GLP Watchdog

Direct Meds vs MEDGm

Direct Meds has an open FDA warning letter dated September 9, 2025. MEDGm has none. On compounded oral semaglutide, Direct Meds costs $1,440 less a year at standing rates: $249 a month against $369 a month at MEDGm. 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

Direct Meds / MEDGm

Direct Meds logo

Direct Meds

7.1/10

MEDGm logo

MEDGm

7.3/10

FDA warning letters
None on record
Pharmacy
None named in our record
  • RedRock Pharmacy503A
  • Health Warehousetype not stated
  • Precision Medicinetype not stated
  • and 1 more
Lowest standing price
$249/moCompounded oral semaglutide
$299/moCompounded semaglutide injection
States
48 states and DC
All 50 states and DC
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026
Visit Direct Meds
Visit MEDGm

Both Direct Meds and MEDGm are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Direct Meds 7.1, MEDGm 7.3). How we are paid

What the record shows

  1. 01

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

  2. 02

    MEDGm names four pharmacies. Direct Meds names no compounding pharmacy in our record.

  3. 03

    On compounded oral semaglutide, Direct Meds costs $1,440 less a year at standing rates: $249 a month against $369 a month at MEDGm. It is one of two products the two sell at comparable terms.

  4. 04

    Only Direct Meds lists a price for compounded oral tirzepatide.

  5. 05

    MEDGm covers two states Direct Meds does not.

  6. 06

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

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.

Direct Meds

MEDGm

Compounded semaglutide injection

$297/moLower

$3,564 a year

$299/mo

$3,588 a year

Compounded tirzepatide injection

$399/mo

$4,788 a year

$399/mo

$4,788 a year

Compounded oral semaglutide

$249/moLower

$2,988 a year

$369/mo

$4,428 a year

Compounded oral tirzepatide

$299/mo

$3,588 a year

Not sold or not priced
Price includes
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Cancel any time
No
Yes, stated
Minimum term
90-day supply shipped at once, remaining months billed every 30 days
Monthly, or a 3, 6 or 12-month plan billed in full upfront; cancel at least 72 hours before the renewal date
Refunds
No refunds for medication already received; $35 disposal fee on returns
Program fees are non-refundable, except after a medical disqualification or a cancellation within 72 hours before any service

Read off each seller’s own pages. Direct Meds: October 17, 2026. MEDGm: October 25, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Direct Meds

7.1/10
  • $24 a year less on compounded semaglutide injection
  • $1,440 a year less on compounded oral semaglutide
  • Sells compounded oral tirzepatide, which MEDGm does not price
  • Open FDA warning letter, September 9, 2025
  • Names no compounding pharmacy
  • Minimum commitment before you can cancel
Visit Direct Meds

The case for MEDGm

7.3/10
  • No FDA warning letter on record
  • Names its compounding pharmacy
  • States you can cancel at any time
Visit MEDGm

Scores

Direct Meds 7.1 · MEDGm 7.3 out of 10. Six weighted parts.

Value25%

4.2A
vs
B
2.2

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

4.5A
vs
B
9.0

Accessibility10%

9.7A
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

Direct Meds vs MEDGm: questions

Direct Meds has an open FDA warning letter dated September 9, 2025. MEDGm has none. Letters are matched to a seller by company, domain and address, never by a similar name.
MEDGm names four pharmacies. Direct Meds names no compounding pharmacy in our record. A 503A pharmacy compounds for named patients on a prescription; a 503B outsourcing facility is registered with FDA and inspected under federal manufacturing rules.
Direct Meds, by $24 a year at standing rates. Direct Meds: $297 a month, about $3,564 a year. MEDGm: $299 a month, about $3,588 a year.
Direct Meds has a minimum term (90-day supply shipped at once, remaining months billed every 30 days). MEDGm states you can cancel at any time; refunds: program fees are non-refundable, except after a medical disqualification or a cancellation within 72 hours before any service.
Both Direct Meds and MEDGm are affiliate partners: we are paid if you sign up through our links. Neither is featured. Scores are computed the same way for both (Direct Meds 7.1, MEDGm 7.3).

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