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PeptideRank

Provider review

MEDGm cost: $399/mo tirzepatide

MEDGm lists tirzepatide at $399/mo (advertised as $279 first month) and semaglutide at $299/mo (advertised as $179 first month). Prices checked October 2026.

Full price ladders, but its Terms let a provider switch your drug.

Compounded Tirzepatide and Compounded Semaglutide are separate, named products with full price ladders. Its Terms let a provider move you from one to the other, with your continued enrollment counting as consent.

Verified October 2026

By PeptideRank Pricing Desk

Transparency scorecard

2 of 4 disclosed openly

What MEDGm discloses about itself, read from its own pages — not estimated.

Pharmacy category stated

Not disclosed

Names its pharmacies but states no federal regulatory category (503A/503B) for them on its own site.

State coverage published

Disclosed

Publishes which states it actually serves.

A real price is published

Disclosed

A real dollar figure is published on its own site, not estimated.

No hidden commitment trap

Not disclosed

The advertised price requires a prepay, auto-refill, or other commitment we found and named.

This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. A commission does not change what a review says. Full disclosure here.

At a glance

Visit MEDGm

Pharmacy

Not categorized

Labs

Not published as a routine requirement; its Terms allow a…

States

All 50 states

On this page

How much does MEDGm cost?

MEDGm's prices, read from its own site. What you pay monthly leaves out first-month and prepay rates and includes any required membership.
Tirzepatide $279 first month$399/moHigher than advertisedNot disclosedOctober 2026
Semaglutide $179 first month$299/moHigher than advertisedNot disclosedOctober 2026

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not confirmed

Lab work

Not disclosed

Coaching

Not confirmed

The catch — The figure the site leads with is the twelve-month tier. "From $169" is $2,028 charged at once, against a $299 month-to-month rate — a 43% gap. Beneath that sits a second, smaller one: the $179, $249 and $279 printed beside each month-to-month rate are first-month prices, $120 off, with the standing rate on the line below.

See plans at MEDGm

Prices read from MEDGm's own site

What they advertise

"Starting at $169" leads its weight-loss page for the injections, and "Starting at $239" for the tablets. Each product page then leads with its own month-to-month rate: $399 for compounded tirzepatide, $299 for compounded semaglutide, $369 for the semaglutide tablet, each beside a lower first-month price. The same page lists Zepbound, Wegovy and Ozempic at a $99 or $171 membership "+ medication cost," with no medication price shown.

What you actually pay

$399 a month for compounded tirzepatide, $299 for compounded semaglutide and $369 for the tablet, buying one month at a time — the rung each product page labels "Month to Month · FLEXIBLE · billed monthly · cancel anytime". The prepay ladders are $897/$1,734/$3,228 for tirzepatide across three, six and twelve months, $597/$1,134/$2,028 for semaglutide, and $957/$1,734/$2,868 for the tablet. Every one of the nine tiers divides to the cent.

Money you will meet later

  • Subscriptions renew automatically at the then-current rate until canceled, and billing or shipment may occur up to ten days before the renewal date.
  • Canceling requires 72 hours' notice before the renewal date, through the member portal or by email.
  • Charges continue in a period even if you do not complete the required refill form or receive a shipment, by its own Terms.
  • A multi-month term is paid up front. Its Terms refund nothing before the term ends; its refund page says months with no medication shipped are refunded.

The bottom line

MEDGm, LLC is a Delaware company selling compounded tirzepatide at $399 a month, compounded semaglutide at $299 and a semaglutide tablet at $369, in all fifty states and the District of Columbia, with clinical care through OpenLoop Health. It sells three separately named products, each on its own page, each with a month-to-month rate and three prepay tiers that divide exactly. Its pharmacy disclosure is good — four compounding pharmacies named with addresses and phone numbers. Two things a buyer should still know. Its Terms let a provider switch you to a different molecule mid-subscription while billing continues. And its own footer says the site's text and images may be generated by artificial intelligence, and that the people in its advertisements may be actors or models.

MEDGm appears on our tirzepatide provider ranking, our semaglutide provider ranking and our combined weight loss injections ranking.

