MDExam Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 6.7/10
Best for: coaching bundled into the price rather than sold separately
MDExam falls below our bar on disclosure. It charges from $225 a month; its compounded tirzepatide, at $258, is 4% below the $269 median among the sellers we compare.
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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
Prices checked August 2026
MD Exam, a Miami telehealth company, sells a monthly auto-ship weight-loss program it prices from $225 a month, covering text-based provider visits, nutrition and exercise coaching, and medication. Its FAQ names semaglutide; patient stories also mention tirzepatide, and it advertises an injection-free option. The consultation costs $50, refunded if you are not approved. It says it treats patients in all 50 states.
Is MDExam legit?
Yes. MDExam is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 6.7/10 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 MDExam promo or coupon code?
We know of no promo or coupon code for MDExam. Its listed price is $225 a month. Coupon sites advertising "MDExam discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how MDExam compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to MDExam
Collective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
Editorial score · methodology
Embody
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
Editorial score · methodology
Luvo Health
Best for: moving between compounded and brand without changing seller
Editorial score · methodology
MDExam at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $225/mo
- What's included
- Medication · Consult · Coaching
- Availability
- All 50 states
- FDA status
- No FDA warning letters found
How MDExam scores
Six columns, each one computed from something MDExam 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%
5.3/10$258/month is 4% below the $269 median for compounded tirzepatide across the sellers we compare.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
3.0/10No price appears until the medical intake is finished.
Trust & Safety15%
5.0/10No pharmacy is named for its prescriptions. Its price appears only after the medical intake. It lists the states it serves.
Accessibility10%
10.0/10Serves all 50 states.
Support10%
7.0/10The price covers the medication, clinician visits and coaching.
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 MDExam
Last checked October 2026- Checked the listed price across 2 dose or plan tiers
- Checked state coverage: all 50
- Checked what the monthly price covers, and what it leaves out
- Checked FDA warning letters for MDExam
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 MDExam 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.
- 1MDExam shows a price only after you finish its medical questionnaire, so you cannot compare costs until you have shared health information.
- 2Ask MDExam which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 3The monthly price includes the medication, clinician visits and coaching.
- Lowest ongoing monthly price: semaglutide $225, tirzepatide $258. That leaves out membership fees, first-month rates and insurance copays.
- MDExam serves all 50 states.
- 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.
Cancelling MDExam
Taken from the terms MDExam publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None; recurring monthly charge until canceled
- Refund policy
- Full refund before medical review or if you do not qualify; none once a prescription is sent to a pharmacy.
- Early-termination fee
- None
Medications MDExam lists
MDExam 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.
Pricing
Prices re-verified
FAQ: "priced as low as $225 per month", all-inclusive; recurring monthly auto-ship. $50 consultation fee, refunded if not approved.
Not shown on the site's public pages; carried from an earlier check.
Check the price yourself before you pay
Every figure here comes from MDExam'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.
In its favor
- Semaglutide costs $225 a month, close to the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $258 a month, 4% below the $269 median for compounded tirzepatide across the sellers we compare
- The monthly price includes the medication, clinician visits and coaching
- Serves all 50 states
- We found no FDA warning letters issued to MDExam
Against it
- 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 and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
What MDExam charges
The standing price at MDExam is $225/month.
- Compounded semaglutide: $225/month
- Compounded tirzepatide: $258/month
For compounded tirzepatide, the median across the sellers we compare is $269/month, so MDExam's $258 lands mid-market. Price is unlikely to be the deciding factor. Before you pay, compare MDExam's cancellation terms with other sellers' cancellation and refund policies.
Belle Health dispenses semaglutide and tirzepatide from $199/month, which makes it the fair comparison to run before you commit here.
What MDExam dispenses
MDExam 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. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy.
Safety and disclosure
MDExam tells you that it treats patients in all 50 states. It also offers clinician messaging between visits and coaching as part of the plan. We found no FDA warning letters issued to MDExam. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If MDExam will not tell you, treat that as a warning sign. Once you have the pharmacy's name, 503A vs 503B explains which regulator oversees it and how to check. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether MDExam bills your plan before you start.
It fits if
- you want coaching bundled in rather than billed on top
- you need access wherever you live
- reaching a clinician between visits matters to you
Our read
MDExam lands mid-market on price. The catch is disclosure, which is why MDExam scores low on Trust & Safety: settle the pharmacy and pricing questions above before the price decides for you. Wellorithm is the nearest comparison we review, and worth reading alongside this.
The Bottom Line
MDExam falls below our bar on disclosure. It charges from $225 a month; its compounded tirzepatide, at $258, is 4% below the $269 median among the sellers we compare.
Before you pay MDExam
Starting at $225 a month. Check today's price, then start the intake.
Where MDExam is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these two 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 none of these fits, our guide to alternatives to MDExam sets more sellers in the same category beside MDExam on price, states and what the price includes.
Frequently Asked Questions
How to check MDExam yourself
- Buying Tirzepatide as a Research Chemical: What "Research Use Only" Really Means
- How to Read a Peptide Certificate of Analysis (and What It Cannot Prove)
- Is Ozempic Available Over the Counter? No GLP-1 Is, and What Is Sold Instead
Every seller that ships to your state, side by side: Georgia, Idaho, Indiana, Kentucky, Oklahoma, Tennessee, Virginia, Wyoming and every other state.
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 MDExam review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 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 MDExam's current pricing
Plans start at $225 a month. Whether you qualify is a clinician's decision, made after your intake.