Last reviewed: May 12, 2026 Last updated: September 22, 2026

Written by: Jay Hastings, CEO of PlexusDx

Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations. He has more than 20 years of experience across healthcare innovation, genomics, laboratory operations, healthcare investing, and strategic finance.

Medically reviewed by: Jayden Lee, PharmD, EMBA

Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Director, with a PharmD and MBA specializing in pharmacogenomics and clinical product development. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.

This article is part of the PlexusDx Education Hub — evidence-based guidance on GLP-1 therapies and weight-management care. Browse all Peptides & GLP-1 education

Editorial note: PlexusDx publishes this editorial review and offers one of the programs discussed. PlexusDx is not affiliated with MEDVi and has no commercial relationship with the companies named in this article; there are no affiliate links. Information is based on the sources and dates shown.

MEDVi's cost depends on which program you choose. Its compounded semaglutide injection is $179 for a new patient's first month and $299 per billing cycle at refill, as displayed on MEDVi's program page September 22, 2026. Its compounded tirzepatide injection is $399 per billing cycle at MEDVi's ongoing month-to-month rate, verified September 22, 2026, with the tirzepatide first-month offer shown after the questionnaire rather than published. MEDVi's oral tablet runs about $70 a month over its injection rate for the same compound (read on its plan-selection screen); MEDVi does not publish a tablet total on its public page. Compounded programs include the medication with no membership fee; branded Wegovy and Zepbound are priced as a separate $99 monthly membership plus the medication cost (as listed on MEDVi’s program page, September 22, 2026). For comparison, PlexusDx month-to-month prices are $189 for Semaglutide Injection and $289 for Tirzepatide Injection, each $110 a month less than MEDVi's ongoing $299 and $399, and $289 for Semaglutide Oral and $349 for Tirzepatide Oral, all-inclusive with no membership.

MEDVi prices by medication and route

MEDVi is a telehealth platform; prescriptions are issued by licensed providers in its network and filled by the pharmacies it names, Triad Rx, RedRock Pharmacy, and Beaker Pharmacy & Compounding. Its menu on MEDVi's program page covers three compounded options and three branded ones. The table below is the master list as of September 22, 2026. Where a cell says not published, MEDVi shows the figure in its questionnaire or signup flow rather than on the public page, and no figure from any older article or third-party site is substituted.

PlexusDx publishes this comparison and offers one of the programs discussed. Information is based on the sources and dates shown.

MEDVi program and route First month Recurring / refill Separate membership Checked
Compounded semaglutide injection (weekly) $179 (new patients) $299 per billing cycle, as displayed September 22, 2026 None stated; medication included September 22, 2026
Compounded tirzepatide injection (weekly) Not published; shown after the questionnaire — confirm in MEDVi's official offer $399 per billing cycle, MEDVi's ongoing month-to-month rate, verified September 22, 2026 None stated; medication included September 22, 2026
GLP-1 tablets (compounded semaglutide, daily dissolvable) Not published on the public page About $70 per month over MEDVi's injection rate for the same compound (plan-selection screen); tablet total not published None stated; medication included September 22, 2026
Branded Wegovy® pill (daily) Monthly membership + medication cost Monthly membership + medication cost; medication billed separately Yes, monthly membership September 22, 2026
Branded Wegovy® injection (weekly) Monthly membership + medication cost Monthly membership + medication cost; medication billed separately Yes, monthly membership September 22, 2026
Branded Zepbound® injection (weekly) Monthly membership + medication cost; availability subject to change Monthly membership + medication cost; medication billed separately Yes, monthly membership September 22, 2026

Checked September 22, 2026 on glp1.medvi.org, start.medvi.org, and home.medvi.org. The semaglutide and tirzepatide ongoing rates are MEDVi's month-to-month plan-selection prices, verified September 22, 2026; confirm every figure in MEDVi's official offer. MEDVi's billing-cycle length is not published, so amounts are per billing cycle rather than per calendar month. The branded membership amount is shown on MEDVi's page and is not reproduced here; confirm it with MEDVi.

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PlexusDx Weight Management Protocols: compounded semaglutide injection from $189/mo and tirzepatide injection from $289/mo month-to-month, all-inclusive (provider visit, prescription, medication, shipping). No membership fee. Flat price at every dose.

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Each row has its own guide. Injection pricing is detailed in MEDVi Semaglutide Cost: Injection Prices, Refills, and Plan Terms and MEDVi Tirzepatide Cost: First Month, Refills, and Plan Options. The tablet is covered in MEDVi Pills Review: Oral Options, Costs, and What to Verify.

