Verdict: bmiMD is the one provider here that leads on supported care rather than headline price: a board-certified consult, messaging about dosage and side effects, and published batch testing that names what is actually checked. The front of the transaction is unusually buyer-friendly and the back of it is unusually firm.
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Answer-first guidance. Skip to pricing, eligibility, or the full verdict.
An eight-rung ladder from $99 to $179 a month, with the provider visit, dose messaging and refills inside the price and no increase as the dose rises. The distinguishing feature is upstream of all of it: your card is authorised at checkout and charged only after a clinician confirms you are eligible.
These are plan rates, not introductory rates: the figure you see is what you pay for the whole plan length. The gap between the twelve-month and month-to-month rungs is about 30% on semaglutide, which is a larger decision than most provider comparisons.
The microdose programme runs on this same ladder
The dual-agonist option, on the same four plan lengths
Prices verified 27 Jul 2026 from bmimd.com. The provider visit, messaging about dosage and side effects, and refills are included, and the price does not change as the dose rises. Subscribe and Save adds free shipping on every subscription order.
| Medication | Form | Cost | Qualification |
|---|---|---|---|
| Semaglutidecompounded | Injection | $99–$129/mo by plan length | Charged only after a licensed provider confirms eligibility. Same price at every dose. |
| Semaglutide microdosecompounded | Injection | Same $99–$129 ladder | Offered on the same plan structure rather than priced separately. |
| Tirzepatidecompounded | Injection | $139–$179/mo by plan length | Same route, same four plan lengths. |
| Wegovy / Zepboundbrand | Not dispensed | — | bmiMD's programme is compounded. For a brand-name route see Hims |
Compounded medications are not FDA approved and have not been evaluated by the FDA for safety, effectiveness or quality. bmiMD publishes batch testing for its compounded products, which is uncommon in this set.
The ladder is on the page before you start. You pick the plan length first, which is unusual — most providers reveal it after intake.
Your card is authorised at checkout. bmiMD states you are charged only after a licensed provider confirms eligibility; if you are not eligible the hold is released.
A licensed provider confirms eligibility. This is the gate the authorisation hold is waiting on.
Subscribe and Save adds free shipping on every subscription order. The provider visit and refills are already inside the plan rate.
Messaging about dosage and side effects is included, and bmiMD states the price does not change as the dose rises.
bmiMD publishes no end-to-end timing, so we do not estimate one. What it does publish is the order of events, which matters more here than elsewhere: the charge does not land until a clinician has confirmed you are eligible.
Being unable to confirm something is not the same as it being untrue, and we do not present it as such. Scoring follows our published methodology.
$99/mo is the twelve-month plan at $1,188 committed up front. Month to month is $129 — about 30% more per month, and the only rung you can leave quickly.
bmiMD's terms set out a cancellation fee on plan cancellations. It is not a free exit from a longer plan.
The site's "100% Risk Free" wording describes an authorisation hold that is released if you are not eligible, not a payment that is refunded if the treatment does not suit you.
No brand-name fulfilment, and compounded products have not been evaluated by the FDA for safety, effectiveness or quality.
bmiMD publishes it, which is more than most here do. We read the statement rather than verifying the underlying testing.
Average ratings and review counts shown on the product pages were not confirmed at any third-party source, so none is published here.
Almost everyone in this directory charges first and reviews second — Sprout Health does it explicitly, and most of the rest simply take payment at checkout. bmiMD authorises your card and then waits: the charge lands only after a licensed provider has confirmed you are eligible, and the hold is released if they do not. For a category where the first real question is whether you will be prescribed at all, that ordering is worth more than a few dollars a month.
The ladder itself is the widest here — four rungs per molecule and a roughly 30% spread between the twelve-month and month-to-month semaglutide rates. That makes the plan choice a bigger decision than the provider choice, and the twelve-month rung is $1,188 committed against a cancellation fee if you leave.
A strong default if you want clinician-gated billing, dose-flat pricing and refills inside the rate. Take the month-to-month rung if this is a first course, and read the cancellation terms before taking the twelve.
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The hold is released if you are not eligible, so the plan choice is the only thing you are committing to now. Prices verified 27 Jul 2026; confirm current pricing on the provider's own site before you pay.
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