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. Here is what that difference actually buys.

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 it usually is if you are paying cash and tolerate the medication well.

Put plainly. If you picked LifeMD over MEDVi and everything else went the same way, you would be $3,000 better off after a year. Whether that is the right trade depends on the differences below, not on the number alone.

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.

What actually separates them

They differ on 3 of the 7 things we track. Those differences are what the price gap is buying.

What LifeMD publishes

• GLP-1 injection programme listed at $75 first month, then $149/month.
• Annual plan advertised as low as $75/month.

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 MEDVi publishes

• Compounded tirzepatide injections listed at $399/month.
• Tirzepatide tablet pricing is quoted after the intake questionnaire rather than published up front.

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.

Where each is stronger

LifeMD.

• Genuine clinician oversight with a physician-led model.
• Insurance work is a core part of the service, not an afterthought.
• Annual plan meaningfully reduces the programme fee.

MEDVi.

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

How they score

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.

Which should you pick?

If you want the plain answer: LifeMD, unless one of the differences above matters to you personally. MEDVi is not worse — it is aimed at somebody with a different problem, and paying $250 a month more for a problem you do not have is how people end up resenting a treatment that was working.

The verdict

We would tell a friend to start with LifeMD and move if it disappointed them. That is not a strong claim about either company; it is what the arithmetic supports when nothing else is pulling you.

Full detail in the LifeMD review and the MEDVi review.

How they sit against everyone else