Last reviewed: September 8, 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.

PlexusDx and MEDVi both sell compounded GLP-1 programs on a recurring charge, but the contract mechanics differ. MEDVi's compounded semaglutide injection starts at $179 for the first month (new patients) and then bills $299 per cycle as displayed September 22, 2026, with a 72-hour cancellation notice rule and no refund for the cycle in which you cancel. PlexusDx Semaglutide Injection is $189/mo month-to-month with cancel-anytime terms, plus optional 3- and 6-month commitment tiers whose payment schedule is shown at checkout. The sections below cover billing, commitments, cancellation, and refunds. For the broader head-to-head, see MEDVi vs PlexusDx: Compare GLP-1 Prices, Plans, and Support.

Billing and payment schedule side by side

The table uses each program's published terms as of September 22, 2026. MEDVi's refill figures are its ongoing month-to-month rates, verified September 22, 2026; confirm them in MEDVi's program page before you enroll. PlexusDx figures come from its product pages.

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

Billing item MEDVi (compounded semaglutide injection) PlexusDx (Semaglutide Injection) Checked
First charge $179 first month (new patients) $0 until your provider approves; then $189 for the first month-to-month cycle September 22, 2026
Recurring charge $299 per billing cycle, refill / recurring, as displayed September 22, 2026 $189/mo month-to-month, same every month September 22, 2026
Billing cycle length Not published; treat as "per billing cycle" Monthly on the month-to-month tier September 22, 2026
Membership fee (compounded programs) None; MEDVi states medication is included in the program cost None; one price covers visit, prescription, medication, shipping September 22, 2026
Price change with dose "Same fair price at every dose" (MEDVi) Flat across every dose level; changes only with commitment tier September 22, 2026
Compounded tirzepatide injection $399 per cycle, ongoing month-to-month rate, verified September 22, 2026; first-month offer shown after the questionnaire (not published) $289/mo month-to-month (PlexusDx Tirzepatide Injection), $110 a month less than MEDVi's ongoing $399/mo September 22, 2026

Checked September 22, 2026. MEDVi totals for new patients follow intro + (n−1) × refill: three cycles are $179 + 2 × $299 = $777; six cycles are $1,674. PlexusDx month-to-month totals are 3 × $189 = $567 and 6 × $189 = $1,134. For tirzepatide, refill only at MEDVi's ongoing $399: 3 × $399 = $1,197 and 6 × $399 = $2,394, against PlexusDx Tirzepatide Injection at 3 × $289 = $867 and 6 × $289 = $1,734; no new-patient tirzepatide total is computed because MEDVi's first-month offer is not published. MEDVi's cycle length is not published, so these are cycle counts, not calendar periods.

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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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Commitment length and upfront cash

MEDVi's monthly program is sold "with no contract," and the first-month rate is the only cash due to start. MEDVi offers 3-, 6- and 12-month bundles; their rates appear in its signup flow and are not published here, and financing is offered; MEDVi's cancellation and refund policy sets separate rules for multi-month plans. Confirm the total and payment schedule in the official offer, and read MEDVi Monthly vs Prepaid Plans: Upfront Cost and Flexibility before choosing a longer term.

PlexusDx publishes three tiers per product: month-to-month, a 3-month plan, and a 6-month plan. The month-to-month tier has no long-term contract. The 3- and 6-month tiers are an advertised per-month rate on a commitment; the payment schedule and any refund terms for a multi-month plan are shown at checkout, not on the product page. The table below shows PlexusDx commitment totals only, kept separate from the month-to-month comparison above because the terms are not like for like.

PlexusDx product 3-month plan (per month / commitment total) 6-month plan (per month / commitment total) Checked
Semaglutide Injection $169/mo; $507 commitment total $149/mo; $894 commitment total September 22, 2026
Tirzepatide Injection $269/mo; $807 commitment total $249/mo; $1,494 commitment total September 22, 2026
Semaglutide Oral $269/mo; $807 commitment total $249/mo; $1,494 commitment total September 22, 2026
Tirzepatide Oral $299/mo; $897 commitment total $279/mo; $1,674 commitment total September 22, 2026

Checked September 22, 2026 on plexusdx.com product pages. Commitment total = tier rate × number of months. Confirm the payment schedule at checkout before selecting a tier.

Renewal and cancellation process

MEDVi's cancellation and refund policy lets you cancel at any time, but the request must arrive at least 72 hours before your next billing date. Requests go through hello@medvi.org or the patient-portal chat. Service continues to the end of the billing cycle you have already paid for. If your request lands inside the 72-hour window, expect the next cycle to bill. For a walkthrough of MEDVi's process, see MEDVi Subscription: Billing, Cancellation, Pauses, and Refunds.

