PlexusDx vs MEDVi
$189/mo against $399/mo for tirzepatide. Which is worth it, and for whom.
Updated 2026-09-18
How we are paid: one company on this page — Coreage Rx — pays us a commission if you sign up through our link. It does not buy a better score, a higher position, or the removal of a single criticism. Our rating method and full disclosure are both public.
Both sell tirzepatide. PlexusDx costs $189 a month and MEDVi costs $399, a difference of $210 a month or about $2,520 a year. The other differences matter more than the money if this is your first course.
PlexusDx is pharmacy transparency and genetic testing. MEDVi is tablet and injection choice. They are not aimed at the same person, and the cheaper one is not automatically the right answer — particularly if this is your first course and you expect a slow titration.
What this means for your titration. PlexusDx holds one price at every dose and MEDVi does not — so this gap widens as you titrate toward a therapeutic dose, exactly when you can least afford a surprise.
Side by side
| PlexusDx | MEDVi | |
|---|---|---|
| Advertised from | $129 | $399 |
| Membership on top | None | None |
| True monthly cost | $189 | $399 |
| Roughly, per year | $2,268 | $4,788 |
| Price includes medication | Yes | Yes |
| Names its pharmacy | Yes | Not published |
| Our score | 4.4 / 5 | 2.8 / 5 |
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 differences that affect treatment
They differ on 2 of the 7 things we track, and behave the same on the other 5. The differences are what the price gap is actually buying.
| PlexusDx | MEDVi | |
|---|---|---|
| Price is the same at every dose | Yes | No |
| Names the compounding pharmacy publicly | Yes | No |
What each programme publishes: PlexusDx
- GLP-1 weight-loss programmes start at $129/month.
- Compounded semaglutide injection listed at $189/month with no membership fee and the same price at every dose.
- A $189/month microdose tier is offered for compounded semaglutide or tirzepatide.
- No membership or platform fee is charged alongside the medication.
- Publicly names six 503A pharmacy partners: Belmar, Strive, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills.
- Clinical oversight via LionMD, with named physicians and NPI numbers published.
- Licensed providers in all 50 states; CLIA-certified labs for its testing line.
Where it wins: The most detailed pharmacy disclosure in this comparison — six named 503A partners. Watch for: The advertised "from $129" is the programme floor. Budget $189/month for the compounded injection tier.
What each programme publishes: MEDVi
- 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.
Strengths of each
PlexusDx.
- The most detailed pharmacy disclosure in this comparison — six named 503A partners.
- Names its prescribing physicians along with their NPI numbers.
- No membership fee, and flat pricing across the dose range.
MEDVi.
- Injection pricing is consistent between the first month and renewals.
- Tablet option for people who will not inject.
How they score
| What we weigh | Weight | PlexusDx | MEDVi |
|---|---|---|---|
| True monthly cost | 30% | 4.6 | 2.4 |
| Price honesty | 20% | 4.5 | 2.5 |
| Clinical support | 20% | 3.8 | 3.3 |
| Pharmacy sourcing | 15% | 4.9 | 3.2 |
| Cancelling | 15% | 4 | 3 |
PlexusDx scores higher overall at 4.4 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 suits you
- Pick PlexusDx if cost is the binding constraint. Over a year the gap is about $2,520, which is real money for the same class of medication.
- Pick MEDVi if what it does better matters to you — injection pricing is consistent between the first month and renewals.
- If sourcing matters, note that PlexusDx publishes which pharmacy compounds its medication and MEDVi does not.
The verdict
For most people starting out, PlexusDx at $189 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: PlexusDx and MEDVi.
How they sit against everyone else
| Programme | Per month | Dose-price | Our score |
|---|---|---|---|
| Coreage Rx Best overall on true monthly cost | $199 | Flat | 4.5 |
| Trimi Lowest flat price with named pharmacies | $125 | Varies | 4.6 |
| PlexusDx Pharmacy transparency and genetic testing | $189 | Varies | 4.4 |
| Ozari Health Lowest advertised semaglutide price | $125 | Varies | 4.4 |
| Fifty 410 Prepaid blocks with no subscription | $133 | Varies | 4.2 |
| Ivím Health Unlimited clinician access | $199 | Varies | 4 |
| Mochi Health Insurance concierge support | $278 incl. $79 fee | Varies | 3.6 |
| Coby Health Multi-month value with supplies included | $239 | Varies | 3.6 |
| Hims & Hers Widest range of formats | $238 incl. $39 fee | Varies | 3.5 |
| Ro Branded medication with insurance help | $448 incl. $149 fee | Varies | 3.5 |
| Zealthy Low-cost entry with insurance routing | $216 | Varies | 3.5 |
| LifeMD Insurance coordination | $149 | Varies | 3.5 |
Read next
- PlexusDx tirzepatide review
Pharmacy transparency and genetic testing. How they handle your dose ladder, what support looks like when side effects hit, and what you actually pay — $189 a month.
- MEDVi tirzepatide review
Tablet and injection choice. How they handle your dose ladder, what support looks like when side effects hit, and what you actually pay — $399 a month.
- How to spot a bad seller
The FDA sent more than 55 warning letters to online GLP-1 sellers in one day. Here is how to tell a licensed programme from the rest.
- The twelve-month cost
Month one is the cheapest month you will have. Here is the full-year arithmetic, including the costs nobody puts in the advert.
- Best programmes if this is your first time
Ranked on how they price the dose ladder and how reachable support is — the two things that decide whether a beginner stays on treatment.