Epiq Scripts
“TRUSTED PARTNERS US-registered compounding pharmacies Epiq Scripts Southend Pharmacy AbsoluteRX Emerald Compounding Striker Pharmacy”
Madison Meds Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.7/10
Best for: people who want all-inclusive, same-at-every-dose compounded GLP-1 pricing from a small family-owned seller
7.7
★★★★☆7.7/10
Madison Meds scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability. It charges from $149 a month; its compounded semaglutide, at $169, is 15% below the $199 median among the sellers we compare.
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$99first month
then $149/mo ongoing
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
See plans →See plans at Madison Meds →
Compare top-rated alternatives ↓Prices checked November 2026
Madison Meds is a family-owned Florida telehealth platform selling compounded semaglutide and tirzepatide, fixed low-dose microdose programs, and sermorelin, NAD+, glutathione and PT-141. Prices are all-inclusive and the same at every dose. Semaglutide is $99 the first month, then $169 a month; tirzepatide is $249 a month, or $199 a month on a 6-month bundle paid up front.
By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
GLP-1 from $149/moPrice shown up frontFlat across dosesIncludes medication + consultPharmacy namedNo FDA warning letters found
Is Madison Meds legit?
Yes. Madison Meds is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 7.7/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there a Madison Meds promo or coupon code?
Madison Meds publishes the code SAVENOW, which drops the first month to $99 before the rate settles at $149 a month. You enter it at checkout on Madison Meds' own site. Other codes for Madison Meds circulate on coupon sites, and we cannot vouch for those.
See how Madison Meds compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
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Get StartedRead full HumeCare+ review →Madison Meds at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $149/mo
- Pricing model
- Flat: the price stays the same as the dose goes up
- What's included
- Medication · Consult · Shipping
- FDA status
- No FDA warning letters found
How Madison Meds scores
Six columns, each one computed from something Madison Meds has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
6.2/10$169/month is 15% below the $199 median for compounded semaglutide across the sellers we compare. A cheaper microdose price is also listed; Value is scored on the standard dose.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
8.0/10It names the pharmacy that fills its prescriptions. It shows a price before asking for health information.
Accessibility10%
5.0/10No state list is available to check, so this is held at the midpoint rather than scored on reach.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
6weighted dimensions
734sellers compared
Everychecked against the seller's own site
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on Madison Meds
Last checked November 2026- Checked the listed price across 6 dose or plan tiers
- Checked what the monthly price covers, and what it leaves out
- Recorded which pharmacies the seller names as filling its prescriptions, with the page and date
- Checked FDA warning letters for Madison Meds
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with Madison Meds involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1Madison Meds shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2Madison Meds names 5 pharmacies that fill its prescriptions, including Epiq Scripts, which most sellers do not do.
- 3The monthly price includes the medication, clinician visits and shipping.
Price shown before you start
- Lowest ongoing monthly price: semaglutide $149, tirzepatide $199. That leaves out membership fees, first-month rates and insurance copays.
- Confirm that Madison Meds serves your state before you start.
- The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Contacting Madison Meds
- Phone
- 561-919-9722
- Madison Meds offers email support
- Hours
- Replies usually within 2 hours on weekdays and 6 hours on weekends
Cancelling Madison Meds
Taken from the terms Madison Meds publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None on monthly plans; optional 3 and 6 month bundles (the 6-month tirzepatide bundle is paid up front)
- Refund policy
- Refund Policy: prescription medications "are final sale and non-refundable once they have been: Prescribed by a licensed provider, Dispensed by a partner pharmacy, Shipped or delivered." If the provider declines to prescribe, "you will receive a full refund of any consultation or program fee you paid for that intake."
Medications Madison Meds lists
Madison Meds lists compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Peptides Madison Meds offers
Madison Meds sells peptides beyond the GLP-1s. Tap one to read what the evidence says about it.
Pricing
Prices re-verified
Month-to-month, same price at all dosesCompounded
$169$99/mo
Save 41% right nowsemaglutide
/semaglutide: "Starting from $99 your first month. Then $169/mo all doses | Cancel Anytime | 3-Month & 6-Month Bundles Available". Semaglutide bundle prices are not published.
Month-to-month, same price at all dosesCompounded
$249$179/mo
Save 28% right nowtirzepatide
/tirzepatide: "Monthly plan: $179 first month with code SAVENOW, then $249/month."
3-month bundle, $705 totalCompounded
$235/mo
tirzepatide
"3 months: $705 total ($235/month)".
6-month bundle, $1,194 paid up frontCompounded
$199/mo
tirzepatide
"As low as $199/month. With the 6-month bundle: $1,194 total paid upfront."
Microdose program: fixed 0.25 mg weekly, month-to-monthCompounded
$149$99/mo
Save 34% right nowsemaglutide
/semaglutide-microdose: "Step 1 only: 0.25 mg of compounded semaglutide once weekly"; "From $99 your first month, then $149 per month. All-inclusive".
Microdose program: fixed 2.5 mg weekly, month-to-monthCompounded
$199$149/mo
Save 25% right nowtirzepatide
/tirzepatide-microdose: "Starting from $149 your first month. Then $199/mo". One paragraph on the same page says "$199 your first month and $249 per month thereafter"; the hero, plan line and FAQ say $149 then $199.
Check the price yourself before you pay
Every figure here comes from Madison Meds's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
Madison Meds compounding-pharmacy partners
Madison Meds names each pharmacy below as one that compounds or fills its prescriptions, in its own site, terms or filings. The quote under each one is the seller’s own wording.