First-month versus ongoing charges

MEDVi leads with a first-month price. MEDVi's start page says "Start for just $179" with no insurance required, and the program page describes the semaglutide program as starting at that first-month price with no contract. The program page then states that refills are locked in at $299 and include all the same program benefits. The first-month figure is a one-time new-patient rate; the refill figure is what you pay from the second billing cycle onward. If you budget on $179 you will underestimate your cost from the second cycle on.

On MEDVi's published semaglutide rates, a new patient pays $777 over 3 billing cycles ($179 plus 2 × $299), $1,674 over 6 cycles ($179 plus 5 × $299), and $3,468 over 12 cycles ($179 plus 11 × $299). A continuing patient with no introductory month pays $897 for 3 cycles, $1,794 for 6, and $3,588 for 12. Those are calculations on rates as displayed September 22, 2026; confirm both rates in MEDVi's official offer. Because the cycle length is not published, 12 cycles is not labeled a calendar year.

For tirzepatide, MEDVi's ongoing month-to-month rate is $399, verified September 22, 2026, so a continuing patient pays $1,197 for 3 cycles, $2,394 for 6, and $4,788 for 12 at the ongoing rate. MEDVi's tirzepatide first-month offer is shown after the questionnaire and is not published, so no new-patient tirzepatide total is computed here; if the offer follows the same first-month-then-refill structure, your total is the first-month price plus $399 for each remaining cycle. Ask for the first-month figure in writing before enrolling.

When a membership fee is separate

MEDVi's compounded programs do not carry a separate membership. The program page states that medication is included in the cost of the MEDVi program and describes the offer as having no membership or hidden fees, in MEDVi's own words. The monthly price for compounded semaglutide or tirzepatide is therefore the whole recurring charge, covering physician review, a personalized plan, 1:1 guidance, a metabolic report, free dietitian visits and care coaching, unlimited 24/7 support, and free shipping. MEDVi also states that it accepts HSA and FSA payment.

The branded pathway is different. Branded Wegovy® pill, Wegovy® injection, and Zepbound® injection are listed as a monthly membership plus the medication cost, with the medication billed separately and availability described as subject to change. The membership pays for the platform and clinical service; the medication is a second charge at the pharmacy's price. When you compare a branded pathway to a compounded one, add both branded charges together, and compare a compounded price only with another compounded price. The details, including what the membership does and does not cover, are in Does MEDVi Have a Membership Fee? Compounded and Branded Plans.

PlexusDx has no membership fee on any plan. One monthly price covers your provider visit, prescription, medication, and shipping, and you pay $0 until your provider approves your prescription. PlexusDx does not offer branded Wegovy® or Zepbound®; its GLP-1 products are compounded.

Monthly versus prepaid commitments

MEDVi offers 3-, 6- and 12-month bundles alongside monthly billing, and financing is offered; the bundle rates appear in its signup flow and are not published here. Ask for them if a longer plan interests you. The policy's terms matter more than the discount: for monthly billing, MEDVi states that no refund is issued for the month in which the cancellation occurs; multi-month plans are refundable only for months in which no medication has shipped; consultation fees are non-refundable; and prescription medication cannot be returned. Cancellation requests must be made at least 72 hours before the next billing date, by email or portal chat, and service continues to the end of the billing cycle. A full refund is available only within the first 72 hours without receiving services, or on medical disqualification. The trade-off is examined in MEDVi Monthly vs Prepaid Plans: Upfront Cost and Flexibility.

PlexusDx publishes three commitment tiers for each product: month-to-month, a 3-month plan, and a 6-month plan. The 3- and 6-month figures are advertised per-month rates on a commitment; the payment schedule and any refund terms for a multi-month plan are shown at checkout. Month-to-month plans can be cancelled anytime with no fees and no long-term contract.

PlexusDx product (compounded) Month-to-month 3-month plan (per month; commitment total) 6-month plan (per month; commitment total)
Semaglutide Injection (weekly) $189/mo $169/mo; $507 per 3 months $149/mo; $894 per 6 months
Tirzepatide Injection (weekly) $289/mo $269/mo; $807 per 3 months $249/mo; $1,494 per 6 months
Semaglutide Oral (daily tablet) $289/mo $269/mo; $807 per 3 months $249/mo; $1,494 per 6 months
Tirzepatide Oral (daily tablet) $349/mo $299/mo; $897 per 3 months $279/mo; $1,674 per 6 months

Checked September 22, 2026 on plexusdx.com product pages. Commitment total = advertised per-month rate × months in the term. Every PlexusDx price is flat across dose levels and changes only with the commitment tier.

MEDVi and PlexusDx: comparable plan prices

The table below compares like with like: the same medication, the same route, and month-to-month billing at both programs. Compounded and branded products are never in the same row, and PlexusDx commitment tiers stay in the table above rather than being set against MEDVi's month-to-month rates. The complete head-to-head, including support and service differences, is on MEDVi vs PlexusDx: Compare GLP-1 Prices, Plans, and Support.

