GLP Watchdog

bmiMD vs Direct Meds

Direct Meds has an open FDA warning letter dated September 9, 2025. bmiMD has none. On compounded tirzepatide injection, bmiMD costs $2,640 less a year at standing rates: $179 a month against $399 a month at Direct Meds. It is one of two products the two sell at comparable terms.

To see where both sit among the other sellers, read our best weight-loss injection providers board.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

The record

bmiMD / Direct Meds

bmiMD logo

bmiMD

8.2/10

Direct Meds logo

Direct Meds

7.1/10

FDA warning letters
None on record
Pharmacy
None named in our record
None named in our record
Lowest standing price
$129/moCompounded semaglutide injection
$249/moCompounded oral semaglutide
States
All 50 states
48 states and DC
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit bmiMD
Visit Direct Meds

Both bmiMD and Direct Meds are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (bmiMD 8.2, Direct Meds 7.1). How we are paid

What the record shows

  1. 01

    Direct Meds has an open FDA warning letter dated September 9, 2025. bmiMD has none.

  2. 02

    Neither names the pharmacy that compounds its medication.

  3. 03

    On compounded tirzepatide injection, bmiMD costs $2,640 less a year at standing rates: $179 a month against $399 a month at Direct Meds. It is one of two products the two sell at comparable terms.

  4. 04

    Only Direct Meds lists a price for compounded oral semaglutide and compounded oral tirzepatide.

  5. 05

    BmiMD covers two states Direct Meds does not.

  6. 06

    bmiMD states you can cancel at any time; Direct Meds holds you to a 90-day supply shipped at once, remaining months billed every 30 days.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

bmiMD

Direct Meds

Compounded semaglutide injection

$129/moLower

$1,548 a year

$297/mo

$3,564 a year

Compounded tirzepatide injection

$179/moLower

$2,148 a year

$399/mo

$4,788 a year

Compounded oral semaglutide
Not sold or not priced

$249/mo

$2,988 a year

Compounded oral tirzepatide
Not sold or not priced

$299/mo

$3,588 a year

Price includes
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Cancel any time
Yes, stated
No
Minimum term
None on monthly plans; longer plans are paid in full at checkout
90-day supply shipped at once, remaining months billed every 30 days
Refunds
Authorization hold released if not approved; $100 fee after intake; multi-month plans non-refundable
No refunds for medication already received; $35 disposal fee on returns

Read off each seller’s own pages. bmiMD: October 17, 2026. Direct Meds: October 17, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for bmiMD

8.2/10
  • No FDA warning letter on record
  • $2,016 a year less on compounded semaglutide injection
  • $2,640 a year less on compounded tirzepatide injection
  • States you can cancel at any time
  • Names no compounding pharmacy
Visit bmiMD

The case for Direct Meds

7.1/10
  • Sells compounded oral semaglutide and compounded oral tirzepatide, which bmiMD does not price
  • Open FDA warning letter, September 9, 2025
  • Names no compounding pharmacy
  • Minimum commitment before you can cancel
Visit Direct Meds

Scores

bmiMD 8.2 · Direct Meds 7.1 out of 10. Six weighted parts.

Value25%

6.0A
vs
B
4.2

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

8.5A
vs
B
4.5

Accessibility10%

10.0A
vs
B
9.7

Support10%

7.0A
vs
B
7.0

The score is the same formula for every seller. Payment does not enter it. Method

bmiMD vs Direct Meds: questions

Direct Meds has an open FDA warning letter dated September 9, 2025. bmiMD has none. Letters are matched to a seller by company, domain and address, never by a similar name.
Neither names the pharmacy that compounds its medication.
bmiMD, by $2,016 a year at standing rates. bmiMD: $129 a month, about $1,548 a year. Direct Meds: $297 a month, about $3,564 a year.
bmiMD states you can cancel at any time; refunds: authorization hold released if not approved; $100 fee after intake; multi-month plans non-refundable. Direct Meds has a minimum term (90-day supply shipped at once, remaining months billed every 30 days).
Both bmiMD and Direct Meds are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (bmiMD 8.2, Direct Meds 7.1).

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Sellers closest to these two

Matched on molecule, form and price. Every pair we list · The register