PlexusDx's product pages state "Cancel anytime. No long-term contract. Cancel anytime with no fees" for the month-to-month tier. There is no notice window published for month-to-month cancellation. For the 3- and 6-month tiers, the commitment terms you accept at checkout govern what happens if you stop early, so read them before you pay.

Refund and already-processed order rules

Cancelling a service and getting money back are two different questions. Cancellation stops future charges. A refund returns money you already paid, and each program limits when that happens.

MEDVi's policy, as published on September 22, 2026, allows a full refund only if you cancel within the first 72 hours without receiving services, or if you are medically disqualified. For monthly billing, the policy states in capitals that you will not be issued a refund upon cancellation for the month in which the cancellation occurred. 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 once dispensed. In practice, an order that has already been processed for the current cycle is yours.

PlexusDx charges $0 until your provider approves your prescription, so a declined intake costs nothing. Its public refund and terms pages cover test kits; refund terms for a multi-month GLP-1 plan are shown at checkout. Ask before you commit, and keep the checkout terms you accepted.

Compounded semaglutide and tirzepatide are not FDA-approved drug products; they are prepared by state-licensed compounding pharmacies and are not the same as Wegovy®, Ozempic®, Zepbound® or Mounjaro®. See the FDA's statement on unapproved GLP-1 drugs. Refund policy does not change that regulatory status.

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Checklist before choosing a plan

Run through these questions with the official offer in front of you. They matter more than the headline price.

  • What is the recurring charge, and when does it start? For MEDVi, the $179 first-month rate is for new patients; budget on the $299 refill rate as displayed September 22, 2026. For PlexusDx, the month-to-month rate is the same every month.
  • How long is a billing cycle, and how much medication ships per cycle? MEDVi does not publish its cycle length. Ask before assuming twelve cycles equal a calendar year.
  • What notice does cancellation require? MEDVi: at least 72 hours before the next billing date. PlexusDx month-to-month: cancel anytime with no fees.
  • What happens to a cycle already billed? MEDVi: no refund for the month in which you cancel. PlexusDx multi-month: see checkout terms.
  • If you choose a longer term, what is the total obligation and the payment schedule? MEDVi's 3-, 6- and 12-month bundle rates appear in its signup flow and are not published here. PlexusDx commitment totals are listed above; the schedule appears at checkout.
  • Does your state require a video visit? PlexusDx notes that five states require a scheduled video consultation; your provider advises.

If you want the price, service, and support comparison in one place, the MEDVi vs PlexusDx comparison page is the primary owner of that decision. This post exists to answer the contract questions behind it.

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 notice does MEDVi require to cancel?

MEDVi's cancellation and refund policy, as published September 22, 2026, says you can cancel at any time but must submit the request at least 72 hours before your next billing date, through hello@medvi.org or the patient-portal chat. Service continues to the end of the billing cycle you already paid for. Requests inside that window can result in one more charge.

Does PlexusDx require a contract for its monthly plan?

No. PlexusDx's month-to-month tier is described on its product pages as cancel anytime with no long-term contract and no fees. PlexusDx also offers 3- and 6-month plans at a lower advertised per-month rate; those are commitments, and the payment schedule and any refund terms for them are shown at checkout rather than on the product page.

Is cancelling MEDVi the same as getting a refund?

No. Cancellation stops future charges. MEDVi's refund policy allows a full refund only within the first 72 hours without receiving services or on medical disqualification, and it states there is no refund for the month in which cancellation occurs. Multi-month plans are refundable only for months with no medication shipped, and dispensed prescription medication cannot be returned.

What is MEDVi's recurring price compared with PlexusDx month-to-month?

MEDVi's compounded semaglutide injection is $179 for the first month for new patients and $299 per billing cycle at refill, as displayed September 22, 2026; confirm it in MEDVi's official offer. PlexusDx Semaglutide Injection is $189/mo month-to-month with no first-month rate and no membership fee. For compounded tirzepatide injection, MEDVi's ongoing month-to-month rate is $399, verified September 22, 2026, against $289/mo at PlexusDx; MEDVi shows its tirzepatide first-month offer after the questionnaire.

Does MEDVi offer multi-month or prepaid plans?

Yes. MEDVi offers 3-, 6- and 12-month bundles; their rates appear in its signup flow and are not published here, so confirm the total and payment schedule in the official offer. MEDVi's refund policy makes multi-month plans refundable only for months with no medication shipped. PlexusDx publishes its 3- and 6-month tier rates on each product page.

What do I pay PlexusDx if my provider does not approve me?

Nothing. PlexusDx's product pages state that you pay $0 until your provider approves your prescription. The intake takes about 60 seconds, and an independent U.S.-licensed clinician reviews it. If you are approved, the first month-to-month charge is the flat product rate, which covers the provider visit, prescription, medication, and shipping with no membership fee.

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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