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.
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.
As of September 22, 2026, the core difference is the term. MEDVi's compounded semaglutide injection is month-to-month at $179 for the first month (new patients), then $299 per refill cycle as displayed, with no contract; its compounded tirzepatide injection is $399 at MEDVi's ongoing month-to-month rate, verified September 22, 2026 (first-month offer shown after the questionnaire). Brello's compounded semaglutide injection is listed at a regular rate of $198/mo, sold as a plan of $399 per three-month term billed upfront and renewing every 11 weeks; tirzepatide is $247/mo regular, on the same three-month minimum, with the term total not published. PlexusDx, for reference, is $189/mo for Semaglutide Injection and $289/mo for Tirzepatide Injection month-to-month.
Key differences
MEDVi offers injections, a compounded oral semaglutide product and a branded route, on a month-to-month plan that bundles physician review, coaching, dietitian visits, 24/7 support, medication and shipping. Brello offers compounded semaglutide and tirzepatide injections only, no oral and no branded products, on a three-month minimum that bundles the medication, syringes, its app and fitness classes, a community group, provider review and shipping. Brello lists other compounded non-GLP-1 products that are outside this comparison. Both begin with an online intake reviewed by a licensed clinician; neither guarantees a prescription.
Same-medication price table
Regular or recurring rates are the comparison basis. Brello's landing pages display a lower per-month figure against the regular rate; the regular rate and the per-term charge are shown here, and the lower figure is not treated as a permanent price. "Unknown" means the official page did not expose the figure.
PlexusDx publishes this comparison and offers one of the programs discussed. Information is based on the sources and dates shown.
| Medication (compounded injection) |
MEDVi |
Brello |
PlexusDx month-to-month |
Checked |
| Semaglutide, recurring rate |
$299 per refill cycle as displayed; $179 first month (new patients) |
$198/mo regular; plan sold at $399 per 3-month term, billed upfront, renews every 11 weeks |
$189/mo |
September 22, 2026 |
| Tirzepatide, recurring rate |
$399 per refill cycle, MEDVi's ongoing month-to-month rate, verified September 22, 2026; first-month offer shown after the questionnaire |
$247/mo regular; 3-month minimum; term total Unknown |
$289/mo |
September 22, 2026 |
| Three cycles or one term, semaglutide |
$777 (new patient) |
$399 per 3-month term |
$567 |
September 22, 2026 |
| Membership fee |
None on compounded plans |
None listed |
None |
September 22, 2026 |
| Oral or branded options |
Compounded oral semaglutide (about $70 a month over its injection rate; no tablet total published); branded Wegovy® and Zepbound® via membership plus medication |
Not offered |
Semaglutide Oral $289/mo; Tirzepatide Oral $349/mo; no branded |
September 22, 2026 |
Assumptions: MEDVi three cycles = $179 + 2 × $299 as displayed September 22, 2026; MEDVi's cycle length is not published. Brello's term is 11 weeks, not three calendar months, so the two three-cycle figures are close but not identical periods. PlexusDx three cycles = 3 × $189. Sources: MEDVi's program page, Brello's website and PlexusDx product pages. MEDVi's price fields render by script; Brello states final pricing may vary by treatment plan; confirm both at checkout.
Compare PlexusDx plans
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.
Compare PlexusDx plans → Start my PlexusDx intake →
Required term and upfront cash
MEDVi asks for one cycle at a time: $179 up front for a new semaglutide patient, then $299 per cycle, cancellable with 72 hours' notice before the next billing date. MEDVi offers 3-, 6- and 12-month bundles; their rates appear in its signup flow and are not published here. Brello requires a three-month minimum on every plan and bills the term up front, $399 for semaglutide, then renews automatically every 11 weeks until cancelled. Brello's stated refund terms: a full refund if you are not approved, and after approval a refund of the total minus a $50 professional-services fee if requested within 24 hours of the completed provider review. After that window the term is committed. If you are unsure you will continue past a first cycle, the difference in cash at risk is the main practical distinction. PlexusDx's month-to-month tier has no term and charges $0 until the provider approves; its 3- and 6-month commitment tiers are listed separately with the payment schedule at checkout.
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A ~60-second intake. A licensed clinician in PlexusDx’s network reviews it and independently decides whether a prescription is appropriate. No charge unless your provider approves. Compare plans first: Compare PlexusDx plans.
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Dose and route restrictions
Both providers state that price does not change with dose: MEDVi as "same fair price at every dose," Brello as "no hikes if your dosage changes." Route is where they diverge. Brello is injection-only for GLP-1 medication. MEDVi adds a compounded oral semaglutide product at about $70 a month over its injection rate for the same compound (read on its plan-selection screen; no tablet total published) and a branded route for Wegovy® and Zepbound® that carries a $99 monthly membership plus the medication cost (as listed on MEDVi’s program page, September 22, 2026). None of the compounded products at either provider is FDA-approved, and none is the same as Wegovy®, Ozempic®, Zepbound® or Mounjaro®; a compounded tablet is not the FDA-approved oral product. The FDA's statement on unapproved GLP-1 drugs explains why. Dose and route decisions belong to the prescribing clinician at either program.