Southend Pharmacy
“TRUSTED PARTNERS US-registered compounding pharmacies Epiq Scripts Southend Pharmacy AbsoluteRX Emerald Compounding Striker Pharmacy”
AbsoluteRX
“TRUSTED PARTNERS US-registered compounding pharmacies Epiq Scripts Southend Pharmacy AbsoluteRX Emerald Compounding Striker Pharmacy”
Emerald Compounding
“TRUSTED PARTNERS US-registered compounding pharmacies Epiq Scripts Southend Pharmacy AbsoluteRX Emerald Compounding Striker Pharmacy”
Striker Pharmacy
“TRUSTED PARTNERS US-registered compounding pharmacies Epiq Scripts Southend Pharmacy AbsoluteRX Emerald Compounding Striker Pharmacy”
In its favor
- Semaglutide costs $169 a month, 15% below the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $249 a month, close to the $269 median for compounded tirzepatide across the sellers we compare
- 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
- Names 5 pharmacies that fill its prescriptions, which most sellers do not
- We found no FDA warning letters issued to Madison Meds
Against it
- Confirm it serves your state before you start the intake
- 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
What Madison Meds charges
The figure Madison Meds leads with is $99, and it is a first-month rate. From month two the price is $149/month, which is the number to plan around. There is nothing wrong with an introductory offer; it just is not the price of staying on the medication.
- Compounded semaglutide: $99 first month, then $169/month
- Compounded tirzepatide (monthly): $179 first month, then $249/month
- Compounded tirzepatide (3-month bundle): $235/month
- Compounded tirzepatide (6-month bundle): $199/month
- Compounded semaglutide (microdose): $99 first month, then $149/month
- Compounded tirzepatide (microdose, monthly): $149 first month, then $199/month
For compounded semaglutide, the median across the sellers we compare is $199/month, so Madison Meds' $169 is genuinely below the middle, not just advertised that way. Some of Madison Meds' plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one.
Found, at about $149/month + membership, is the closest like-for-like alternative we review.
What Madison Meds dispenses
Madison Meds prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two molecules with the largest published weight-loss trial programs behind them. What arrives is compounded at a licensed pharmacy, not an approved pen. That is the reason it costs less, and the reason the finished preparation carries no FDA review behind it. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder. Madison Meds also lists a microdose plan, and the published evidence on GLP-1 microdosing is letters and commentary rather than trials.
Safety and disclosure
Madison Meds tells you its price before you start the medical questionnaire and the pharmacy that fills its prescriptions. We found no FDA warning letters issued to Madison Meds. Because the medication is compounded, the named pharmacy is the detail that matters most: its license is the one you can look up. The FDA's warning signs for online medicine sellers are a quick check to run on any seller before you pay. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Madison Meds also sells NAD+, and a 2026 systematic review found no outcomes trials of injected NAD+ for anti-aging or wellness.
Who should look elsewhere
- You would be choosing on the advertised figure. The introductory month is real, but it is not what you will pay in month three.
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether Madison Meds bills your plan before you start.
It fits if
- the lowest standing monthly cost is what you are solving for
- you want the price to stop moving as your dose climbs
- you want a cheap way to find out whether the medication suits you before committing
Our read
Madison Meds is a cheap way to start and an ordinary way to continue. Use the $99 month for what it is good for, finding out whether the medication works for you, and re-run the numbers against $149/month before you let it renew twice.
The Bottom Line
Madison Meds scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability. It charges from $149 a month; its compounded semaglutide, at $169, is 15% below the $199 median among the sellers we compare.
Score: 7.7/10Best for: people who want all-inclusive, same-at-every-dose compounded GLP-1 pricing from a small family-owned sellerFrom: $149/mo
Before you pay Madison Meds
Starting at $149 a month. Check today's price, then start the intake.
Where Madison Meds is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider WellMedRx.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo + membership).
- If you want a human checking in, not just a prescription, consider Eden.
If none of these fits, our guide to alternatives to Madison Meds sets more sellers in the same category beside Madison Meds on price, states and what the price includes.
Frequently Asked Questions
Madison Meds is a family-owned Florida telehealth platform selling compounded semaglutide and tirzepatide, fixed low-dose microdose programs, and sermorelin, NAD+, glutathione and PT-141. Prices are all-inclusive and the same at every dose. Semaglutide is $99 the first month, then $169 a month; tirzepatide is $249 a month, or $199 a month on a 6-month bundle paid up front. We rate it 7.7/10 overall.
The standing rate at Madison Meds is $149 a month. The $99 figure is a first month, not what you pay from month two. Cost also moves with the medication and the dose, so read the row in the pricing table above that matches yours.
Ask Madison Meds whether it serves your state before you start the intake, and get the answer in writing.
Madison Meds lists compounded semaglutide and compounded tirzepatide.
Madison Meds lists compounded GLP-1s only. A licensed compounding pharmacy prepares them: same active ingredient as the brand drug, lower cash price, and no FDA approval of the finished product. That last part is the one readers underestimate, and the review above says why.
Check whether Madison Meds bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
Madison Meds says the price covers medication, the clinician visit and shipping. The strip near the top of this review shows what is included and what is not.
You fill in an online intake, a licensed clinician decides whether a GLP-1 is appropriate, and if the answer is yes the medication ships to you. New patients are currently quoted $99 for the first month. Madison Meds runs that whole sequence on its own site.
We found no FDA warning letters issued to Madison Meds. Before you buy, weigh these: Confirm it serves your state before you start the intake. 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. None of them rules Madison Meds out, but each is worth settling before you pay.
Other sellers we cover include Sesame Care, ShedRx, and Found. Which one fits depends on the medication, the monthly price you can sustain and whether it ships to your state, so compare those three facts before you switch.
How to check Madison Meds yourself
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this Madison Meds review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of November 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See Madison Meds's current pricing
Plans start at $99 a month. Whether you qualify is a clinician's decision, made after your intake.
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