Direct Meds vs Midi Health

Direct Meds has an open FDA warning letter dated September 9, 2025. Midi Health has none. Midi Health lists its visit fee, and the medication is billed separately, so it has no all-in monthly price to set against another seller's. Direct Meds starts at $249 a month for compounded oral semaglutide.

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 / Midi Health

Featured pick (affiliate partner)

Direct Meds logo

Direct Meds

7.1/10

Midi Health logo

Midi Health

4.9/10

FDA warning letters
None on record
Pharmacy
None named in our record
  • Precision Compounding Pharmacytype not stated
Lowest standing price
$249/moCompounded oral semaglutide
No GLP-1 price published
States
48 states and DC
All 50 states
Checked
Prices captured Record checked October 2026
Prices captured Record checked September 2026

Direct Meds is our featured pick on this page because it is an affiliate partner: we are paid if you sign up through our link. Midi Health pays us nothing. The scores are computed the same way for both and are shown as computed (Direct Meds 7.1, Midi Health 4.9). How we are paid

What the record shows

  1. 01

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

  2. 02

    Midi Health names Precision Compounding Pharmacy. Direct Meds names no compounding pharmacy in our record.

  3. 03

    Midi Health lists its visit fee, and the medication is billed separately, so it has no all-in monthly price to set against another seller's. Direct Meds starts at $249 a month for compounded oral semaglutide.

  4. 04

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

  5. 05

    Midi Health 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; Midi Health does not state its cancellation terms.

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

Midi Health

Compounded semaglutide injection

$297/mo

$3,564 a year

Not sold or not priced
Compounded tirzepatide injection

$399/mo

$4,788 a year

Not sold or not priced
Compounded oral semaglutide

$249/mo

$2,988 a year

Not sold or not priced
Compounded oral tirzepatide

$299/mo

$3,588 a year

Not sold or not priced
Price includes
Medication, clinician visits, shipping
Not stated
Cancel any time
No
Not stated
Minimum term
90-day supply shipped at once, remaining months billed every 30 days
Not stated
Refunds
No refunds for medication already received; $35 disposal fee on returns
Payments are non-refundable; an order may be canceled before shipment at Midi's discretion

Read off each seller’s own pages. Direct Meds: October 17, 2026. Midi Health: September 28, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Direct Meds

7.1/10
Featured pick (affiliate partner)
  • Sells compounded semaglutide injection and compounded tirzepatide injection, which Midi Health does not price
  • Open FDA warning letter, September 9, 2025
  • Names no compounding pharmacy
  • Minimum commitment before you can cancel

The case for Midi Health

4.9/10
  • No FDA warning letter on record
  • Names its compounding pharmacy
  • Publishes no GLP-1 price

Scores

Direct Meds 7.1 · Midi Health 4.9 out of 10. Six weighted parts.

Value25%

4.2A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
5.0

User Experience15%

8.0A
vs
B
2.5

Trust & Safety15%

4.5A
vs
B
6.5

Accessibility10%

9.7A
vs
B
10.0

Support10%

7.0A
vs
B
5.0

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

Direct Meds vs Midi Health: questions

Direct Meds has an open FDA warning letter dated September 9, 2025. Midi Health has none. Letters are matched to a seller by company, domain and address, never by a similar name.
Midi Health names Precision Compounding Pharmacy. Direct Meds names no compounding pharmacy in our record.
Direct Meds has a minimum term (90-day supply shipped at once, remaining months billed every 30 days). Midi Health does not state its cancellation terms.
Direct Meds is our featured pick on this page because it is an affiliate partner: we are paid if you sign up through our link. Midi Health pays us nothing. The scores are computed the same way for both and are shown as computed (Direct Meds 7.1, Midi Health 4.9).

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