Compounded medication and route, month-to-month MEDVi first month MEDVi recurring / refill PlexusDx month-to-month
Semaglutide injection (weekly) $179 (new patients) $299 per billing cycle, as displayed September 22, 2026 $189/mo; no introductory rate; $110 a month less than MEDVi's ongoing rate
Tirzepatide injection (weekly) Not published; shown after the questionnaire $399 per billing cycle, ongoing month-to-month, verified September 22, 2026 $289/mo; no introductory rate; $110 a month less than MEDVi's ongoing rate
Semaglutide oral (daily; MEDVi dissolvable tablet vs PlexusDx tablet) Not published About $70 per month over MEDVi's injection rate for the same compound (plan-selection screen); tablet total not published $289/mo; no introductory rate
Tirzepatide oral (daily tablet) Not listed on MEDVi's page Not listed on MEDVi's page $349/mo; no introductory rate

Checked September 22, 2026. Both programs state that price does not change with dose. MEDVi's compounded prices include medication, provider review, shipping, dietitian visits, and support; PlexusDx prices include the provider visit, prescription, medication, and shipping. Neither compounded column includes a membership fee.

Tirzepatide at a glance

Because this page is often reached by people asking specifically about MEDVi tirzepatide cost, here is the short version. MEDVi's ongoing month-to-month rate for compounded tirzepatide injection is $399, verified September 22, 2026, which comes to $1,197 for 3 cycles, $2,394 for 6, and $4,788 for 12 at that rate; its tirzepatide first-month offer is shown after the questionnaire and is not published. MEDVi states "Same fair price at every dose" and includes medication with no membership on compounded programs. PlexusDx Tirzepatide Injection is $289/mo month-to-month, $269/mo on a 3-month commitment, and $249/mo on a 6-month commitment, flat across doses, with no membership fee. Month-to-month totals at PlexusDx are $867 for 3 cycles, $1,734 for 6, and $3,468 for 12, which is $110 a month and $1,320 over 12 cycles less than MEDVi's ongoing rate. The full breakdown is in MEDVi Tirzepatide Cost: First Month, Refills, and Plan Options.

Three questions that change your actual total

Which medication and route? At MEDVi, semaglutide injection is $299 and tirzepatide injection is $399 per billing cycle at the ongoing month-to-month rates, the tablet runs about $70 a month over the injection rate for the same compound, and the branded pathway is a membership plus a separately billed medication. At PlexusDx, all four compounded products are priced on their product pages, from $189/mo for Semaglutide Injection to $349/mo for Tirzepatide Oral month-to-month. Which medication and route is appropriate for you is a clinical decision made by the prescribing clinician, not a pricing decision.

Are you budgeting on the first month or the refill? MEDVi's $179 applies once, to a new patient's first month. Every later cycle is billed at the refill rate, $299 for semaglutide as displayed September 22, 2026. Over 12 cycles that is $3,468 for a new patient, against $2,268 for PlexusDx Semaglutide Injection month-to-month. PlexusDx has no introductory rate: the first month and every later month are the same price on the same tier.

Month-to-month or a commitment? A longer commitment lowers the per-month rate at PlexusDx, from $189 to $149 for Semaglutide Injection on the 6-month plan, for example, but it is a commitment whose payment schedule and refund terms you should read at checkout. MEDVi's 3-, 6- and 12-month bundle rates appear in its signup flow and are not published here, and its refund policy limits refunds on multi-month plans to months with no medication shipped. If you are unsure how long you will stay on treatment, month-to-month billing with cancel-anytime terms costs more per cycle and less in risk. Publicly posted reviews on third-party sites describe a range of experiences with MEDVi's billing and cancellation; they are individual accounts, not verified data, summarized in MEDVi customer reviews.

One point applies to every compounded price on this page. Compounded semaglutide and tirzepatide are not FDA-approved drug products; they are prepared by state-licensed compounding pharmacies under federal compounding rules and are not the same as Wegovy®, Ozempic®, Zepbound® or Mounjaro®. A licensed pharmacy or a licensed prescriber is not FDA approval of the compounded product, and brand-drug trial results do not establish identical outcomes for a compounded formulation. The FDA's statement on unapproved GLP-1 drugs used for weight loss is published on its drug alerts page. Price is only relevant once a clinician has decided the medication is appropriate for you.

