Pricing Verified March 31, 2026 · Official Policies Checked · Public Review Platforms Scanned
Provider Comparison · March 31, 2026
MEDVi vs Sprout Health: Which GLP-1 Program Actually Fits You in 2026?
Bottom line
MEDVi is the stronger overall pick for most cash-pay GLP-1 shoppers. Semaglutide starts at $149–$179/month (refills at $299), 24/7 support, 11,500+ Trustpilot reviews at 4.4 stars, and a clear path to FDA-approved Wegovy or Zepbound through the same platform.
Sprout Health is the better niche fit if flat, predictable pricing is your top priority. Tirzepatide runs $299/month ongoing vs MEDVi's $399 — and Sprout locks your rate even as your dose increases. But Sprout's public review footprint is tiny (roughly 16 reviews) and customer service complaints are a recurring theme.
If you're comparing MEDVi vs Sprout Health, you're probably staring at two open tabs, two slightly different prices, and one question: which one do I actually trust with my money and my health?
For this comparison, we checked official pricing pages, policy pages, public review platforms, and FDA records on March 31, 2026. Where a provider's own pages showed conflicting numbers, we documented both. This is the comparison we wished existed when we started.
MEDVi vs Sprout Health at a Glance
Built from official provider pages checked March 31, 2026. Where a number conflicted across a provider's own pages, we noted it.
| Feature | MEDVi | Sprout Health |
|---|---|---|
| Best for | First-time users who want support and proof | Budget-focused users who value flat pricing |
| Semaglutide — Month 1 | $149–$179 (varies by page) | $99–$249 (varies significantly by landing page) |
| Semaglutide — Ongoing | $299/mo | $249/mo ✓ |
| Tirzepatide — Month 1 | $279 | $249 ✓ |
| Tirzepatide — Ongoing | $399/mo | $299/mo ✓ |
| Dose-lock pricing? | No — price can change with dose tier | Yes — initial rate honored at higher doses ✓ |
| Billing cycle | Every 28 days (~13×/year) | Monthly (30 days, 12×/year) ✓ |
| Tablets available? | Yes — semaglutide + tirzepatide ✓ | Tirzepatide only |
| FDA-approved meds listed? | Yes — Wegovy pill/injection, Zepbound ($99/mo membership) ✓ | Yes — Wegovy ($1,799+/mo), Zepbound ($1,999+/mo) |
| Support | Advertised 24/7 messaging + telehealth ✓ | Phone/email Mon–Fri 9am–5:30pm MT |
| Trustpilot | 4.4 stars · 11,500+ reviews ✓ | ~2.1 stars · ~16 reviews |
| States served | 49 (all except ND) ✓ | 44 (excludes AL, AR, CA, LA, MS, ND) |
| Lab work | Free when clinically needed ✓ | Verify before checkout — pages conflict |
| Pharmacy partners | Belmar Pharma, Beluga Health | Foothills Pharmacy, Promise Pharmacy |
| Cancellation rule | 72 hours before next billing date | Before next shipment processed; no refund after Rx sent |
Sources: medvi.org, home.medvi.org, glp.medvi.org, joinsprouthealth.com. Public pricing and policies can change — screenshot the exact offer you see before checkout.
Quick Decision Guide: Who Should Pick What
Most people comparing these two fall into one of three buckets. The right answer depends entirely on which one you're in.
Choose MEDVi if you want the safer overall bet
This is right if you're:
- →Starting GLP-1 medication for the first time and want a provider with a large, verifiable track record
- →Worried about getting ghosted by support — MEDVi advertises 24/7 availability, and responsive support is the most consistent praise in their reviews
- →Interested in tablets instead of (or alongside) injections — MEDVi offers both semaglutide and tirzepatide in oral form
- →Wanting the option to transition to FDA-approved Wegovy or Zepbound through the same platform later
- →In Alabama, Arkansas, California, Louisiana, or Mississippi (Sprout doesn't serve these states — MEDVi does)
- →Looking for lab work included in your price at no extra charge
MEDVi's semaglutide starts at $149–$179 for the first month, with refills at $299. The honest catch: after month one, MEDVi costs ~$50/month more than Sprout. We break down whether that premium is worth it below.