Who is MEDGm for, and who is it not for?

A good fit if

  • You want the pharmacies named: four, with street addresses and phone numbers, listed in its Terms rather than described as a network.
  • You want the whole ladder on the product page before any question is asked — month-to-month first, then three prepay tiers, each of which divides to the cent.
  • You want lab work, a metabolic report and side-effect medications stated as inside the price rather than billed later.

Look elsewhere if

  • You want the molecule you chose to be the molecule you keep getting. Its Terms let a provider switch you, with continued enrollment counting as consent.
  • You are budgeting from the figure on its weight-loss page. The "Starting at $169" there is the twelve-month tier at $2,028 up front; one month at a time is $299.
  • You want to be sure the faces beside the reviews are the patients who wrote them; its own disclosure says testimonial images may use models and that site images may be generated by artificial intelligence.

What MEDGm offers

Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.

Who fills your prescription

No category stated

MEDGm names the pharmacies that may fill your prescription, but states no regulatory category for them.

  • RedRock Pharmacy
  • Health Warehouse
  • Precision Medicine
  • Triad Rx
What its own site says

Named, with addresses — four of them. Its Terms list RedRock Pharmacy in St. George, Utah; Health Warehouse in Florence, Kentucky; Precision Medicine in Bellmore, New York; and Triad Rx in Daphne, Alabama, each with a street address and a phone number, and note the list may change. The category is stated as a class rather than per facility: compounded medications are prepared by state-licensed 503A or FDA-registered 503B pharmacies, so which applies to your order is not said. Clinical care comes from OpenLoop Health. Those four pharmacies and that clinical network are the same ones Lean Meds names, so the two brands are not independent of each other on the layer that matters clinically.

What's the difference between 503A and 503B?

A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.

Where you can get it

All 50 states

All fifty states and the District of Columbia, stated in its Terms and repeated in its state-coverage note, qualified with the caveat that some services may not be available everywhere. No exclusions are named.

The honest cons

The part they would rather you skipped

MEDGm's Terms let a provider change the drug you are taking and keep charging you for it. If a provider decides a different molecule is appropriate, then "unless you cancel your subscription, your continued enrollment constitutes your consent to receive the Provider-recommended product" — so the default is substitution, and declining it means canceling. It does name the molecule — Compounded Tirzepatide and Compounded Semaglutide are separate products, named on the product page, the page title and the navigation — but the clause stays. Then there is the footer, which is doing more work than any footer should. MEDGm discloses that the site's text and images "may be generated or enhanced using artificial intelligence technologies or models", that no warranty is made as to their accuracy or reliability, that "individuals appearing in advertisements may be actors or models," and that images representing its testimonials "may use models" — printed beneath a page of five-star testimonials badged "Verified customer", with named patients and pound counts.

  • Its Terms let a provider switch you between semaglutide and tirzepatide while billing continues, and continued enrollment counts as consent.
  • Its own footer says the site's text and images may be generated by artificial intelligence and that testimonial images may use models, on a page of five-star testimonials badged as verified.
  • The "Starting at $169" its weight-loss page leads with is the twelve-month tier at $2,028 up front; one month at a time is $299.
  • The $179, $249 and $279 beside each product's rate are first-month prices; from month two you pay $120 more.
  • Its semaglutide tablet and its tirzepatide carry the identical $1,734 six-month total, on products whose month-to-month rates differ by $30.
  • A clinician reviews your file only after payment, by its own disclosure.
  • Its Terms say charges continue in a period even if you receive no medication shipment.
  • Its Terms say a 3-, 6- or 12-month bundle refunds nothing on cancellation, while its refund page says months with no medication shipped are refunded — the two documents disagree.
  • It shares all four of its named pharmacies and its clinical network with Lean Meds, so the two are not independent alternatives to each other.

How it compares

Read this before you buy

A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.

Ready to get started?

Prices and plans in this category change often — check MEDGm's current pricing before you decide. Ours was read from their own site.

See MEDGm pricing

Facts on this page reflect MEDGm's own public disclosures when we last checked them. Prices and terms change without notice — confirm on MEDGm's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.