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Written by RC Nelson, Founder & Editor. Editorially updated to remove pricing we could not verify. This page has not been reviewed by a medical professional.

Key Takeaways

  • We are not publishing bmiMD's rates. Its own live pages quote more than one price for the same plan, each flagged as a limited-time offer. The figure at the checkout you reach is the one that binds you.
  • Compounded semaglutide and compounded tirzepatide, each also offered in a microdose version
  • Plans are sold in one-, three-, six- and twelve-month lengths and paid for up front
  • The monthly rate falls as the plan length rises. bmiMD states it also does not change as your dose rises
  • bmiMD states your card is authorized at checkout and charged only after a provider confirms you are eligible
  • bmiMD states that once the pharmacy processes an order, all sales are final, and that canceling after approval costs $50
  • Usually same-day telehealth consult; a Subscribe & Save subscription adds free shipping, 24/7 clinician access and recurring refills
  • bmiMD publishes potency, USP 797 sterility and USP 85 endotoxin standards; we have read that statement, not audited the testing
  • Cash-pay only. HSA and FSA cards are accepted, which does not reduce the price bmiMD charges
  • Available in all 50 states

What Is bmiMD?

bmiMD is a telehealth platform that prescribes compounded GLP-1 medication for weight loss. Among the products it publishes are compounded semaglutide and compounded tirzepatide, each also offered in a microdose version, alongside other weight-related options such as metformin, MIC + B12 injections and a naltrexone/bupropion/B6 combination.

The program is sold on a commitment ladder. You choose a plan length up front and pay for it in advance. On every live page we looked at, the monthly rate fell as the plan length rose. bmiMD states the rate also does not change as your dose does.

What We Can and Cannot Tell You About Price

We are not publishing bmiMD's rates. The reason is worth setting out in full, because it is unusual.

When we checked on September 2, 2026, bmiMD quoted more than one price for the same plan. Its compounded semaglutide is sold on one page that search engines are allowed to index and another they are told to ignore, and the two disagree. The same is true of its microdose pages. Both versions transact, and nothing on the site tells a customer which one is authoritative. Every ladder we found is presented as a limited-time offer against a higher regular price, with no stated end date.

We mostly cannot tell you where our own previous figures came from, and that is part of why they are gone. The plan ladder we published was lower than every live plan ladder we found, and matched none of them. The one place we can trace is the microdose note: the figures we published there did match a deindexed microdose page rung for rung, which suggests it was captured from a page bmiMD tells search engines to ignore. For the main semaglutide ladder we have no such explanation. Replacing those numbers with figures taken from whichever page we happened to open would repeat the same mistake in a new direction, so we removed them instead.

What is consistent across those pages is the shape of the offer:

  • Plans are sold in one-, three-, six- and twelve-month lengths.
  • Whichever length you choose, you pay for it up front.
  • The twelve-month plan carried the lowest monthly rate on every ladder we saw, and the month-to-month plan the highest.
  • bmiMD states the rate does not change as your dose increases. We did not observe pricing at more than one dose, so this one rests on bmiMD's word.

bmiMD also offers a Subscribe & Save option, which it says adds free shipping, 24/7 clinician access and recurring refills. In fairness to the point above: we read that on one of the pages whose pricing we are declining to repeat. What we distrust there is the conflicting figures, not everything the page says — but it is the reason this review describes the program's shape and not its cost.

One practical consequence, and it is the only instruction in this review worth following on price: read the figure at the checkout you actually reach, on the day you order. That is the number you are agreeing to pay, and it is the one we cannot check for you. Different bmiMD product pages carried different ladders for the same plan when we looked, so confirm the figure in front of you before you confirm the order.

How It Works

  1. Pick a plan length and order. You choose one, three, six or twelve months and place the order. bmiMD states your card is authorized at this point, not charged.
  2. Complete the medical questionnaire. Standard intake covering your history, current medications and goals.
  3. Have the telehealth consult, and this is the point you are charged. A board-certified provider reviews your information and evaluates eligibility, usually the same day you complete intake. bmiMD states payment is taken only once a provider confirms you are eligible; if you are not, the authorization is released.
  4. The prescription is filled and shipped. If you are eligible, your prescription goes to a licensed compounding pharmacy and ships to your door. Shipping is free on subscription orders.
  5. Ongoing support. Provider messaging for dosing and side-effect questions, plus 24/7 clinician access on a subscription.

Medications

Compounded semaglutide. A compounded injectable preparation of semaglutide, a GLP-1 receptor agonist, made up by a US-licensed compounding pharmacy. Compounded preparations are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality.

Compounded tirzepatide. A compounded tirzepatide preparation, subject to the same FDA caveat. Tirzepatide acts on both the GLP-1 and the GIP receptor.

Microdose versions of each. Lower-dose formulations of the same two medications.

Beyond the GLP-1 program, bmiMD publishes other weight-related options including metformin, MIC + B12 injections and a naltrexone/bupropion/B6 combination.

A caveat on that list, and it matters. bmiMD's treatments menu names six products. Its own sitemap lists thirteen product pages. And the sitemap is not complete either: at least two live, purchasable product pages are missing from it. No source we could find enumerates the full catalog, so read the list above as part of what bmiMD sells rather than all of it. We did not find a brand-name, FDA-approved GLP-1 among the pages we were able to enumerate — but because that enumeration is demonstrably incomplete, we cannot tell you bmiMD does not sell one. If you need branded Wegovy, Ozempic or Zepbound, ask bmiMD directly before you order.

