Head-to-head · Cost-Efficiency Index
TOM Weight Loss vs MEDVi
Two GLP-1 programs on the bench, scored on the same six factors. Here's how their real cost of ownership compares — and which one we'd start with.
TOM Weight Loss
Texas or Utah residents who want the doctor visit and medication in one bundled monthly price.
Visit TOM Weight LossMEDVi
Shoppers who want compounded semaglutide with no contract and are budgeting on the $299 refill price, not the first-month sale price.
Visit MEDViThe verdict
TOM Weight Loss and MEDVi tie on the Cost-Efficiency Index at 62/100, so neither wins outright on the numbers, so choose on fit. TOM Weight Loss: Texas or Utah residents who want the doctor visit and medication in one bundled monthly price. MEDVi: Shoppers who want compounded semaglutide with no contract and are budgeting on the $299 refill price, not the first-month sale price.
Worth knowing either way: CoreAge Rx is one of our partners and leads our leaderboard, where partners are listed first (Cost-Efficiency Index 94/100). See how it stacks up: CoreAge Rx vs TOM Weight Loss.
Factor by factor
Both providers scored on our six Cost-Efficiency Index factors. The stronger side on each row is marked in teal.
Normalized Cost/Month
Price Transparency
Nationwide Access
Formulation Options
Clinical Oversight
Contract Flexibility
Pricing, coverage & formulary
The disclosed facts behind the scores. Lower price wins its row (teal).
| Spec | TOM Weight Loss | MEDVi |
|---|---|---|
| Cost-Efficiency Index | 62/100 | 62/100 |
| Semaglutide / mo | $199/moAll doses, bundle, plus a separate fee, compounded | $299/moMonth-to-month refill price; first month $179, compounded |
| Tirzepatide / mo | $249/moAll doses, bundle, compounded | Not disclosed |
| Semaglutide / yr (modeled) | $2,388 | $3,588 |
| Tirzepatide / yr (modeled) | $2,988 | — |
| Coverage | 2 states | Not published |
| Oral / sublingual | No | Yes |
| Brand-name access | Compounded only | Yes |
| Rank here | #262 | #268 |
TOM Weight Loss
62/100Where the value is
- Named, credentialed prescriber (Dr. Tran Le, MD, DABOM, NPI 1194212258) rather than an anonymous provider pool
- Flat pricing regardless of dose within a plan — no upcharge as you titrate up to 2.4mg or 15mg/week
- A genuine Medicare-eligible copay path ($50/month) is published, unusual among compounded-GLP-1 telehealth sites
The tradeoffs
- Only available in Texas and Utah — not a national provider despite the polished, generic-looking site
- The site lists a separate 'à la carte' $100/mo price that is medication-only with the doctor visit billed apart — a naive read could mistake this for a $100 all-in equivalent to the $199 Basic plan
MEDVi
62/100Where the value is
- The FAQ states both numbers plainly: $179 for the first month and refills locked in at $299, covering the provider review, the medication and shipping
- No contract; you can cancel at any time by email or through the patient portal chat
- Names its partner pharmacies (Triad Rx, RedRock Pharmacy and Beaker Pharmacy & Compounding) and the medical groups behind its providers
The tradeoffs
- The $179 headline is a first-month "FALL Sale" price; every refill after that is $299
- Cancellation must reach support at least 72 hours before your next billing date, and monthly charges are never refunded once the month has started
Regulatory note: the FDA issued a warning letter to MEDVi, LLC dba MEDVi in February 2026. We still list and link to MEDVi; you should know the letter is on the public record before you decide.
Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. Pricing, states and verification reflect each provider's public disclosures at last review; prices change — confirm on the provider's site. Not medical advice. See our disclosure.