Budget vs premium
MedVi vs Refills: Which Costs Less Over 12 Months? (2026)
MedVi $299/mo vs Refills $99/mo. 2026 comparison of pricing, medication and support, with 12-month totals rather than first-month offers.
Published · Pricing as published in our provider dataset, synced · Editorial scores 9.2 and 7.7 out of 10
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On paper, MedVi and Refills sell the same thing: a prescription, a vial and a delivery date. In practice they are priced and staffed on different assumptions.
MedVi costs 3.0x more per month than Refills once promotional pricing is out of the picture ($299/mo against $99/mo). Over a year that gap compounds into real money, and the question is what it buys.
Everything here is drawn from each provider's own published pricing and program detail, then extended into six- and twelve-month totals so the two become comparable. No number here is inferred; if a provider does not publish it, the table says so.
The short answer
- Lowest 12-month cost
- Refills — $1,188 against $2,592 at MedVi, 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.
- Tirzepatide access
- Refills — The only one of the two that publishes a dual GIP/GLP-1 option.
- Longest public track record
- MedVi — 12,896 patient reviews against 7,400.
MedVi and Refills, side by side
Read the second row before the first: the advertised price and the price you actually run at are frequently different numbers.
| MedVi | Refills | |
|---|---|---|
| Advertised price | $179 promotional first month | GLP-1 from $99/mo, about $5 a day |
| Rate after promotions | $299/mo | $99/mo |
| Pricing structure | Promotional first month, then standard rate | Flat rate at every dose |
| Medication | Compounded semaglutide | Compounded semaglutide and GIP+GLP-1 dual agonist |
| Tirzepatide | Not published | Available |
| Price transparency | Published upfront | Published upfront |
| Shipping | Fast, free shipping | Free, fast and discreet shipping on every order |
| Support model | No coaching program stated | No coaching program stated |
| Patient reviews | 12,896 | 7,400 |
| eRxDoctor score | 9.2/10 | 7.7/10 |
Cost over a full course of treatment
Almost every complaint about telehealth GLP-1 pricing traces back to comparing month one instead of month twelve. So the table works in the timeframe treatment actually happens in.
| MedVi | Refills | |
|---|---|---|
| First month | $179 | $99 |
| Months 2 onward | $299/mo | $99/mo |
| 6-month total | $1,674 | $594 |
| 12-month total | $3,468 | $1,188 |
| Best published plan | 3-month plan at $649 — $2,592/yr | No multi-month discount published |
Over a year that is a $1,404 difference, in Refills's favor. Whether it is the right call depends on whether MedVi gives you $117 a month of something you will use.
Price escalation to plan for: MedVi moves from $179 to $299, a 67% increase. Set a calendar reminder for the month it changes.
Refills is cheaper. Does that make it better?
MedVi charges $299/mo where Refills charges $99/mo. A premium is defensible only if it maps to something specific, so here is what MedVi puts behind it: 24/7 support from certified medical professionals, and fast, free shipping.
Refills's answer is $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing. What it does not carry: clinicians come from partner networks and availability varies by state.
The premium buys attention. If you expect to need it — first GLP-1, side effects you will want triaged quickly, a history of stalling around week ten — it is money well spent. If you do not, it is not.
MedVi: what you are buying
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. In this pairing, its distinguishing feature is a genuinely low promotional entry point with 24/7 clinical support behind it.
Intake is simple online process, no clinic visits. Fulfillment is fast, free shipping. The commercial terms are promotional first month, then standard rate, published upfront.
What continues after the first shipment: 24/7 support from certified medical professionals. Formulary: compounded semaglutide.
MedVi pros
- Three-month plan available at $649 (about $216/month) for patients who commit
- Simple online process with no clinic visits required
- 24/7 support from certified medical professionals
- Clinically dosed compounded semaglutide
MedVi cons
- Compounded medication only, no branded Ozempic or Wegovy
- No published outcome or weight loss guarantee
- Price increases sharply after the first month, $299 for a standalone month
The cost of choosing this over Refills: the price roughly doubles to $299 once the promotional month ends.