Compounding and Safety

bmiMD publishes the specific standards its compounding pharmacies work to:

  • State-licensed sterile compounding facilities
  • FDA-registered — which is not the same as FDA-approved
  • Potency tested to within plus or minus 10% of target strength
  • Sterility tested to USP 797 standards
  • Endotoxin tested to USP 85 limits
  • pH balanced

Two caveats belong with that list. These are bmiMD's own published statements, which we have read rather than audited. And compounded medications are not FDA-approved, which applies to every compounded GLP-1 program — you are relying on a pharmacy's testing regime, not on FDA review.

Charges, Cancellation and Refunds

This is the part of the program most worth reading before you commit.

bmiMD states your card is authorized when you place the order, and charged only once a licensed provider confirms you are eligible. On its published terms, if you are not eligible the authorization is released and you are not charged. We have read those terms; we have not put them to the test.

That is the extent of the protection. It covers being declined by bmiMD. It does not cover your results, and it does not cover changing your mind once the plan is running.

After that point the terms tighten. Once the pharmacy has processed an order, bmiMD states that all sales are final. It states it does not accept returns, because the medication is made to order, and that partially used subscription periods are not refunded. It states that canceling after you have been approved but before the pharmacy processes the order carries a non-refundable $50 fee.

One thing we could not establish: what happens when a plan ends. bmiMD sells prepaid terms alongside a Subscribe & Save subscription, and we were not able to observe its renewal conditions. If you buy a twelve-month plan, ask what happens in month thirteen before you order.

If you see a "100% Risk Free" badge or a money-back guarantee at checkout, read it against the terms above. What it protects you from is being charged when bmiMD declines you. It does not protect you from changing your mind once the pharmacy has acted.

Set against the prepaid structure, that is the thing to weigh: the longer the plan you buy, the more you pay in advance under terms that do not let you unwind it. (Terms as published on bmiMD's refund page, read July 27, 2026.)

Pros

bmiMD states you are not charged until a provider approves you. On its published terms the authorization is released if you are not eligible, so being declined does not cost you anything.

bmiMD states the price does not change as your dose rises. If that holds, the rate you start on is the rate you keep as your prescription strength increases.

A usually same-day consult. A board-certified provider evaluates your eligibility, typically the same day you finish intake.

The compounding standards are named. bmiMD identifies specific tolerances and USP standards, listed under Compounding and Safety above, with the caveat recorded there that we have read the statement rather than audited the testing.

The visit and provider messaging are part of the plan. bmiMD lists the telehealth visit, messaging with your prescribing provider about dosage and side effects, and refills as included. A Subscribe & Save subscription adds free shipping, 24/7 clinician access and recurring refills.

Nationwide availability. bmiMD states it operates through US-licensed providers in all 50 states. That covers the service; it does not tell you whether every product is available in every state.

Cons

We could not verify the price. bmiMD's own pages quote conflicting figures for the same plans, all flagged as limited-time offers. You cannot learn from this review what you will pay, and you should not assume a figure found elsewhere is current either.

The lowest rate on the ladder requires the longest commitment, paid up front. On every ladder we saw, reaching the bottom meant buying a year in advance.

The terms are difficult to exit. bmiMD states that all sales are final once the pharmacy processes an order, that partially used subscription periods are not refunded, and that canceling after approval costs $50.

No insurance billing. bmiMD is cash-pay. HSA and FSA cards are accepted and financing is offered at checkout, but neither reduces the price bmiMD charges.

We could not establish the full catalog. bmiMD's own published sources disagree about how many products it sells, so any question of the form "does bmiMD offer X?" has to go to bmiMD.

Compounded medications are not FDA-approved. True of the category rather than of bmiMD, but it is what you are accepting when you choose a compounded program at all.

Who bmiMD Suits — and Who It Does Not

Someone who has already decided on a fixed course of treatment. Every plan is paid up front and, by bmiMD's own terms, hard to unwind. That is a reason to arrive at this program with the decision already made — not, on its own, a reason to choose it.

Someone whose dose is still climbing. bmiMD states the price does not move with dose, so if you expect to titrate upward, that removes one variable from the budget.

Someone who wants the compounding standards spelled out. bmiMD names the specific tolerances and USP standards it says its pharmacies work to.

It is a poor fit if you may want to stop at short notice, if you need your insurance billed, or if you want to know precisely what you will pay before you reach the checkout page. If you specifically need a brand-name medication, confirm availability with bmiMD first, because we could not establish what the full catalog contains.

The Bottom Line

Two things about bmiMD's program are set out clearly enough in its own terms to plan around. It states you are not charged until a provider confirms you are eligible. And it states that once the pharmacy has processed your order, those terms are strict: prepaid, non-refundable, with a $50 fee for canceling after approval.

What we cannot give you is the price. bmiMD publishes more than one for the same plan, and the figures we previously carried for its main plan ladder matched none of them. Removing them leaves a real gap in this review — and it is not a gap you can close by reading more of it. Read the figure at the checkout you reach, on the day you order.

If you are weighing this program, weigh the exit terms in the same sitting. They are the part you cannot undo.

Ready to look? Check your eligibility and bmiMD's current plan options directly.

Visit bmiMD

Affiliate link. We may earn a commission if you start treatment; our editorial rating stays independent. Prefer not to use it? Go to bmimd.com directly, or read our full provider record at bmiMD in the directory.

Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Compounded medications are not FDA-approved. Individual results vary. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you are experiencing a medical emergency, call 911.