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ElixaMD vs eMI Aesthetics

ElixaMD and eMI Aesthetics both sell semaglutide; this is how their prices, coverage and records differ.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
ElixaMD logo

ElixaMD

6.3
★★★☆☆3.2/5

Best for: seeing what it charges before you answer any medical questions

Visit ElixaMD →
VS

eMI Aesthetics

6.3
★★★☆☆3.2/5

Best for: coverage in all 50 states, which most sellers will not confirm

Visit eMI Aesthetics →

If you are choosing between ElixaMD and eMI Aesthetics, price alone will not settle it. Both prescribe semaglutide, so moving from one to the other would not change your drug. They tie at 6.3 on our six-part score.

ElixaMD vs eMI Aesthetics price

ElixaMD only publishes an introductory price, $179 for the first month, and does not say what month two costs. eMI Aesthetics lists $179 a month. Until ElixaMD posts a standing rate, the two numbers are not a like-for-like comparison.

Drug by drug: Semaglutide costs the same at both, $179 for the first month.

Medications and formats

Both sell semaglutide.

On format they match: each offers compounded injections.

Where each one treats patients

ElixaMD does not publish where it ships, and eMI Aesthetics lists 51 states.

Pricing

ElixaMD

First month (intro)Compounded
$179/mo
semaglutide

'$179 first month' intro/sale, no contract; ongoing/higher-dose tiers ~$249-$299; HSA/FSA eligible

eMI Aesthetics

All doses (flat)Compounded
$179/mo
semaglutide

Advertised starting rate ('start as low as 179/month'); actual price varies by drug and plan length

What each price covers

Both prices cover the clinician visit, the medication itself and shipping.

ElixaMD is silent on lab work and coaching.

eMI Aesthetics is silent on lab work and coaching.

ElixaMD

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

eMI Aesthetics

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

Where each one scores higher

Overall they tie at 6.3 out of 10.

ElixaMD is stronger on user experience (8.0 vs 3.0) and trust & safety (6.5 vs 5.0).

eMI Aesthetics is stronger on value (5.2 vs 3.0) and accessibility (10.0 vs 5.0).

Effectiveness and support are within half a point.

How we score

ElixaMD

6.3/10

Overall

eMI Aesthetics

6.3/10

Value25%

3.0A
vs
B
5.2

Effectiveness25%

8.5A
vs
B
8.5

User Experience15%

8.0A
vs
B
3.0

Trust & Safety15%

6.5A
vs
B
5.0

Accessibility10%

5.0A
vs
B
10.0

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither ElixaMD nor eMI Aesthetics has an FDA warning letter on record with us.

Features & Coverage

FeatureElixaMDeMI Aesthetics
Starting Price$179 first month$179/mo
Features✓8 features6 features
States AvailableNot disclosed51
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted✓ Yes—
FDA Warning LettersNoneNone

About ElixaMD

The $179 first-month figure for compounded semaglutide injections is an intro rate. No membership, no contract and no insurance are involved, and delivery costs nothing. Everything else folds in: a patient portal, 24/7 support, care coaching, dietician visits at no charge and 1:1 physician guidance. HSA/FSA money qualifies. ElixaMD does something rare and names its compounders, RedRock and Beaker, alongside a full legal suite, and it discloses that compounded drugs are not FDA-approved. Semaglutide is the only molecule advertised, and no verifiable LegitScript seal is displayed.

Read our full ElixaMD review →

About eMI Aesthetics

Programs come in 4, 12, 24 and 52-week lengths, priced as low as 179 dollars per month; full per-drug pricing stays hidden until after intake. Eligible patients in all 50 states can buy the GLP-1 line: compounded tirzepatide injection, compounded semaglutide injection or an oral semaglutide option, along with lower micro-dose longevity plans. OpenLoop Health, an established telehealth network, handles intake and clinician visits. eMI Aesthetics publishes no fill pharmacy and no medical director.

Read our full eMI Aesthetics review →

Pros & Cons

ElixaMD

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
  • We found no FDA warning letters issued to ElixaMD

Watch-outs

  • 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
  • Its semaglutide is compounded rather than FDA-approved, so it has not been reviewed by the agency for safety, effectiveness or manufacturing quality

eMI Aesthetics

What we like

  • Semaglutide costs $179 a month, close to the $185 median for compounded semaglutide across the sellers we compare
  • The monthly price includes the medication, clinician visits and shipping
  • Serves all 50 states
  • We found no FDA warning letters issued to eMI Aesthetics

Watch-outs

  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • Ask which pharmacy fills the prescription before you pay, so you can check its license
  • 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

ElixaMD and eMI Aesthetics finish level at 6.3. Choose on the state list and on what each monthly price covers.

Choose ElixaMD if…

You want seeing what it charges before you answer any medical questions.

Choose eMI Aesthetics if…

You want coverage in all 50 states, which most sellers will not confirm and an opening price near $179 a month.

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9.0

bmiMD

Starting below a standard dose, with microdose tiers

6.7

Eden

Coverage in all 50 states, which most sellers will not confirm

8.3

SnagRx

Semaglutide at $99/month, 48% below the typical price

ElixaMD vs eMI Aesthetics: FAQ

We cannot say for certain. ElixaMD shows $179 for the first month but no ongoing rate; eMI Aesthetics charges $179 a month.
Yes, both sell semaglutide.
ElixaMD does not publish where it ships; eMI Aesthetics lists 51 states. Confirm your state before paying.
Both include the clinician visit, the medication itself and shipping.
ElixaMD has none. eMI Aesthetics has none.
No. Neither ElixaMD nor eMI Aesthetics pays us anything.

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