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Provider review

bmiMD Review: The $99 Semaglutide Costs $129 Month to Month

bmiMD advertises compounded semaglutide at $99 a month and tirzepatide at $139. Both are twelve-month plans, charged as $1,188 and $1,668 in one payment on the day you sign up. Month to month the checkout says $129 and $179 — a 30% gap, which is small for this category and is the whole of the difference. The monthly plan then renews at the number it started at.

By Marla Whitfield, Pricing Editor

Disclosure: Some links on this site are affiliate or referral links. If you start a treatment or buy a product through them, we may earn a commission at no additional cost to you. Read our full disclosure.

The money verdict

I would buy here month to month, and I would not feel the need to watch it. Three things make that unusual. The monthly price holds — bmiMD's own checkout prints "Next renewal total $129.00" against a $129 first charge, with no introductory tier anywhere on its standing product pages. One price applies at every dose. And your card is authorized rather than charged until a clinician confirms you are eligible, which is the opposite of what several sellers on this site put in writing.

Worth it if

  • You want next month’s charge to match this month’s — bmiMD’s checkout prints a $129 renewal against a $129 first charge.
  • You do not want to pay to find out whether you qualify: the card is authorized, not charged, until a clinician confirms eligibility.
  • You want to cancel or pause from the account page without emailing anyone.
  • You would rather fill the prescription at your own pharmacy — the terms allow it.

Look elsewhere if

  • You want the $99 rate: that is twelve months charged at once, and there are no refunds for a period you only part-used.
  • You need your state confirmed before starting — nothing in the signup asks where you live until the shipping form.
  • You might change your mind after approval; canceling before the pharmacy processes the order costs a non-refundable fee.
Cheapest — Semaglutide

$129/mo

States served

bmiMD says it works with licensed clinicians "in all 50 states" in its own homepage FAQ

Billing cycle

Monthly (12×/yr)

That’s a prose claim rather than data: no step of its signup asks which state you live in until the shipping form at checkout, and that form carries WooCommerce's stock US list — the 50 states, the District of Columbia, and Armed Forces AA, AE and AP. No state is refused anywhere in that form.

At a glance

$99/mo

Advertised

the first-cycle rate

$129/mo

Walk-away

vs. advertised

$1,548

Year at this price

$129 × 12

The same Semaglutide price, three ways

The short bar is the number bmiMD leads with. It lasts one cycle.

Advertised

first cycle only

$99

Walk-away

every cycle after

$129

Ready to check bmiMD’s current price?

Prices may change.

Best for: You want next month’s charge to match this month’s — bmiMD’s checkout prints a $129 renewal against a $129 first charge. Skip it if: You want the $99 rate: that is twelve months charged at once, and there are no refunds for a period you only part-used.

Visit bmiMD

What’s included

  • Medication at one price for every dose, with the telehealth visit included rather than billed separately
  • Messaging with the prescribing provider about dosage and side effects
  • Free shipping on subscription orders — the 6- and 12-month checkouts print "Shipping via Flat rate: Free"
  • Refills through the account portal, cancellable or pausable from the same page
  • Klarna and Afterpay on the 6- and 12-month plans; HSA/FSA cards accepted

Pricing, per compound

Everything bmiMD sells, cheapest year first. “Advertised” is the price it leads with; “Walk-away” is what you pay if you stop after one cycle.

ProviderAdvertisedWalk-awayYear at this price
Semaglutide — compounded

$99 is the twelve-month plan: the checkout reads "$99 x 12 Months = $1,188 every 12 months" and takes $1,188 today. The month-to-month plan is a separate product at $129, and its own order summary confirms it holds — "Next renewal total $129.00". In between: $357 for 3 months ($119/mo), $654 for 6 months ($109/mo). Same price at every dose; the compounded semaglutide microdose product is priced identically.

$99.00/mo$129.00/mo$1,548.00

$129.00 × 12 months

Tirzepatide — compounded

$139 is the twelve-month plan, billed as $1,668 in one payment. Month to month is $179, renewing at $179. In between: $477 for 3 months ($159/mo), $894 for 6 months ($149/mo).

$139.00/mo$179.00/mo$2,148.00

$179.00 × 12 months

The year at this dose — 12 payments, or 13 where a seller bills every four weeks. Several charge more as you move to a higher dose; where they publish that, the row says so.

Every figure above was read on bmimd.com, one product at a time. Check the current price before you buy.

