MDExam Review: Price, Pros & Cons
MDExam is a Miami-based telemedicine weight-loss provider serving all 50 states, selling compounded injectable semaglutide ($192/mo) and tirzepatide ($258/mo) with visits and coaching.
In this review
Compounded drugs are not FDA-approved. Treatment requires a clinician's assessment. Understand compounded GLP-1 treatment.
Prices at a glance
- Semaglutide
- $192/moCompounded
- Tirzepatide
- $258/moCompounded
- Coverage
- All 50 states
- Brand-name
- Not confirmed
Semaglutide · estimated annual cost
$2,304
Tirzepatide · estimated annual cost
$3,096
Who MDExam may suit
Shoppers in any state who want compounded semaglutide or tirzepatide with coaching, and who may use insurance.
Where the value is
- Semaglutide and tirzepatide prices are printed on the product pages before you sign up
- Accepts most major insurance plans, plus cash, card and payment plans
- The $50 consultation is fully refunded if you're not approved
- Telemedicine care in all 50 states
The tradeoffs
- The site also says the program is 'as low as $225 per month', which matches neither product price
- No dose is given for the $192 or $258 price
- A $50 consultation fee comes before treatment
- No compounding pharmacy is named; the terms say only that licensed pharmacies, including 503B outsourcing facilities, fill orders
- Three clinicians are named, but no medical director, and the team page also shows placeholder profiles
- The '93% success rate' and '86,000+ patients served' figures are the company's own, with no source
What MDExam costs
MDExam sells compounded semaglutide and tirzepatide injections as part of a monthly weight-loss program. Its FAQ says the program is priced as low as $225 a month, covering telemedicine visits, nutrition and exercise coaching, and the medication. Its product pages list injectable semaglutide at $192 a month and injectable tirzepatide at $258, without saying which dose those prices cover, so get the exact monthly figure for your dose before you pay. The site also mentions an injection-free option; ask what it costs if you'd rather avoid needles.
There's also a $50 consultation fee. MDExam says it's fully refunded if you aren't approved.
MDExam says it accepts most major insurance plans and that you can check your coverage in its online portal. If you plan to use insurance, ask what your plan actually covers, since compounded drugs are usually cash pay.
Considering MDExam?
Check the plan total, billing period and cancellation terms before you enroll. A clinician decides whether treatment is appropriate.
How the program works
You fill out a medical questionnaire, and MDExam's team recommends a program based on your history and how much weight you want to lose. You decide whether to go ahead. A provider reviews your chart and messages you with any follow-up questions, and medication should arrive within about a business week.
After that, care happens mostly by text. You can message a provider, schedule check-ins and log your weekly progress in the patient portal. MDExam is based in Miami and says it treats patients by telemedicine in all 50 states. Its team page names a nurse practitioner, Alberto Nunez, and two physicians, Dr. Joel Jones, DO, and Dr. Robert Bilbao, MD.
Who fills the prescription
MDExam's terms say it works with licensed pharmacies, including FDA-registered 503B outsourcing facilities, but they don't name them. You have the right to send your prescription to a pharmacy of your choosing. If you don't pick one, MDExam sends it to a partner pharmacy. Ask which one will fill yours.
Auto-ship, canceling and refunds
The program runs on auto-ship. Subscribing means a recurring monthly charge that continues until you cancel. The terms set a clear cutoff: cancel before your medication is sent to the pharmacy. Once the prescription has gone through, the charge can't be stopped or reversed, and medication can't be returned.
Refunds follow the medical review:
- Pay and cancel before the medical team reviews your history, and you get a full refund.
- If the team reviews your history and you don't qualify for any plan, you get a full refund.
- If you qualify and a prescription is sent to a pharmacy, there's no refund.
Before you sign up
- Get the monthly price for your exact medication and dose in writing.
- Contact support by phone or email if you need to cancel before a refill goes to the pharmacy.
- Compounded semaglutide and tirzepatide aren't FDA-approved, and MDExam doesn't offer brand-name Wegovy or Zepbound.
- Its "93% success rate" and patient counts are its own figures.
The Index scorecard
MDExam scored on our six Cost-Efficiency Index factors. See the methodology.
The bottom line
MDExam is a Miami-based telemedicine weight-loss provider serving all 50 states, selling compounded injectable semaglutide ($192/mo) and tirzepatide ($258/mo) with visits and coaching.
Compare the total cost of other GLP-1 programs and alternatives to MDExam before deciding. A clinician should help you choose the right treatment.
Other programs to compare with MDExam
These are partners: we may earn a commission if you sign up, at no cost to you.
Strut HealthPartner
Semaglutide modeled $99/mo · Tirzepatide modeled $149/mo
Strut sells compounded semaglutide from $99 a month as a lozenge or $129 as a weekly injection, and tirzepatide from $149, all on auto-refill.
bmiMDPartner
Semaglutide modeled $159/mo · Tirzepatide modeled $249/mo
bmiMD charges $159 a month for compounded semaglutide and $249 for tirzepatide month to month, the same at every dose, with lower prices on three-, six- and twelve-month plans.
RxSpan MDPartner
Semaglutide modeled $249/mo · Tirzepatide modeled $329/mo
RxSpan MD puts injections, oral capsules and three brand-name drugs on one account, with every price and plan length published; one month of the semaglutide injection is $249.
Compare with other providers
The providers whose Cost-Efficiency Index scores sit closest to MDExam's. See the alternatives to MDExam.
- Maximus— Maximus sells compounded tirzepatide at one flat rate for every dose, from $249.99 a month on its shortest two-month plan down to $149.99 on a 12-month plan, each billed up front.73/100
- Revive Longevity— Revive Longevity sells compounded tirzepatide only, at $279 every four weeks on a subscription you can cancel or $299 for a single month, and your card is authorized but not charged until a provider approves you.73/100
- Freeley— Freeley charges $299 a month for compounded semaglutide and $399 for tirzepatide month to month, and the $199 and $179 figures it headlines are 12- and 24-month plan rates.73/100
- Peter MD— One account across six verticals — TRT, ED, weight loss, GLP-1, men's hair loss and NAD+ — from a physician-prescribed telehealth brand running since 2021, at a renewal price ($249/mo tirzepatide) well above its own $149 first-month headline.72/100
- Wellorithm— Wellorithm sells brand Wegovy at $899 a month and Zepbound or Ozempic at $1,199, with compounded semaglutide and dissolving tablets offered but not priced until you start the quiz.72/100
- Amazon One Medical— Amazon One Medical's GLP-1 program prescribes brand-name drugs only, never compounded ones, and charges a separate ~$39 initial care fee on top of the medication.72/100
Pricing, states and verification reflect MDExam's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on MDExam's site. Not medical advice; see our disclosure.