Choose Sprout if flat pricing matters more than support depth
This makes sense if you:
- →Hate intro pricing where the cost jumps after month one
- →Want to lock in a rate that stays the same even if your dose increases
- →Are comfortable with a smaller public review footprint
- →Plan to stay on compounded tirzepatide long-term ($299/mo vs MEDVi's $399/mo saves $1,200/year)
- →Are willing to verify the exact price on the page you're using
Important: Sprout shows different semaglutide prices across its own website — from $99 on one promotional page to $249 on the main weight-loss page. Screenshot the exact offer before checkout.
Skip both if FDA-approved-only is your rule
Neither MEDVi's nor Sprout's compounded medications are FDA-approved. Both list brand-name options, but if FDA approval is non-negotiable from day one, a provider like Ro — which offers FDA-approved Wegovy with insurance concierge support — may be a better starting point.
The One Honest Tradeoff You Need to Hear
We recommend MEDVi for most people on this page. So before we make that case, here's the thing MEDVi does NOT do as well as Sprout: it doesn't give you a clean, flat price story after month one.
MEDVi's semaglutide jumps from $149–$179 to $299 after the introductory period. Tirzepatide goes from $279 to $399. If intro pricing makes you feel bait-and-switched, Sprout's model — where your initial rate is honored even if your dosage goes up — is genuinely the cleaner structure for long-term budgeting.
But here's why MEDVi still wins overall for most first-time buyers: that $50–$100/month difference buys you 24/7 support instead of weekday-only hours, a provider with 11,500+ public reviews instead of roughly 16, included lab work, tablet options alongside injections, and a clear pathway to FDA-approved medication if you ever want to switch. For most people paying cash for GLP-1 medication for the first time, those extras are worth more than a flatter price curve.
Want a broader support package with your GLP-1 program?
Check MEDVi Eligibility →The 7 Real Differences That Decide MEDVi vs Sprout Health
Ranked by how much they matter to most buyers.
1. Upfront Price vs Long-Term Price
Semaglutide — What We Saw on Each Live Page (March 31, 2026)
| Source | MEDVi | Sprout Health |
|---|---|---|
| Main pricing page | $179/mo starter | $249/mo |
| Promotional page | $149/mo starter | $149/mo and $99/mo (separate pages) |
| Ongoing refills | $299/mo | $249/mo |
| Tablets | $249 first → $369/mo ongoing | Not available |
Tirzepatide — What We Saw
| Source | MEDVi | Sprout Health |
|---|---|---|
| Main pricing page | $279/mo starter | $249–$299/mo (varies by page) |
| Ongoing refills | $399/mo | $299/mo |
| Tablets | $279 first → $399/mo ongoing | Available |
6-Month Cost Comparison
| Scenario | MEDVi | Sprout |
|---|---|---|
| Semaglutide injection (main-page pricing) | $179 + 5×$299 = $1,674 | $249×6 = $1,494 |
| Semaglutide injection (promo pricing) | $149 + 5×$299 = $1,644 | $149 + 5×$249 = $1,394 |
| Tirzepatide injection | $279 + 5×$399 = $2,274 | $249 + 5×$299 = $1,744 |
MEDVi bills every 28 days — approximately 13 billing cycles per year vs Sprout's 12. This adds roughly one extra payment per year. Factor that into your annual budget.
⚠️ Why both providers need a screenshot at checkout
Both MEDVi and Sprout show different prices on different pages of their own websites — this is common with companies running promotional tests. For Sprout, the spread is wider: semaglutide ranged from $99 to $249 across live pages we checked on March 31, 2026. Bookmark the exact page with the price you want, screenshot it, and confirm at checkout that the charge matches.
