MEDGm sells compounded semaglutide and tirzepatide injections, compounded semaglutide tablets and — for a membership fee plus the medication cost — the branded drugs. Its headline is $179 for the first month of compounded semaglutide, which is the $299 month-to-month price with a $120 welcome code applied; after that first month the price is $299 unless you move to a bundle. The bundles are where the advertised per-month figures live: $199 a month for three months billed as $597, $189 a month for six months billed as $1,134, and $169 a month for twelve months billed as $2,028, all up front and all auto-renewing. Tirzepatide runs from $279 for the first month to $269 a month on the twelve-month bundle, billed as $3,228. The refund policy is clearer than most in this category — a full refund inside the first 72 hours if nothing has been provided, and a refund of unshipped months on multi-month plans — but the terms let MEDGm bill and ship a renewal up to ten days early, so the 72-hour clock runs sooner than the anniversary suggests.
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The price ladder, product by product
MEDGm publishes its prices on the product pages, under a “Fall Promo” banner, with a welcome code (WELCOME120OFF) that takes $120 off the first month of a month-to-month plan. This is what the pages said on 28 September 2026, with the annual cost worked out by us:
| Plan | Compounded semaglutide injection | Compounded tirzepatide injection | Compounded semaglutide tablets | What a year costs |
|---|---|---|---|---|
|
Month to month first month, with the code |
$179 (list $299) | $279 (list $399) | $249 (list $369) | — |
|
Month to month every month after that |
$299/mo | $399/mo | $369/mo | $3,468 · $4,668 · $4,308 one month at the code, eleven at list |
| 3 months | $199/mo — billed as $597 once | $299/mo — billed as $897 once | $319/mo — billed as $957 once | $2,388 · $3,588 · $3,828 |
| 6 months | $189/mo — billed as $1,134 once | $289/mo — billed as $1,734 once | $289/mo — billed as $1,734 once | $2,268 · $3,468 · $3,468 |
|
12 months the advertised price |
$169/mo — billed as $2,028 once | $269/mo — billed as $3,228 once | $239/mo — billed as $2,868 once | $2,028 · $3,228 · $2,868 |
Per-month rates, list prices and billed-once totals are quoted from MEDGm's product pages. The annual column is arithmetic — for month-to-month plans, one month at the promotional price plus eleven at the list price; for bundles, the billed-once total multiplied by the number of terms in a year — and the three figures follow the order of the columns.
Branded medication is priced differently: Zepbound and Wegovy are offered for a $99 membership plus the cost of the medication, and Ozempic for $171 plus the medication, so the figure on the page is MEDGm's fee, not what you will pay for the drug. MEDGm says the compounded price is the same at any dose, that labs and side-effect medication are included, that shipping is free, and that it accepts HSA and FSA cards as well as Klarna and Afterpay. It does not take insurance.
The 72-hour rule, and the ten days before it
MEDGm's refund policy, dated 9 August 2026, is more specific than most. You can cancel within the first 72 hours for a full refund, provided no services have been provided. If the provider decides you do not qualify, you are refunded. On a monthly plan there is no refund for the current month once it has started. On a multi-month bundle, months in which no medication has shipped are refunded — a real difference from providers that treat a prepaid term as spent the moment a clinician signs.
The terms of service, dated the same day, add the conditions. Bundles are billed up front and renew automatically for another term. A cancellation must reach MEDGm at least 72 hours before the renewal date, by email or through the patient portal. And billing and shipment for a renewal may occur up to ten days before that date — so a cancellation sent inside that window can arrive after the next term has been charged and its first shipment prepared. Read against a twelve-month bundle, that is a $2,028 renewal decided by a calendar entry roughly two weeks before the anniversary.
Two further clauses are worth knowing. MEDGm gives 30 days' notice of price changes. And its provider may switch you from one molecule to another on clinical grounds — semaglutide to tirzepatide, for instance — with charges continuing on the plan you are on.
Who you are actually dealing with
MEDGm is MEDGm, LLC, a Delaware company. The clinical side runs through OpenLoop Health, the same third-party clinician network that provides the medical care behind SnagRx and Embody, both of which are in our comparison. The pharmacies that fill compounded prescriptions are not named on the pages we read. Compounded semaglutide and tirzepatide are not FDA-approved and are not generic equivalents of the branded drugs; the branded options MEDGm offers are approved products. The company says first shipments go out within 48 hours and refills every four weeks, and its terms include an arbitration clause.
Who this suits, and who it does not
It suits someone choosing between compounded and branded treatment who wants both under one roof, and someone who values a refund policy that gives back unshipped months. At $2,028 for a twelve-month semaglutide bundle, MEDGm sits in the middle of our comparison rather than at the bottom, but the terms around it are clearer than several cheaper providers manage.
It does not suit anyone who reads “$179” as the ongoing price: after the first month the month-to-month rate is $299, and the lower per-month figures all require a bundle paid in one go. It does not suit anyone who will not diarise a renewal date two weeks early. And it does not suit anyone who needs the pharmacy named before they pay.
If MEDGm is not the right fit
Everything above stands as written. Nothing below is presented as better than MEDGm — 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 bundle required, and its refund policy returns the consultation fee as well as the medication cost if a clinician declines you. Embody advertises compounded semaglutide at $79 a month under a promotional banner, billed monthly with no prepaid term, and also runs its clinical care through OpenLoop Health.
One flat price at every dose — Trimi ↗Billed monthly, no bundle — Embody ↗
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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