MEDVi Hidden Fees: What Visit, Lab, Shipping and Medication Costs

Last reviewed: September 19, 2026 Last updated: September 19, 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. His work has included scaling healthcare startups, leading CLIA lab integrations, and helping expand consumer access to precision health tools.

Medically reviewed by: Jayden Lee, PharmD, EMBA

Jayden Lee, PharmD, EMBA, is the PlexusDx Medical Science Liaison with a PharmD and MBA specializing in pharmacogenomics and clinical product development, with a proven ability to bridge the gap between genomic research and practical patient outcomes. Dr. Lee has more than 10 years of professional experience in clinical pharmacy, academia, and research.

PlexusDx publishes this comparison and is one of the providers discussed. We use the same evidence rules for our own program and competing programs.

The short answer

MEDVi's compounded semaglutide and tirzepatide programs are all-inclusive: the monthly medication price covers your provider visit, prescription, medication, shipping, and unlimited support. There are no separate visit fees, lab charges, or shipping costs hidden behind the advertised rate. The two surcharges to know: tablet routes add $70 per month to the injection price, and the branded Wegovy or Zepbound pathway requires a separate $99 monthly membership. For compounded semaglutide injection, MEDVi advertises a first-month introductory rate of $179, then $299 per month for refills; over 12 months that totals $3,468, or $289 per month effective (our calculation, verified September 4, 2026). PlexusDx compounded semaglutide injection runs $189 month-to-month with no introductory period—$2,268 over 12 months, $1,200 less than MEDVi's total.

At-a-glance comparison: MEDVi vs PlexusDx

MEDVi's fee structure: what is and isn't included

MEDVi's compounded programs follow an all-inclusive model for visits, medication, and shipping. Here is what the monthly rate covers and where additional charges apply, verified at checkout September 4, 2026.

Included in the monthly medication price

• Provider consultation: Initial evaluation and ongoing prescriber oversight at no separate charge.
• Prescription and medication: Compounded semaglutide or tirzepatide shipped to your door.
• Shipping: Standard delivery included.
• Unlimited support: Care coaching, unlimited doctor calls, and one free dietitian visit.
• Dose escalation: MEDVi states that dose increases do not raise the monthly price—your rate remains $299 for semaglutide injection or $399 for tirzepatide injection regardless of dose tier.

Additional charges

• Tablet route surcharge: If you choose semaglutide tablets instead of injection, MEDVi adds $70 per month. The first-month rate becomes $249 (our calculation: $179 injection intro + $70) and the refill rate becomes $369 (our calculation: $299 injection refill + $70), verified September 4, 2026.
• Branded pathway membership: Accessing Wegovy or Zepbound through MEDVi requires a $99 monthly membership, separate from medication cost. The total price depends on the branded product and your insurance or discount channel; MEDVi does not display the final checkout total before you enter payment details.
• Labs: MEDVi's public materials do not state whether baseline or monitoring labs are included. Confirm lab policy and any associated fees during your intake if labs are clinically important to you.
• Multi-month bundles: MEDVi offers 3-, 6-, and 12-month prepaid packages; rates are not published by PlexusDx. Bundles are non-refundable for unused months, meaning if you stop early you forfeit the remaining prepaid value.

Normalized 12-month cost comparison

To compare MEDVi and PlexusDx on equal footing, we calculate the total cost of 12 months of compounded semaglutide injection and tirzepatide injection, using each program's standard month-to-month rate and including MEDVi's first-month discount where applicable. All figures are our calculation unless otherwise noted.

Semaglutide injection

MEDVi: $179 (first-month introductory rate) + ($299 × 11 months) = $179 + $3,289 = $3,468 total, or $289 per month effective. If you skip the first-month discount and pay the ongoing rate for all 12 months, the total is $299 × 12 = $3,588.

PlexusDx: $189 month-to-month × 12 = $2,268 total. PlexusDx also offers commitment pricing: $169/month for three months ($2,028 over 12 months, our calculation) or $149/month for six months ($1,788 over 12 months, our calculation).