2. Support Availability
MEDVi
- Advertised 24/7 messaging + telehealth visits
- Unlimited provider messaging included
- Trustpilot reviewers frequently mention responsive staff
- Care coaching included at no extra charge
Sprout Health
- Phone/email Mon–Fri 9am–5:30pm MT
- Clinician access also advertised
- Multiple reviewers report phone goes to voicemail
- Email responses can stretch past 48 hours
This matters most in the first few weeks of treatment — when nausea, appetite changes, and dosing questions are most common. That's exactly when you want to know someone will pick up.
3. Medication Menu
MEDVi offers
- ✅ Compounded semaglutide (injection + tablet)
- ✅ Compounded tirzepatide (injection + tablet)
- ✅ FDA-approved Wegovy pill (oral semaglutide)
- ✅ FDA-approved Wegovy injection
- ✅ FDA-approved Zepbound injection
- Brand-name path: $99/mo membership + medication cost
Sprout offers
- ✅ Compounded semaglutide (injection)
- ✅ Compounded tirzepatide (injection + tablet)
- ✅ Compounded NAD+ (energy add-on)
- ⚠️ Wegovy listed at $1,799+/mo
- ⚠️ Zepbound listed at $1,999+/mo
- No semaglutide tablet option
MEDVi's brand-name pathway is significantly more accessible — $99 membership plus medication cost vs Sprout's $1,799+ sticker price. If you start compounded and later want to switch to FDA-approved medication, MEDVi's path is clearer and more affordable.
4. Public Trust Footprint
MEDVi Trustpilot
4.4★
11,500+ verified reviews
Sprout Trustpilot
2.1★
~16 reviews
MEDVi has roughly 700× more public reviews than Sprout. Does review count alone prove quality? No. But when you're handing your credit card to an online company for prescription medication, the ability to read thousands of specific experiences is a form of risk reduction that a 16-review profile cannot offer.
Comfortable with MEDVi's track record?
See if You Qualify →5. Cancellation and Refund Friction
MEDVi cancellation rules
- Cancel anytime — 72 hrs before next billing date
- Bills every 28 days (your billing date shifts monthly)
- Medically disqualified = full refund
- No refund once medication has shipped
- Cancel via: patient portal or help@medvi.org
Sprout cancellation rules
- Full refund if cancelled before Rx is written
- Cancel before next shipment is processed
- No refund after Rx sent to pharmacy
- Multiple reviewers report difficulty finding cancel option
- Phone (833) 496-4020 frequently goes to voicemail
The Screenshot Checklist — Use This for Either Provider
Screenshot your checkout page
The exact price you're being charged
Screenshot the plan/pricing page
Especially if you found a special landing page with a different rate than the main site
Screenshot the cancellation policy
The full text, not just the summary
Screenshot support contact info
Email, phone number, and hours
Screenshot your confirmation email
Save the receipt with your plan details
6. Shipping and Turnaround
MEDVi
- Clinician review: 24–48 hours
- Medication received: 5–7 business days
- Ships with ice packs for temperature-sensitive injectables
Sprout
- Prescription: within 48 hours (often same-day)
- Medication received: 5–7 business days after compounding
- Some patients report faster; others flag occasional delays
Programs vary — verify support, billing, and refill rules before you enroll.
7. Brand-Name FDA-Approved Access
Both MEDVi and Sprout list FDA-approved Wegovy and Zepbound on their websites. The difference is in accessibility and price:
MEDVi brand-name path
- Wegovy pill (oral semaglutide)
- Wegovy injection (FDA-approved)
- Zepbound injection (FDA-approved)
- $99/month membership + medication cost
Sprout brand-name path
- Wegovy listed: $1,799+/month
- Zepbound listed: $1,999+/month
- Puts brand-name out of reach for most cash-pay shoppers
Ready to start with a provider that gives you room to grow?
