Comparison · updated October 18, 2026

Belle vs MEDVi: Belle for compounded medication only, MEDVi for brand-name or compounded options

Belle and MEDVi differ in what you pay, which medicines they list and their insurance terms. Compounded medicines are not FDA-approved.

These two prices are different kinds of bill, so read the line under each price before you compare them.

Compare plans and terms

Belle and MEDVi pay us a commission when you join through our links. That never changes a score, an order or a fact on this page. How we make money

This content was researched and written with AI assistance. MEDVi referral links are affiliate links: we may earn a commission if you sign up. This is independent information, not medical advice or a clinical review.

Which should you choose, Belle or MEDVi?

Short answer: Choose MEDVi if you want brand-name medicine as an option. If that doesn't matter to you, compare their plans below.

Belle is best for

Cash-pay patients who want one price at every dose and will prepay or finance a 6- or 12-month plan.

Choose MEDVi if

  • you want brand-name medicine as an option
  • you want a pill or another option without needles

The available assessments do not establish a score winner, so choose by the medicine, total cost and care you need.

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

Belle vs MEDVi side by side

Belle and MEDVi compared fact by fact
BelleMEDVi
Price$109/mo equivalent$1,308 upfront for 12 months; applicable taxes may add to the bill$179(affiliate link)First month, then $299/mo
MedicineCompounded onlyBrand-name and compounded
Needle-free optionNot listedYes, a pill or other oral form
InsuranceCash-pay only: Belle takes no insurance, Medicare or MedicaidNo insurance listed
ConsultationIncluded; Belle charges no consultation or setup feeIncluded
ShippingFree on every orderFree
Where it shipsAll 50 states and Washington, D.C., for adults 18 and older; no US territoriesNot published
Trustpilot4.5 / 5 across 1,490 reviews4.3 / 5 across 15,014 reviews
BBB ratingB-F (not accredited)
Our score8.7/10 Very good6.5/10 Fair
Assessment limitsChecked Oct 18, 2026; some details not published.Checked Oct 16, 2026; a rating claim didn't match Trustpilot.

What Belle and MEDVi plans cost

Belle

One price at every dose, with the monthly rate set by how long a supply you prepay: from $249 for one month of tirzepatide down to $149 on the 12-month offer.

All 11 Belle plans
How Belle bills

$109/mo is compounded semaglutide on Belle's 12-month supply, charged in full at checkout ($1,308). Compounded tirzepatide is $179/mo on 12 months ($2,148), $199 on 6, $219 on 2 and $249 for one month, and Belle's offer page sells tirzepatide at $149/mo for 12 months or $179/mo for 6. Every dose costs the same; shipping, supplies and clinician care are included. Checked October 18, 2026.

We checked Belle's prices on October 18, 2026.

MEDVi(affiliate link)

Compounded semaglutide tablets and injections, a separate compounded tirzepatide injection, and brand-name Wegovy and Zepbound paths with a $99 membership plus medication.

All 5 MEDVi plans
How MEDVi bills

First month, then $299/mo

We checked MEDVi's prices on September 3, 2026.

What to watch for with Belle and MEDVi

Belle

  • The low monthly rates need a 6- or 12-month supply that Belle charges in full at checkout, and placed orders are not refundable
  • Belle's own help center says orders ship 5 to 7 business days after payment, plus 3 to 5 days in transit
Belle's strengths, cautions and terms

Strengths

  • One price at every dose, so your bill does not rise as the clinician increases your dose
  • Prices for every supply length are on its pricing page before you sign up, with shipping, injection supplies and clinician care included and no consultation fee
  • Names its chief medical officer, Dr. Patrick Taylor, MD, with his training and board certification, and lists its clinical team
  • Names its compounding pharmacies, including Hillstone Pharmacy and OptioRx (503A) and BPI Labs (an FDA-registered 503B outsourcing facility)
  • Publishes a 24-hour reply window for messages on business days and 4.5 out of 5 from 1,490 Trustpilot reviews (October 18, 2026)

