MEDVi Compounded Tirzepatide Review (2026): Two Upsells That Got Cheaper Every Time I Said No, a $166 Headline Price That Renews at $299, and a $100 Discount for Starting to Cancel
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Quick answer: MEDVi advertises tirzepatide at $166 a month. I paid $199 for my first month with a code applied automatically, and my portal lists the renewal at $299. After checkout, two add-on offers each got cheaper when I declined, and starting a cancellation produced a one-time $100 discount. My medication arrived in seven days at a lower dose than I had documented.
This article is part of the GLP Winner provider review series. At the time of writing, the provider reviewed here, MEDVi, is not a GLP Winner partner, and we have no commercial relationship with them. The review was written by a real patient who went through MEDVi's full process, from intake through prescription, and who received their GLP-1 medication under a clinician's care.
Some details about the reviewer are not shared to protect their privacy. GLP Winner pays the reviewer for their time. MEDVi did not pay for this review, did not see it before publication, and did not direct the reviewer's conclusions. We review both partner and non-partner providers because the point of the series is to help you make a better decision for your own situation, not to push you toward any one company.
Have questions or concerns? Reach out to the team here.
Who reviewed MEDVi?
I am a woman in my 40s who has been on compounded tirzepatide for five months and is at a 5 mg dose. I found MEDVi from seeing social media ads.
Two things mattered to me going in. I wanted to stay month to month, because I have no interest in prepaying a year of anything to a company I have never used. I also wanted to hold the dose I worked up to. So that is the lens I was shopping through: keep my dose, keep my options open, pay one month at a time.
TL;DR
MEDVi advertises tirzepatide at $166 a month on the landing page, but also says $116 a month in small print below. I paid $199 for my first month with a promo code already applied, and the subscription sitting in my portal says my renewal price is $299. Nothing lied to me exactly, but the number on the ad and the number I would actually have paid in October with my renewal are different.
The signup is fast and entirely asynchronous. No video call, no phone call, no appointment. It took about nine minutes, the medication arrived seven days after I ordered, and it came from Strive Pharmacy in Gilbert, Arizona, which is not one of the three pharmacies MEDVi names on its own website.
Two things stood out more than the price. After checkout, MEDVi ran me through two add-on offers, and both of them got cheaper when I declined: Sermorelin dropped from $199 to $129, NAD+ dropped from $209 to $149. Saying no twice is worth $130 a month if you actually want the add-ons. Starting a cancellation gets you one more discount: a one-time $100 off your next bill, which takes the $299 renewal down to $199 for a month. Separately, my label came back at 43 units of a 10 mg/mL solution, which is 4.3 mg of tirzepatide a week. I told them I was on 5 mg and sent documentation to prove it.
The landing page. $166 in the headline, $116 in the bullets, and a promise the price will never change.
What is the MEDVi intake and timeline like?
I started at 4:00 PM on Wednesday, September 9, on my phone.
The first thing MEDVi asks for is height and weight, and it tells you right away whether your BMI puts you in range. Then come the screening questions: a list of conditions and a list of contraindications, organ transplant, mental health history, drug use. None applied to me. Female, not pregnant, not breastfeeding. No bariatric surgery. No other medications, no medication allergies.
Then it asks whether you have taken a GLP-1 before. I said yes, tirzepatide, and gave my dose in milligrams. It asked how recently, and I said less than a week. It asked me to agree to use only one weight loss treatment at a time, which I did.
A before-and-after screen during intake. This is MEDVi's marketing claim, not something I can verify.
The last question was the one I liked best: "What matters most to you in your medication?" with seven checkboxes, including maintaining muscle mass, managing side effects such as nausea and vomiting, longevity, cognitive function, energy, insulin resistance and hormonal status, and sleep quality. I chose maintaining muscle and managing side effects. It is a nice piece of intake design, and I come back to the side-effect answer further down.
One warning: I tapped the back button to check something and it took me all the way out of the intake. Not back one screen, out. I had to restart the entire medical history from the beginning. If you do this on a phone, do not touch back.
