LifeMD vs MEDVi
$149/mo against $399/mo for tirzepatide. Which is worth it, and for whom.
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. LifeMD costs $149 a month and MEDVi costs $399, a difference of $250 a month or about $3,000 a year. What matters more is whether the two are dispensing the same category of product at all.
LifeMD is insurance coordination. 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. MEDVi publishes which pharmacy compounds its medication; LifeMD does not. On a product the FDA has not reviewed, that is not a small difference.
Side by side
| LifeMD | MEDVi | |
|---|---|---|
| Advertised from | $75 | $399 |
| Membership on top | None | None |
| True monthly cost | $149 | $399 |
| Roughly, per year | $1,788 | $4,788 |
| Price includes medication | No — billed separately | Yes |
| Names its pharmacy | N/A — FDA-approved product | Not published |
| Our score | 3.5 / 5 | 2.8 / 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 3 of the 7 things we track, and behave the same on the other 4. The differences are what the price gap is actually buying.
| LifeMD | MEDVi | |
|---|---|---|
| Will pursue insurance coverage | Yes | No |
| Can dispense FDA-approved branded medication | Yes | No |
| Medication included in the monthly price | No | Yes |
What each discloses: LifeMD
- GLP-1 injection programme listed at $75 first month, then $149/month.
- Annual plan advertised as low as $75/month.
- Programme fee does not include medication when medication is branded and billed to insurance.
- Markets insurance coordination that can reduce semaglutide cost to roughly $25/month where coverage applies.
Where it wins: Genuine clinician oversight with a physician-led model. Watch for: If your insurer declines, the $149/month programme fee still applies and the medication is extra.
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
LifeMD.
- Genuine clinician oversight with a physician-led model.
- Insurance work is a core part of the service, not an afterthought.
MEDVi.
- Injection pricing is consistent between the first month and renewals.
- Tablet option for people who will not inject.
How they score
| What we weigh | Weight | LifeMD | MEDVi |
|---|---|---|---|
| True monthly cost | 30% | 3 | 2.4 |
| Price honesty | 20% | 3.3 | 2.5 |
| Clinical support | 20% | 4 | 3.3 |
| Pharmacy sourcing | 15% | 4.2 | 3.2 |
| Cancelling | 15% | 3.4 | 3 |
LifeMD scores higher overall at 3.5 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 LifeMD if cost is the binding constraint. Over a year the gap is about $3,000, 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, LifeMD at $149 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: LifeMD and MEDVi.
How they sit against everyone else
| Dispensed by | Product | Per month | Score |
|---|---|---|---|
| Coreage Rx Best overall on true monthly cost | Compounded | $199 | 4.5 |
| Trimi Lowest flat price with named pharmacies | Compounded | $125 | 4.6 |
| PlexusDx Pharmacy transparency and genetic testing | Compounded | $189 | 4.4 |
| Ozari Health Lowest advertised semaglutide price | Compounded | $125 | 4.4 |
| Fifty 410 Prepaid blocks with no subscription | Compounded | $133 | 4.2 |
| Ivím Health Unlimited clinician access | Compounded | $199 | 4 |
| Mochi Health Insurance concierge support | Compounded | $278 +$79 fee | 3.6 |
| Coby Health Multi-month value with supplies included | Compounded | $239 | 3.6 |
| 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 | $216 | 3.5 |
| LifeMD Insurance coordination | Compounded | $149 | 3.5 |
Read next
- LifeMD tirzepatide review
Insurance coordination. What is actually dispensed, how the prescription works, and what the price really is — $149 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.
- How to spot a bad seller
The FDA sent more than 55 warning letters to online GLP-1 sellers in one day. Here is how to tell a licensed programme from the rest.
- The twelve-month cost
Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.
- Tirzepatide programmes compared
21 programmes side by side — what each dispenses, under what authority, and what it really costs.