Published price vs quote-only
MedVi vs Directmeds: Which One Publishes Its Price? (2026)
MedVi $299/mo, Directmeds quotes after intake. What each 2026 program includes, what it omits, and which patient each one suits.
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MedVi versus Directmeds is a common shortlist, and it is a more interesting one than the two homepages suggest.
A discount off an undisclosed number is not a price. Directmeds quotes after intake, while MedVi states $179 promotional first month on the way in — which makes one of these two comparable in advance and the other not.
Each program is read on its own published terms first, then against the other on the four things that decide satisfaction: price, predictability, formulary and access to a clinician. Every figure traces back to the provider's own published material, and the missing ones stay missing.
The short answer
- Easier to price in advance
- MedVi — $179 promotional first month. The other side quotes after intake, so a like-for-like total is not available before you apply.
- Most support for the money
- Directmeds — Licensed telehealth prescribing.
- Fastest route to a first shipment
- MedVi — Simple online process, no clinic visits, then fast, free shipping.
- Widest medication choice
- MedVi — compounded semaglutide.
MedVi vs Directmeds: the specification
Scan the pricing rows first, then the medication row. Those two settle most of these decisions between them.
| MedVi | Directmeds | |
|---|---|---|
| Advertised price | $179 promotional first month | 50% off the first month |
| Rate after promotions | $299/mo | not published before intake |
| Pricing structure | Promotional first month, then standard rate | Quoted only after intake |
| Medication | Compounded semaglutide | GLP-1 medication via licensed telehealth prescribing |
| Price transparency | Published upfront | Quote only, after intake |
| Shipping | Fast, free shipping | Nationwide shipping, no insurance required |
| Payment options | Card only, no financing published | Card only, no financing published |
| Tirzepatide | Not published | Not published |
| Support model | No coaching program stated | No coaching program stated |
| Patient reviews | 12,896 | 3,400 |
| eRxDoctor score | 9.2/10 | 7.8/10 |
MedVi vs Directmeds on total cost, not entry price
Both providers lead with a number designed to get you through the intake. The figures underneath convert both offers into what you will have spent by month six and month twelve.
| MedVi | Directmeds | |
|---|---|---|
| First month | $179 | Not published |
| Months 2 onward | $299/mo | Not published |
| 6-month total | $1,674 | Not computable |
| 12-month total | $3,468 | Not computable |
| Best published plan | 3-month plan at $649 — $2,592/yr | No multi-month discount published |
A like-for-like annual total is not available for Directmeds: standard post-promotional pricing is not disclosed upfront. Treat any comparison that quotes one as an estimate someone else has made for you.
Price escalation to plan for: MedVi moves from $179 to $299, a 67% increase. Set a calendar reminder for the month it changes.
What each one will tell you before you commit
MedVi publishes $179 promotional first month before intake. That is the baseline condition for comparing two programs at all.
Directmeds withholds the figure until online intake is complete — standard post-promotional pricing is not disclosed upfront. Whatever the reason, it moves the price conversation to after your commitment rather than before it.
Treat Directmeds's quote as the start of the comparison rather than the end of it, and check specifically what happens to the number at higher doses.
A closer look at MedVi
MedVi provides compounded semaglutide starting at $179/month with a simple online intake, no clinic visits, and 24/7 certified medical support for weight loss. What it is really selling here is a genuinely low promotional entry point with 24/7 clinical support behind it.
Practically: simple online process, no clinic visits, fast, free shipping, and a pricing model that is promotional first month, then standard rate.
24/7 support from certified medical professionals. The formulary covers compounded semaglutide.
MedVi pros
- Three-month plan available at $649 (about $216/month) for patients who commit
- 24/7 support from certified medical professionals
- Simple online process with no clinic visits required
- Low promotional first month at $179 including fast, free shipping
MedVi cons
- No published outcome or weight loss guarantee
- Compounded medication only, no branded Ozempic or Wegovy
- Semaglutide only, no tirzepatide option
The reservation worth holding, particularly next to Directmeds: the price roughly doubles to $299 once the promotional month ends.
Directmeds in detail
Directmeds is a licensed telehealth platform offering GLP-1 medications with a 50% first-month discount and nationwide shipping. Against MedVi, that puts it in the position of the harder of the two to price in advance.
Intake is online intake. Fulfillment is nationwide shipping, no insurance required. The commercial terms are quoted only after intake, quote only, after intake.
Support: licensed telehealth prescribing. The medications on offer are GLP-1 medication via licensed telehealth prescribing.