Check MEDVi Eligibility →What Real Customers Actually Say
MEDVi4.4★11,500+ reviews
“I've been with MEDVi for 2 months and I really love their services. The doctors pay attention to your needs and try to encourage you all the time.”
— Trustpilot, 2025
“The Tirzepatide was more expensive, but most reviews said go with it. Was the right choice for me. I saw real results. I now have the body I had at 25. I used my HSA account to pay for everything.”
— ConsumerAffairs, 2025
“After my 4th dose I got another appointment to check in and also labs were sent — that's included in the price.”
— ConsumerAffairs, 2025
Common complaints: 28-day billing catches some off-guard; some confusion around money-back guarantee terms; website interface functional but not intuitive.
Sprout Health2.1★~16 reviews
“I have lost 22 pounds in 3 months and am so happy it's working for me.”
— ConsumerAffairs, Jan 2026
“Fast shipping, reasonable monthly cost with no hidden fees. Great customer service and easy app for reorders.”
— ConsumerAffairs, Jan 2026
“If you have no administrative issues, this will likely work OK. Just know that if you call, the phone will ring 4 times and then go to voicemail, and no one will return your call.”
— Trustpilot, 2026
Sprout launched its site early 2025. Some issues may reflect growing pains. The documented risk is administrative, not medication quality.
MEDVi Deep Dive: Who It Fits, Who Should Pass
Profile
- Founded: 2023
- Location: Newark, DE
- Clinicians: OpenLoop Health
- Pharmacies: Belmar Pharma, Beluga Health
- States: 49 (all except ND)
- Contact: help@medvi.org · (323) 690-1564
- HSA/FSA accepted: Yes
Included in your price
- ✅ Medication
- ✅ Licensed provider evaluation
- ✅ Unlimited messaging + telehealth visits
- ✅ Personalized meal plan + nutrition report
- ✅ Care coaching
- ✅ Free lab work when clinically needed
- ✅ No hidden line items
Best for
- First-time GLP-1 users wanting robust support
- Anyone who values a large, verifiable review history
- Patients wanting an FDA-approved transition option
- Tablet-preferring patients (no self-injection)
- AL, AR, CA, LA, MS residents (Sprout unavailable)
- People who want lab work included
Not for
- Those who prioritize the flattest ongoing price
- Those who dislike intro pricing that changes after month one
- Anyone unwilling to track a 28-day billing cycle
Sprout Health Deep Dive: Who It Fits, Who Should Pass
Profile
- Founded: 2023 (site: Feb 2025)
- Location: Encinitas, CA
- Clinicians: MD Integrations
- Pharmacies: Foothills, Promise Pharmacy
- States: 44 (excludes AL, AR, CA, LA, MS, ND)
- Contact: support@joinsprouthealth.com · (833) 496-4020
Sprout's dose-lock pricing
Sprout publicly states your initial subscription rate will be honored even if your dosage increases. If you sign up at $299/month for tirzepatide, you pay $299/month whether you're on a starting or maintenance dose.
Screenshot the specific dose-lock language on the page where you sign up.
Best for
- Budget-conscious users staying on compounded long-term
- Self-directed patients comfortable managing their own care
- Tirzepatide users specifically ($100/mo savings vs MEDVi)
- Those who value dose-lock pricing
- People who prefer a simple, no-frills enrollment
Not for
- Those who want a large public review footprint first
- Anyone who needs to reach a human quickly for support
- AL, AR, CA, LA, MS residents — not served
- Those wanting affordable FDA-approved medication access
- Complex medical history needing more clinical oversight
State Availability: Can You Even Use Both?
Check whether both providers serve your state before doing anything else. This eliminates the comparison for some readers.
