MEDVi vs Ro
$399/mo against $448/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. MEDVi costs $399 a month and Ro costs $448, a difference of $49 a month or about $588 a year. What matters more is whether the two are dispensing the same category of product at all.
MEDVi is tablet and injection choice. Ro is branded medication with insurance help. 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.
Side by side
| MEDVi | Ro | |
|---|---|---|
| Advertised from | $399 | $149 |
| Membership on top | None | $149/mo |
| True monthly cost | $399 | $448 |
| Roughly, per year | $4,788 | $5,376 |
| Price includes medication | Yes | Yes |
| Names its pharmacy | Not published | N/A — FDA-approved product |
| Our score | 2.8 / 5 | 3.5 / 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.
| MEDVi | Ro | |
|---|---|---|
| Offers an oral or sublingual option | Yes | No |
| Will pursue insurance coverage | No | Yes |
| Can dispense FDA-approved branded medication | No | Yes |
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.
What each discloses: Ro
- Ro Body membership is $39 for the first month, then $149/month.
- Membership does not include the cost of GLP-1 medication.
- Ro has exited compounded GLP-1s and works with FDA-approved branded products.
- Effective all-in cost commonly lands between $298 and $598/month depending on the medication and any insurance coverage.
- Cancellation requires notice before the renewal date.
Where it wins: FDA-approved medication only, which removes the compounding-regulation question entirely. Watch for: The membership and the medication are two separate bills. A $39 first month does not mean a $39 prescription.
Each one’s strengths
MEDVi.
- Injection pricing is consistent between the first month and renewals.
- Tablet option for people who will not inject.
Ro.
- FDA-approved medication only, which removes the compounding-regulation question entirely.
- Genuine help pursuing insurance coverage.
How they score
| What we weigh | Weight | MEDVi | Ro |
|---|---|---|---|
| True monthly cost | 30% | 2.4 | 2.4 |
| Price honesty | 20% | 2.5 | 3.8 |
| Clinical support | 20% | 3.3 | 4.1 |
| Pharmacy sourcing | 15% | 3.2 | 4.8 |
| Cancelling | 15% | 3 | 3.4 |
Ro 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 MEDVi if cost is the binding constraint. Over a year the gap is about $588, which is real money for the same class of medication.
- Pick Ro if what it does better matters to you — fda-approved medication only, which removes the compounding-regulation question entirely.
- Ask both which pharmacy compounds the medication and whether it is a 503A or 503B facility. Neither publishes it.
The verdict
On price alone, MEDVi at $399 a month is the more defensible choice on arithmetic alone. Ro earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: MEDVi and Ro.
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
- MEDVi tirzepatide review
Tablet and injection choice. What is actually dispensed, how the prescription works, and what the price really is — $399 a month.
- Ro tirzepatide review
Branded medication with insurance help. What is actually dispensed, how the prescription works, and what the price really is — $448 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.