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MDExam vs Tru2u

MDExam and Tru2u both sell semaglutide and tirzepatide; 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
MDExam logo

MDExam

6.0
★★★☆☆3/5

Best for: coaching bundled into the price rather than sold separately

Visit MDExam →
VS

Tru2u

6.8
★★★☆☆3.4/5

Best for: an oral route if you will not self-inject

Visit Tru2u →

If you are choosing between MDExam and Tru2u, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Tru2u leads our six-part score, 6.8 to 6.0.

MDExam vs Tru2u price

MDExam and Tru2u start at the same figure, $225 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.

Drug by drug: Semaglutide costs the same at both, $225 a month; tirzepatide is cheaper at MDExam ($258 a month vs $345 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

Neither MDExam nor Tru2u publishes the states it serves, so enter your state at the very start of each sign-up.

Pricing

MDExam

Program price (telehealth + coaching + medication)Compounded
$225/mo
semaglutide
Program price (telehealth + coaching + medication)Compounded
$258/mo
tirzepatide

Tru2u

All doses (flat)Compounded
$225/mo
semaglutide

Injectable, monthly subscription

All doses (flat)Compounded
$345/mo
tirzepatide

Injectable, monthly subscription

Oral tabletsCompounded
$225/mo
semaglutide

Compounded oral semaglutide tablets

Oral tabletsCompounded
$345/mo
tirzepatide

Compounded oral tirzepatide tablets

What each price covers

Both prices cover the clinician visit and the medication itself.

MDExam's price also covers coaching, which Tru2u does not claim.

Tru2u's price also covers shipping, which MDExam does not claim.

MDExam is silent on shipping and lab work.

Tru2u is silent on lab work and coaching.

MDExam

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

Not stated

Lab work

Not stated

Coaching

In the price

Tru2u

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, Tru2u scores 6.8 and MDExam 6.0 out of 10.

MDExam is stronger on value (4.8 vs 3.6).

Tru2u is stronger on user experience (8.0 vs 3.0) and trust & safety (6.5 vs 4.0).

Effectiveness, accessibility and support are within half a point.

How we score

MDExam

6.0/10

Overall

Tru2u

6.8/10

Value25%

4.8A
vs
B
3.6

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

3.0A
vs
B
8.0

Trust & Safety15%

4.0A
vs
B
6.5

Accessibility10%

5.0A
vs
B
5.0

Support10%

7.0A
vs
B
7.0

FDA warning letters

Neither MDExam nor Tru2u has an FDA warning letter on record with us.

Features & Coverage

FeatureMDExamTru2u
Starting Price$225/mo$225/mo
Features2 features✓5 features
States AvailableNot disclosedNot disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted——
FDA Warning LettersNoneNone

About MDExam

MDExam is a telehealth seller offering GLP-1 medications alongside other prescription services.

Read our full MDExam review →

About Tru2u

Prices are shown before you buy, on a subscription billed monthly with shipping included. The weight-loss shelf holds compounded tablets of tirzepatide and semaglutide taken orally, injectable versions of both, and a GLP Squared combination shot, sitting beside supplement, skincare and hair lines. A consult with a licensed clinician has to happen before anything is prescribed, and an unaffiliated third-party pharmacy takes the order. Only US residents are served.

Read our full Tru2u review →

Pros & Cons

MDExam

What we like

  • Tirzepatide costs $258 a month, close to the $250 median for compounded tirzepatide across the sellers we compare
  • The monthly price includes the medication, clinician visits and coaching
  • We found no FDA warning letters issued to MDExam

Watch-outs

  • Semaglutide costs $225 a month, 22% above the $185 median for compounded semaglutide across the sellers we compare
  • You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
  • 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 and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

Tru2u

What we like

  • Shows its price before the medical questionnaire, so you can compare it without handing over health information
  • The monthly price stays the same as your dose goes up
  • The monthly price includes the medication, clinician visits and shipping
  • We found no FDA warning letters issued to Tru2u

Watch-outs

  • Semaglutide costs $225 a month, 22% above the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $345 a month, 38% 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
  • 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

Our Verdict

Winner: Tru2u

Tru2u wins this one, 6.8 to 6.0, above all for an oral route if you will not self-inject. MDExam fits better if coaching bundled into the price rather than sold separately is your priority.

Choose MDExam if…

You want coaching bundled into the price rather than sold separately and an opening price near $225 a month.

Choose Tru2u if…

You want an oral route if you will not self-inject and an opening price near $225 a month.

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

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6.1

DudeMeds

Compounded semaglutide at $175/month

MDExam vs Tru2u: FAQ

Neither on the entry price: MDExam and Tru2u both start at about $225 a month. The difference is in what the price includes.
Yes, both sell semaglutide and tirzepatide.
MDExam does not publish where it ships; Tru2u does not publish where it ships. Confirm your state before paying.
Both include the clinician visit and the medication itself. Only MDExam includes coaching. Only Tru2u includes shipping.
MDExam has none. Tru2u has none.
No. Neither MDExam nor Tru2u pays us anything.

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