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A note on genetics (optional)

PlexusDx offers compounded semaglutide and tirzepatide through its Weight Management Protocols. Separately, and only if it interests you, the GLP-1 & Peptide Pathways Genetic Test ($298) analyzes 14 pathways, 49 peptides, 150+ genetic insights, including variants in FTO, MC4R and TCF7L2 that relate to appetite and glucose-handling pathways. It does not predict how you will respond to any medication and does not tell you which drug, dose or provider is right for you; it is context for a conversation with your clinician. Test before you invest, and treat genetics as a guide, not a guarantee.

This article is educational. PlexusDx is not affiliated with MEDVi and has no commercial relationship with the companies discussed. PlexusDx offers compounded semaglutide and tirzepatide through its own Weight Management Protocols; this article compares approaches in the GLP-1 telehealth space. The GLP-1 & Peptide Pathways Genetic Test analyzes how your genes influence peptide-related biological pathways. It does not predict response to any specific medication and does not recommend, prescribe, or determine which peptides you should use. Consult a qualified healthcare provider before beginning any peptide protocol. Compounded semaglutide and tirzepatide are not FDA-approved drug products; they are prepared by state-licensed compounding pharmacies under federal compounding rules and are not the same as Wegovy®, Ozempic®, Zepbound® or Mounjaro®. Zepbound® and Mounjaro® are registered trademarks of Eli Lilly and Company; Wegovy® and Ozempic® are registered trademarks of Novo Nordisk A/S. PlexusDx is not affiliated with or endorsed by either company.

Frequently Asked Questions

How much is MEDVi a month?

It depends on the program. MEDVi's compounded semaglutide injection is $179 for a new patient's first month and $299 per billing cycle at refill, as displayed September 22, 2026. Its compounded tirzepatide injection is $399 per billing cycle at MEDVi's ongoing month-to-month rate, verified September 22, 2026, with the first-month offer shown after the questionnaire. Its oral tablet runs about $70 a month over the injection rate for the same compound; MEDVi does not publish a tablet total. Branded Wegovy and Zepbound are a separate monthly membership plus the medication cost.

Does MEDVi charge a membership fee?

Not on its compounded programs. MEDVi states that medication is included in the cost of the program and that there is no membership on compounded plans; the monthly price covers the provider review, medication, shipping, dietitian visits, and support. A monthly membership applies only to MEDVi's branded Wegovy and Zepbound pathway, where the medication is billed separately. PlexusDx has no membership fee on any plan.

What is MEDVi's tirzepatide price?

MEDVi's ongoing month-to-month rate for compounded tirzepatide injection is $399 per billing cycle, verified September 22, 2026; its tirzepatide first-month offer is shown after the questionnaire and is not published, so confirm it in the official offer. MEDVi does state that its price is the same at every dose. Like for like, PlexusDx Tirzepatide Injection is $289/mo month-to-month, $110 a month less, all-inclusive, with no membership fee.

Does MEDVi offer prepaid or multi-month plans?

Yes. MEDVi offers 3-, 6- and 12-month bundles, and financing is offered; the bundle rates appear in its signup flow and are not published here. If you consider one, ask for the rate and note that MEDVi's policy refunds multi-month plans only for months in which no medication has shipped. PlexusDx publishes 3- and 6-month commitment rates with totals shown at checkout.

Does MEDVi's price go up when my dose increases?

MEDVi states "Same fair price at every dose" for its compounded programs, so a dose adjustment by your clinician should not change your monthly charge. PlexusDx publishes the same policy: each product's price is flat across every dose level and changes only with the commitment tier you choose. Dose decisions themselves belong to the prescribing clinician at either program.

What does 12 billing cycles of MEDVi semaglutide cost versus PlexusDx?

On MEDVi's published rates, a new patient pays $3,468 over 12 billing cycles ($179 first month plus 11 refills at $299) and a continuing patient pays $3,588. PlexusDx Semaglutide Injection is $2,268 over 12 cycles month-to-month. MEDVi's billing-cycle length is not published, so 12 cycles is not necessarily a calendar year. Confirm MEDVi's rates in its official offer.

Sources and dates checked

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This article is part of the PlexusDx Education Hub. Browse all Peptides & GLP-1 education

Medical and Editorial Standards

Medical review process: This article was reviewed for medical accuracy, scientific clarity, evidence alignment, and appropriate discussion of genetics, medications, supplements, biomarkers, and health-related claims.

Sources and evidence: PlexusDx educational content is developed using peer-reviewed research, clinical literature, reputable medical references, and, where applicable, public health or regulatory guidance. Sources and the dates they were checked are listed at the end of the article.

Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services, and offers compounded GLP-1 programs through its Weight Management Protocols. Product mentions are intended to help readers understand available options and should not be interpreted as medical advice.

Important disclaimer: PlexusDx educational content is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about medications, supplements, genetic testing, lab testing, or health-related care.

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