bmiMD vs TotalRx

Neither bmiMD nor TotalRx has an FDA warning letter on record. On compounded tirzepatide injection, TotalRx costs $60 less a year at standing rates: $174 a month against $179 a month at bmiMD.

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

The record

bmiMD / TotalRx

Featured pick (affiliate partner)

bmiMD logo

bmiMD

8.2/10

TotalRx logo

TotalRx

6.2/10

FDA warning letters
None on record
None on record
Pharmacy
None named in our record
None named in our record
Lowest standing price
$129/moCompounded semaglutide injection
$174/moCompounded tirzepatide injection
States
All 50 states
All 50 states and DC
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026

bmiMD is our featured pick on this page because it is an affiliate partner: we are paid if you sign up through our link. TotalRx pays us nothing. The scores are computed the same way for both and are shown as computed (bmiMD 8.2, TotalRx 6.2). How we are paid

What the record shows

  1. 01

    Neither bmiMD nor TotalRx has an FDA warning letter on record.

  2. 02

    Neither names the pharmacy that compounds its medication.

  3. 03

    On compounded tirzepatide injection, TotalRx costs $60 less a year at standing rates: $174 a month against $179 a month at bmiMD.

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

TotalRx

Compounded semaglutide injection

$129/mo

$1,548 a year

$129/mo

plan terms unclear; not compared

Compounded tirzepatide injection

$179/mo

$2,148 a year

$174/moLower

$2,088 a year

Price includes
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Cancel any time
Yes, stated
Yes, stated
Minimum term
None on monthly plans; longer plans are paid in full at checkout
Auto-renewing subscription; multi-month plans bill the full term, and canceling within 72 hours of renewal lets that charge go through
Refunds
Authorization hold released if not approved; $100 fee after intake; multi-month plans non-refundable
Full refund if medically disqualified; otherwise none on cancellation, apart from a pro-rata share of unshipped paid months on prepaid plans

Read off each seller’s own pages. bmiMD: October 17, 2026. TotalRx: 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
Featured pick (affiliate partner)

The record gives bmiMD no edge on this pair.

  • Names no compounding pharmacy

The case for TotalRx

6.2/10
  • $60 a year less on compounded tirzepatide injection
  • Names no compounding pharmacy

Scores

bmiMD 8.2 · TotalRx 6.2 out of 10. Six weighted parts.

Value25%

6.0A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

8.5A
vs
B
5.0

Accessibility10%

10.0A
vs
B
10.0

Support10%

7.0A
vs
B
7.0

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

bmiMD vs TotalRx: questions

Neither bmiMD nor TotalRx has an FDA warning letter on record. Letters are matched to a seller by company, domain and address, never by a similar name.
Neither names the pharmacy that compounds its medication.
TotalRx, by $60 a year at standing rates. bmiMD: $179 a month, about $2,148 a year. TotalRx: $174 a month, about $2,088 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. TotalRx states you can cancel at any time; refunds: full refund if medically disqualified; otherwise none on cancellation, apart from a pro-rata share of unshipped paid months on prepaid plans.
bmiMD is our featured pick on this page because it is an affiliate partner: we are paid if you sign up through our link. TotalRx pays us nothing. The scores are computed the same way for both and are shown as computed (bmiMD 8.2, TotalRx 6.2).

Other sellers we are paid by

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

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