XMD Wellness logo

XMD Wellness Review

Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.8/10

Best for: people who want flat compounded GLP-1 pricing with labs and visits included and a prepay discount

7.8
★★★★☆7.8/10

XMD Wellness scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price. It charges from $179 a month, paid up front; its compounded semaglutide, at $249, is 25% above the $199 median among the sellers we compare.

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$179/mo

charged as a multi-month plan up front

Same price at every dose

Covered by the monthly price

Medication

In the price

Clinician visits

In the price

Shipping

In the price

Lab work

In the price

Coaching

Not stated

See plans →

Prices checked November 2026

Compare top-rated alternatives ↓

XMD Wellness is the telehealth arm of Xyngular, a Utah direct-selling supplement company, with care from OpenLoop clinicians in all 50 states. It sells compounded semaglutide and tirzepatide at one price for every dose, plus microdosing, NAD+, sermorelin and glutathione. Semaglutide is $249 and tirzepatide $339 every 4 weeks, or from $179 and $269 per shipment on a 48-week plan paid up front, with medication, visits, labs and shipping included.

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
Price shown up frontFlat across dosesIncludes medication + consultAll 50 statesPharmacy namedNo FDA warning letters found

Is XMD Wellness legit?

Yes. XMD Wellness is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 7.8/10 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 XMD Wellness promo or coupon code?

We know of no promo or coupon code for XMD Wellness. Its listed price is $179 a month. Coupon sites advertising "XMD Wellness discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.

See how XMD Wellness compares on our rankings of the best semaglutide providers and the best tirzepatide providers.

Vetted alternatives to XMD Wellness

9.3/ 10
Verified partner

Embody

Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies

★★★★★9.3/10

Editorial score · methodology

$79/mo
CompoundedSemaglutideTirzepatideGlutathioneNAD+
Get StartedRead full Embody review →
8.7/ 10
Verified partner

Eden

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

★★★★☆8.7/10

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideGHK-CuGlutathione
Get StartedRead full Eden review →
6.6/ 10
Verified partner

HumeCare+

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

★★★☆☆6.6/10

Editorial score · methodology

$199/mo
CompoundedSemaglutideTirzepatide
Get StartedRead full HumeCare+ review →
XMD Wellness logo
7.8 / 10
Our editorial rating
Visit XMD Wellness →

from $179/mo · no insurance needed

XMD Wellness at a glance

Type
GLP-1 telehealth provider
Medications
Semaglutide, Tirzepatide
Starting price
$179/mo
Pricing model
Flat: the price stays the same as the dose goes up
What's included
Medication · Consult · Shipping · Labs
Availability
All 50 states
FDA status
No FDA warning letters found

How XMD Wellness scores

Six columns, each one computed from something XMD Wellness 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%

3.4/10

$249/month is 25% above the $199 median for compounded semaglutide across the sellers we compare. A cheaper plan paid several months up front is also listed. A cheaper microdose price is also listed; Value is scored on the standard dose.

Effectiveness25%

10.0/10

Dispenses semaglutide and tirzepatide, including the FDA-approved product. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).

User Experience15%

8.0/10

A price is shown before the questionnaire starts.

Trust & Safety15%

9.0/10

It names the pharmacy that fills its prescriptions. It shows a price before asking for health information. It lists the states it serves.

Accessibility10%

10.0/10

Serves all 50 states.

Support10%

8.5/10

The price covers the medication, clinician visits, shipping and lab work.

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 XMD Wellness

Last checked November 2026
  • Checked the listed price across 12 dose or plan tiers
  • Checked state coverage: all 50
  • 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 XMD Wellness

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 XMD Wellness 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.

  1. 1XMD Wellness 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.
  2. 2XMD Wellness names 4 pharmacies that fill its prescriptions, including Red Rock Pharmacy, which most sellers do not do.
  3. 3The monthly price includes the medication, clinician visits, shipping and lab work.
Price shown before you start
  • Lowest ongoing monthly price: semaglutide $179, tirzepatide $199. That leaves out membership fees, first-month rates and insurance copays.
  • XMD Wellness 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.

Contacting XMD Wellness

Email
XMD Wellness offers email support
Hours
7 days a week, 6 AM to 10 PM MT, plus after-hours support

Cancelling XMD Wellness

Taken from the terms XMD Wellness publishes. Terms change, so check the current policy before you subscribe.