Support and renewal
MEDVi includes free dietitian visits and care coaching, unlimited 24/7 support, HSA/FSA payment, and names its dispensing pharmacies; cancellations go to hello@medvi.org or portal chat, service runs to the end of the cycle, and the cycle in which you cancel is not refunded. Brello includes its app, fitness and nutrition classes, a private community and ongoing support, with shipping in three to five business days if approved; "cancel anytime" applies to the renewal, not to the current term. Brello's state list is on a separate document and was not verified; MEDVi does not publish a state list. Publicly posted reviews describe varied experiences at both; what those sources can show is summarized in MEDVi customer reviews. Neither program's model or size establishes clinical quality.
Choosing between programs
Brello may fit someone who is committed to at least one three-month term of injectable medication and values the lower per-term charge and bundled classes. MEDVi may fit someone who wants month-to-month flexibility, coaching and dietitian access, or an oral or branded option, and who will confirm the refill price, the tirzepatide first-month offer and the oral price in the official offer. Full MEDVi pricing is in MEDVi Cost: Semaglutide, Tirzepatide, Membership, and Plan Prices.
The PlexusDx alternative
PlexusDx offers compounded Semaglutide Injection at $189/mo and Tirzepatide Injection at $289/mo month-to-month, plus oral tablets, at one flat price that covers the provider visit, prescription, medication and shipping, with no membership fee, no term, $0 until approval and cancellation anytime with no fees. Compare plans on the Weight Management Protocols page or see MEDVi vs PlexusDx: Compare GLP-1 Prices, Plans, and Support.
Zepbound® and Mounjaro® are registered trademarks of Eli Lilly and Company; Wegovy® and Ozempic® of Novo Nordisk A/S. PlexusDx is not affiliated with or endorsed by either.
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
Is Brello cheaper than MEDVi for semaglutide?
Per term, Brello's published semaglutide plan is $399 for a three-month term billed upfront, against a regular rate of $198/mo, renewing every 11 weeks. MEDVi's month-to-month plan totals $777 over three cycles for a new patient ($179 plus two refills at $299 as displayed September 22, 2026). Brello requires the full term up front; MEDVi bills one cycle at a time.
Does Brello require a minimum commitment?
Yes. Brello states that all plans require a three-month minimum, billed upfront, and renew automatically every 11 weeks at the recurring rate charged at checkout until cancelled. Its refund terms allow a full refund if not approved and, after approval, a refund minus a $50 fee only if requested within 24 hours of the completed provider review.
Does MEDVi require a contract?
No. MEDVi's compounded plans are month-to-month with no contract; you can cancel anytime with at least 72 hours' notice before the next billing date, and service continues to the end of the cycle. MEDVi does not refund the cycle in which you cancel. MEDVi offers 3-, 6- and 12-month bundles; their rates appear in its signup flow and are not published here.
Does either program offer oral or branded GLP-1 medication?
MEDVi lists a compounded oral semaglutide product at about $70 a month over its injection rate for the same compound (no tablet total published) and a branded route for Wegovy and Zepbound priced as a monthly membership plus the medication cost. Brello lists compounded semaglutide and tirzepatide injections only, with no oral and no branded products on its pages as of September 22, 2026.
Do prices change with dose at MEDVi or Brello?
Both say no. MEDVi advertises the same price at every dose, and Brello states there are no price hikes if your dosage changes. Dose decisions belong to the prescribing clinician at either program. MEDVi's terms add that the final charge may vary with the prescribed medication and fulfilling pharmacy, so confirm at checkout.
Sources and dates checked
- MEDVi program page (glp1.medvi.org), read September 22, 2026
- MEDVi start page (start.medvi.org), read September 22, 2026
- MEDVi cancellation and refund policy, read September 22, 2026
- Brello Health website, read September 22, 2026
- Brello semaglutide plan page, read September 22, 2026
- PlexusDx Semaglutide Injection product page, verified September 22, 2026
- PlexusDx Tirzepatide Injection product page, verified September 22, 2026
- FDA: FDA's concerns with unapproved GLP-1 drugs used for weight loss
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A ~60-second intake. A licensed clinician in PlexusDx’s network reviews it and independently decides whether a prescription is appropriate. No charge unless your provider approves. Compare plans first: Compare PlexusDx plans.
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This article is part of the PlexusDx Education Hub. Browse all Peptides & GLP-1 education
Medical and Editorial Standards
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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