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Midi Health vs Refills

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

Midi Health vs Refills: Overview

Choosing between Midi Health and Refills 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. Refills also provides both semaglutide and tirzepatide at $150/month with a 7.8/10 rating.

With only a $14/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.

Visit CoreAge Rx →Read full review

At a glance

Price Difference

$14/mo

Rating Difference

0.8

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

Choose Midi Health

Refills

View full Refills review →

Rating

7.8/10

Monthly Price

$150Cheaper

Medications

semaglutidetirzepatide

Pros

✓The largest verifiable review base of any provider in this batch: the Trustpilot profile for refills.com showed a 4-star TrustScore from roughly 1,244 reviews when we checked
✓No membership or app fees, stated as a headline promise: "Never Pay for Monthly Memberships or App Fees"
✓All dosages cost the same - "We don't charge you based on dosage changes" - which removes the titration price trap that catches most compounded GLP-1 patients
✓Both a GLP-1 (semaglutide-class) and a GIP + GLP-1 (tirzepatide-class) injectable are offered
✓A published phone number, 888-458-5061, and support@refills.com, with 24/7 health-concierge support advertised
✓Free and discreet shipping on every order
✓Unusually candid disclaimers: it states plainly that compounded drug products are not approved or evaluated by the FDA, and that Refills Health is not a medical services provider but a technology platform
✓It names its clinical partners - Beluga Health, Bask Health and Wasef Health - rather than referring vaguely to "our providers"
✓Certificates of Analysis are available on request for any batch
✓LegitScript certification is displayed

Cons

✗Pricing is quoted per day, not per month. "GLP-1s from $5/day" reads as cheap but is $150 a month, and the site never states a monthly figure
✗Refills is a technology platform, not a medical provider. It does not manufacture or dispense medication and does not employ the clinicians who prescribe
✗All prescription sales are final. State and federal rules do not allow returns of dispensed prescription medication, and once your card is charged and the package is handed to the carrier there is no refund
✗Returns are only accepted on unopened, non-prescription items within 30 days, and you pay the return shipping
✗It does not ship refrigerated products, which the returns page presents as a benefit ("your product will not be affected by increased transit time") but which is worth understanding before you order
✗The medication is compounded, so it has not been evaluated by the FDA for safety, quality or efficacy
✗Available across the US but explicitly not in the District of Columbia
✗Before/after testimonials headline losses of 40 to 120 pounds. The disclaimer that results are not typical is present but far less prominent than the numbers

Feature-by-feature comparison

Feature	Midi Health	Refills
Monthly Price	$164	$150
Rating	8.6/10	7.8/10
Medications	compounded GLP-1, compounded GLP-1/GIP, brand-name GLP-1s	semaglutide, tirzepatide
Insurance Accepted	Yes	No
Support Hours	Not published	Company advertises free 24/7 support from a health concierge
Live Chat	No	No
Free Shipping	Yes	Yes
Shipping Speed	Discreet shipping included in every quoted medication price	Free shipping; non-refrigerated products shipped via USPS, FedEx or UPS
Mobile App	No	No
Dedicated Coach	Not included	Not included
Follow-up Frequency	Continued care visits with the same clinician, covered by insurance for qualifying patients	Providers reassess and adjust dose, titration pace or treatment on request
Money-back Guarantee	None published	None. All prescription sales are final once dispatched
Cancellation Policy	No membership fee and no subscription lock-in; you pay for care and medication only	You can log in and cancel your subscription, change your address or change your payment method any time before the order is sent to the pharmacy

Which should you choose?

Choose Midi Health if you:

→Prefer a higher-rated service (8.6/10 vs 7.8/10)
→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)

Get started with Midi Health

Choose Refills if you:

→Want to save $14/month with a more affordable option
→Value: the largest verifiable review base of any provider in this batch: the trustpilot profile for refills.com showed a 4-star trustscore from roughly 1,244 reviews when we checked

Get started with Refills

Website previews

Midi Health

Midi Health website

Refills

Refills website

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.

Get started with Midi Health

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