After the questions, a green bar appeared reading "Yours is reserved for: 10:54" and counting down, over two treatment cards: Semaglutide Summer Special and Tirzepatide Summer Special. There is no dose selection anywhere in this flow. The page says "Same Price. All Dosage Levels."
The question I liked best. I picked muscle mass and side effects.
Checkout is where the pricing stops matching the ad, and I have given that its own section below.
Once I paid, the confirmation page said the doctor would review my intake "usually within 24 hours" and that prescriptions are "usually delivered within 3-5 business days." The email arrived at 4:09 PM, and said provider review would take 24 to 48 hours. A text arrived at the same time.
The confirmation timeline: 24 hours for review, 3 to 5 business days for delivery.
The next steps were clear the entire time, with confirmation of the assessment being received and what comes next always present.
Then the back-and-forth started. At 4:25 PM the same day, MEDVi emailed to say my address was incomplete and asked me to confirm it. I replied fifteen minutes later. The next morning, patient support emailed asking for proof of my prior prescription, specifically a photo showing my full name on the medication container or label and the date it was filled. The line that followed was this: "If you're unable to provide this documentation, don't worry, we will get you started on the highest appropriate dose we can." I sent the photo at 11:52 AM and had confirmation seven minutes later that it was going to the providers.
There was never a video visit and never a phone call. No appointment was ever scheduled, and for me that was the single best thing about the process. Scheduling a call around a workday is the part of telehealth I dread, and MEDVi skipped it entirely.
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How much does MEDVi actually cost, and do the add-ons get cheaper if you decline?
The landing page I came in on says this: "Get Tirzepatide medication for $166/mo. No hidden fees. No price hikes. Ever." Underneath are bullets promising no membership or hidden fees, that "Your price will never change," a start "for just $116/mo," free dietitian visits and care coaching, and HSA/FSA eligibility. Having both prices in the same place was confusing, but I didn't pay either.
Here is what the checkout actually showed me. The Tirzepatide Summer Special came to $199 for the first month with their coupon code applied, and $299 on renewal. The code theoretically saved me $100.
The price break down with the special code.
Pricing is offered for $116 up front, but that's not the final price.
So $166 is the price for a 12-month program of tirzepatide only, and I never found where the $116/month number leads.
The receipt: $199 for the first month, billing period September 9 to October 7.
The Orders tab: $199 paid, prescription under review.
After I paid, MEDVi did not take me to a confirmation page. It took me to an offer. A banner said I had been "selected as today's winner" and that "93% of patients add this to their plan," over a countdown clock, for Sermorelin at $199 a month, down from $259. The decline link at the bottom is small and reads "No thanks. The next customer can have my offer."
I said no. The next screen was the same Sermorelin offer at $129 a month, headed "Are you sure? We just increased the offer discount for you." Same product, same everything, $70 a month cheaper for having tapped one link. This time the decline link read "No thanks. I understand I am passing on optimal cellular health and will keep the brain fog."
The first upsell. "Selected as today's winner," with a clock.
The plan menu for the first Sermorelin offer, and the decline link at the bottom.
One tap later: same product, $70 cheaper.
The second decline link: "I understand I am passing on optimal cellular health and will keep the brain fog."
I said no again, and then came NAD+ at $209 a month, down from $299. I wondered whether the same trick would work twice. It did. Declining brought it back at $149. So, if you want either of these add-ons, decline once and you will be offered the same thing for $70 or $60 less. That is not a hack so much as a pricing strategy operating in the open, but it is real money and nothing on the page tells you it is coming. I did not want either product, and being asked twice, with a countdown clock and a guilt-worded decline link, was the least pleasant stretch of the whole signup.
The NAD+ offer at $209.
Declined once, and NAD+ came back at $149.
How fast does MEDVi ship?
