Comparison · updated October 16, 2026

MEDVi vs TMates: TMates if you want to use insurance

MEDVi and TMates 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

MEDVi and TMates 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, MEDVi or TMates?

Short answer: Choose TMates if you want to use insurance. If that doesn't matter to you, compare their plans below.

MEDVi is best for

Users who want both oral and injectable compounded options in one telehealth program.

Choose TMates if

  • you want to use insurance

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

MEDVi vs TMates side by side

MEDVi and TMates compared fact by fact
MEDViTMates
Price$179(affiliate link)First month, then $299/mofrom $158/mo
MedicineBothBrand-name and compounded
Needle-free optionBothYes, a pill or other oral form
InsuranceNo insurance listedAccepts insurance
ConsultationBothIncluded
ShippingFreeFree (for compounded; brand-name filled at patient's pharmacy)
Where it shipsNot publishedMost states
Trustpilot4.3 / 5 across 15,014 reviewsNot tracked
BBB ratingF (not accredited)B (not accredited)
Our score6.5/10 Fair6/10 Fair
Assessment limitsChecked Oct 16, 2026; a rating claim didn't match Trustpilot.Checked Oct 16, 2026; few independent reviews yet.

What MEDVi and TMates plans cost

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.

TMates

Two-archetype platform: (1) compounded GLP-1s with medication included and steep multi-month commitment discounts; (2) cheap $99/mo clinical service for brand Wegovy/Zepbound where you fill the prescription at your own pharmacy.

All 11 TMates plans

We checked TMates' prices on September 3, 2026.

What to watch for with MEDVi and TMates

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.

TMates

  • The $99/mo Wegovy or Zepbound tier buys the prescription and provider oversight only. TMates says it does not dispense or ship the drug, and no price for the medication itself appears on its product or category pages, so your own pharmacy bills you separately (checked 2026-09-03).
  • The best compounded rates require prepayment: $1,050 upfront for 6 months, $1,900 for 12. Start at $249 month-to-month if you want to test fit first.
TMates' strengths, cautions and terms

Strengths

  • Clinical-service-only path to brand Wegovy and Zepbound at $99/mo, prescription goes to patient's pharmacy (you fill separately using insurance or cash)
  • Steep multi-month commitment discounts on compounded sema, $158/mo on 12-month plan ($1,900 upfront) vs $249/mo month-to-month
  • Same price at all dose levels for compounded, no cost escalation as you titrate up
  • Phentermine available at $149/mo for patients who benefit from a different appetite-suppressant approach

More to watch for

  • TMates prescribes brand-name but does not dispense it, and is not affiliated with Novo Nordisk (Wegovy) or Eli Lilly (Zepbound). Your own pharmacy fills the Rx.
Medicines listed
  • Semaglutide (compounded, injectable or oral)
  • Tirzepatide (compounded injectable; the product page also shows an Oral format, but every dosing instruction on it describes a weekly injection)
  • Phentermine (oral)
  • Wegovy (brand-name clinical service only, prescription, not dispensing)
  • Zepbound (brand-name clinical service only, prescription, not dispensing)
Insurance
Lists insurance support. Confirm coverage for your plan.
Consultation
Included
Shipping
Free (for compounded; brand-name filled at patient's pharmacy)
States
Most states. TMates advertises all 50 states on its homepage and 50+ states on its about page, while its semaglutide page says it ships to most states based on medical eligibility (checked 2026-09-03)
Cancellation
Product pages say cancel anytime. The terms give a full refund only before the medical review, or after it if you do not qualify. Once a prescription is written and sent to a pharmacy there is no refund, and a denied refund request leaves any payment plan in force (checked 2026-09-03)

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.

MEDVi vs TMates: common questions

Is MEDVi or TMates cheaper?

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

  • MEDVi$179first month, then $299/mo
  • TMatesfrom $158/mostarting price

Which is better, MEDVi or TMates?

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

TMates lists insurance support, and MEDVi does not.

Do MEDVi and TMates offer brand-name medication?

MEDVi and TMates both list brand-name and compounded medication.

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

Do MEDVi and TMates take insurance?

TMates lists insurance support, and MEDVi does not.

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

Where these facts come from

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

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

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

What should you compare next?

Both MEDVi and TMates start above the cheapest complete recurring program we track. Across all 38 providers in our index, the lowest price that includes the medicine, consultation and shipping is Eden Health GLP-1 at $99/mo, checked August 28, 2026. This is a price fact, not a treatment recommendation. Compare every program by its complete price

Before you sign up, read our trust check: is MEDVi legit.

MEDVi reviewTMates reviewAll comparisonsFind your match

Related comparisons

Not comparing, just asking? Quick answers to the most-asked GLP-1 questions →

Visit MEDVi $179(affiliate link)Visit TMates from $158/mo