MEDVi vs PlexusDx: tirzepatide and semaglutide cost, reviews (2026)

Medically reviewed by Dr. Jayden Lee, PharmD · Checked

PlexusDx costs less than MEDVi's checkout price at every plan length: tirzepatide is $189 a month vs MEDVi's $259 first month, then $399. PlexusDx also offers a free 15-minute PharmD consult and sells genetic and blood tests separately.

MEDVi reviews: 4.3/5 on Trustpilot (15,050 reviews) · F from the BBB

MEDVi and PlexusDx checkout prices, Oct 20, 2026.
Checkout pricePlexusDxMEDVi
Tirzepatide month to month$189/mo$259 first month, then $399/mo
Tirzepatide 12-month plan$1,548 up front ($129/mo)$2,859 up front
Semaglutide month to month$149/mo$159 first month, then $299/mo
Semaglutide 12-month plan$1,188 up front ($99/mo)$1,799 up front
Refunds
PlexusDx: Full refund if you cancel before the pharmacy processes your prescription
MEDVi: Full refund within 72 hours if no services received; none for the month you cancel
Shipping
PlexusDx: Free, UPS 2nd Day Air
MEDVi: Free; "prescribed & shipped within 48 hours"
Same at both
24/7 support · No membership fee

What else PlexusDx offers

GLP-1 & Peptide Pathways Genetic Test

150+ genetic insights across 14 health pathways.

$298, or $99 for program members.

See the test →

Free 15-minute consult with Dr. Jayden Lee, PharmD

By video or phone.

Book a free consult →

At-home blood tests from $129

Plus supplement packs from $79, built from your results.

See blood tests →

The GLP-1 & Peptide Pathways Genetic Test does not select or predict a medication; your provider decides.

What do MEDVi's reviews say?

MEDVi's reviews split by platform: 79% of its Trustpilot reviews give five stars, while the BBB rates it F.

Trustpilot

79% five-star · 12% one-star

  • Replies to 99% of negative reviews, usually within 24 hours.
  • Asks customers to review.
  • Most-mentioned topics include service, customer service, refunds and cancellation.
  • The negative reviews on its newest page are mostly about billing.

Read MEDVi on Trustpilot →

BBB

F, not accredited

  • 770 complaints in the past 3 years, 659 in the past 12 months.
  • 136 complaints with no response from the business.
  • Complaints on its first page are billing issues: charges after cancelling, refills not requested, refund delays.

Read the BBB profile →

Both read at source on Oct 20, 2026. Ratings belong to the platforms, not to PlexusDx.

What do MEDVi and PlexusDx cost on 3- and 6-month plans?

PlexusDx costs less on 3- and 6-month plans too: tirzepatide is $507 for 3 months against MEDVi's $769, and $894 for 6 months against $1,519.

MEDVi and PlexusDx checkout totals, Oct 20, 2026, billed up front.
PlanPlexusDxMEDVi
Tirzepatide 3-month plan$507 $169/mo$769
Tirzepatide 6-month plan$894 $149/mo$1,519
Semaglutide 3-month plan$387 $129/mo$475
Semaglutide 6-month plan$654 $109/mo$919

Is MEDVi or PlexusDx better?

PlexusDx is better on price at every plan length; MEDVi is better if you want coaching, a dietitian visit and faster stated shipping included.

Choose MEDVi if…

  • You want care coaching and a dietitian visit included.
  • You want unlimited doctor calls 7 days a week, which MEDVi's checkout lists.
  • You want medication "prescribed & shipped within 48 hours".

Choose PlexusDx if…

  • You want the lower price at every plan length.
  • You want the same monthly price from the first month on.
  • You want a free 15-minute consult with Dr. Jayden Lee, PharmD, by video or phone.
  • You want a genetic test or at-home blood tests, each sold separately.

How do MEDVi and PlexusDx compare on cancelling, formats and payment?

Both renew automatically until you cancel.

Read on Oct 20, 2026 from each company's own pages.

Cancelling
PlexusDx: Turn off renewal in your patient portal before the next charge
MEDVi: Email or portal chat at least 72 hours before your next billing date
Formats
PlexusDx: Injection, including a microdose program
MEDVi: Injection in the sign-up we walked; its site also lists branded options at "$99 Membership + Medication Cost"
Same at both
Pay over time on 3-, 6- and 12-month plans · HSA and FSA cards · Same price at every dose · LegitScript seal

How does compounded GLP-1 telehealth work?

You complete an online intake, a licensed provider reviews it, and if treatment is appropriate a state-licensed 503A pharmacy prepares and ships your medication, with no in-person visit.

Both PlexusDx and MEDVi start with an online intake and a licensed U.S. provider's review. In the PlexusDx program, a 503A compounding pharmacy, a state-licensed facility that prepares medication for one patient from a valid prescription, fills the prescription and ships it to your door.

Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, quality, or effectiveness. They are a legal, provider-prescribed option prepared by a licensed pharmacy, not a generic or a substitute the FDA has evaluated.

How did we check these prices and reviews?

We completed MEDVi's sign-up to the order summary for all eight plans on Oct 20, 2026, without paying, and read its Terms, refund policy, Trustpilot and BBB pages the same day.