I ordered on Wednesday, September 9. The prescription label was generated on September 10. On September 11 at 12:24 PM I got an email saying my order was "still being processed at the pharmacy," and at 4:50 PM the same day an email titled "MEDVi | Tracking Information & What's Next."
That email contains no tracking number. It says the medication "has been sent to the pharmacy and is on its way" and offers a "Track My Order" button that goes to the patient portal. No carrier notification ever arrived, from MEDVi or from UPS. I found out who was carrying my medication by reading the box when it arrived.
The box arrived on Wednesday, September 16, seven days after I ordered. Checkout had promised "Prescribed & shipped within 48 hours," and the confirmation page had said 3 to 5 business days, which is what they delivered, but I was expecting it sooner based on the checkout language. Seven days is not egregious, and since I was still stocked from my previous provider it made no practical difference to me.
What came in the MEDVi box?
It came by UPS Next Day Air in a blue corrugated box from Strive Pharmacy in Gilbert, Arizona. The side panel is printed "PERISHABLE / Refrigerate Upon Arrival."
The side of the box.
Inside is a white styrofoam cooler. On top of it sat a Strive card headed "Keep Your Medication Refrigerated," which says the ice packs are expected to be partially thawed on arrival and that the goal is for the medication to arrive cool. Under the lid were four Nutri-Ice gel packs, wet with condensation and still cold.
Box open: the cooler, and the storage card sitting on top of it.
Two of the four gel packs. Wet, soft, still cold.
One more thing arrived that was not in the box. The day after I ordered, I got a text from an unknown number saying my prescriber had sent me a prescription, with a Photon Health link. It was ondansetron, also known as Zofran, the anti-nausea medication, routed to a local pharmacy for me to fill and pay for myself. Amazon Pharmacy showed $19.10 with Prime, Walgreens showed a $27.07 coupon price. Given that managing side effects was one of my two stated priorities, I liked that somebody acted on it. It is also a cost nobody mentions at checkout.
The text that arrived the day after I ordered, from a number I did not recognize.
The Photon page: ondansetron, $19.10 at Amazon Pharmacy or $27.07 at Walgreens, on me.
What came in the box:
- One 2 mL amber glass multi-dose vial with a blue flip cap, inside a sealed blue Strive bubble mailer
- Ten Clever Choice Comfort EZ insulin syringes, 31 gauge, 1 cc, 5/16 inch
- Ten alcohol prep pads
- Four Nutri-Ice gel packs and a styrofoam cooler
- A Strive tri-fold injection brochure with photographed steps and a dose chart
- A two-page compounded tirzepatide information leaflet
- A Strive pharmacist contact card
- A Strive marketing postcard
- The packing slip
Everything that came out of the box.
Syringes, alcohol pads, the receipt, and the card with the pharmacist's hours.
The tri-fold. Photographed steps and a unit chart for both syringe sizes.
What is in the MEDVi vial?
The sealed blue mailer the vial came in, with the pharmacy label and the info sheet.
The label reads: TIRZEPATIDE/GLYCINE/B12 10MG/5MG/500MCG/ML 2ML VIAL INJ. Directions: "INJECT 43 UNITS (0.43 ML) SUBCUTANEOUSLY ONCE WEEKLY FOR 4 WEEKS. DISCARD 28 DAYS AFTER FIRST VIAL PUNCTURE." Quantity 2 / 2 ML, zero refills, dispensed September 10, 2026. Made 08/17/26. BUD 11/15/26.
The vial. Inactive ingredients on the label, and the 28-day rule.
The vial holds 10 mg of tirzepatide per mL. At 43 units, or 0.43 mL, that comes to 4.3 mg of tirzepatide a week. I was on 5 mg when I signed up, and I sent MEDVi a photo of my prior prescription showing it. The signup has no dose selection, and I didn't know what dose I'd been prescribed until I read the clinician note in the portal after it was sent to the pharmacy. Nobody explained why it was lower than my current dose. If you're switching to MEDVi, check the concentration and unit count on your label and multiply them out before your first injection. GLP Winner has a helpful article on how to understand this if you're not familiar.
