SexyMD review

Compounded semaglutide at $269 a month and tirzepatide at $369, headlined everywhere on the site as $199 and $299 — the rates for committing to forty-eight weeks.

By Grant Ashford, Founder & Pricing EditorSeptember 2026

Est. first month

From $269/mo

Save ~80% vs brand-name

$269/mo month-to-month on the four-week plan (every headline on the site quotes $199, which is the 48-week commitment rate)

Get this deal Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Value Score.

Pricing to watch. Every headline price on this site is the forty-eight-week rate. "From $199 per month" and "as low as $199/mo" are what a buyer pays after committing to nearly a year; the month-to-month rate is $269, and the tirzepatide pair is $299 against $369. The asterisk on the headline resolves to nothing. The full ladder is published, which is to its credit — $269, $249, $229 and $199 across four, twelve, twenty-four and forty-eight weeks — but the two longest tiers print a per-month figure while shipping quarterly, and the terms defer the actual charge amount and cadence to the checkout. The two low-dose products then price four, eight and twelve weeks identically, so a plan-length table appears where no plan-length discount exists.

How much does SexyMD cost?

The price SexyMD publishes is $269/mo month-to-month on the four-week plan (every headline on the site quotes $199, which is the 48-week commitment rate). Tirzepatide is listed at $369/mo month-to-month on the four-week plan (the $299 headline is the 48-week rate). We flag this one to watch: confirm the ongoing rate with SexyMD before you count on it, because a low first month can step up afterward. That works out about 80% under our ~$1,349/mo brand-name cash reference.

Semaglutide: $269/mo month-to-month on the four-week plan (every headline on the site quotes $199, which is the 48-week commitment rate)
Tirzepatide: $369/mo month-to-month on the four-week plan (the $299 headline is the 48-week rate)
Coverage: 47 states — not Arkansas, Mississippi or New Jersey
Brand-name: Compounded only

The Value Score card

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

Lowest Real Price54/100

No Teaser-Rate Bait40/100

Both Molecules92/100

Nationwide Availability72/100

Easy Cancellation82/100

Reputation66/100

Why it's a deal

The whole ladder is published on the product pages before any intake: $269, $249, $229 and $199 for semaglutide across four, twelve, twenty-four and forty-eight weeks, and $369, $349, $329 and $299 for tirzepatide
The exclusions are named. One line in the footer says the service is available in all states except three, listed by name — which is the useful half of the coverage statement
Both pharmacy classes are disclosed in the terms, 503A pharmacies and 503B outsourcing facilities, with what each is regulated by
A medical practice and a named physician stand behind the prescribing, identified in the terms rather than described as a category
Cancellation is through the account dashboard or by contacting support, forty-eight hours before the next renewal, and the mechanism is stated once
Two low-dose products are sold at published prices rather than hidden behind an eligibility check

Read the fine print

Every headline on the site is the forty-eight-week rate. "From $199 per month" is what a buyer pays after committing to nearly a year; the month-to-month rate is $269, a difference of $840 over a year
The asterisk attached to that headline resolves to no footnote anywhere on the page
The same footer block, on every page of the site, says both that the service is available in all fifty states and that it is available in all states except three. Both sentences are printed together
The twenty-four- and forty-eight-week tiers print a per-month price while shipping quarterly, and the terms defer the actual charge amount and cadence to the checkout — so whether it is one charge, four or twelve is unpublished
The two low-dose products price four, eight and twelve weeks identically, in the same table format that carries real tiers on the full-dose pages, so a plan-length table appears where no plan-length discount exists
Three social-proof figures disagree with each other across the site, and the checkout claims two patient counts for a single day that together exceed the site's own badge by more than thirty times
A scarcity countdown at the checkout reads that only one discount is left and reserves it for twenty-five minutes, resetting for each new session
One low-dose page contradicts itself on dosing frequency in its own body copy against its own instructions
The only phone number on the site is a vanity string in the terms with no digits given, and no pharmacy is named
What the price includes is never itemized: consultation, shipping, supplies and dose escalation appear on no product page

The bottom line

Best for: Shoppers who will read the four-week column of the price table rather than the headline, and who want the state exclusions named before starting. Compounded semaglutide at $269 a month and tirzepatide at $369, headlined everywhere on the site as $199 and $299 — the rates for committing to forty-eight weeks.

Ranked #347 of 418 programs we track — see our #1 deal, CoreAge Rx, for comparison.

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Shopping SexyMD against a specific rival? We put it head to head with our top-scoring pick on CoreAge Rx vs SexyMD, and every program that undercuts or outscores it — starting with TeleZen MD, the closest match on score — is ranked on the SexyMD alternatives ranking.

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Pricing and coverage on this page were read from SexyMD'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 SexyMD's site. Not medical advice; see our disclosure.

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