Inside the Refills program
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. What it is really selling here is $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing.
Getting started means 3-minute approval quiz, after which free, fast and discreet shipping on every order. Pricing runs on a flat rate at every dose basis, published upfront.
On the clinical side, free 24/7 health concierge, prescribing compounded semaglutide and GIP+GLP-1 dual agonist.
Refills pros
- LegitScript-certified U.S. compounding pharmacies with third-party USP testing
- No insurance required, 3-minute approval quiz
- Free, fast, and discreet shipping on every order
- Free 24/7 Health Concierge support
Refills cons
- Availability varies by state
- Clinicians come from partner telehealth networks (Beluga, Bask, Wasef Health)
- Compounded medication, not an FDA-approved branded product
The reservation worth holding, particularly next to MedVi: clinicians come from partner networks and availability varies by state.
MedVi or Refills: matching the program to the patient
Choose MedVi if:
- you are willing to commit for a term in exchange for a lower effective rate (3-month plan at $649)
- what it leads on is worth paying for in your case: a genuinely low promotional entry point with 24/7 clinical support behind it
- the level of clinical contact suits you: 24/7 support from certified medical professionals
- you want to start on their timeline: simple online process, no clinic visits
Choose Refills if:
- the feature you would actually use: $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing
- the level of clinical contact suits you: free 24/7 health concierge
- you want tirzepatide available without changing provider later
- the twelve-month total is what you are optimizing ($1,188 against $3,468)
Where each program concedes something
On price. The monthly gap is 3.0x 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 medication. MedVi covers compounded semaglutide; Refills covers compounded semaglutide and GIP+GLP-1 dual agonist. Only Refills publishes a tirzepatide route, which matters if semaglutide underdelivers.
On clinical contact. The support models differ — 24/7 support from certified medical professionals against free 24/7 health concierge — and that difference is felt in week two, not week one.
On predictability. Promotional first month, then standard rate at MedVi, against flat rate at every dose at Refills. The more predictable structure is worth a premium to anyone who has been surprised by a telehealth invoice before.
Evidence and regulatory status
Weight loss percentages quoted in telehealth marketing come from trials neither MedVi nor Refills ran. Here is the source material, and what regulators say alongside it.
SURMOUNT-4 found that continuing tirzepatide maintained and extended weight reduction, while withdrawing it led to substantial regain, per JAMA, SURMOUNT-4.
The SELECT trial found semaglutide reduced major adverse cardiovascular events in adults with overweight or obesity and established cardiovascular disease, without diabetes, per NEJM, SELECT.
Which is to say: the medication decision belongs with a clinician, and the platform decision belongs with a spreadsheet.
MedVi vs Refills: 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.
Does the price go up as my dose increases?
At Refills, no — $99 flat at every dosage, from LegitScript-certified pharmacies with third-party USP testing. At MedVi, the published structure is promotional first month, then standard rate, moving from $179 to $299. Since GLP-1 doses escalate over the first months, that difference is worth more than most feature comparisons.
Which is cheaper to start, MedVi or Refills?
Refills, at $99 against $179. Note that the cheapest first month and the cheapest year are often different providers here — check the 12-month row of the cost table before deciding on the entry price.
Which has more patient reviews, MedVi or Refills?
MedVi, with 12,896 against 7,400. 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.
How fast can I start with MedVi compared with Refills?
MedVi advertises simple online process, no clinic visits, with fast, free 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 MedVi or Refills take insurance?
Both run on a direct-pay basis: you pay the platform and it does not bill your insurer. Neither publishes HSA/FSA acceptance, so budget the full amount as out-of-pocket spending.
The verdict
On the numbers, Refills wins the year: $1,188 against $2,592. That is the default answer, and it is the right one for anyone who mainly needs a reliable prescription and a shipment that arrives.
Where MedVi justifies itself is a genuinely low promotional entry point with 24/7 clinical support behind it. Where it does not is anywhere the extra spend buys features you will never open.
Get the maintenance-dose price in writing from whichever one you pick. That single question prevents most of the regret in this category.
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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 Refills, and does not sell treatment. Read our ranking methodology.