Weight loss comparison · Medical comparison
Medvi review: cost, care and alternatives
Medvi is a telehealth program that sells compounded GLP-1 weight loss medication with the physician visit and support folded into one monthly price. It is straightforward if weight loss is the only thing you need. The catch shows up in the details: Medvi's own site publishes no medication price, third-party reviews report the tirzepatide rate rising with dose and billing running on a 28-day cycle, and the program does not extend to anything beyond weight loss.
At a glance
 | Medvi | |
|---|---|---|
| Regular monthly price | $149/mo all-in (membership plus medication) | Not published by Medvi; reviews report about $299/mo after a $179 first month |
| Membership model | One membership included in the price covers unlimited visits and every medication | Medvi's own page shows "$99 Membership + Medication Cost"; reviews say one all-in charge |
| Conditions covered | Weight loss, men's health, women's health | Weight loss only |
| Price as dose rises | Fixed by plan length, not dose | Semaglutide flat; tirzepatide reportedly rises by dose |
| Labs | Quarterly protocol labs $65/mo, discounted | Partner lab work, weight loss focused |
| Billing cycle | Monthly (12 per year) | Reviews report a 28-day cycle (about 13 charges per year) |
Based on publicly available information as of 2026-08-22. Confirm current details on each company's own site.
What Medvi is, and who it is for
Medvi is a direct-to-consumer telehealth service focused on medical weight loss. You complete an online intake, a licensed physician reviews it, and if approved you are prescribed compounded semaglutide or compounded tirzepatide, shipped to your door. The monthly fee bundles the physician evaluation, the medication, shipping, and a 24/7 support line into a single charge, which keeps the offer easy to understand.
It suits someone whose only goal is a GLP-1 for weight loss and who wants a clean, all-in monthly number without a separate membership line item. Because Medvi treats weight loss and nothing else, it is a single-purpose tool rather than an ongoing care relationship across multiple health needs.
Medvi's simplicity is real, but simple and complete are not the same thing. The all-in price is all-in for one medication, not for your health.
Medvi pricing in 2026
Start with what Medvi itself publishes, which is not much. Its GLP-1 page shows no medication price at all: the price fields render as unfilled template placeholders, and the only figure on the page is "$99 Membership + Medication Cost". Every number below therefore comes from third-party review sites rather than from Medvi, so treat them as indicative and confirm current pricing directly. Those reviews report compounded semaglutide at $179 for the first month and $299 per month for refills, with the refill rate staying flat as the dose increases, and compounded tirzepatide starting around $349 with refills climbing into the $399 to $499 range at higher doses.
The same reviews describe a 28-day billing cycle rather than a calendar month, which would work out to roughly 13 charges a year instead of 12. Medvi's own site states no billing cadence, so confirm it before you sign up. Medvi's medications are compounded, which is not the same as FDA-approved branded Ozempic or Zepbound and should not be assumed equivalent to them. Sipra's medications are also compounded and clearly labeled as such.
Cheapest regular monthly cost, compounded weight loss medication
Sipra's listed price against the rate third-party reviews report for Medvi, as of July 2026.
Medvi publishes no medication price on its own site. The $299 shown is the regular refill rate reported by third-party review sites, after a reported $179 first month, billed on a reported 28-day cycle (about 13 times a year). Compounded, not branded. As of July 2026.
The membership and what is actually included
The two available accounts disagree. Third-party reviews describe one all-in charge with no standalone membership, while Medvi's own GLP-1 page advertises "$99 Membership + Medication Cost". Ask Medvi which applies before you compare totals. What is not in dispute is scope: Medvi does not offer men's or women's health, so a second need means going somewhere else entirely, at a fresh full price.
Sipra takes the opposite approach. One membership covers unlimited physician visits, ongoing 24/7 care, and access to every medication across weight loss, men's health, and women's health. Add a second medication and you are not charged a second membership. Sipra medication pricing is fixed by how long a plan you choose, not by your dose, so it does not creep upward as you titrate. Quarterly protocol labs at $65/mo are discounted with membership so a physician can monitor what you are taking, and thyroid and hormone labs are available at member pricing in men's and women's care.
Where Medvi falls short
The weak spots are the flip side of its focus. Tirzepatide pricing that reportedly rises with dose means your cost can grow exactly as your treatment intensifies. If the 28-day cadence those reviews describe is current, it quietly adds a payment period each year. And the single-condition scope means Medvi cannot be your one home for broader care. Its money-back structure is real but conditional: reviews describe returning about 75% of payments only after following the program for five months without results, with a consultation fee retained.
Sipra is LegitScript certified (50053943), charges no hidden fees. The Sipra Promise refunds medication not yet sent to the pharmacy on 6 and 12 month plans if you stop partway through. As with any weight loss program, individual results vary, and the honest comparison is about structure and price, not guaranteed outcomes. If you want to confirm Medvi's service reputation, verify their current Trustpilot or BBB standing directly.
Medvi pros and cons
What is good
- Regular semaglutide price that reviews report does not rise as your dose increases
- Reviews describe the physician visit, medication, and support as one all-in charge
- Publishes a conditional money-back structure and advertises HSA/FSA eligibility
What to weigh
- Compounded tirzepatide refills reportedly climb to the $399 to $499 range at higher doses
- Publishes no medication price on its own site, so the total is hard to check
- Reported to bill on a 28-day cycle, roughly 13 charges a year instead of 12
- Covers weight loss only, so a second health need means a separate service and a separate full price
- Money-back applies only after five months without results, with a consultation fee kept
sipra vs Medvi, side by side
| Medvi | |
|---|---|---|
| Regular monthly price (compounded semaglutide) | $149/mo all-in | Not published; reviews report $299/mo after a $179 first month |
| Price as dose rises | Fixed by plan length, never by dose | Semaglutide flat; tirzepatide reportedly $399 to $499 by dose |
| Membership model | One membership included in the price covers unlimited visits and all meds | Medvi's page shows a $99 membership; reviews say none |
| Second medication or condition | Covered by the same membership | Pay a fresh full medication price |
| Conditions covered | Weight loss, men's, women's health | Weight loss only |
| Billing cycle | Monthly, 12 per year | Reported 28-day, about 13 charges per year |
| Labs | Quarterly protocol labs $65/mo, discounted | Partner labs, weight loss focused |
| Medication type | Compounded, clearly labeled | Compounded, not FDA-approved branded |
| Satisfaction policy | Sipra Promise refunds medication not yet sent to the pharmacy if you stop a 6 or 12 month plan | About 75% back only after 5 months without results |
| Certification | LegitScript certified (50053943) | Verify current Trustpilot or BBB standing |
As of 2026-08-22. Both services use compounded medications, which are not FDA-approved branded drugs and should not be assumed equivalent to them. Individual results vary.
Who should choose which
Choose Medvi if
- You only want a GLP-1 for weight loss and nothing else
- You prefer one all-in charge with no separate membership line
- You want a flat semaglutide rate and are fine confirming the price and billing cycle yourself
Choose sipra if
- You want weight loss plus men's or women's care under one membership
- You want medication priced by plan length, not by your dose
- You want quarterly labs so a physician can monitor what you take
Frequently asked questions
Lose weight with a plan made just for you
- Same-day doctor visits and prescriptions
- Semaglutide, tirzepatide & other GLP-1s
- FSA & HSA eligible with all plans
From price shown is the 12-month plan rate. Prices may vary.
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