LifeMD vs MEDVi

Both sell tirzepatide. LifeMD costs $149 a month and MEDVi costs $399, a difference of $250 a month or about $3,000 a year. The desk reads it as follows.

LifeMD is insurance coordination. MEDVi is tablet and injection choice. They are not aimed at the same person, and the cheaper one is not automatically the right answer — though on this board it usually is.

Advert against bill. LifeMD advertises $75 and bills $149; MEDVi advertises $399 and bills $399. The gaps are different sizes, which means comparing the two on their advertised prices gives you the wrong answer.

Side by side

Prices verified 2026-09-18. "True monthly cost" is what you are billed in month two, once any introductory rate has lapsed and any membership has renewed.

The split

3 differences on the record. The others match.

What each puts on the record: LifeMD

• Markets insurance coordination that can reduce semaglutide cost to roughly $25/month where coverage applies.

Where it wins: Genuine clinician oversight with a physician-led model. Watch for: If your insurer declines, the $149/month programme fee still applies and the medication is extra.

What each puts on the record: MEDVi

Where it wins: Injection pricing is consistent between the first month and renewals. Watch for: You have to complete intake before seeing tablet pricing. Injection pricing is published at $399.

In each one’s favour

LifeMD.

• Genuine clinician oversight with a physician-led model.
• Insurance work is a core part of the service, not an afterthought.

MEDVi.

• Injection pricing is consistent between the first month and renewals.
• Tablet option for people who will not inject.

LifeMD scores higher overall at 3.5 out of 5. The weights are published on how we rate, and so is the note about which of these is our paid featured partner.

The desk’s call

The board says LifeMD. What the board cannot say is whether the advertised figures you were shown elsewhere match these — check the gap row, because a listing that advertises low and bills high will beat an honest one in any comparison built on advertised prices.

The verdict

On the board, LifeMD at $149 a month is the more defensible choice on arithmetic alone. MEDVi earns its premium only if you will actually use what it does differently. Read the full reviews before deciding: LifeMD and MEDVi.

How they sit against everyone else