Only MEDVi available (Sprout doesn't serve):
Alabama, Arkansas, California, Louisiana, Mississippi
Neither provider available:
North Dakota
MEDVi may require a provider visit:
Indiana, Kansas, Mississippi, New Mexico, Oklahoma, West Virginia
MEDVi restricted to injectables only (no tablets):
Alabama, California
Sprout serves:
44 states — everywhere except AL, AR, CA, LA, MS, and ND
In North Dakota (where neither operates), use our free GLP-1 matching quiz to find an available alternative.
When to Skip Both: The Honest Exit Ramp
You only want FDA-approved finished medication.
Both providers primarily offer compounded GLP-1s. MEDVi has an FDA-approved path ($99 membership + medication), but if FDA approval is non-negotiable from day one, a provider like Ro — which offers FDA-approved Wegovy with insurance concierge support — is a better starting point.
Your insurance might cover brand-name GLP-1s.
Brand-name Wegovy and Zepbound can cost $25–$50/month with good coverage. The compounded market exists because most insurance doesn't cover these drugs — but if yours does, check that first. It could save you thousands.
You're on Medicare and can wait.
The GLP-1 Payment Demonstration launching summer 2026 may cap Wegovy/Zepbound copays at $50/month for eligible beneficiaries. If you qualify and can wait, this could be dramatically cheaper than any cash-pay option.
Want FDA-approved GLP-1 with insurance support instead?
Compare FDA-Approved GLP-1 Options →How We Verified This Comparison
Official pages reviewed: medvi.org, home.medvi.org, glp.medvi.org, joinsprouthealth.com (main weight-loss page and separate promotional landing pages), cancellation/refund policies, and terms of service for both providers — all on March 31, 2026.
Review platforms scanned: Trustpilot and ConsumerAffairs profiles for both providers, with review counts and ratings recorded as of our verification date.
Where pages conflicted, we documented both versions. Sprout's semaglutide pricing appeared differently across at least three live pages. MEDVi's pricing varied between two pages. Rather than guessing which is “right,” we showed the range and recommend you screenshot what you see.
A note on MEDVi's own disclaimer: MEDVi's terms state that some website materials may be AI-generated or enhanced, and the company disclaims warranty for accuracy and completeness. This is one reason we verify from official pages rather than ads.
Affiliate disclosure: This page contains affiliate links to MEDVi. If you sign up through our links, we may earn a commission at no additional cost to you. This does not influence our research, ratings, or recommendations — our editorial methodology and data verification are independent of any commercial relationship. Sprout Health links are standard external links with no affiliate relationship.
Related comparisons
MEDVi vs Sprout Health FAQ
Which is cheaper long-term — MEDVi or Sprout Health?
Sprout is cheaper on an ongoing monthly basis for both semaglutide ($249 vs $299) and tirzepatide ($299 vs $399). MEDVi sometimes has the lower first-month price depending on which promotional page you land on. Over 12 months, the ongoing difference is significant: Sprout saves roughly $600–$1,200/year depending on the medication. MEDVi's 28-day billing cycle (approximately 13 charges/year vs 12) widens the gap slightly.
Which is better for semaglutide?
MEDVi if you want 24/7 support, included lab work, and tablet options. Sprout if you want the lower ongoing price and dose-lock guarantee. MEDVi ongoing semaglutide is $299/month; Sprout is $249/month.
Which is better for tirzepatide?
Sprout has a clear cost advantage — $100/month cheaper ongoing ($299 vs $399) with dose-lock pricing. MEDVi is the pick if support quality and a realistic path to FDA-approved Zepbound matter more than monthly savings.
Is MEDVi legit?
Yes. MEDVi has over 11,500 verified Trustpilot reviews at 4.4 stars, partners with Belmar Pharma Solutions (a well-known compounding pharmacy), and operates in 49 states through the OpenLoop Health clinician network.
Is Sprout Health legit?
Yes. Sprout is a registered business (Sprout Health Partners LLC) that works with licensed U.S. pharmacies and the MD Integrations clinician network in 44 states. The documented complaints center on customer service and cancellation friction, not medication quality.
