bmiMD starts at $99/mo (all-in, includes medication); DirectMeds at $179/mo (all-in, includes medication). Both prescribe GLP-1 medication — bmiMD offers compounded semaglutide & tirzepatide, DirectMeds compounded semaglutide & tirzepatide. Here's how they compare on price, medications, support and transparency.
Bottom line: bmiMD wins
bmiMD wins on our rubric, 8.4/10 to 8.0/10. It leads most on value. Choose DirectMeds instead if you want the broadest medication menu and the flexibility to switch or adjust dose.
Round by round
We scored both programs on the four factors in our methodology — value, support, medications and transparency. bmiMD takes 3, DirectMeds takes 1. Here's how each shook out.
Value
What you get for the price — not just the lowest sticker. A premium program that includes FDA-approved medication, insurance help and real support can be good value. bmiMD scores 9.0 to 7.8 — clearly ahead.
Support
Real clinician access, coaching and follow-up — video visits and a care team score higher than async-only. bmiMD scores 8.2 to 7.2 — clearly ahead.
Medications
Medication options and legitimacy — FDA-approved branded (Wegovy, Zepbound) rates above compounded-only, and breadth and flexibility add points. DirectMeds scores 9.0 to 8.4 — ahead.
Transparency
How clearly and publicly pricing, terms and availability are stated — plus track record and any regulatory red flags. bmiMD scores 8.4 to 8.0 — ahead.
Where they differ most
The clearest daylight is in value, where bmiMD leads 9.0 to 7.8 and support, where bmiMD leads 8.2 to 7.2. On price, bmiMD starts lower ($99 vs $179 per month).
Pricing: bmiMD vs DirectMeds
bmiMD has the lower advertised starting price — $99/mo vs $179/mo for DirectMeds. But read the fine print: bmiMD is all-in, includes medication and DirectMeds is all-in, includes medication, and the cheapest rates often need a prepaid multi-month plan — so compare the real all-in cost at your maintenance dose, not the headline. We unpack how these plans are structured in how much compounded semaglutide costs.
bmiMD: On 12-month plan; $109 (6-mo) / $119 (3-mo) / $129–$159 month-to-month (as of 2026, glp1picks.com). DirectMeds: Sublingual/oral semaglutide; injectable semaglutide ~$297/mo, tirzepatide ~$399/mo (as of Sep 2026, clearmetabolic.com).
The specs, side by side
| bmiMD | DirectMeds | |
|---|---|---|
| Editor rating | 8.4/10 · Very good | 8.0/10 · Very good |
| Starting price | $99/mo | $179/mo |
| Pricing | All-in, includes medication | All-in, includes medication |
| Medications | Compounded semaglutide & tirzepatide | Compounded semaglutide & tirzepatide |
| Medication form | Weekly injection | Injection or sublingual |
| Visit type | Telehealth consult + unlimited messaging | Async, reviewed within ~6h |
| Insurance | Cash-pay | Cash-pay (HSA/FSA) |
| Availability | 48 states (excl. LA, MS) | ~45 states |
Which should you pick?
Choose DirectMeds if…
You want the broadest medication menu and the flexibility to switch or adjust dose.
View DirectMeds plans →Common questions
Is bmiMD better than DirectMeds?
In our scoring bmiMD comes out ahead — 8.4/10 to 8.0/10, leading on value. It's our pick for most people; DirectMeds is the better choice if you want the broadest medication menu and the flexibility to switch or adjust dose.
Which is cheaper, bmiMD or DirectMeds?
bmiMD has the lower advertised starting price — $99/mo vs $179/mo for DirectMeds. But read the fine print: bmiMD is all-in, includes medication and DirectMeds is all-in, includes medication, and the cheapest rates often need a prepaid multi-month plan — so compare the real all-in cost at your maintenance dose, not the headline.
Do bmiMD and DirectMeds prescribe the same medications?
bmiMD offers compounded semaglutide & tirzepatide (weekly injection); DirectMeds offers compounded semaglutide & tirzepatide (injection or sublingual). On breadth of options, DirectMeds scores higher. Compounded GLP-1s aren't FDA-approved finished products, and availability shifts — confirm current options with each provider.
Which gives you more support, bmiMD or DirectMeds?
bmiMD scores higher on support — real clinician access, coaching and follow-up. For visits, bmiMD is telehealth consult + unlimited messaging and DirectMeds is async, reviewed within ~6h.
Are bmiMD and DirectMeds legit?
Both require a licensed clinician to review your intake before prescribing. Confirm each provider's credentials, state availability (bmiMD: 48 states (excl. la, ms); DirectMeds: ~45 states) and current pricing before you sign up — and note that compounded medications aren't FDA-approved.
Can I switch between bmiMD and DirectMeds?
Generally yes — neither locks you into a long contract, though the lowest prices often require a prepaid plan. Never stop or change a GLP-1 medication without talking to your clinician first.
Both programs are scored with the same independent methodology. We may earn a commission from either provider — it changes nothing about the scores or the verdict. Prices are advertised starting rates as of October 2026; confirm current pricing with each provider. Nothing here is medical advice.