Cancel any time
Yes
Minimum commitment
None on the every-4-weeks plan; 12-, 24- and 48-week plans are one-time payments up front
Refund policy
Refund policy (Version 11.2025): "Once you submit your intake form or refill request, your order is considered final and is not eligible for a refund. Refunds will only be issued if a licensed medical provider determines that you are not eligible for treatment". Multi-month refunds, if approved, are prorated.
Early-termination fee
None

Medications XMD Wellness lists

XMD Wellness lists Ozempic, Zepbound, 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 XMD Wellness offers

XMD Wellness sells peptides beyond the GLP-1s. Tap one to read what the evidence says about it.

Pricing

Prices re-verified

Weekly injection, billed every 4 weeks, same price at every doseCompounded
$249/mo
semaglutide

Pricing page: "$249 billed every 4 weeks"; "One simple price. No matter your dose."

12-week plan, $657 paid up front (one shipment every four weeks)Compounded
$219/mo
semaglutide

"$219 / shipment, 12 weeks, 3 shipments, One-time payment: $657".

24-week plan, $1,194 paid up front (one shipment every four weeks)Compounded
$199/mo
semaglutide

"$199 / shipment, 24 weeks, 6 shipments, One-time payment: $1,194".

48-week plan, $2,148 paid up front (one shipment every four weeks)Compounded
$179/mo
semaglutide

"$179 / shipment, 48 weeks, 12 shipments, One-time payment: $2,148, Save $840 vs billed every 4 weeks".

Weekly injection, billed every 4 weeks, same price at every doseCompounded
$339/mo
tirzepatide

"$339 billed every 4 weeks".

12-week plan, $927 paid up front (one shipment every four weeks)Compounded
$309/mo
tirzepatide

"$309 / shipment, 12 weeks, 3 shipments, One-time payment: $927".

24-week plan, $1,734 paid up front (one shipment every four weeks)Compounded
$289/mo
tirzepatide

"$289 / shipment, 24 weeks, 6 shipments, One-time payment: $1,734".

48-week plan, $3,228 paid up front (one shipment every four weeks)Compounded
$269/mo
tirzepatide

"$269 / shipment, 48 weeks, 12 shipments, One-time payment: $3,228".

Microdosing program (below weight-loss doses), billed every 4 weeksCompounded
$199/mo
semaglutide

/microdosing: "Microdose GLP-1 $199 / 4 weeks". The site says microdosing "isn't designed for weight loss outcomes".

Microdosing program (below weight-loss doses), billed every 4 weeksCompounded
$199/mo
tirzepatide

/microdosing: "Microdose GLP-1 / GIP $199 / 4 weeks".

Ozempic, per 4-week fillBrand-name
$1,299/mo
semaglutide

Pricing page: "Ozempic Branded - Per 4-week fill $1,299 / shipment".

Zepbound, per 4-week fillBrand-name
$1,399/mo
tirzepatide

Pricing page: "Zepbound Branded - Per 4-week fill $1,399 / shipment".

Check the price yourself before you pay

Every figure here comes from XMD Wellness'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.

See XMD Wellness pricing →

XMD Wellness compounding-pharmacy partners

XMD Wellness 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.

Red Rock Pharmacy

“Partner Pharmacies - RedRock Pharmacy - [website]/ - 1240 E 100 S #220, St. George, UT 84790 - 801-433-9500”

Health Warehouse

“Health Warehouse - [website] - 7107 Industrial Rd. Florence, KY 41042 - 800-748-7001”

Precision Medicine

“Precision Medicine - [website] - 2657 Merrick Road Bellmore, NY 11710 - 516-833-6262”

Triad Rx

“Triad Rx - [website] - 26258 Pollard Road, Daphne, AL 36526 - 251-380-7630”

Compare every compounding pharmacy we’ve reviewed →

In its favor

  • 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, shipping and lab work
  • Serves all 50 states
  • Names 4 pharmacies that fill its prescriptions, which most sellers do not
  • We found no FDA warning letters issued to XMD Wellness

Against it

  • Semaglutide costs $249 a month, 25% above the $199 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $339 a month, 26% above the $269 median for compounded tirzepatide across the sellers we compare
  • Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality

What XMD Wellness charges

XMD Wellness lists $179/month, flat regardless of dose. Flat dose pricing matters more than it sounds: on a tiered plan the bill grows with the dose, so the figure that got you to sign up is not the one you end up paying.

  • Compounded semaglutide (injection, 4-week): $249/month
  • Compounded semaglutide (12-week plan): $219/month
  • Compounded semaglutide (24-week plan): $199/month
  • Compounded semaglutide (48-week plan): $179/month
  • Compounded tirzepatide (injection, 4-week): $339/month
  • Compounded tirzepatide (12-week plan): $309/month

For compounded semaglutide, the median across the sellers we compare is $199/month, so XMD Wellness' $249 is a premium, and a premium has to buy something. Check what is bundled before you accept it. Some of XMD Wellness' plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one.