Directmeds pros
- Licensed telehealth prescribing model
- Nationwide shipping, no insurance required
- 50% off first month for new patients
Directmeds cons
- Standard (post-promo) pricing is not clearly disclosed upfront
The cost of choosing this over MedVi: a discount off an undisclosed price is not a price.
Who should choose MedVi, and who should choose Directmeds
Choose MedVi if:
- the level of clinical contact suits you: 24/7 support from certified medical professionals
- what it leads on is worth paying for in your case: a genuinely low promotional entry point with 24/7 clinical support behind it
- you are willing to commit for a term in exchange for a lower effective rate (3-month plan at $649)
- you want the full price in front of you before completing an intake
Choose Directmeds if:
- you want to start on their timeline: online intake
- delivery works the way you want it to: nationwide shipping, no insurance required
- what it leads on is worth paying for in your case: a half-price first month and nationwide shipping with no insurance step
- the level of clinical contact suits you: licensed telehealth prescribing
What each one gives up
On price. Only MedVi publishes a rate you can plan against ($179 promotional first month). The other quotes after intake, which is a cost of a different kind: you cannot budget the year in advance.
On access. MedVi advertises simple online process, no clinic visits and fast, free shipping; Directmeds advertises online intake and nationwide shipping, no insurance required. Coverage differs too — not published against nationwide — which decides the question before price does if you are in a restricted state.
On predictability. The pricing structures differ (promotional first month, then standard rate versus quoted only after intake), and structure, not headline rate, determines the twelve-month bill.
On clinical contact. 24/7 support from certified medical professionals at MedVi; licensed telehealth prescribing at Directmeds. Neither is a substitute for in-person care if you have complicating conditions, and both bill you directly rather than your insurer.
Evidence and regulatory status
Neither MedVi nor Directmeds manufactures the molecule it prescribes, and the clinical evidence behind GLP-1 treatment belongs to the drug rather than to any platform selling access to it.
Weight regain after withdrawal is the documented pattern: the STEP 1 extension recorded participants returning to close to their starting weight a year after stopping, per Diabetes, Obesity and Metabolism.
STEP 1 recorded a mean 14.9% reduction in body weight over 68 weeks on weekly semaglutide, against 2.4% for placebo, per NEJM, STEP 1.
Neither platform's marketing changes any of that. It is the same evidence base whichever one takes your card.
MedVi vs Directmeds: common questions
What happens when MedVi's promotional price ends?
The rate moves to $299/mo, a 67% increase on the advertised entry price. Budget from that number rather than the headline, because it is the one you will pay for eleven of your first twelve months.
Which is cheaper to start, MedVi or Directmeds?
Only MedVi publishes a first-month figure ($179 promotional first month). The other quotes after intake, so a starting-cost comparison is not available in advance.
How much does Directmeds cost?
Standard post-promotional pricing is not disclosed upfront. That is the honest answer, and it is the main practical drawback next to MedVi, which publishes $179 promotional first month upfront. If you go through the intake, ask for the month-two and maintenance-dose prices in writing before paying for the first month.
Are MedVi and Directmeds legitimate?
Both are licensed telehealth platforms that route a prescription through a clinician review before anything is dispensed; neither sells medication without one. MedVi operates on promotional first month, then standard rate with pricing published upfront, Directmeds on quoted only after intake, quote only, after intake. The meaningful due diligence is on the medication category and the terms, not on whether the platforms are real.
How fast can I start with MedVi compared with Directmeds?
MedVi advertises simple online process, no clinic visits, with fast, free shipping. Directmeds advertises online intake, with nationwide shipping, no insurance required. 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 MedVi and Directmeds prescribe the same medication?
Both dispense compounded GLP-1 preparations. MedVi lists compounded semaglutide and Directmeds lists GLP-1 medication via licensed telehealth prescribing, so the molecules overlap even where the formulary does not match exactly.
Can I switch from MedVi to Directmeds 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, and check the refund terms on any prepaid plan first.
The verdict
Neither of these two publishes enough for a clean cost verdict, which is itself the finding. MedVi leads on a genuinely low promotional entry point with 24/7 clinical support behind it; Directmeds leads on a half-price first month and nationwide shipping with no insurance step.
Before choosing either, get the maintenance-dose price in writing. Without it, any comparison — including this one — is working with half the information.
Neither choice is irreversible. Start with the program whose weaknesses you can tolerate, and reassess at month three when you know how you respond to the medication.
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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 MedVi or Directmeds, and does not sell treatment. Read our ranking methodology.