See bmiMD’s prices

How this compares

Pros and cons

Pros

  • You can cancel or pause from the account portal without contacting anyone.
  • No FDA warning letter under bmiMD, under Medccm Inc, or against the pharmacy it names.
  • The monthly price holds.
  • The gap between headline and walk-away is 30%, against sellers in this category who routinely double.
  • Your card is authorized, not charged, until a clinician confirms eligibility.
  • One price at every dose, stated on every product page and carried through to the plan names at checkout.
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  • It names its fulfillment pharmacy with a street address and a phone number — Precision Compounding Pharmacy, Bellmore, New York — which most sellers in this category won’t do.
  • Its terms let you take the prescription elsewhere: you "may fill the prescription at any pharmacy of your choice".
  • The compounded microdose products, semaglutide and tirzepatide, are priced identically to the standard ones rather than carrying a premium.

Cons

  • There are no refunds for partially used subscription periods, so an unused month inside a twelve-month prepay is money gone.
  • Cancel after approval but before the pharmacy processes the order and a non-refundable $50 cancellation fee applies.
  • The eligibility quiz declares "Congrats – You're eligible to lock in our lowest pricing" after two questions about how much weight you want to lose.
  • The advertised $99 and $139 are twelve-month plans charged as $1,188 and $1,668 on day one.
  • Every price sits under a "SUMMER CLOSEOUT · LIMITED TIME" banner whose countdown shows the words "Ends soon" where a time should be.
  • A price-freeze panel on every page reads "Join before Aug 4" and "prices go up on Aug 4".
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  • The tirzepatide microdose page prices its 3-month plan at "$159/month … Total Price: $357". $159 × 3 is $477, which is what the checkout charges; $357 is the semaglutide number.
  • Coverage is asserted in prose and nowhere tested: no step in the signup flow asks which state you live in until the shipping form, and that form is WooCommerce's stock list.
  • Its terms promise "the compounding pharmacies listed below" and then name exactly one.
  • Klarna and Afterpay appear on the 6- and 12-month checkouts but not on the monthly plan — the financing is offered on the commitment, not on the flexible option.
  • The "4.9 Avg. Rating | 1,000+ Reviews" badge on every product page links to nothing, and the testimonials beneath it are first-name-only blocks repeated verbatim across products.

Where else bmiMD appears

Boards this company appears on

Compare the cost of compounded semaglutide · Compare the cost of compounded tirzepatide

How we verified this

What we checked

  • Every price read off account.bmimd.com — 2 products, checked one at a time
  • The billing cycle taken from the company's own terms, not assumed from the price
  • States, inclusions and cancellation terms read on the company's own pages
  • Screened against the FDA's live warning-letter index

What to double-check before you buy

  • bmiMD's tirzepatide microdose page prints that 3-month tier as "Total Price: $357", which is the semaglutide figure — the checkout charges $477.
  • Prices may change. Confirm before you buy.

Key terms

Show definitions
Walk-away price
What one cycle costs at the ongoing rate with no commitment — what you actually pay if you stop after month one.
Year at this price
The walk-away price multiplied by however many times a year it's actually billed. It's the year at this dose only — several sellers charge more as you move up, and most don't publish the ladder.
Compounded
Made to order by a pharmacy from raw ingredients, rather than dispensed as an FDA-approved, mass-manufactured product.

Bottom line

Budget $129 a month for semaglutide and $179 for tirzepatide, and take the monthly plan unless you are certain about the year: there are no refunds for partially used periods, so an unused month inside a prepay is gone. Ignore the urgency furniture. The countdown shows "Ends soon" where a time should be, and the panel warning that prices rise on August 4 was still there on August 9 with the prices unmoved.

Visit bmiMD

Frequently asked questions

What does bmiMD actually cost?

Between $99 and $129 a month for compounded semaglutide, and between $139 and $179 for compounded tirzepatide, depending entirely on how far ahead you pay. Read off bmiMD's own checkout on August 9, 2026: semaglutide is $1,188 for twelve months, $654 for six, $357 for three, and $129 for one; tirzepatide is $1,668 for twelve, $894 for six, $477 for three, and $179 for one. The advertised figures are the twelve-month plans divided out. If you want one month with no commitment, the numbers are $129 and $179.

Does the price go up after the first month?

No, and bmiMD is one of the few sellers in this category whose own checkout proves it rather than promising it. Add the monthly semaglutide plan and the order summary reads "GLP-1 Monthly Treatment Plan $129 / month", "Next renewal total $129.00", "First renewal: September 9, 2026". Same figure, same product, no step-up. The one exception is a referral lander at /compounded-glp-1-semaglutide-nift/, which offers a $30-off first month and labels it "$99 /1st mo" against a $129 total — honestly marked, but a different offer from the one on the storefront.

