Nordisk has done that for its semaglutide pills. The tirzepatide pills and patches guide covers that gap.
Who Medvi is right for, and who should look elsewhere
Medvi fits a common profile. You are fine with a compounded drug. You care more about price and format choice than about the brand name. And you will check the details before trusting the ads.
- Price comes first and compounded is fine with you: about $300 to $400 a month beats most brand-name cash prices. Medvi says plainly that its product is compounded.
- You want to choose the format: tablet or shot, semaglutide or tirzepatide, all under one intake.
- You want Zepbound or Wegovy on one platform: the membership does that. Compare it with buying Zepbound direct or using your pharmacy benefit.
- You dislike needles and accept less evidence: the tablet is real medicine, but no absorption data has been published for it.
- Look elsewhere if: you want obesity-medicine specialists, like Mochi Health, or a brand with a cleaner BBB record and no FDA warning letter.
How to enroll, and what to check first
The intake is quick. The checks worth doing come before you enter a card number.
- Note the monthly price at checkout. The ad shows the first month, not what you will pay after.
- Read the refund rule. Medvi gives a full refund only within 72 hours and before anything ships. On a monthly plan, the current month is never refunded.
- Check your state. Medvi serves every state except North Dakota. Some states need a short video visit.
- Ask which pharmacy fills your order. Then check that it holds a license in your state.
- Read recent complaints. Most BBB and ConsumerAffairs complaints are about charges after a cancellation request.
- Price the brand-name path. Compare the membership plus the drug with buying direct from the maker.
Frequently asked questions
Does Medvi have tirzepatide?+–
Yes. Medvi offers compounded tirzepatide as a daily dissolving tablet or a weekly shot. A prescriber reviews your online intake first, and a partner pharmacy fills the order. Medvi also offers brand-name Zepbound, the FDA-approved tirzepatide shot, through a $99/mo membership.
Is Medvi's tirzepatide a pill, an injection, or both?+–
Both. Compounded tirzepatide comes as a daily dissolving tablet or a weekly shot, and so does compounded semaglutide. For tirzepatide, both formats cost the same. For semaglutide, only the first month differs: $179 for the shot, $249 for the tablet.
How much does Medvi tirzepatide cost per month?+–
About $400 a month after the first month, which costs $279. That holds for the tablet and the shot. Prepaying for 12 months of the shot brings it to about $300 a month.
Does Medvi sell semaglutide too, and are the reviews good?+–
Yes. Compounded semaglutide costs about $300 a month after a cheaper first month, as a tablet or a shot. Reviews depend on the site. Trustpilot shows about 4.3 out of 5, while ConsumerAffairs shows about 3.3, with billing and cancellations as the main complaints.
Is Medvi legit, given the FDA warning letter?+–
Yes, Medvi is a real telehealth company with licensed prescribers and named pharmacies. The FDA letter of February 20, 2026 was about its ads, which implied its compounded drugs matched Wegovy, Ozempic, Mounjaro and Zepbound. It did not target the medical process. The FDA sent similar letters to 30 other telehealth companies in March 2026.
Is Medvi cheaper than Zepbound?+–
At higher doses, yes. Medvi's compounded tirzepatide costs about $400 a month at any dose. Zepbound bought direct from Lilly costs about $450 a month from the 7.5 mg dose up, if you refill on time. At the two starting doses, Zepbound costs the same or less.
What states does Medvi serve?+–
Every state except North Dakota. In a few states, including Kansas and Mississippi, you may need a short video visit first. In Alabama and California, only the shots ship, not the tablets.
Does Medvi accept insurance or charge a membership fee?+–
The compounded plans have no membership fee. Insurance does not pay for compounded medicine, but Medvi's site says HSA and FSA cards work. The brand-name Zepbound or Wegovy path costs $99 a month, plus the medication's own price.