DudeMeds dispenses semaglutide and tirzepatide from $175/month, which makes it the fair comparison to run before you commit here.

What XMD Wellness dispenses

XMD Wellness prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the pair carrying the strongest published outcome data. You can take the approved brand pen or the cheaper compounded preparation. What separates them is review: the approved product went through it, the compounded one did not, and that is the whole of the trade. The molecule can be the one in Ozempic and Wegovy; what differs is the formulation, the concentration and the dose ladder. XMD Wellness also lists a microdose plan, and the published evidence on GLP-1 microdosing is letters and commentary rather than trials.

Safety and disclosure

XMD Wellness tells you its price before you start the medical questionnaire, that it treats patients in all 50 states, and the pharmacy that fills its prescriptions. We found no FDA warning letters issued to XMD Wellness. 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.

XMD Wellness 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 care most about the twelve-month total, not the first bill. A flat-rate seller such as Collective will usually win that math.
  • You need insurance to cover the cost. Check whether XMD Wellness bills your plan before you start.

It fits if

  • you want the price to stop moving as your dose climbs
  • you need access wherever you live

Our read

XMD Wellness costs more than the middle of this market. If the extras it charges for are ones you would actually use, that is a defensible trade. If not, the same molecule is available for less. Bodybuilding Health+ is the nearest comparison we review, and worth reading alongside this.

The Bottom Line

XMD Wellness scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on price. It charges from $179 a month, paid up front; its compounded semaglutide, at $249, is 25% above the $199 median among the sellers we compare.

Score: 7.8/10Best for: people who want flat compounded GLP-1 pricing with labs and visits included and a prepay discountFrom: $179/mo

Before you pay XMD Wellness

Starting at $179 a month. Check today's price, then start the intake.

Where XMD Wellness 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 the standing monthly cost is what decides it, consider WellMedRx (from $49/mo).
  • If you want a human checking in, not just a prescription, consider Eden.

If none of these fits, our guide to alternatives to XMD Wellness sets more sellers in the same category beside XMD Wellness on price, states and what the price includes.

Frequently Asked Questions

XMD Wellness is the telehealth arm of Xyngular, a Utah direct-selling supplement company, with care from OpenLoop clinicians in all 50 states. It sells compounded semaglutide and tirzepatide at one price for every dose, plus microdosing, NAD+, sermorelin and glutathione. Semaglutide is $249 and tirzepatide $339 every 4 weeks, or from $179 and $269 per shipment on a 48-week plan paid up front, with medication, visits, labs and shipping included. We rate it 7.8/10 overall.
XMD Wellness starts at $179 a month. That number holds across doses, so titrating up does not move the bill. The pricing table above lists every tier.
XMD Wellness says it treats patients in all 50 states.
XMD Wellness lists Ozempic, Zepbound, compounded semaglutide and compounded tirzepatide. It lists both FDA-approved brand-name products and cheaper compounded versions.
XMD Wellness lists both. Compounded semaglutide and tirzepatide come out of a licensed compounding pharmacy and cost less. The brand pens are the FDA-approved reference products and cost more. What you give up on each path is set out in the review above.
Check whether XMD Wellness bills your insurance before you sign up. Compounded GLP-1s are rarely covered by insurance, so plan on paying the listed cash price.
XMD Wellness says the price covers medication, the clinician visit, shipping and lab work. 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. XMD Wellness runs that whole sequence on its own site.
We found no FDA warning letters issued to XMD Wellness. Before you buy, weigh these: Semaglutide costs $249 a month, 25% above the $199 median for compounded semaglutide across the sellers we compare. Tirzepatide costs $339 a month, 26% above the $269 median for compounded tirzepatide across the sellers we compare. Its compounded semaglutide and tirzepatide are not FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality. None of them rules XMD Wellness out, but each is worth settling before you pay.
Other sellers we cover include Gala, Luvo Health, and Bodybuilding Health+. 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 XMD Wellness yourself

Every seller that ships to your state, side by side: Delaware, Florida, Nebraska, New Hampshire, North Dakota, Ohio, South Dakota, Vermont and every other state.

Glossary

The words sellers use, defined. Tap any term.

Sources

Cited across this XMD Wellness review: primary regulatory filings, and peer-reviewed studies.

Sources & methodology — as of November 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
  5. 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  6. 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. 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  8. 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  9. 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  10. 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  11. 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
  12. 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.

See XMD Wellness's current pricing

Plans start at $179 a month. Whether you qualify is a clinician's decision, made after your intake.