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Lemonaid Health vs MEDVi: Which GLP-1 Provider Is Better?

By Iacob Pastina, Independent Researcher & Publisher
Reviewed & updated · Cites primary sources (FDA, NEJM, CMS) · Not medical advice
54 providers verified independently·Independent researchHow we rank →

Short answer: Lemonaid Health scores higher on our rubric, 7.2/10 against 5.7/10. Full reasoning, pricing and the cases where the other one wins are below.

Lemonaid Health beats MEDVi overall, scoring 7.2/10 vs 5.7/10. Published pricing is not a like-for-like monthly comparison: Lemonaid Health is published $129/mo; total not verified; MEDVi is $179 first month, then $299/mo. Choose Lemonaid Health for users who want a flexible membership with broad medication options, $49/mo platform fee + compounded ($199), microdose ($199), or brand-name zepbound via lillydirect ($299-449). Choose MEDVi for users who want both oral and injectable compounded options in one telehealth program.

A side-by-side look at Lemonaid Health and MEDVi 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

Lemonaid Health

#37 of 54
7.2/10

Established telehealth platform (acquired by 23andMe) restructured in 2026: $49/mo Weight Loss Membership + medication billed separately. Menu now includes compounded sema and tirz, compounded microdoses ($199), and brand-name Zepbound via LillyDirect ($299-449).

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MEDVi

#46 of 54
5.7/10

MEDVi offers oral and injectable compounded GLP-1 care. Semaglutide is $179 for month one and $299 for refills. Trustpilot is 4.4/5 across roughly 11,000 reviews, while BBB is F/not accredited. FDA warning letter #721455 concerns misleading labeling and marketing, not an allegation that the medication was unsafe.

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FeatureLemonaid HealthMEDVi
Why each oneOne of the oldest and most established telehealth brands in the GLP-1 space, over a decade of operation and physician-only prescribing standards that exceed most competitors.Oral and injectable compounded formats in one program, with micro-dosing options and a path to FDA-approved brand medication.
Our Score7.2/105.7/10
Headline Pricepublished $129/mo; total not verified$179 first month, then $299/mo
Medication TypeBothBoth
Insurance AcceptedNoNo
Best ForUsers who want a flexible membership with broad medication options, $49/mo platform fee + compounded ($199), microdose ($199), or brand-name Zepbound via LillyDirect ($299-449)Users who want both oral and injectable compounded options in one telehealth program
Watch out forMembership and medication billed separately, the $49/mo number is just the membership, not all-inFDA 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
Ranking#37#46
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Pros & Cons Compared

Lemonaid Health

Pros

  • +2026 restructure, $49/mo Weight Loss Membership (replaces the old $25/visit model)
  • +6-month plan discount, compounded tirzepatide drops to $229/mo on a 6-month commitment
  • +Wide medication menu: compounded sema, compounded tirz, compounded microdoses ($199), brand-name Zepbound via LillyDirect ($299-449), and metformin
  • +Established since 2013 with physician-only prescribing and rigorous intake

Cons

  • Membership and medication billed separately, the $49/mo number is just the membership, not all-in
  • Brand-name Wegovy ($1,599) and Ozempic ($1,199) cash prices are high, read as access, not value
  • Best compounded pricing requires a 6-month commitment
  • The 23andMe acquisition created some uncertainty about the platform's long-term focus

MEDVi

Pros

  • +One of the few compounded providers offering both oral tablets and injectable semaglutide
  • +Micro-dosing options available, can start at sub-standard doses for patients concerned about side effects
  • +Sleek onboarding experience with clear progress tracking through their patient portal
  • +$179 covers the first month of compounded semaglutide on the current Katalys landing, including clinician review, medication and shipping

Cons

  • 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: 4.4/5 across roughly 11,000 Trustpilot reviews, but an F and no accreditation at the BBB
  • The $179 semaglutide price is introductory; the current Katalys landing says refills are $299/mo, making the first-year total $3,468 rather than $2,148
  • Brand-name Wegovy and Zepbound paths add a $99 membership plus the medication cost, which the current landing does not publish; availability can change
  • No insurance accepted, and oral compounded semaglutide has less clinical data than injectable forms

Our Verdict

Lemonaid Health edges out MEDVi with a score of 7.2/10 vs 5.7/10. Published pricing is not a like-for-like monthly comparison: Lemonaid Health is published $129/mo; total not verified; MEDVi is $179 first month, then $299/mo.

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