Midi Health vs Oak Longevity
Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey
Midi Health vs Oak Longevity: Overview
Choosing between Midi Health and Oak Longevity for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.
Midi Health offers both semaglutide and tirzepatide at $164/month with a rating of 8.6/10. Oak Longevity also provides both semaglutide and tirzepatide at $119/month with a 7.7/10 rating.
With only a $45/month price difference, your choice will likely come down to features, support quality, and medication options.
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
$45/mo
Rating Difference
0.9
Winner
Midi Health
Best For
Quality
Midi Health
View full Midi Health review →Rating
8.6/10Better
Monthly Price
$164
Medications
compounded GLP-1compounded GLP-1/GIPbrand-name GLP-1s
Pros
- ✓The GLP-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked July 28, 2026)
- ✓Compounded GLP-1 injectable runs $165.90 for the lowest doses, $270.90 in the mid range and $355.00 at the top; the dual-action GLP-1/GIP injectable runs $210.00 to $434.00, all for a 4-week supply
- ✓Sublingual options are offered as well, from $164.00 for GLP-1 and $209.00 for dual-action GLP-1/GIP, for people who will not inject
- ✓Its partner compounding pharmacies are 503B-accredited. 503B outsourcing facilities register with the FDA, are subject to current good manufacturing practice requirements and are FDA-inspected - a materially higher standard than the 503A pharmacies most competitors use
- ✓There is no membership fee. You pay for care and medication only
- ✓Visits are insurance-covered for qualifying patients, and HSA/FSA funds can be used for copays and services
- ✓Midi will also prescribe brand-name GLP-1s sent to a pharmacy of your choice, so you are not locked into compounded product if you would rather have the approved drug
- ✓The efficacy claim is the best-sourced in this category. Midi reports patients lost an average of 16 lbs after six or more months, and footnotes it to a retrospective analysis of 6,958 patients who completed two or more weight management visits between 1 May 2025 and 30 April 2026, while stating plainly that weight data were self-reported and results are not guaranteed
- ✓Care is genuinely whole-person for midlife women - perimenopause, menopause, weight, mood and memory, sexual wellness, hair and skin, sleep, and cancer survivorship - with lab orders and lifestyle support included where appropriate
- ✓Available in all 50 states
Cons
- ✗The compounded products are still not FDA-approved. 503B accreditation raises the manufacturing standard considerably but does not mean the FDA has reviewed these preparations for safety or efficacy
- ✗Midi never names the active drug anywhere in its pricing. Everything is labelled 'GLP-1' or 'GLP-1/GIP'. The dose ladders shown - 0.25 through 2.5 mg, and 2.5 through 15 mg - match the standard semaglutide and tirzepatide titrations exactly, but you should confirm with the clinician what you are actually being prescribed
- ✗Microdosing is offered from $34 a week for eligible patients. Microdosing is not an evidence-based protocol - the trials behind these drugs used full therapeutic doses, and the 16 lb outcome figure covers patients on 'a range of treatments', not microdosing specifically
- ✗Medicaid and Medi-Cal patients cannot be treated at all, even if they offer to pay cash
- ✗Medicare does not cover Midi, and beneficiaries cannot submit claims for visits, medications or associated services
- ✗Prices rise steeply as you titrate up. Injectable GLP-1 more than doubles from $165.90 to $355.00, and the dual-action sublingual runs from $209.00 to $460.00, so the entry price is not what you will pay long term
- ✗The 16 lb average comes from self-reported weights in a retrospective chart review with no control group - well documented, but not a controlled trial
- ✗GLP-1 medications are not suitable for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2, or during pregnancy. Pancreatitis and gallbladder disease are recognised risks
Oak Longevity
View full Oak Longevity review →Rating
7.7/10
Monthly Price
$119Cheaper
Medications
semaglutidetirzepatide
Pros
- ✓Among the lowest advertised prices in the category: compounded semaglutide from $119/month and tirzepatide from $185/month (checked July 27, 2026)
- ✓One price at every dosage, so titrating up does not increase what you pay
- ✓Free shipping and free health coaching are included, with no separate membership fee
- ✓Same-day approval is offered and no video call is required, which suits people who cannot take time out for an appointment
- ✓Publishes a phone number, an email address and the legal entity behind the brand
- ✓The compounded explanation distinguishes 'not FDA-approved as finished products' from the ingredients and conditions used, which is more accurate than the blanket claims some rivals make
- ✓A comparison calculator and a public price comparison table let you check the maths before signing up
- ✓Cancellation can be done from your own account by cancelling the prescription or deleting the account, rather than only by emailing support
Cons
- ✗The homepage advertises 'One price · All dosages · No subscriptions', but the terms contain a 'Refund, Shipping, Cancellation Policy' describing how cancelling will 'stop any future subscription renewals or charges'. Those two statements cannot both be right
- ✗A third price appears in Oak's own comparison table, which lists 'Oak $167/mo' against headline rates of $119 and $185. The table never explains which product $167 refers to
- ✗'Same Active Ingredient' is used as a feature row comparing Oak to brand-name drugs. That is the precise claim the FDA cited in a February 2026 warning letter to another telehealth firm, on the basis that it implies FDA approval the compounded product does not have
- ✗Promotions stack confusingly - a 'SUMMER SALE - Save up to 60% vs. retail pricing' banner sits alongside a separate '$200 off new patient offer' with no terms for either
- ✗Trustpilot carries only 53 reviews, far too few to corroborate the '10,000+ Satisfied Patients' claim
- ✗There is no dedicated refund policy page; refund terms are buried inside the general Terms of Use
- ✗The Terms of Use include a dispute resolution and arbitration agreement
- ✗'Up to 50% cheaper than competitors' is asserted repeatedly in a scrolling banner without naming the competitors or the basis for the figure
Feature-by-feature comparison
| Feature | Midi Health | Oak Longevity |
|---|---|---|
| Monthly Price | $164 | $119 |
| Rating | 8.6/10 | 7.7/10 |
| Medications | compounded GLP-1, compounded GLP-1/GIP, brand-name GLP-1s | semaglutide, tirzepatide |
| Insurance Accepted | Yes | No |
| Support Hours | Not published | Not published |
| Live Chat | No | No |
| Free Shipping | Yes | Yes |
| Shipping Speed | Discreet shipping included in every quoted medication price | Same-day approval claimed; delivery time not published |
| Mobile App | No | No |
| Dedicated Coach | Not included | Included |
| Follow-up Frequency | Continued care visits with the same clinician, covered by insurance for qualifying patients | Free health coaching included |
| Money-back Guarantee | None published | None published; refund terms appear only inside the Terms of Use |
| Cancellation Policy | No membership fee and no subscription lock-in; you pay for care and medication only | Cancel from your account by cancelling the prescription or deleting the account; charges already processed by a provider are not reversed |
Which should you choose?
Choose Midi Health if you:
- →Prefer a higher-rated service (8.6/10 vs 7.7/10)
- →Want more medication options to choose from
- →Need insurance coverage for your treatment
- →Value: the glp-1 pricing page is the most transparent we have seen anywhere in this category: a dose-by-dose table for four different products, with shipping and supplies included in every figure (checked july 28, 2026)
Choose Oak Longevity if you:
- →Want to save $45/month with a more affordable option
- →Want personalized coaching support included
- →Value: among the lowest advertised prices in the category: compounded semaglutide from $119/month and tirzepatide from $185/month (checked july 27, 2026)
Website previews
Midi Health
Oak Longevity
Our recommendation
Midi Health comes out ahead with a higher rating of 8.6/10. It also provides multiple medication options including both semaglutide and tirzepatide.
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