More to watch for

  • Intake is a written form with no video visit, and ongoing care runs through messages, text and phone
  • Its LegitScript badge is an image on Belle's own site; we could not confirm the certification with LegitScript
  • BBB rates Belle Health, LLC B- and lists it as not accredited, citing one unanswered complaint (October 18, 2026)
  • FDA sent Belle a warning letter on February 20, 2026 because product photos on its site showed a Belle label, suggesting Belle compounds the drugs when it does not; FDA had posted no close-out letter on October 18, 2026
Medicines listed
  • Tirzepatide (compounded injection)
  • Semaglutide (compounded injection)
  • Microdose tirzepatide (compounded injection)
Insurance
Cash-pay only: Belle takes no insurance, Medicare or Medicaid. HSA and FSA cards are accepted, and Affirm or Klarna can split a plan into payments if you are approved.
Consultation
Included; Belle charges no consultation or setup fee
Shipping
Free on every order
Prescribers
Mixed (MD/NP)
Lab work
Optional
States
All 50 states and Washington, D.C., for adults 18 and older; no US territories. Which treatments are available, and which pharmacy fills them, can vary by state (checked October 18, 2026).
Cancellation
Cancel or pause in the patient portal at any time with no fee. Cancelling stops future renewals; anything you already paid for still ships. A placed order cannot be cancelled or refunded, and shipped prescription medication is not returnable. You get a full refund if the clinician does not approve your prescription, and Belle replaces a wrong or damaged product reported within 7 days.

MEDVi

  • FDA warning letter #721455, issued February 20, 2026, cites misleading labeling and marketing that implied MEDVi compounded the drugs and that compounded products were equivalent to or FDA-evaluated like approved brands. The letter does not allege unsafe medication
  • Its third-party records conflict: Trustpilot shows 4.3 out of 5 across 15,014 reviews, and MEDVi invited 157 of the 200 newest reviewers, while the BBB grades MEDVi F, lists it as not accredited and counts 763 complaints in three years (we checked on October 15, 2026)
MEDVi's strengths, cautions and terms

Strengths

  • Compounded semaglutide tablets and injections, plus a separately advertised compounded tirzepatide injection
  • The landing page says the program is HSA and FSA eligible and includes dietician visits and care coaching, with a footnote making that subject to insurance and copay eligibility
  • $179 covers the first month of compounded semaglutide on MEDVi's landing page, including physician review, the personalized plan, medication and free shipping

More to watch for

  • You pay $179 only for the first semaglutide charge; each refill costs you $299, and MEDVi's own replies to BBB complaints say your subscription renews every 28 days, so you pay $3,767 for 13 charges in a year rather than $2,327
  • Brand-name Wegovy and Zepbound paths add a $99 membership plus a medication cost the page does not publish, and the same page's hero says "No membership or hidden fees!" directly above those cards; availability is subject to change
  • No insurance accepted, and oral compounded semaglutide has less clinical data than injectable forms
Medicines listed
  • Semaglutide (compounded injectable)
  • Semaglutide (compounded oral tablets)
  • Tirzepatide (compounded injectable; full billing terms unconfirmed)
  • Wegovy (brand-name pill or injection; availability subject to change)
  • Zepbound (brand-name injection; availability subject to change)
  • Ozempic (brand-name path referenced in MEDVi disclosures)
Insurance
No insurance support listed
Consultation
Included
Shipping
Free
Prescribers
OpenLoop Health and CareGLP Affiliated P.C.s; individual clinician credentials are not disclosed before checkout
States
Not published. MEDVi's terms say "The Services are currently available to individuals located in certain states" and give the list only by emailing customer service. No state count or state list is shown on the site's contact, about, terms or FAQ pages (rendered check 2026-09-03)
Cancellation
Cancel by email or patient-portal chat at least 72 hours before the next billing date. Multi-month plans refund only months for which no medication shipped. Medical disqualification is refundable.

Compounded medicines are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold. Read the FDA's explanation of the risks.

Belle vs MEDVi: common questions

Is Belle or MEDVi cheaper?

At least one headline price is a starting, introductory, prepaid or partial figure, so neither is simply cheaper.

  • Belle$109/mo equivalent$1,308 upfront for 12 months; applicable taxes may add to the bill
  • MEDVi$179first month, then $299/mo

Which is better, Belle or MEDVi?

Neither wins outright on our scores, so the better one is the one that fits your medicine, budget and care needs.

Belle lists compounded medication only, and MEDVi lists brand-name and compounded medication.

Do Belle and MEDVi offer brand-name medication?

Belle lists compounded medication only, and MEDVi lists brand-name and compounded medication.

Compounded medications are not FDA-approved. Your prescriber decides which medicine suits you.

Do Belle and MEDVi take insurance?

Coverage depends on your plan and prescription, so read each provider's insurance terms.

Confirm coverage for your exact plan and prescription before you pay.

Where these facts come from

Belle:prices checked October 18, 2026, score evidence assessed October 18, 2026.Read our Belle review

MEDVi:prices checked September 3, 2026, score evidence assessed October 16, 2026.Read our MEDVi review

We score on a published methodology, and partnership never changes a score or a fact here.

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