bmiMD sells compounded semaglutide and compounded tirzepatide as a subscription in four term lengths, with the same price at every dose, the provider visit included and free shipping on subscription orders. Its product pages list semaglutide at $159 a month month to month, falling to $119 a month on a twelve-month plan billed as $1,428 up front, and tirzepatide at $249 month to month or $179 a month on twelve months billed as $2,148. The landing pages our links open apply a coupon automatically and show a second, lower ladder — semaglutide from $129 down to $99 a month, tirzepatide from $179 down to $139 — so the price you are quoted depends on which door you come in by. Two terms matter more than either ladder: a $50 non-refundable cancellation fee applies once you have submitted the intake form, and once the pharmacy has processed your order there are no refunds at all, including for the unused months of a prepaid plan.
See bmiMD's semaglutide plans ↗See bmiMD's tirzepatide plans ↗Compare every provider we track
The bmiMD links above are affiliate links. The comparison link is not.
Two price ladders for the same medication
bmiMD's public product pages carry one set of prices. The pages its advertising and affiliate links land on — including ours — carry a lower set, applied through a coupon that is added to the cart automatically (the codes are visible in the plan data embedded in those pages: sema12special, tirz6special and so on). Both ladders bill the whole term up front and renew automatically. This is what each page said on 28 September 2026, with the annual cost worked out by us:
Compounded semaglutide
| Plan | Product page | Coupon landing page | Billed as | What a year costs |
|---|---|---|---|---|
| Monthly | $159/mo | $129/mo | $159 or $129 every month | $1,908 · $1,548 |
| 3 months | $149/mo | $119/mo | $447 or $357 every three months | $1,788 · $1,428 |
|
6 months “Most Popular” |
$129/mo | $109/mo | $774 or $654 every six months | $1,548 · $1,308 |
|
12 months “Best Value” |
$119/mo | $99/mo | $1,428 or $1,188 once a year | $1,428 · $1,188 |
Compounded tirzepatide
| Plan | Product page | Coupon landing page | Billed as | What a year costs |
|---|---|---|---|---|
| Monthly | $249/mo | $179/mo | $249 or $179 every month | $2,988 · $2,148 |
| 3 months | $229/mo | $159/mo | $687 or $477 every three months | $2,748 · $1,908 |
| 6 months | $189/mo | $149/mo | $1,134 or $894 every six months | $2,268 · $1,788 |
| 12 months | $179/mo | $139/mo | $2,148 or $1,668 once a year | $2,148 · $1,668 |
Product-page prices are quoted from bmimd.com/compounded-semaglutide and bmimd.com/compounded-tirzepatide; landing-page prices from bmimd.com/compounded-semaglutide-shopping and bmimd.com/compounded-tirzepatide-shopping, which our buttons open. The struck-through comparison prices bmiMD shows beside them ($228.60 and $349.20 a month) are its own figures. The annual column is arithmetic: the monthly rate multiplied by twelve, or the billed-once total multiplied by the number of terms in a year. In each pair the first figure is the product page and the second the landing page.
The microdose versions of both medications are sold at the same product-page prices. bmiMD says the price is the same at every dose, that the provider visit is included, that shipping is free on every subscription order, and that it serves all fifty states. The 4.9 rating and “1,000+ reviews” on the product page are the company's own figures. There is no one-time purchase option on either ladder; every plan is a renewing subscription.
The $50 cancellation fee, and where refunds stop
The refund page opens with a “100% Risk-Free Guarantee”. What it describes is narrower than the phrase suggests. Your card is authorised when you order and charged once a provider confirms you are eligible; if you are not eligible, the hold is released and nothing is charged. That is the guarantee.
From there the terms tighten quickly. If you cancel after submitting the intake form, bmiMD charges a $50 non-refundable cancellation fee. Once the pharmacy has processed your order, the policy says there are no refunds, all sales are final, and no refunds are given for partially used subscription periods — which on a six- or twelve-month plan means the whole prepaid balance. The Terms of Use say the same thing in capitals: no refunds for shipped products.
Cancelling or pausing is done from the account page, and the terms ask for notice up to 48 hours before the monthly processing date, by email to orders@bmimd.com. If you have already been charged for the next period, the cancellation takes effect after it. Problems with an order have to be reported within 24 hours of delivery.
We would call the guarantee and the fee a contradiction you can point at: the page that promises “risk-free” is the page that introduces a $50 charge for changing your mind after a form.
Who you are actually dealing with
bmiMD is a trading name of Medccm Inc, and its terms describe the company as a technology platform rather than a medical practice: the clinical side is provided by third-party medical groups and providers, and the medication by compounding pharmacies that vary by state. The refund page names one fulfilment pharmacy, Precision Compounding Pharmacy in Bellmore, New York. The single price you pay bundles the pharmacy, the medical group and the platform fee, which is convenient but means you cannot see what each part costs.
The medications are compounded semaglutide and compounded tirzepatide. Compounded preparations are not FDA-approved and are not generic equivalents of Wegovy, Ozempic or Zepbound. bmiMD also sells sermorelin, NAD+, glutathione, MIC+B12 and metformin on the same subscription model; those are outside the scope of this review.
Who this suits, and who it does not
It suits someone who has decided to stay on a compounded GLP-1 for six or twelve months, is comfortable paying the term up front, and arrives through a landing page with the coupon applied. At $1,188 for a year of compounded semaglutide, the coupon ladder is among the lower annual figures in our comparison, and the price does not move when the dose does.
It does not suit anyone who wants to try a month first without a cost of exit: the $50 fee applies the moment the intake form is in, and the refund window closes at the pharmacy. It does not suit anyone who might need to stop part-way through a prepaid term, because nothing is pro-rated. And it does not suit anyone who dislikes being quoted two different prices for the same product depending on the URL.
If bmiMD is not the right fit
Everything above stands as written. Nothing below is presented as better than bmiMD — these are two providers whose terms answer the specific objections above.
Trimi Health charges $99 a month for compounded semaglutide, the same at every dose, with no prepaid term required, and its refund policy returns the consultation fee as well as the medication cost if a clinician declines you. Collective charges $59 a month for compounded semaglutide and $69 for tirzepatide with no multi-month commitment, plus a $199 annual membership, and lets you cancel from your account at any time.
One flat price at every dose — Trimi ↗No prepaid term — Collective ↗
Both links above are affiliate links. Ordering on this site is never sold; see our affiliate disclosure.
Compare this against the rest of the market
One provider in isolation tells you very little. These pages run a single variable across every company we track.
- Cheapest GLP-1 telehealth in 2026, by real annual cost
- Compounded semaglutide prices compared
- Compounded tirzepatide prices compared
- GLP-1 refund policies compared
- Providers that bill once instead of forever