What does a year on bmiMD come to?

Twelve payments of $129 is $1,548 for semaglutide, and twelve of $179 is $2,148 for tirzepatide. Pay for the year up front instead and it’s $1,188 and $1,668 — so committing saves $360 and $480. That’s a smaller premium for flexibility than most of this category charges, which makes the month-to-month plan a genuinely reasonable place to start. The catch is on the other side: bmiMD doesn’t refund partially used subscription periods, so if you take the twelve-month price and stop in month three, the remaining nine months aren’t coming back.

When does bmiMD actually charge me?

After a clinician has said yes, which is the right way round and not how this category usually works. Its refund policy: "Once you've submitted your order, we'll authorize your card. Shortly after, you'll receive a HIPAA-compliant medical intake form to complete. Once your eligibility is confirmed by the licensed provider, we'll process the authorized payment. If it turns out you're not eligible for the program, we'll release the authorization hold, and you won't incur any charges." So a declined application costs you nothing. What does cost is changing your mind after approval — cancel between the provider signing off and the pharmacy processing, and a non-refundable $50 fee applies.

Does the price change as my dose goes up?

No. "Same price at every dose" sits on every product page, and it survives the checkout: the plans are named by compound and duration only — "GLP-1 12 Month Treatment Plan", "Compounded GLP/GIP Monthly Plan" — with no dose variant to select and no dose surcharge in the order summary. For a drug you titrate upward over months, that’s the difference between a quote and a budget. bmiMD also sells compounded semaglutide and tirzepatide microdose products, and prices them identically rather than at a premium.

Where does the medication come from?

bmiMD names it, which is worth something. Its terms give the fulfillment pharmacy as Precision Compounding Pharmacy, 2657 Merrick Road, Bellmore, NY 11710, with a phone number, and say the company "sources its prescription medication from licensed 503a compounding pharmacies" chosen by the state you live in. Two caveats. The terms say "the compounding pharmacies listed below" and then list one, so the state-by-state network is asserted rather than shown. And the same terms tell you that you may fill the prescription at any pharmacy of your choice instead — a right most telehealth sellers in this category don’t extend.

Does bmiMD serve my state?

Almost certainly, but the evidence is weaker than it looks. Its homepage FAQ says bmiMD "connects patients to licensed healthcare professionals in all 50 states", and nothing in the signup flow contradicts that. What is missing is any point at which the claim is tested: the eligibility quiz never asks where you live, and the state dropdown at checkout is WooCommerce's stock US list — the 50 states, D.C. and three Armed Forces entries — which every WooCommerce store on the internet ships with. No state is refused anywhere we could reach without submitting an order, so no exclusion is named here.

How reliable are the numbers on bmiMD's own pages?

The prices are, with one exception we could reproduce. Every tier on the semaglutide and tirzepatide product pages matches its checkout line exactly. The exception is the tirzepatide microdose page, which prints its three-month plan as "$159/month … Total Price: $357" — but $159 × 3 is $477, and $357 is the three-month total from the semaglutide page. The checkout charges $477. It’s a copy error rather than a trap, and it’s the exact failure this site's method exists to catch: a price that belongs to the other molecule, sitting under the right one.

What about the countdowns and the closeout banner?

Treat them as decoration. The "SUMMER CLOSEOUT" strip runs across every page and its countdown shows the literal words "Ends soon" where a time should be. Behind a "How the price freeze works" panel, present in the markup of every page, sits the line "Join before Aug 4 and today's rate becomes your rate" alongside "when prices go up on Aug 4". On August 9, 2026 that date was five days gone and every price on the site was unchanged. bmiMD's own safety page reserves the right to "adjust pricing from time to time in accordance with supply and market conditions", which is the honest version of the same statement.

Has bmiMD had an FDA warning letter?

No. FDA's live warning-letter index was queried on August 9, 2026 for "bmimd", "bmi md", for the corporate name "medccm", and for the pharmacy it names. bmiMD and Medccm returned zero. The spaced query "bmi md" returned two rows, but their company columns read Eli Lilly and Company and Nana Barseghian, M.D. — the phrase matched inside letter bodies, not a company name, and neither is this business. The pharmacy query returned one row for a different pharmacy entirely, Stokes Healthcare Inc. dba Epicur Pharma. A query for "skinnyrx" in the same pass returned that company's February 2026 letter, which is what makes the zeros meaningful rather than a sign of a broken search.

Sources

Every price above was checked against bmiMD’s own pricing page — never a third-party aggregator:

Show every source link

Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.