The vial also has glycine and vitamin B12 compounded in with the tirzepatide. I didn't know that until I had it in hand. At 43 units a week, each dose has about 2.15 mg of glycine and 215 mcg of B12 along with the 4.3 mg of tirzepatide. Strive's product page says the B12 and glycine "are added to the formulation to complement patient care plans regarding possible side effect management and muscle support."
Which pharmacy actually filled my MEDVi prescription?
MEDVi names three fulfilling pharmacies on its own website: Triad Rx in Daphne, Alabama; RedRock Pharmacy in St. George, Utah; and Beaker Pharmacy & Compounding in McKinney, Texas.
My order came from none of them. It came from Strive Pharmacy, a 503A compounding pharmacy at 1275 E Baseline Rd in Gilbert, Arizona. MEDVi's terms do say the charge can vary by "the chosen pharmacy for order fulfillment," so the assignment is clearly per-order rather than fixed. Still, if you picked MEDVi after reading its pharmacy page, know that the list may not be the whole list.
What is MEDVi support and the patient portal like?
Support at MEDVi is easy to use. It starts with an AI agent, which helped with all of my questions. Two days after I ordered, an account manager named John emailed to introduce himself as my main point of contact. A care coach email arrived the same afternoon. The portal lists a phone number, an email address, and a chat bubble for contacting support.
The portal itself lives on a dedicated page and logs you in with an emailed six-digit code, so there is no password to keep. The bottom navigation has five tabs: Dashboard, Appointments, Orders, Store, Account. The dashboard opens with a greeting, a banner for the MEDVi Store, a card offering a free insurance-covered dietitian visit, and an Overview counter that read "0 Upcoming Appointments" the entire time I had an account.
Further down are seven resources, and I did go through them: a 12 Week Supply Quick Card, a patient portal walkthrough, a care coaching virtual visit guide, a care coaching overview, an injection guide, an injection video tutorial, and a nutrition counseling overview.
How do you cancel MEDVi, and what is the $100 offer when you try?
There is no cancel button in the MEDVi patient portal. I looked through every tab and couldn't find a way to modify, pause, or cancel my subscription.
MEDVi's cancellation policy says you can cancel at any time, as long as notice reaches them at least 72 hours before your next billing date, by emailing hello@medvi.org or using the chat in the portal. I used the chat, which is answered by an AI agent. I typed that I needed to cancel my future orders. It asked twice whether I meant specific pending orders or my whole subscription, and once I said subscription, it explained what canceling means: billing stops, I lose access to my provider and treatment plan, medication already shipped is mine to keep, and my account history stays in case I come back. It also offered to have the team talk with me about pausing instead. I replied yes, and it said it was submitting my request and that the team would follow up by email. The chat took about a minute.
The AI agent asked twice what I meant before it would proceed.
What canceling means, a pause offer, and a submitted request. About a minute.
Within a couple of minutes, an email from MEDVi Patient Support arrived with the subject line "CRM - Cancellation Request." It says they received my request and that I can "complete your cancellation securely using the link below." The chat doesn't cancel anything on its own. It starts the request, and the link in the email is where you actually cancel.
The link opens a retention page, and the first thing on it is an offer: "Take $100 off your next bill," with "Your full clinical team stays with you. Cancel anytime." and a button reading "APPLY $100 ONE TIME TO MY NEXT BILL." The page states plainly that it is a one-time discount for the next bill only and that the bill after that goes back to the regular price.
Below the offer is a required "Please share your reason for leaving" list with seven options, including too expensive, found better price, and not effective, and then the "CANCEL MY SUBSCRIPTION" button.
Like the add-on offers at checkout, this is worth knowing about if you plan to stay. Starting a cancellation through the chat is how you get to the $100 offer. On my plan, that takes the $299 renewal down to $199 for one month, the same as the promotional first month, and then it goes back to $299. If you do want to cancel, the process is short, and the only pushback was the pause suggestion in the chat and the $100 offer.
