ro starts at $39/mo (membership + medication (billed separately)); MEDVi at $179/mo (all-in, includes medication). Both prescribe GLP-1 medication — ro offers wegovy, zepbound, ozempic & foundaya, MEDVi compounded semaglutide & tirzepatide. Here's how they compare on price, medications, support and transparency.
Bottom line: ro wins
ro wins on our rubric, 9.6/10 to 9.1/10. It leads most on transparency. Choose MEDVi instead if you want a simpler, faster route and care less about the brand.
Round by round
We scored both programs on the four factors in our methodology — value, support, medications and transparency. ro takes 4, MEDVi takes 0. 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. ro scores 9.1 to 8.9 — just ahead.
Support
Real clinician access, coaching and follow-up — video visits and a care team score higher than async-only. ro scores 9.5 to 9.0 — ahead.
Medications
Medication options and legitimacy — FDA-approved branded (Wegovy, Zepbound) rates above compounded-only, and breadth and flexibility add points. ro scores 9.7 to 9.2 — ahead.
Transparency
How clearly and publicly pricing, terms and availability are stated — plus track record and any regulatory red flags. ro scores 9.8 to 9.2 — ahead.
Where they differ most
The clearest daylight is in transparency, where ro leads 9.8 to 9.2 and support, where ro leads 9.5 to 9.0. On price, ro starts lower ($39 vs $179 per month).
Pricing: ro vs MEDVi
ro has the lower advertised starting price — $39/mo vs $179/mo for MEDVi. But read the fine print: ro is membership + medication (billed separately) and MEDVi 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.
ro: Start for $39 (first month), then $149/mo — or save up to 50% on an annual plan (~$74/mo); branded medication billed separately from $149/mo, and insurance can bring covered members far lower (as of Sep 2026, ro.co). MEDVi: On 12-month prepay; month-to-month is $299/mo; tirzepatide higher (as of 2026, health.usnews.com).
The specs, side by side
| ro | MEDVi | |
|---|---|---|
| Editor rating | 9.6/10 · Exceptional | 9.1/10 · Excellent |
| Starting price | $39/mo | $179/mo |
| Pricing | Membership + medication (billed separately) | All-in, includes medication |
| Medications | Wegovy, Zepbound, Ozempic & Foundaya | Compounded semaglutide & tirzepatide |
| Medication form | Oral pill or injection pen | Weekly injection |
| Visit type | Async + optional video | Async, ~24h provider review |
| Insurance | Dedicated insurance concierge | Cash-pay (HSA/FSA) |
| Availability | Nationwide | All 50 states |
Which should you pick?
Common questions
Is ro better than MEDVi?
In our scoring ro comes out ahead — 9.6/10 to 9.1/10, leading on transparency. It's our pick for most people; MEDVi is the better choice if you want a simpler, faster route and care less about the brand.
Which is cheaper, ro or MEDVi?
ro has the lower advertised starting price — $39/mo vs $179/mo for MEDVi. But read the fine print: ro is membership + medication (billed separately) and MEDVi 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 ro and MEDVi prescribe the same medications?
ro offers wegovy, zepbound, ozempic & foundaya (oral pill or injection pen); MEDVi offers compounded semaglutide & tirzepatide (weekly injection). On breadth of options, ro 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, ro or MEDVi?
ro scores higher on support — real clinician access, coaching and follow-up. For visits, ro is async + optional video and MEDVi is async, ~24h provider review.
Are ro and MEDVi legit?
Both require a licensed clinician to review your intake before prescribing. Confirm each provider's credentials, state availability (ro: nationwide; MEDVi: all 50 states) and current pricing before you sign up — and note that compounded medications aren't FDA-approved.
Can I switch between ro and MEDVi?
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.