MEDGm review

Compounded semaglutide at $299 a month and tirzepatide at $399, sold behind a "starting at $179" headline that is a first-month coupon — on a site whose own questions promise the price never increases.

By Grant Ashford, Founder & Pricing EditorSeptember 2026

Est. first month

From $299/mo

Save ~78% vs brand-name

$299/mo month-to-month (the $179 headline is the first month only, after an automatic welcome coupon)

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Pricing to watch. "Starting at $179" is the first month and nothing else. A welcome coupon is applied automatically and takes $120 off a $299 standing rate; removing it rewrites the panel to $299 on the spot. Tirzepatide works the same way, $279 against $399. The treatment page's own questions then say "your price never increases, even as your dose goes up" on a plan whose price increases by $120 at the first renewal. The prepay tiers are the other trap: $2,028 for twelve months of semaglutide and $3,228 for tirzepatide are charged up front, auto-renew into another full twelve-month charge up to ten days early, and are not refundable once taken. The savings figures printed beside them are computed against the standing rate, which is only ever charged on the month-to-month plan.

How much does MEDGm cost?

The price MEDGm publishes is $299/mo month-to-month (the $179 headline is the first month only, after an automatic welcome coupon). Tirzepatide is listed at $399/mo month-to-month (the $279 headline is the first month only). We flag this one to watch: confirm the ongoing rate with MEDGm before you count on it, because a low first month can step up afterward. That works out about 78% under our ~$1,349/mo brand-name cash reference.

Semaglutide: $299/mo month-to-month (the $179 headline is the first month only, after an automatic welcome coupon)
Tirzepatide: $399/mo month-to-month (the $279 headline is the first month only)
Coverage: All 50 states and D.C.
Brand-name: Compounded only

The Value Score card

MEDGm scored on our six published factors. See the methodology.

Lowest Real Price54/100

No Teaser-Rate Bait24/100

Both Molecules98/100

Nationwide Availability96/100

Easy Cancellation82/100

Reputation74/100

Why it's a deal

Four dispensing pharmacies are named with street addresses, phone numbers and websites, which is the fullest supply-chain disclosure in this batch
The full ladder is shown before payment with real totals rather than per-month arithmetic: $747, $1,314 and $2,028 on semaglutide, $1,047, $1,914 and $3,228 on tirzepatide
An oral dissolving semaglutide tablet is sold alongside the injection at a published $369 a month, so the needle-free route has a price rather than a waiting list
Coverage is stated as the fifty states and the District of Columbia and matches the intake's own list exactly — no hedge that contradicts the claim, and nothing narrower hidden in the terms
The prescribing medical groups are named as entities, state by state, and the terms state the auto-renewal mechanics in full rather than leaving them to be discovered
The company's state of formation and governing law are published, and support has a phone number and an address under the brand

Read the fine print

The advertised price is a coupon. "Starting at $179" is $299 with $120 taken off the first month by an automatically applied code; removing the code rewrites the panel to $299 while you watch
The treatment page's own questions say "your price never increases, even as your dose goes up" on a plan whose price increases by $120 at the first renewal — the sentence is true about the dose and false about the month
The prepay bundles are charged in full up front and auto-renew into another full term, up to ten days early, unless canceled at least seventy-two hours ahead — so a twelve-month plan can become a second $2,028 or $3,228 charge
The savings figures printed on the ladder are calculated against the standing rate, which is only ever billed on the month-to-month plan, and the same three figures appear on the oral tab where the standing rate is different
The headline figures on the treatments card match no number in the ladder directly beneath them
No clinician is named and no identifier is published — only medical-group entities — and which of the four pharmacies is 503A or 503B, or fills which state, is not stated
No principal place of business is published anywhere; the only addresses on the site belong to the four pharmacies and a state regulator notice
The signup prints a clinical match, a success probability of one hundred percent and a headline saying the prescription plan is approved, all before payment and before any clinician has seen the file
The questions say a candidate is likely suitable at a body mass index of 20 or above, which is inside the normal range

The bottom line

Best for: Shoppers who want an oral tablet and an injection from the same desk with four named pharmacies behind them, and who will price month two before month one. Compounded semaglutide at $299 a month and tirzepatide at $399, sold behind a "starting at $179" headline that is a first-month coupon — on a site whose own questions promise the price never increases.

Ranked #292 of 418 programs we track — see our #1 deal, CoreAge Rx, for comparison.

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Pricing and coverage on this page were read from MEDGm's own website on September 1, 2026; the Value Score is our editorial judgment per the methodology. “% vs brand-name” compares the lowest disclosed monthly price against a ~$1,349/mo brand-name cash reference. Prices change — confirm on MEDGm's site. Not medical advice; see our disclosure.

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