Medvi Cost: What Tirzepatide and Semaglutide Really Cost Per Month

How much does Medvi's tirzepatide actually cost per month?

The price in most Medvi ads is real, but it covers the first month only. For tirzepatide, that first month costs about $280. It includes the prescriber review, a metabolic report, shipping and your first supply, tablet or shot.

After that, Medvi's checkout charges about $400 a month for tirzepatide. The tablet and the shot cost the same. Budget for that regular price, not the first month.

What does Medvi's semaglutide cost?

• Semaglutide shot: about $300 a month · First month about $180
• Semaglutide tablet: about $300 a month · First month about $250
• Shot, 12 months prepaid: about $2,150 · About $180 a month
• Tablet, 12 months prepaid: about $2,990 · About $250 a month

Semaglutide is the drug in Wegovy and Ozempic. Tirzepatide, the drug in Zepbound and Mounjaro, led to more weight loss in a head-to-head trial and costs more at Medvi. Both are compounded at Medvi, so neither is an FDA-approved brand.

Does the price go up with your dose, and can prepaying lower it?

Medvi's checkout lists one refill price for tirzepatide, not a price per dose. So your bill shouldn't climb as your dose goes up. Prepaying for several months of the shot lowers the monthly cost:

• Month to month: about $400/mo · First month about $280
• 3 months prepaid: about $1,045 · About $350/mo
• 6 months prepaid: about $1,915 · About $320/mo
• 12 months prepaid: about $3,590 · About $300/mo

Prepaying has a safety net. If you cancel, Medvi refunds the prepaid months it hasn't shipped yet. Otherwise its refunds are strict. A full refund only applies within 72 hours and before anything ships. A monthly plan is never refunded for the current month.

Is there a separate membership fee, or is that the whole price?

For the compounded plans, there's no separate membership fee. The monthly price covers the clinician review, the medicine and shipping in one charge. Mochi Health, by contrast, bills a $79 monthly membership on top of a medicine fee. Henry Meds, like Medvi, charges one all-in price.

Medvi does charge a membership on its brand-name path. Zepbound or Wegovy come with a $99 monthly membership, plus the medicine at its own price. That's a separate bill from the compounded plans on this page, so don't compare the two by mistake.

What's included in the price, and what costs extra?

Included in the monthly charge: your first and follow-up clinician reviews, the compounded medicine and shipping. Insurance is not part of it. Compounded tirzepatide and semaglutide have no insurance coverage anywhere, so this is a cash purchase whatever plan you have.

Medvi vs. Zepbound: which actually costs less?

It depends on your dose. Medvi's first month, about $280, is below every step of Zepbound's self-pay price from Lilly. After that, Medvi costs about $400 a month at any dose. Zepbound costs about $300 at 2.5 mg and about $400 at 5 mg. From 7.5 mg, it costs about $450 if you refill within 45 days, about $50 above Medvi. Lilly's self-pay offer runs through December 31, 2026.

Zepbound also has a savings card, as little as $25 a month, if your commercial plan covers it. On Medicare, the GLP-1 Bridge covers the Zepbound KwikPen for $50 a month if you qualify. And Zepbound is an FDA-approved finished drug. The full comparison, legitimacy included, is at Medvi vs. Zepbound.

How does Medvi compare to other tirzepatide telehealth providers?

Henry Meds: tablets only, one all-in price

Henry Meds sells compounded tirzepatide only as tablets. It costs about $350 a month, billed about $1,045 every three months. There's no membership fee. Henry Meds doesn't promise one price at every dose, so ask for the price at your maintenance dose. See the full Henry Meds cost breakdown.

Mochi Health: lower price, two bills to track

Mochi charges a $79 monthly membership plus a medicine fee that rises with the dose. For tirzepatide, the total runs about $170 to $280 a month. That's below Medvi's regular price even at Mochi's top dose. New members get the first month of membership free, so month one costs about $90 at the lowest dose. The catch is two separate subscriptions that renew and cancel on their own. Full details are in the Mochi Health cost guide.

Side by side, Mochi costs the least, both in month one and at every dose. Medvi's first month, about $280, comes next. After that, Medvi's about $400 sits above Henry Meds' tablets at about $350.

What does a real year of Medvi tirzepatide cost?

Paid month to month, a year of Medvi tirzepatide costs about $4,670. That's about $280 for the first month, then about $400 for eleven more. Prepaying 12 months of the shot brings the year to about $3,590.

For comparison, a year of Henry Meds' tirzepatide tablets costs about $4,190 at the standard price. Mochi's tirzepatide runs about $2,030 to $3,335 a year, depending on dose. Semaglutide at Medvi costs less: about $3,470 a year month to month for the shot, or about $2,150 prepaid.

Does insurance, HSA/FSA, or a coupon lower Medvi's price?

Insurance doesn't apply. Compounded medicine has no insurance or Medicare coverage, at Medvi or anywhere else. Medvi's site says it accepts HSA and FSA cards, and paying with pre-tax money lowers your real cost. There's no maker's savings card for a compounded drug, unlike brand-name Zepbound.

Is Medvi legit, and does the price reflect that?

The pricing itself is plain: a cheaper first month, then one regular price. The bigger questions sit outside a cost page. In February 2026, the FDA sent Medvi a warning letter over ads that implied its compounded drugs matched brand-name ones. The Better Business Bureau rates it F, with about 770 complaints in three years, mostly about billing and cancellations. On Trustpilot, it scores about 4.3 out of 5 from about 15,000 reviews.

For the full audit, see is Medvi legit?, the full Medvi review and the deeper tirzepatide pills and patches legitimacy check.

Which Medvi plan actually fits your budget?

• You want the lowest start: Mochi's first month, about $90 at the lowest dose, is the cheapest here. Medvi's about $280 comes next, below Henry Meds and Zepbound's self-pay start. Neither first-month price lasts.
• You want a predictable bill at a full dose: Mochi publishes its prices by dose, about $170 to $280 a month, below Medvi at every dose. Henry Meds is all-in at about $350. Medvi's cheapest way in is its prepaid year, about $300 a month.
• You want to spend less at Medvi: semaglutide costs about $300 a month, or about $180 on the prepaid shot year.
• You have commercial insurance that covers Zepbound: the savings card can beat every compounded option here. See Zepbound cost.
• Simple billing matters most: Medvi's single monthly charge is simpler than Mochi's two bills, even if Mochi costs less.
• You want the full trust picture first: read the Medvi review alongside this page, not instead of it.