Coaching-supported vs medication-only
Measured vs Refills: Coaching Included, or Just a Script? (2026)
Measured or Refills? Side-by-side 2026 pricing, medication and service comparison, extended to six and twelve-month totals.
Published · Pricing as published in our provider dataset, synced · Editorial scores 7.8 and 7.7 out of 10
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Put Measured and Refills side by side and the marketing reads almost identically. The programs underneath do not.
Measured bundles behavioral support into the plan — unlimited messaging, a 24/7 care team and dietitian support. Refills sells the prescription and the clinical oversight around it, and nothing else. Which of those you want depends on whether medication alone has worked for you before.
Below, the two programs are set against the things that change the bill — the advertised rate, the rate after the promotion expires, the medication class and the inclusions. Gaps in a provider's disclosure are reported as gaps, because they are part of what you are buying.
The short answer
- Lowest 12-month cost
- Refills — $1,188 against $1,428 at Measured, on each provider's own best published pricing.
- Most predictable bill
- Refills — Flat rate at every dose, so titration does not change what you are charged.
- Least friction to get going
- Measured — Same-day prescription decisions, then free 2-day shipping.
- Easiest to pay for
- Measured — HSA/FSA and Klarna.
Side-by-side comparison
This is the whole comparison in one screen. The sections underneath explain which of these rows should decide it.
| Measured | Refills | |
|---|---|---|
| Advertised price | Semaglutide $119/mo, tirzepatide $199/mo (sale pricing) | GLP-1 from $99/mo, about $5 a day |
| Rate after promotions | $119/mo | $99/mo |
| Pricing structure | Published rate per medication | Flat rate at every dose |
| Medication | Compounded semaglutide and compounded tirzepatide | Compounded semaglutide and GIP+GLP-1 dual agonist |
| Support model | Dietitian support included | No coaching program stated |
| Price transparency | Published upfront | Published upfront |
| Tirzepatide | $199/mo | Available |
| Shipping | Free 2-day shipping | Free, fast and discreet shipping on every order |
| Payment options | HSA/FSA and Klarna | Card only, no financing published |
| Patient reviews | 5,100 | 7,400 |
| eRxDoctor score | 7.8/10 | 7.7/10 |
What Measured and Refills actually cost over a year
The cheapest first month and the cheapest year are frequently different providers. Below, both are carried out to six and twelve months so the comparison holds at the point it matters.
| Measured | Refills | |
|---|---|---|
| First month | $119 | $99 |
| Months 2 onward | $119/mo | $99/mo |
| 6-month total | $714 | $594 |
| 12-month total | $1,428 | $1,188 |
| Best published plan | No multi-month discount published | No multi-month discount published |
Over a year that is a $240 difference, in Refills's favor. Whether it is the right call depends on whether Measured gives you $20 a month of something you will use.
Coaching, or just the prescription
Measured includes unlimited messaging, a 24/7 care team and dietitian support. That is a real cost to deliver, and it is priced into the monthly rate whether or not you open the app.
Refills is built the other way: free 24/7 health concierge. The medication does the pharmacological work, and everything around it is yours to organize.
Coaching is the line item people cancel first and miss most. Be honest about which patient you are before optimizing it away.
Measured in detail
Measured pairs compounded semaglutide and tirzepatide with same-day prescription decisions, unlimited provider messaging, and dietitian support. What it is really selling here is dietitian support and unlimited messaging bundled at a price most bare-prescription platforms charge.
Practically: same-day prescription decisions, free 2-day shipping, and a pricing model that is published rate per medication.
Unlimited messaging, a 24/7 care team and dietitian support. The formulary covers compounded semaglutide and compounded tirzepatide.
Measured pros
- Same-day prescription decisions for eligible patients
- Unlimited messaging, 24/7 Care Team, and dietitian support included
- 4.8-star Trustpilot rating from 51,000+ users
- HSA/FSA eligible; Klarna financing available
Measured cons
- Promotional pricing is time-limited
- Compounded medications are not FDA-approved finished products
Where it gives ground to Refills: the $119 and $199 rates are explicitly promotional and time-limited.
Refills: what you are buying
Refills offers personalized compounded GLP-1 from $99/month (~$5/day) with flat pricing, the same price at every dosage, plus free discreet shipping, 24/7 health concierge support, and no membership or app fees. In this pairing, its distinguishing feature is $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing.
From signup to first shipment: 3-minute approval quiz, then free, fast and discreet shipping on every order. Billing follows a flat rate at every dose structure.
What continues after the first shipment: free 24/7 health concierge. Formulary: compounded semaglutide and GIP+GLP-1 dual agonist.
