Direct Meds vs Medivive

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Direct Meds vs Medivive: Overview

Choosing between Direct Meds and Medivive for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

Direct Meds offers both semaglutide and tirzepatide at $297/month with a rating of 8/10. Medivive also provides both semaglutide and tirzepatide at $162/month with a 7.4/10 rating.

The price difference of $135/month is significant - Medivive is the more budget-friendly option, while Direct Meds positions itself as a premium service.

VERIFIED

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

At a glance

Price Difference
$135/mo
Rating Difference
0.6
Winner
Direct Meds
Best For
Quality

Direct Meds

View full Direct Meds review →
Rating
8/10Better
Monthly Price
$297
Medications
semaglutidetirzepatide

Pros

  • The compounding explanation is genuinely educational, citing USP 795 and USP 797 and identifying the pharmacy as a 503A facility rather than hand-waving about 'FDA-registered' status
  • Trustpilot rating of 4.6 from 12,750 reviews, a large and credible independent sample
  • The FAQ states flat monthly prices with no membership layered on: $297/month for semaglutide and $399/month for tirzepatide (checked July 27, 2026)
  • That price is stated to include the medication, doctor visits normally billed at $99 each, next-day FedEx or UPS shipping, and all injection supplies
  • Same price at every dose, so titrating up does not increase the bill
  • A full refund is given if your prescription is not approved
  • A published customer phone number, 888-696-7176, which most competitors do not offer
  • This offer is restricted in only one state, Arkansas

Cons

  • The headline price and the real price do not match. The landing page leads with 'Starting at $147' while the FAQ on the same site states 'For Semaglutide we charge $297/month. For Tirzepatide we charge $399/month' - roughly double
  • Discounts are advertised in three different sizes on one page: '$150 Off Today', 'Up to $200 OFF' and 'Get $150 OFF your prescription instantly', with no terms attached to any of them
  • The 'patient satisfaction guarantee' is undefined - 'If you are unhappy with your results, let us know and we'll make it right' commits to nothing specific
  • The landing page uses the same template as several other compounded GLP-1 funnels, down to the identical headline 'The proven way to lose 15% of your body weight fast!'
  • 'We've been featured all over' appears with no named publications or links
  • The '15% of your body weight' figure comes from trials of the branded drugs, not from Direct Meds' compounded product or its own patients
  • No BBB profile could be found to set against the Trustpilot score
  • Support hours are not published, only the phone number and an email address
Choose Direct Meds

Medivive

View full Medivive review →
Rating
7.4/10
Monthly Price
$162Cheaper
Medications
semaglutidetirzepatide

Pros

  • One all-in price with nothing bolted on: "Starting at $162/month. Billed monthly. One simple all-in price — medication and care included"
  • A hard commitment on the fee that catches most patients: "$0 membership fee... Many telehealth programs tack on a monthly membership fee just to stay a patient — on top of your medication. We don't. Ever."
  • Free to start, with nothing to pay until a provider has reviewed your case
  • Licensed providers in all 50 states
  • It rejects the form-filling model directly - a conversational intake that takes about two minutes rather than a long questionnaire
  • It is explicit that a clinician, not software, makes the call: "Not a chatbot, not a vending machine. A Medivive clinician reviews your history and prescribes only when it's clinically appropriate"
  • Compounded by a licensed US pharmacy with refills arriving on schedule and dose adjustments as your labs change
  • The compounded disclaimer is correctly stated: compounded medications are not FDA-approved finished drug products and are not reviewed by the FDA for safety or efficacy
  • A published support email, care@mymedivive.com
  • A published library of educational content on semaglutide, tirzepatide, how GLP-1s work and side effects

Cons

  • The medication is compounded, so it has not been evaluated by the FDA for safety, quality or efficacy
  • "Starting at $162" is a floor price and no dose ladder is published, so higher doses may cost more
  • The pharmacy is described only as "a licensed U.S. pharmacy" and is never named
  • No phone number or business address is published
  • The site references your provider adjusting treatment "as your labs change" without stating whether labs are required, who orders them or who pays
  • No insurance billing and no HSA/FSA information
  • No published refund or cancellation policy
  • A young brand with no verifiable third-party review presence yet
Choose Medivive

Feature-by-feature comparison

FeatureDirect MedsMedivive
Monthly Price$297$162
Rating8/107.4/10
Medicationssemaglutide, tirzepatidesemaglutide, tirzepatide
Insurance AcceptedNoNo
Support HoursNot publishedNot published
Live ChatAvailableNo
Free ShippingYesYes
Shipping SpeedNext-day FedEx or UPS; arrives in 1-2 daysDelivered to your door; refills arrive on schedule
Mobile AppNoNo
Dedicated CoachNot includedNot included
Follow-up Frequency1:1 medical support with messaging and refillsProvider adjusts treatment over time as labs change; no fixed schedule published
Money-back GuaranteeFull refund if your prescription is not approved; a vaguely worded satisfaction guarantee otherwiseNothing to pay until a provider reviews your case
Cancellation PolicyCancel anytime, no monthly membershipBilled monthly; cancellation terms not published

Which should you choose?

Choose Direct Meds if you:

  • Prefer a higher-rated service (8/10 vs 7.4/10)
  • Value: the compounding explanation is genuinely educational, citing usp 795 and usp 797 and identifying the pharmacy as a 503a facility rather than hand-waving about 'fda-registered' status

Choose Medivive if you:

  • Want to save $135/month with a more affordable option
  • Value: one all-in price with nothing bolted on: "starting at $162/month. billed monthly. one simple all-in price — medication and care included"

Website previews

Direct Meds

Direct Meds website

Medivive

Medivive website

Our recommendation

Direct Meds comes out ahead with a higher rating of 8/10. It also provides multiple medication options including both semaglutide and tirzepatide.
Get started with Direct Meds

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