Midi Health Cost 2026: Tirzepatide, GLP-1, and HRT Pricing

How much does Midi Health cost? The quick answer

Midi charges per visit, not per month. There is no membership fee. Medicines are billed on their own.

• With an in-network PPO plan: your usual specialist copay for each visit, plus any deductible left on your plan
• Without insurance: $250 for the first visit · $150 for each follow-up
• Compounded GLP-1 for weight: about $165 every four weeks to start · Tirzepatide-style option about $210 to start · Price rises with the dose
• Hormone therapy medicine: billed separately, and your plan's drug coverage may help

Best fit: women whose PPO plan Midi takes, who want a menopause specialist for a copay. Better elsewhere without insurance: cash-pay services like Winona or Alloy put the visit and the medicine in one monthly price.

How much does Midi Health cost with insurance?

Midi says it is in-network with most PPO plans. A PPO is a plan that lets you see specialists without a referral. Midi names Aetna, Blue Cross Blue Shield, Cigna, Health Net and UnitedHealthcare among its carriers.

In-network, you pay what your plan charges for a specialist visit. Usually that is your copay, a fixed fee per visit. Any deductible still left for the year applies first. That is the amount you pay yourself before your plan starts sharing costs.

• What insurance covers: your visits with a Midi clinician
• Billed separately: prescriptions, labs and imaging, which your plan may partly cover
• HSA or FSA: you can use these tax-free health accounts for Midi visits and services
• Medicare: out of network. You can still be seen as a self-pay patient, but you can't send claims to Medicare.
• Medicaid and Medi-Cal: Midi can't accept these patients right now

Insurance covers the visits, not the compounded GLP-1 medicine. You pay for that yourself. A brand-name GLP-1 sent to your own pharmacy works differently: your plan's drug coverage sets that price. For plan-by-plan detail, see Midi Health and insurance.

What does Midi Health cost without insurance?

If Midi is out of network for your plan, or you have no insurance, you pay per visit. The first visit costs $250. Each follow-up costs $150. No monthly membership sits on top.

So your total follows how often you are seen. Early on, while your treatment is being adjusted, you may need more visits. Once things settle, you are seen less, so the second year usually costs less than the first. Midi has no coupon code to lower these fees, as our Midi Health coupon page explains.

Does Midi Health offer tirzepatide? What the dual-action GLP-1 costs

Midi's pricing page never uses the word tirzepatide. Instead it lists a compounded option called dual-action GLP-1/GIP. Compounded means a pharmacy makes the medicine itself, and it is not FDA-approved.

Tirzepatide is the drug in Zepbound and Mounjaro. It acts on two gut hormones, GLP-1 and GIP. Semaglutide, the drug in Wegovy and Ozempic, acts on GLP-1 only. Midi's dual-action injectable climbs to 15 mg, the same top dose as tirzepatide.

• Injectable: about $210 every four weeks to start · Up to about $435 at the top dose
• Under the tongue: about $210 to start · Up to about $460 at the top dose. Midi calls this form sublingual.
• Included: shipping and supplies, with no membership fee
• Not included: your visits, billed to insurance or at the self-pay rate
• Pharmacy: Midi's partner pharmacies are licensed and 503A-accredited. A 503A pharmacy makes each medicine for one named patient.

The price rises in steps as your dose goes up. Midi's clinician picks the dose, so ask where you will likely start and stop.

There is a second path too. Midi's clinicians can also prescribe brand-name GLP-1s, sent to the pharmacy you choose. Midi lists no price for this route. Your plan's drug coverage decides what you pay, so ask about it at your first visit if that is what you want.

Midi Health semaglutide cost: the single-action GLP-1

Midi's other weight option is a single-action GLP-1. Midi lists it simply as GLP-1, and its doses sit in the semaglutide range. It is the cheaper way into Midi's weight care.

• Injectable: about $165 every four weeks to start · Up to about $355 at the top dose
• Under the tongue: about $165 to start · Up to about $275 at the top dose
• Included: shipping and supplies. Visits are billed separately.

Older reviews may quote a lower monthly price for this program. Midi's current prices already include shipping and supplies, so the figures above are the ones to plan with.

What's not included: labs, medicines and other costs to plan for

Midi's clinicians can order blood tests when they help, such as hormone or metabolic labs. Labs are billed separately from your visit. Your insurance may cover some or all of that cost.

• Labs: ordered as needed and billed on their own
• Medicines: hormone prescriptions are billed separately. Compounded GLP-1s are always paid by you.
• Where Midi works: virtual visits in all 50 states. Washington, DC isn't named on its site, so DC residents should check at sign-up.
• Rules that may change: in 2026 the FDA stepped up limits on compounded copies of GLP-1 drugs. That could affect supply or prices later, even at 503A pharmacies like Midi's.

How much does Midi Health cost per year?

Your yearly cost depends on your insurance, how often you are seen and your GLP-1 dose.

• Hormone care without insurance: about $700 for a first visit and three follow-ups. Medicines are extra.
• Hormone care with an in-network PPO: your copay for each visit, plus any deductible. For example, four visits at a $30 copay come to $120.
• Semaglutide-type GLP-1, first year: about $3,300 if you settle at a middle dose · About $4,150 if you climb to the top dose
• Dual-action GLP-1, first year: about $3,650 if you stay at 5 mg · About $5,100 if you climb to 15 mg

The GLP-1 figures count 13 four-week supplies in a year. They follow the label's dose steps, with each step lasting four weeks until you reach your dose. Visits come on top.

For a woman on both hormone therapy and a GLP-1, the GLP-1 will be most of the bill. The hormone side is small by comparison, especially with insurance.

How does Midi's cost compare to Winona, Alloy, and other menopause telehealth?

For hormone care, Midi's edge is insurance. Winona sells each product separately, from $39 to $149 a month. It does not take insurance. Alloy charges a one-time $49 consult. Its estradiol patch costs $100 a month, and progesterone starts at $23 a month. Alloy is cash-pay too, and its doctors are certified by The Menopause Society.

Winona and Alloy bundle the visit with the medicine, so the bill is predictable. Without insurance, Midi is not the cheaper choice, because its visit fees come before any medicine. With an in-network PPO, Midi often costs far less, since each visit is just a copay. For a closer look, see Winona vs. Midi Health.

For GLP-1s, Midi's prices hold up well. Henry Meds charges about $350 a month for tirzepatide tablets, all-in with no membership. It no longer lists a tirzepatide shot. Midi's dual-action option starts lower, at about $210, and tops out near $435.

Mochi Health charges about $170 to $280 a month for tirzepatide, membership included, depending on your dose. That makes Mochi cheaper than Midi at every dose. None of these services bill insurance for compounded GLP-1s.

Is Midi Health worth the cost?

For PPO-insured women who came for hormone therapy, yes. A menopause-trained clinician for a standard copay is rare, and it is why Midi earns its place in our full Midi Health review.

If you came looking for a tirzepatide price, Midi's dual-action GLP-1/GIP is the closest match. It starts at about $210 every four weeks, without using that drug name.

It is a weaker fit in three cases. Uninsured women who want the lowest price on hormone therapy can pay less elsewhere. So can women who want labs bundled into one fee. And if you need a brand-name GLP-1 at a set price, Midi can't promise one, because your own drug plan decides that cost.