We recorded every plan length for both drugs. The tables show each company's checkout price. PlexusDx prices come from our product pages on the same day.

Who wrote this. The PlexusDx editorial team wrote this page, and Dr. Jayden Lee, PharmD, reviewed it for accuracy.

Our bias. PlexusDx publishes this page and is one of the two programs compared. We show where MEDVi is ahead, and we update the page when either company changes its prices.

Ready to start with PlexusDx?

PlexusDx semaglutide is $149 month to month or $99/mo on a 12-month plan; tirzepatide is $189 or $129/mo.

A licensed provider reviews your intake before anything is prescribed.

Start your online visitOr book a free 15-minute consult with Dr. Jayden Lee, PharmD

Frequently Asked Questions

How much does MEDVi tirzepatide cost?

MEDVi's tirzepatide checkout price is $259 for the first month, then $399 a month, or $2,859 up front for 12 months. Its 3- and 6-month plans are $769 and $1,519 up front. PlexusDx tirzepatide is $189 a month, or $1,548 up front for 12 months. Checked Oct 20, 2026.

How much is MEDVi a month?

MEDVi semaglutide is $159 for the first month at checkout, then $299 a month. Its FAQ says refills are "locked in" at full price. Prepaid 3-, 6- and 12-month semaglutide plans cost $475, $919 and $1,799.

Does MEDVi have a membership fee?

Not for its compounded plans. MEDVi says there are "No membership or hidden fees." Its site lists branded Wegovy and Zepbound options at "$99 Membership + Medication Cost." PlexusDx has no membership fee.

Is MEDVi cheaper than PlexusDx?

No. PlexusDx costs less than MEDVi's checkout price at every plan length. Semaglutide is $149 a month at PlexusDx against MEDVi's $159 first month and $299 after; on 12 months it is $1,188 against $1,799 up front.

Does MEDVi have 12-month plans?

Yes. MEDVi sells 3-, 6- and 12-month plans, paid up front or in 0% installments through Klarna. PlexusDx also sells 3-, 6- and 12-month plans, with pay over time on each.

Does MEDVi's price go up with dose?

No. MEDVi says "Same Price. All Dosage Levels." PlexusDx works the same way: your dose may need to go up; your price won't.

Can you get a refund from MEDVi?

Only in limited cases. MEDVi's refund policy gives a full refund if you cancel within 72 hours and have received no services, or if a provider disqualifies you, and refunds unshipped months on plans paid two or more months at a time; on monthly plans there is no refund for the month you cancel. PlexusDx gives a full refund if you cancel after approval and before your prescription is sent to the pharmacy.

How do I cancel MEDVi?

Email hello@medvi.org or use the chat in your patient portal at least 72 hours before your next billing date. Otherwise the next cycle is charged. With PlexusDx, you turn off renewal in your patient portal before the next charge.

Is MEDVi legit?

MEDVi is an operating telehealth company whose reviews split by platform. As of Oct 20, 2026, Trustpilot rated it 4.3 out of 5 ("Excellent") across 15,050 reviews, while the BBB rated it F and not accredited, with 770 complaints in three years. Its site shows a LegitScript Certified seal and names CareGLP Affiliated P.C.s and OpenLoop Health as its medical groups.

What pharmacies does MEDVi use?

MEDVi names Triad Rx (Alabama), RedRock Pharmacy (Utah) and Beaker Pharmacy & Compounding (Texas). In the PlexusDx program, licensed 503A pharmacies fill prescriptions.

Can I talk to a pharmacist?

Yes. PlexusDx offers a free 15-minute consult with Dr. Jayden Lee, PharmD, by video or phone. It is education and support; a licensed provider makes any prescribing decision.

What does the PlexusDx genetic test do?

The GLP-1 & Peptide Pathways Genetic Test shows how your genes relate to weight management and other peptide-related pathways, with 150+ genetic insights across 14 health pathways from one swab. It does not select or predict a medication; your provider decides. It costs $298, or $99 for program members, and is sold separately from any GLP-1 plan.

PlexusDx tells you about your biology. It does not tell you what to put in your body.

Important information about your prescription program. PlexusDx connects patients with an independent network of U.S.-licensed clinicians through a state-licensed telehealth platform. A prescription is issued only if a licensed provider determines it is appropriate. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, quality, or effectiveness. Novo Nordisk, Inc. is the only U.S. company with FDA-approved products containing semaglutide (Rybelsus®, Ozempic®, Wegovy®). Lilly USA, LLC is the only U.S. company with FDA-approved products containing tirzepatide (Zepbound®, Mounjaro®). Rybelsus®, Ozempic®, and Wegovy® are registered trademarks of Novo Nordisk, Inc.; Zepbound® and Mounjaro® are registered trademarks of Eli Lilly and Company. PlexusDx is not affiliated with, endorsed by, or sponsored by Novo Nordisk, Inc. or Eli Lilly and Company. This page compares publicly available program information as of October 2026 and is updated periodically; prices and offerings may change. It is not medical advice — consult a qualified healthcare provider before beginning any treatment. Competitor names and prices are the property of their respective owners and are cited for comparison only.