MEDVi vs MyStart Health: Price, Yearly Cost & Cancellation
The short version
On the most flexible semaglutide plans, MEDVi costs $120 less over a year ($3,468 vs $3,588). MEDVi charges no membership fee; MyStart Health charges no membership fee. Prices verified October 16, 2026.
Side by side
| MEDVi | MyStart Health | |
|---|---|---|
| Semaglutide, most flexible plan | $299/mo (first month $179) | $299/mo |
| Semaglutide, lowest rate | $299/mo (monthly, no contract) | $299/mo (monthly (4-week supply) or 3-month (12-week supply) plan) |
| Semaglutide, first year | $3,468 | $3,588 |
| Membership fee | None | None |
| Higher doses | Not stated beyond refills being 'locked in' at $299 for semaglutide. | None per FAQ price-lock ('will never increase from your base plan amount, EVEN if your dosage increases'); first-time discount excluded. |
| Consultation | Online intake screened against OpenLoop Health criteria, then an OpenLoop clinician meets with the patient after checkout; refund FAQ mentions live and electronic consultations. | Online intake quiz reviewed by a licensed clinician; video consult or prescription within 24 hours, same-day video available. Unlimited clinician messaging at no added cost; refill intake form required every 3 months. |
| States | Not published | All 50 states |
| How to cancel | Email hello@medvi.org or use chat in the patient portal, at least 72 hours before the next billing date. | Email support with 'CANCEL' in the subject line, or call 888-828-5816 (Mon-Fri 9am-7pm, Sat 10am-4pm ET). |
| Refunds | Full refund if cancelled within 72 hours of the term with no services received, or if medically disqualified. Monthly plans: no refund for the current or prior months. Multi-month plans: refund for months with no medication shipped. | Full refund if not medically eligible or if canceled before the pharmacy processes and ships the order. No refunds once shipped or once a prescription is written, and none for completed or partially completed membership periods; medication cannot be returned. |
| Trustpilot | 4.3 (15,026 reviews) | 4.1 (326 reviews) |
| Regulatory notes | FDA warning letter dated Feb 20, 2026 (posted Mar 3, 2026) to MEDVi, LLC for false or misleading claims about compounded semaglutide/tirzepatide, including product images suggesting MEDVi is the compounder.; California class action filed March 20, 2026 (case 8:2026cv00641) alleging MEDVi benefited from deceptive affiliate spam emails; Moneywise also reports a data-privacy class action and a Sept 2025 request by consumer groups for an FTC investigation. | FDA warning letter to MyStart Health LLC (Sept 9, 2025) for false or misleading claims about compounded semaglutide, including 'Generic brand-name semaglutide' wording that implied equivalence to FDA-approved drugs. |
First-year cost uses each provider's most flexible plan (month-to-month where offered), including any intro month and membership fee. Prepaid plans cost less per month but are harder to exit.
Choose MEDVi if…
- you want the lower yearly cost for semaglutide ($3,468 vs $3,588 on their most flexible plans)
- a higher Trustpilot score matters to you (4.3 vs 4.1)
Choose MyStart Health if…
- you prefer a provider with fewer regulatory notes on record
- you need coverage in every state
Full reviews
MEDVi reviewpricing, cancellation, what customers sayMyStart Health reviewpricing, cancellation, what customers say
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FAQ
Is MEDVi or MyStart Health cheaper for semaglutide?
MEDVi is cheaper on its most flexible plan: $3,468 for the first year vs $3,588, based on prices verified October 16, 2026.
Do MEDVi or MyStart Health charge a membership fee?
MEDVi: None. MyStart Health: None.
Which has better reviews, MEDVi or MyStart Health?
On Trustpilot, MEDVi has 4.3 (15,026 reviews) and MyStart Health has 4.1 (326 reviews).
Sources
- MEDVi: Homepage
- MEDVi: GLP-1 landing page (prices, FAQ)
- MEDVi: Cancellation and refund policy
- MyStart Health: Homepage FAQ (price, cancellation, price-lock)
- MyStart Health: Support FAQs
- MyStart Health: Refund policy
- Full source lists: MEDVi, MyStart Health
Compounded medications are not FDA-approved finished drug products. This page is not medical advice.