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, 9.1/10 to 8.2/10. 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 8.2 to 7.8 — ahead.
Support
Real clinician access, coaching and follow-up — video visits and a care team score higher than async-only. ro scores 9.0 to 8.0 — clearly ahead.
Medications
Medication options and legitimacy — FDA-approved branded (Wegovy, Zepbound) rates above compounded-only, and breadth and flexibility add points. ro scores 9.3 to 8.4 — clearly ahead.
Transparency
How clearly and publicly pricing, terms and availability are stated — plus track record and any regulatory red flags. ro scores 9.5 to 8.4 — clearly ahead.
Where they differ most
The clearest daylight is in transparency, where ro leads 9.5 to 8.4 and support, where ro leads 9.0 to 8.0. 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 | 9.1/10 · Excellent | 8.2/10 · Very good |
| 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 — 9.1/10 to 8.2/10, 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 September 2026; confirm current pricing with each provider. Nothing here is medical advice.