Refills pros
- Free 24/7 Health Concierge support
- Free, fast, and discreet shipping on every order
- No insurance required, 3-minute approval quiz
- LegitScript-certified U.S. compounding pharmacies with third-party USP testing
Refills cons
- Compounded medication, not an FDA-approved branded product
- Clinicians come from partner telehealth networks (Beluga, Bask, Wasef Health)
- Availability varies by state
Set beside Measured, the thing to weigh: clinicians come from partner networks and availability varies by state.
Measured or Refills: matching the program to the patient
Choose Measured if:
- you want to start on their timeline: same-day prescription decisions
- delivery works the way you want it to: free 2-day shipping
- what it leads on is worth paying for in your case: dietitian support and unlimited messaging bundled at a price most bare-prescription platforms charge
- the level of clinical contact suits you: unlimited messaging, a 24/7 care team and dietitian support
Choose Refills if:
- delivery works the way you want it to: free, fast and discreet shipping on every order
- you want to start on their timeline: 3-minute approval quiz
- the level of clinical contact suits you: free 24/7 health concierge
- the feature you would actually use: $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing
Honest trade-offs
On price. The monthly gap is 20% in Refills's favor. Whether that is a saving or a false economy turns on one thing: clinicians come from partner networks and availability varies by state.
On clinical contact. Unlimited messaging, a 24/7 care team and dietitian support at Measured; free 24/7 health concierge at Refills. Neither is a substitute for in-person care if you have complicating conditions, and both bill you directly rather than your insurer.
On medication. Measured covers compounded semaglutide and compounded tirzepatide; Refills covers compounded semaglutide and GIP+GLP-1 dual agonist. Neither locks you out of a molecule the other offers, so this is unlikely to be the deciding factor.
On access. Measured advertises same-day prescription decisions and free 2-day shipping; Refills advertises 3-minute approval quiz and free, fast and discreet shipping on every order. Coverage differs too — not published against availability varies by state — which decides the question before price does if you are in a restricted state.
The medication, not the platform
Before either program's marketing claims, the underlying evidence — which belongs to the medication, not the platform.
The NIH position is that weight-management medication works alongside changes in eating and activity, not instead of them, per NIH, NIDDK.
In SURMOUNT-1, tirzepatide reached a mean body-weight reduction of about 21% at the 15 mg dose over 72 weeks, per NEJM, SURMOUNT-1.
Neither platform's marketing changes any of that. It is the same evidence base whichever one takes your card.
Measured vs Refills: common questions
How fast can I start with Measured compared with Refills?
Measured advertises same-day prescription decisions, with free 2-day shipping. Refills advertises 3-minute approval quiz, with free, fast and discreet shipping on every order. Both are subject to clinician review and to whether your state and health history clear, so treat the advertised timeline as a best case rather than a commitment.
Do Measured or Refills take insurance?
Both run on a direct-pay basis: you pay the platform and it does not bill your insurer. Measured accepts HSA/FSA funds, which is the closest thing to a benefit offset available here.
Is coaching included with Measured or Refills?
Measured includes unlimited messaging, a 24/7 care team and dietitian support in the monthly price. Refills provides free 24/7 health concierge, without a separate coaching program. If medication alone has failed you before, the bundled version is the one to price properly rather than the one to cut.
Which has more patient reviews, Measured or Refills?
Refills, with 7,400 against 5,100. Ratings across this market cluster tightly, so volume is the more useful signal: it indicates how much operational load the platform has already absorbed, not how good the medication is.
Do Measured and Refills prescribe the same medication?
Both dispense compounded GLP-1 preparations. Measured lists compounded semaglutide and compounded tirzepatide and Refills lists compounded semaglutide and GIP+GLP-1 dual agonist, so the molecules overlap even where the formulary does not match exactly.
Can I switch from Measured to Refills later?
Yes. Neither program locks you in clinically, and both operate month to month unless you have bought a multi-month plan. Practically, switching means a fresh intake, a fresh clinician review and possibly a gap in supply, so time it against your current shipment rather than your renewal date.
The verdict
Strictly on cost, Refills takes it — $1,188 to $1,428 over twelve months.
The case for Measured is dietitian support and unlimited messaging bundled at a price most bare-prescription platforms charge. That is worth $20 a month to some patients and nothing at all to others — be honest about which you are.
Whichever way you go, the medication is the same class of drug and the clinical questions belong to a clinician. What you are choosing here is a billing model and a support structure.
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Disclaimers and methodology
Medical content is informational only and does not replace professional diagnosis, treatment, or emergency care.
Some links are affiliate links and may generate commission at no extra cost to you.
Pricing reflects what each provider published as of the sync date above and changes frequently; confirm the current rate, and the rate at your maintenance dose, before you pay. Six- and twelve-month totals are calculated from those published rates and exclude anything a provider bills separately.
eRxDoctor is an independent publisher. It is not a medical provider, is not affiliated with or endorsed by Measured or Refills, and does not sell treatment. Read our ranking methodology.