Are MEDVi or Sprout GLP-1 medications FDA-approved?
Their compounded medications are NOT FDA-approved as finished products. This is standard across all compounded GLP-1 providers. Both providers also list FDA-approved brand-name options (Wegovy, Zepbound) on their websites. MEDVi's brand-name pathway is more accessible at $99/month membership plus medication cost.
Which has better customer support?
MEDVi, based on available public reviews. MEDVi advertises 24/7 support and has thousands of reviews praising staff responsiveness. Sprout lists weekday admin hours (Mon–Fri, 9am–5:30pm MT) and has documented patterns of slow response times on Trustpilot and ConsumerAffairs.
Which is easier to cancel?
Neither is frictionless. MEDVi requires cancellation at least 72 hours before your next billing date (every 28 days). Sprout allows cancellation before the next shipment is processed, but multiple reviewers report difficulty reaching support to execute cancellations. For either: cancel in writing, request confirmation, and monitor your statements.
Does MEDVi offer tablets?
Yes — compounded semaglutide and tirzepatide tablets are available. This is a meaningful differentiator for people who prefer oral medication over self-injection.
Does Sprout Health really lock in your price?
Sprout's public pages state that your initial subscription rate will be honored even if your dosage increases. We haven't found documented cases of this promise being broken. Screenshot the specific language when you sign up.
What if I only want FDA-approved medication?
Look into Ro (which offers FDA-approved Wegovy with insurance support), or check MEDVi's separate FDA-approved pathway ($99 membership plus medication cost for brand-name Wegovy or Zepbound). Neither MEDVi's nor Sprout's compounded medications are FDA-approved.
Our Bottom Line
For most first-time cash-pay GLP-1 shoppers, MEDVi is the stronger choice. The support is deeper, the review footprint gives you confidence before you commit, the medication menu is broader (including tablets), and the pathway to FDA-approved medication is realistic if you ever want to switch. The price jumps after month one and the 28-day billing cycle take some getting used to — but those are manageable details, not dealbreakers.
For long-term tirzepatide users comfortable managing their own care, Sprout Health saves real money. $1,200/year is meaningful. If you go this route, verify your exact rate at signup and screenshot everything.
Here's what we know from reviewing thousands of public patient experiences: GLP-1 medications work. Semaglutide averaged about 14.9% body weight loss at 68 weeks in the STEP 1 clinical trial. Tirzepatide reached up to about 20.9% at 72 weeks in SURMOUNT-1. Both of these providers are legitimate. Both are helping real people lose meaningful weight. The difference between where you are now and where you could be in six months isn't about finding the “perfect” provider — it's about choosing a good one and getting started.
Start with MEDVi — stronger support, broader menu
Semaglutide from $149/mo, tirzepatide from $279/mo. 24/7 support. Lab work included. Option to transition to FDA-approved Wegovy or Zepbound. 11,500+ verified reviews at 4.4 stars.
Check MEDVi Eligibility and Current Pricing →Choose Sprout — flat pricing, significant long-term savings
Tirzepatide at $299/mo ongoing with dose-lock pricing. Saves up to $1,200/year vs MEDVi. Verify your exact rate and screenshot before checkout.
See Sprout Health's Current Pricing →Not sure yet? Take the matching quiz
Our 60-second quiz asks about your budget, insurance, medication preference, and support needs — then recommends the best-fit provider from our full database.
Take the Free GLP-1 Matching Quiz →Free · No signup · 60 seconds
This article is for informational purposes only and does not constitute medical advice. GLP-1 medications are prescription treatments that require evaluation by a licensed clinician. Compounded medications are not FDA-approved as finished products and have not been reviewed by the FDA for safety, effectiveness, or quality. Always consult a qualified healthcare provider before starting any weight loss medication.
Pricing, policies, and availability are subject to change. Verify current information directly with each provider before enrolling. Last verified: March 31, 2026.