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Ranked #193 · Grade C

MEDGm review

MEDGm charges $299 a month for compounded semaglutide injections and $399 for tirzepatide once the welcome coupon lapses, names the four pharmacies that fill its prescriptions, and advertises $179 without saying it applies to one month.

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Semaglutide
$299/mo month-to-month (the advertised $179 is the first month only, after an automatically applied coupon)
Tirzepatide
$399/mo month-to-month (the advertised $279 is the first month only)
Coverage
All 50 states
Brand-name
Compounded only

Semaglutide · modeled / year

$3,588

Tirzepatide · modeled / year

$4,788

Pricing verified September 2026

The Index scorecard

MEDGm scored on our six Cost-Efficiency Index factors. See the methodology.

Normalized Cost/Month41/100
Price Transparency36/100
Nationwide Access86/100
Formulation Options77/100
Clinical Oversight73/100
Contract Flexibility67/100

Where the value is

  • Names all four pharmacy partners in its terms, with street addresses, phone numbers and websites, and says which compounding classes they operate under
  • Names seven prescribing professional corporations on its consent page rather than referring to an unnamed medical group
  • Publishes the full ladder for three GLP-1 routes — injection, oral tablet and tirzepatide — at one, three, six and twelve months
  • Removing the welcome coupon rewrites the price panel on the spot, so the standing rate can be read before you buy
  • Cancellation is available online at any time and takes effect at the end of the paid term

The tradeoffs

  • "Starting at $179" is a first-month rate produced by an automatically applied coupon; the standing month-to-month price is $299, and the same shape applies to the oral tablet and to tirzepatide
  • The treatments FAQ says "your price never increases" on a plan whose price increases by $120 at the first renewal
  • The twelve-month bundle is charged upfront, renews for another full upfront year up to ten days early, and none of it is refundable once charged
  • Zepbound, Wegovy and Ozempic are advertised with membership cards whose "+ cost" is never quantified, and every one of those buttons leads to the compounded quiz instead
  • The funnel prints "prescription plan approved", a 100% success probability and a 20-minute approval countdown before payment and before any clinician has seen the file
  • The terms say the company is cash-pay only and does not guarantee HSA or FSA eligibility, while the marketing says GLP-1 medications are HSA and FSA eligible
  • The terms claim the fifty states and the District of Columbia while also warning that certain services may not be available in every state, and no state-by-state list is published anywhere
  • A provider may switch you to a different molecule and your enrollment continues by default, but the price that then applies is not stated — tirzepatide costs $100 a month more on every tier

The bottom line

Best for: Readers who want the dispensing pharmacies and the prescribing practices named, and who will price the second month rather than the first. MEDGm charges $299 a month for compounded semaglutide injections and $399 for tirzepatide once the welcome coupon lapses, names the four pharmacies that fill its prescriptions, and advertises $179 without saying it applies to one month.

Ranked #193 of 529 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.

Compare with other providers

All 528 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to MEDGm.

The 18 programs nearest this one

Pricing, states and verification reflect MEDGm's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on MEDGm's site. Not medical advice; see our disclosure.

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