Explainer

Coreage Rx vs MEDVi

$199/mo against $399/mo for tirzepatide. Which is worth it, and for whom.

Illustration of two objects on a balance scale

Updated 2026-09-18

Disclosure: one company on this page — Coreage Rx — pays us a commission when a reader signs up through our link. It does not buy a better score, a higher ranking, or the removal of any criticism. The scoring rubric and the full disclosure are both published.


Both sell tirzepatide. Coreage Rx costs $199 a month and MEDVi costs $399, a difference of $200 a month or about $2,400 a year. What matters more is whether the two are dispensing the same category of product at all.

Coreage Rx is best overall on true monthly cost. MEDVi is tablet and injection choice. They are not aimed at the same person, and the cheaper one is not automatically the right answer — though it usually is once you have established that both dispense the same thing.

What is actually being dispensed. Neither publishes which pharmacy compounds the medication, so ask both before you order and get the answer in writing.

Side by side

Coreage RxMEDVi
Advertised from$149$399
Membership on topNoneNone
True monthly cost$199$399
Roughly, per year$2,388$4,788
Price includes medicationYesYes
Names its pharmacyNot publishedNot published
Our score4.5 / 52.8 / 5

Prices verified 2026-09-18. "True monthly cost" is what you are billed in month two, once any introductory rate has lapsed and any membership has renewed.

Where the two differ on record

They differ on 2 of the 7 things we track, and behave the same on the other 5. The differences are what the price gap is actually buying.

Coreage RxMEDVi
Price is the same at every doseYesNo
Offers an oral or sublingual optionNoYes

What each discloses: Coreage Rx

  • Compounded tirzepatide advertised from $149/month on the annual plan, $199/month otherwise.
  • Compounded semaglutide advertised from $99/month on the annual plan.
  • A three-month tirzepatide block has been offered at $589 covering any dose up to 15 mg per week.
  • Pricing is flat-rate: there is no separate monthly membership stacked on top of the medication price.
  • Dose increases within the covered range do not change the price, which is unusual in this market.
  • Health coaching is bundled rather than sold as an upgrade.

Where it wins: The advertised price is the billed price — no membership fee arrives in month two. Watch for: The $99 and $149 rates are annual-plan prices. If you want month-to-month, budget $149 and $199 instead, and check the refund terms before prepaying a year.

What each discloses: MEDVi

  • Compounded tirzepatide injections listed at $399/month.
  • Tirzepatide tablet pricing is quoted after the intake questionnaire rather than published up front.

Where it wins: Injection pricing is consistent between the first month and renewals. Watch for: You have to complete intake before seeing tablet pricing. Injection pricing is published at $399.

Each one’s strengths

Coreage Rx.

  • The advertised price is the billed price — no membership fee arrives in month two.
  • Flat pricing across the dose range, so titrating up to 10 mg or 15 mg does not raise the bill.

MEDVi.

  • Injection pricing is consistent between the first month and renewals.
  • Tablet option for people who will not inject.

How they score

What we weighWeightCoreage RxMEDVi
True monthly cost30%4.92.4
Price honesty20%4.72.5
Clinical support20%4.33.3
Pharmacy sourcing15%43.2
Cancelling15%4.43

Coreage Rx scores higher overall at 4.5 out of 5. The weights are published on how we rate, and so is the note about which of these is our paid featured partner.

Which to choose

  • Pick Coreage Rx if cost is the binding constraint. Over a year the gap is about $2,400, which is real money for the same class of medication.
  • Pick MEDVi if what it does better matters to you — injection pricing is consistent between the first month and renewals.
  • Ask both which pharmacy compounds the medication and whether it is a 503A or 503B facility. Neither publishes it.

The verdict

On price alone, Coreage Rx at $199 a month is the more defensible choice on arithmetic alone. MEDVi earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: Coreage Rx and MEDVi.

How they sit against everyone else

Dispensed byProductPer monthScore
Coreage Rx
Best overall on true monthly cost
Compounded$1994.5
Trimi
Lowest flat price with named pharmacies
Compounded$1254.6
PlexusDx
Pharmacy transparency and genetic testing
Compounded$1894.4
Ozari Health
Lowest advertised semaglutide price
Compounded$1254.4
Fifty 410
Prepaid blocks with no subscription
Compounded$1334.2
Ivím Health
Unlimited clinician access
Compounded$1994
Mochi Health
Insurance concierge support
Compounded$278
+$79 fee
3.6
Coby Health
Multi-month value with supplies included
Compounded$2393.6
Hims & Hers
Widest range of formats
Compounded$238
+$39 fee
3.5
Ro
Branded medication with insurance help
FDA-approved brand$448
+$149 fee
3.5
Zealthy
Low-cost entry with insurance routing
Compounded$2163.5
LifeMD
Insurance coordination
Compounded$1493.5

Read next

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    Best overall on true monthly cost. What is actually dispensed, how the prescription works, and what the price really is — $199 a month.

  • MEDVi tirzepatide review

    Tablet and injection choice. What is actually dispensed, how the prescription works, and what the price really is — $399 a month.

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