bmiMD vs MyStart Health: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher

Reviewed & updated August 14, 2026 · Cites primary sources (FDA, NEJM, CMS) · Not medical advice

54 providers verified independently·Independent research·How we rank →

Short answer: bmiMD scores higher on our rubric, 8.0/10 against 7.7/10. Full reasoning, pricing and the cases where the other one wins are below.

Visit bmiMD - our pick of these two →or find your match

bmiMD beats MyStart Health overall, scoring 8/10 vs 7.7/10. Published pricing is not a like-for-like monthly comparison: bmiMD is $289/mo month-to-month; MyStart Health is from $299/mo. Choose bmiMD for users who want an established, large-scale platform with same-day consults and strong promo pricing. Choose MyStart Health for users who want a monthly price that stays locked as their dose increases, backed by a money-back weight-loss guarantee.

A side-by-side look at bmiMD and MyStart Health to help you decide. We compare them on:

•Starting price per month
•Our overall score, out of 10
•Medication type, brand-name or compounded
•Whether they accept insurance
•Who each one is best for

Higher Rated

bmiMD

#4 of 54

8/10

Budget-friendly GLP-1 platform offering both medication types at one of the lowest price points in the market.

Visit bmiMD

MyStart Health

#17 of 54

7.7/10

GLP-1 provider offering a unique money-back guarantee and price-lock protection for long-term cost certainty.

Visit MyStart Health

Feature	bmiMD	MyStart Health
Why each one	One of the largest GLP-1 telehealth platforms (80,000+ customers) with same-day physician consults and a money-back eligibility guarantee.	Price Lock Guarantee ensures your monthly rate never increases even as your dose escalates, plus access to 600+ board-certified doctors.
Our Score	8/10	7.7/10
Headline Price	$289/mo month-to-month	from $299/mo
Medication Type	Both	Compounded
Insurance Accepted	No	No
Best For	Users who want an established, large-scale platform with same-day consults and strong promo pricing	Users who want a monthly price that stays locked as their dose increases, backed by a money-back weight-loss guarantee
Watch out for	Standard semaglutide pricing is $289/mo, above competitors at $99-199/mo; the TAKEOFF 3-month entry (about $99/mo first month) and annual plans from $99/mo bring the effective rate down	Cash-pay only, no insurance accepted. If your plan covers GLP-1s, price that route first; HSA/FSA cards do work here
Ranking	#4	#17
Get started	Visit bmiMD	Visit MyStart Health

Pros & Cons Compared

bmiMD

Pros

+Same-day physician consults, one of the few platforms offering telehealth appointments the same day you apply
+80,000+ customer base with a 4.3-star Trustpilot rating (600+ reviews) provides real social proof of reliability
+100% money-back guarantee if your consultation determines you don't qualify for GLP-1 treatment
+HSA/FSA accepted for all programs

Cons

−Standard semaglutide pricing is $289/mo, above competitors at $99-199/mo; the TAKEOFF 3-month entry (about $99/mo first month) and annual plans from $99/mo bring the effective rate down
−$29.99 shipping fee per order where most competitors ship free; factor it into your monthly total
−A $50 non-refundable cancellation fee applies after intake approval; decide before the consult, and cancel at least 48 hours ahead of your monthly processing date

MyStart Health

Pros

+Price Lock Guarantee ensures your monthly rate never increases even as your GLP-1 dose escalates, a genuine differentiator
+Competitive pricing at $149-$179/mo for compounded semaglutide with free shipping included
+Access to 600+ board-certified doctors with unlimited clinician messaging at no additional cost
+HSA/FSA eligible, can use pre-tax health savings to pay for treatment

Cons

−Cash-pay only, no insurance accepted. If your plan covers GLP-1s, price that route first; HSA/FSA cards do work here
−Select states only, not all 50, and the exact list isn't published. Confirm your state during the intake quiz before paying
−Compounded medications only, no brand-name GLP-1 option on the menu

Our Verdict

bmiMD edges out MyStart Health with a score of 8/10 vs 7.7/10. Published pricing is not a like-for-like monthly comparison: bmiMD is $289/mo month-to-month; MyStart Health is from $299/mo. bmiMD offers both brand-name and compounded medications, giving you more flexibility.

Cheapest complete recurring price in our index

Trimi Health

$175/mo month-to-month, from $99 on a plan · 4.2/10 · Compounded

Both bmiMD and MyStart Health start above the cheapest complete recurring program we track. Across all 54 providers in our index, the lowest price with affirmative medication, consultation, and shipping inclusion is Trimi Health at $175/mo. It scores 4.2/10 and is not the highest-scored provider in our full rankings, so this is a cost floor rather than a recommendation. Worth knowing before you decide.