My take on MEDVi
MEDVi is an easy signup, and for somebody who wants to be left alone to get their medication, that is worth a lot.
The pricing is where I came away uneasy. Every individual number is disclosed somewhere. The picture they add up to is not the picture the ad paints, and I would rather a company just tell me the month-to-month price is $299 and let me decide.
Who is MEDVi good for?
MEDVi works best for returning patients who already know their medication and want to get it without much back-and-forth. The intake is quick, and the portal and support are easy to use. A video visit isn't required, but scheduling an appointment with a provider is an option if you want one. The portal also offers a visit with a registered dietitian, which I think is a good fit for anyone using the medication as part of a bigger lifestyle change.
Who is MEDVi a bad fit for?
If you're price-sensitive, read the fine print carefully with this one. The advertised price and the renewal price are different numbers, and the discounts covered above only help if you know they're there. MEDVi is also a harder fit if you need to stay on a specific dose, because I didn't know mine had changed until I read the label.
Final Takeaway
MEDVi got me my medication in a week with no call, no appointment, and no scheduling, and that part worked exactly as advertised. The price did not. The number on the ad, the number at checkout, and the number on my renewal line were three different numbers, and the discounts that close the gap only appear when you say no or start to leave. The dose that arrived was lower than the one I documented, and nobody told me. All of it is disclosed somewhere. It is spread across enough screens that you have to go looking. If you sign up, read your own portal before your first renewal and your own label before your first injection. Those two habits would have caught everything I found here.
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Frequently asked questions
Is MEDVi legit?
MEDVi is a real telehealth company. It operates as MEDVi, LLC, registered in Delaware, with clinical services provided through CareGLP Affiliated P.C.s and OpenLoop Health. My prescription was written by a nurse practitioner, filled by a licensed 503A compounding pharmacy, and delivered. The questions worth asking about MEDVi are about pricing transparency and dosing, not about whether the company exists.
How much does MEDVi cost?
MEDVi advertises compounded tirzepatide at $166 a month, which is the monthly price on a 12-month program. I paid $199 for my first month with the code SUMMER140 applied automatically at checkout. The renewal price listed in my patient portal was $299 a month. Shipping was free.
Does MEDVi really have a price-lock guarantee?
The landing page says "No hidden fees. No price hikes. Ever" and "Your price will never change." My portal showed a $199 first month and a $299 renewal price, set before my medication had shipped. MEDVi's terms also state the charge "may fluctuate contingent upon the prescribed medication and the chosen pharmacy for order fulfillment." Read the renewal price in your own portal rather than the promise on the ad.
What are the MEDVi upsells, and do the prices drop if you decline?
After payment, MEDVi offered Sermorelin at $199 a month, then re-offered it at $129 after I declined. It then offered NAD+ at $209 a month, then $149 after I declined. Both offers used countdown timers and a claim that 93% of patients add them. If you want either product, declining the first offer got me the same product for $60 to $70 less. You can also get a discount for canceling. Starting a cancellation through the portal chat leads to a page offering $100 off your next bill, a one-time discount that takes a $299 renewal down to $199 for that month.
Does MEDVi charge for anything besides the medication?
Not at checkout, but one cost showed up afterward. The day after I ordered, my prescriber sent a separate prescription for ondansetron, the anti-nausea medication, through a Photon Health link to a local pharmacy for me to fill and pay for myself. It ran $19.10 at Amazon Pharmacy with Prime or $27.07 at Walgreens with a coupon. I had listed managing side effects as a priority, so I did not mind that someone acted on it, but nothing at checkout mentions it.
How fast does MEDVi ship, and do you get a tracking number?
Checkout advertised "Prescribed & shipped within 48 hours" and the confirmation page said 3 to 5 business days. I ordered on September 9 and the box arrived on September 16, seven days later, by UPS Next Day Air. I never got a tracking number. The email titled "Tracking Information & What's Next" linked to the patient portal instead, no carrier notification arrived, and I learned it had shipped UPS by reading the label on the box.