12-month difference: PlexusDx month-to-month is $1,200 less than MEDVi with the introductory discount included, or $100 per month on average (our calculation).

Tirzepatide injection

MEDVi: $279 (first-month introductory rate) + ($399 × 11 months) = $279 + $4,389 = $4,668 total, or $389 per month effective. Ongoing-only: $399 × 12 = $4,788.

PlexusDx: $289 month-to-month × 12 = $3,468 total. Commitment options: $269/month for three months ($3,228 over 12 months, our calculation) or $249/month for six months ($2,988 over 12 months, our calculation).

12-month difference: PlexusDx month-to-month is $1,200 less than MEDVi with the introductory discount included, or $100 per month on average (our calculation).

Semaglutide tablet (oral route)

MEDVi: $249 first month + ($369 × 11 months) = $249 + $4,059 = $4,308 total, or $359 per month effective (our calculation).

PlexusDx: $289 month-to-month for semaglutide oral capsules × 12 = $3,468 total. Commitment options: $269/month for three months ($3,228 over 12 months) or $249/month for six months ($2,988 over 12 months).

12-month difference: PlexusDx month-to-month is $840 less than MEDVi over 12 months, or $70 per month (our calculation).

Decision factors: beyond the monthly rate

Support and coaching

MEDVi includes unlimited provider calls, a free dietitian visit, and care coaching in every plan. If behavioral and nutritional support is a priority, MEDVi's bundled coaching may add value beyond the medication itself. PlexusDx includes a free check-in with a Doctor of Pharmacy but does not bundle dietitian or coaching visits in the base medication price.

Tablet route availability and cost

MEDVi offers both injection and oral tablet routes for semaglutide, with a $70 monthly surcharge for tablets. PlexusDx offers semaglutide oral capsules at $289 month-to-month (lower than MEDVi's $369 tablet refill rate) and tirzepatide capsules at $349 month-to-month. If you prefer oral administration, compare the ongoing tablet cost carefully: PlexusDx's oral semaglutide is $80 per month less than MEDVi's tablet refill rate.

Pricing visibility

PlexusDx publishes every medication tier and commitment price before intake. MEDVi displays pricing after you complete the health questionnaire, and multi-month bundle rates are not published externally. If you want to compare options before sharing health information, PlexusDx's upfront pricing may streamline your decision.

Commitment terms and refund policy

MEDVi's 3-, 6-, and 12-month bundles are non-refundable. If you stop treatment early—whether due to side effects, insurance changes, or personal preference—you forfeit the unused prepaid months. PlexusDx's 3- and 6-month commitment options lower the per-month rate ($149 for semaglutide injection on the 6-month plan, $249 for tirzepatide) without the same non-refundable risk, though you should confirm PlexusDx's specific cancellation terms during intake.

Branded pathway cost

MEDVi offers a branded Wegovy and Zepbound pathway that requires a separate $99 monthly membership. The medication cost is additional and varies by product and discount channel; MEDVi does not show the total branded cost at checkout. PlexusDx does not offer branded GLP-1 medications; the program is compounded-only. If your insurance covers branded Wegovy or Zepbound and you want a single platform to manage both compounded and branded options, MEDVi's dual pathway may fit. If you are paying out-of-pocket for branded medication, confirm the total monthly cost (membership plus medication) before committing.

Choose MEDVi if…

• You value bundled behavioral support—unlimited doctor calls, care coaching, and a free dietitian visit—and are willing to pay a higher monthly rate for integrated coaching.
• You want a dual compounded/branded pathway on one platform and are comfortable with the $99 branded membership fee plus additional medication cost.
• You prefer to see pricing after a health intake rather than before, and you do not require published bundle rates for comparison shopping.
• You are considering a multi-month prepaid bundle and accept the non-refundable terms if you stop early.

Choose PlexusDx if…

• You want the lowest total cost for compounded semaglutide or tirzepatide injection—$2,268 over 12 months for semaglutide versus MEDVi's $3,468, a $1,200 difference.
• You prefer published, transparent pricing before you start an intake, with every medication option and commitment tier visible on the product page.
• You want oral semaglutide or tirzepatide at a lower rate than MEDVi's tablet surcharge—PlexusDx oral semaglutide is $289 month-to-month versus MEDVi's $369 tablet refill.
• You value flexibility: month-to-month billing with no multi-month prepayment or non-refundable forfeiture risk.
• A free pharmacist check-in meets your support needs, and you do not require bundled dietitian or coaching visits in the base price.

