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Direct Meds vs Hims

Hims costs $50 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed
Direct Meds logo

Direct Meds

6.4
★★★☆☆3.2/5

Best for: compounded semaglutide at $249/month

Visit Direct Meds →
VS
Hims logo

Hims

6.8
★★★☆☆3.4/5

Best for: knowing which pharmacy fills the vial: it names Apostrophe Pharmacy LLC

Visit Hims →

If you are choosing between Direct Meds and Hims, the first difference is cost: Hims is $50 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Hims leads our six-part score, 6.8 to 6.4. Both have drawn an FDA warning letter.

Direct Meds vs Hims price

Hims is the cheaper way in: $199 a month against $249 a month at Direct Meds. That is $50 less each month (20% lower), or about $600 over a year of treatment.

Drug by drug: Semaglutide is cheaper at Hims ($199 a month vs $249 a month); tirzepatide costs the same at both, $299 a month.

Medications and formats

Both sell semaglutide and tirzepatide.

On format, Direct Meds prices compounded injections, while Hims prices compounded injections and brand-name pens.

If you want the FDA-approved brand rather than a compounded version, Hims is the only one of the two with a brand-name price.

Where each one treats patients

Direct Meds does not publish where it ships, and Hims lists 50 states.

Pricing

Direct Meds

SublingualCompounded
$249/mo
semaglutide

'As low as $249' per month, on a 90-day supply billed monthly; some doses run as low as $237/mo.

InjectionCompounded
$297/mo
semaglutide

'As low as $297' per month ($9.58 a day), an 84-day three-pack billed monthly.

SublingualCompounded
$299/mo
tirzepatide

'As low as $299' per month ($9.65 a day) on a 90-day supply billed monthly. Down from $399 earlier.

InjectionCompounded
$399/mo
tirzepatide

'As low as $399' per month ($12.87 a day).

Hims

StartingCompounded
$199/mo
semaglutide
StartingBrand-name
$299/mo
tirzepatide

Brand Zepbound from $299/mo medication-only; requires Hims Weight Loss Membership ($149/mo)

What each price covers

Both prices cover the medication itself.

Direct Meds' price also covers the clinician visit and shipping, which Hims does not claim.

Direct Meds is silent on lab work and coaching.

Hims is silent on shipping and lab work.

Direct Meds

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

Not stated

Coaching

Not stated

Hims

Covered by the monthly price

Medication

In the price

Clinician visits

Charged on top

Shipping

Not stated

Lab work

Not stated

Coaching

Charged on top

Where each one scores higher

Overall, Hims scores 6.8 and Direct Meds 6.4 out of 10.

Direct Meds is stronger on value (3.7 vs 3.0) and support (7.0 vs 3.0).

Hims is stronger on trust & safety (7.0 vs 3.5) and accessibility (10.0 vs 5.0).

Effectiveness and user experience are within half a point.

How we score

Direct Meds

6.4/10

Overall

Hims

6.8/10

Value25%

3.7A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

3.5A
vs
B
7.0

Accessibility10%

5.0A
vs
B
10.0

Support10%

7.0A
vs
B
3.0

FDA warning letters

The FDA sent Direct Meds a warning letter dated September 9, 2025 (letter 716822), and it is still open.

The FDA sent Hims a warning letter dated September 9, 2025 (letter 716567), and it is still open.

Features & Coverage

FeatureDirect MedsHims
Starting Price$249/mo✓$199/mo
Features✓5 features2 features
States AvailableNot disclosed50
Compounded✓ Yes✓ Yes
Brand Name—✓ Yes
FSA/HSA Accepted——
FDA Warning Letters1 letter1 letter

About Direct Meds

The FDA sent Direct Meds a warning letter in September 2025 over misleading marketing, and customers have reported a documented pattern of unexpected 3-month commitment charges. We list the company with both disclosed in full; read the warnings and the cons first. Its products are compounded semaglutide and tirzepatide, sold from Utah in injection and sublingual form.

Read our full Direct Meds review →

About Hims

Hims is a major men's telehealth brand. Its weight loss offering is compounded semaglutide on a 6-month plan.

Read our full Hims review →

Pros & Cons

Direct Meds

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication, clinician visits and shipping

Watch-outs

  • Semaglutide costs $249 a month, 35% above the $184 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $299 a month, 20% above the $250 median for compounded tirzepatide across the sellers we compare
  • Confirm it serves your state before you start the intake
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • The FDA has issued Direct Meds a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Hims

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price includes the medication
  • Serves all 50 states
  • Names 4 pharmacies that fill its prescriptions, which most sellers do not

Watch-outs

  • Not included in the monthly price: clinician visits, coaching
  • The FDA has issued Hims a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
  • Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality

Our Verdict

Winner: Direct Meds

Direct Meds is where we would start, above all for compounded semaglutide at $249/month. Hims undercuts it by $50 a month, so if the monthly bill is what decides it, Hims is the pick. Hims fits better if knowing which pharmacy fills the vial: it names Apostrophe Pharmacy LLC is your priority.

Choose Direct Meds if…

You want compounded semaglutide at $249/month and an opening price near $249 a month.

Choose Hims if…

You want knowing which pharmacy fills the vial: it names Apostrophe Pharmacy LLC and an opening price near $199 a month.

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8.6

Found

Tirzepatide at $169/month, 37% below the typical price

7.6

Breeze Meds

Knowing which pharmacy fills the vial: it names Belmar Pharmacy

7.7

HealthRX

Compounded semaglutide at $133/month

Direct Meds vs Hims: FAQ

Hims. It starts at $199 a month; Direct Meds starts at $249 a month, $50 more per month.
Yes, both sell semaglutide and tirzepatide.
Direct Meds does not publish where it ships; Hims lists 50 states. Confirm your state before paying.
Both include the medication itself. Only Direct Meds includes the clinician visit and shipping.
Direct Meds has an open FDA warning letter from September 9, 2025. Hims has an open FDA warning letter from September 9, 2025.
Direct Meds pays us a commission on sign-ups through our links; Hims does not. Scores are computed the same way for both.

Or see the full category ranking.

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