Which pharmacy does MEDVi use?
MEDVi names Triad Rx, RedRock Pharmacy, and Beaker Pharmacy & Compounding on its website. My order was filled by Strive Pharmacy in Gilbert, Arizona, which is not on that list. MEDVi's terms indicate the pharmacy is assigned per order.
Is there a doctor visit or phone call with MEDVi?
No. My entire intake was asynchronous, and no appointment was ever scheduled or required. A provider reviewed my intake form and prescribed without speaking to me. Patient support did ask by email for a photo of my prior prescription showing my name and fill date.
What dose does MEDVi prescribe, and can you keep your current dose?
The signup has no dose selection and states "Same Price. All Dosage Levels." I reported a 5 mg tirzepatide dose and provided documentation. My label directed 43 units of a 10 mg/mL solution, which works out to 4.3 mg a week. Do the arithmetic on your own label before you inject.
What is in the MEDVi vial?
Mine was a 2 mL multi-dose vial labeled TIRZEPATIDE/GLYCINE/B12 10MG/5MG/500MCG/ML, compounded by Strive Pharmacy, pinkish red in color. It is not plain tirzepatide. The inactive ingredients listed on the vial include sodium chloride, benzyl alcohol, sodium phosphate dibasic heptahydrate, and water.
What is the MEDVi beyond-use date, and how long does the vial last?
My vial was compounded on August 17, 2026, dispensed on September 10, and printed with a beyond-use date of November 15, 2026. The label also directs discarding it 28 days after the first puncture, whichever comes first.
Is the MEDVi patient portal easy to navigate?
Yes. The portal at app.medvi.org uses a five-tab bottom navigation, logs in with an emailed code instead of a password, and puts orders, appointments, the store, and support within two taps. The type is large and readable on a phone. The one thing missing from it is any way to change or cancel your subscription.
Does MEDVi include a dietitian or coaching?
Yes, and it is the part of the offer I would have used. The dashboard offers a free insurance-covered dietitian visit, free care coaching, and an account manager who introduced himself by email two days after I ordered.
How do you cancel MEDVi?
There is no cancel button in the patient portal. The cancellation policy says to contact support by chat or email. I used the portal chat, which is answered by an AI agent, and received a secure cancellation link by email within a couple of minutes. The link asks you to decline a $100 discount and select a reason before the cancel button appears.
Will MEDVi refund you?
MEDVi's cancellation policy states in capitals that no refund is issued for the month in which you cancel or for any prior months, and asks for 72 hours' notice before your billing date. Multi-month plans are refunded for months where no medication shipped. The separate terms and conditions say all sales are final on prescription products and describe a weight-loss guarantee requiring five months on the program, minus a 25% consultation fee. The two documents do not fully agree.
What do MEDVi reviews say?
MEDVi holds a 4.3 out of 5 on Trustpilot across roughly 14,800 reviews as of September 24, 2026, on a claimed profile, with 79% five-star and 12% one-star and very little in between. The Better Business Bureau gives MEDVi an F, lists it as not accredited, and shows 748 complaints, 133 of which MEDVi did not respond to, with a customer review average of 1.85 out of 5 across 617 reviews. That is a wide gap, and it is worth looking at both before deciding.
Is MEDVi good for someone new to GLP-1s?
The signup is as easy as any I have used, the support is responsive, and the coaching and dietitian access are real. A first-time patient is also the person least equipped to catch a dose that does not match, to know what sermorelin is when a countdown clock is asking, or to notice that the renewal price is $100 more than the price they just paid. Go in having read your own label and your own portal.
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Provider ReviewsProvider reviews are real patients who are paid for their time by GLP Winner. They purchase medications as a patient and write about their experience from start to finish, and share their perspective of their buying experience. Your own experience may vary from theirs, and providers reviewed are never given the opportunity to review the article prior to posting. Providers do not pay for the review or the opportunity to be reviewed.