Methodology and freshness

We verified MEDVi's compounded semaglutide and tirzepatide pricing, fee structure, and included services at checkout on September 4, 2026. The first-month introductory rates ($179 semaglutide injection, $279 tirzepatide) and refill rates ($299 semaglutide, $399 tirzepatide) are checkout-confirmed. The $70 oral tablet surcharge for semaglutide is verified; oral tirzepatide is advertised but no separate surcharge was displayed. The branded pathway $99 membership fee is verified. MEDVi's multi-month bundle rates are not published by PlexusDx and are not included in this analysis. PlexusDx pricing was verified July 20, 2026.

All 12-month cost calculations are our own arithmetic using the verified monthly rates. "Effective monthly" figures for MEDVi include the first-month discount; we also show the ongoing-only cost for transparency. Comparisons are month-to-month MEDVi versus month-to-month PlexusDx unless otherwise noted. We did not independently verify lab inclusion or cost; readers should confirm lab policy during intake if labs are clinically relevant.

Review ratings are captured from Trustpilot: MEDVi at 4.3 stars with approximately 15,000 reviews (September 4, 2026); PlexusDx at 4.3 stars with 79% five-star and 83% four stars or higher (September 9, 2026; trustpilot.com/review/plexusdx.com).

Frequently Asked Questions

Does MEDVi charge separately for provider visits?

No. MEDVi's monthly medication price includes the initial provider consultation, ongoing prescriber oversight, and unlimited doctor calls. There is no separate visit fee for compounded semaglutide or tirzepatide programs.

Are labs included in MEDVi's monthly rate?

MEDVi's public materials do not specify whether baseline or monitoring labs are included in the medication price. Ask during your intake whether lab work is required and whether any lab fees apply separately.

What is MEDVi's oral tablet surcharge?

Semaglutide tablets add $70 per month to the injection price. The first-month tablet rate is $249 (our calculation: $179 injection intro + $70) and the refill rate is $369 (our calculation: $299 injection refill + $70), verified September 4, 2026.

Does MEDVi's price increase when my dose goes up?

No. MEDVi states that dose escalation does not change your monthly rate. You pay $299 per month for semaglutide injection (after the first month) or $399 for tirzepatide regardless of dose tier.

Can I get a refund if I prepay a multi-month bundle and stop early?

No. MEDVi's 3-, 6-, and 12-month bundles are non-refundable for unused months. If you stop treatment before the prepaid period ends, you forfeit the remaining value. Confirm cancellation and refund terms during your intake if you are considering a bundle.

Sources

• PlexusDx internal comparison research: MEDVi compounded pricing and policy (captured July 20, 2026)
• PlexusDx canonical pricing: semaglutide injection, tirzepatide injection, semaglutide oral, tirzepatide oral, microdose GLP-1 (captured July 20, 2026)
• PlexusDx verified dataset: MEDVi checkout verification, semaglutide and tirzepatide rates (captured September 4, 2026)
• PlexusDx verified dataset: MEDVi fee structure, tablet surcharge, branded pathway membership (captured September 4, 2026)
• Trustpilot: MEDVi review profile (accessed September 4, 2026)
• Trustpilot: PlexusDx review profile, 4.3-star rating (accessed September 9, 2026; trustpilot.com/review/plexusdx.com)

Compounded medication disclosure: Compounded medications are not FDA-approved. FDA does not review compounded drugs before marketing for safety, effectiveness, or quality. PlexusDx works with licensed 503A compounding pharmacies. A licensed clinician determines whether a prescription is appropriate for an individual patient.

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. References are included at the end of the article when scientific, medical, or health-related claims are discussed.

Commercial transparency: PlexusDx offers genetic testing, blood biomarker testing, personalized supplement recommendations, and related precision wellness services. 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.