Provider review
SexyMD review: every price it advertises needs a forty-eight-week commitment
Every figure SexyMD puts in a headline — $199 for semaglutide, $299 for tirzepatide — is the bottom rung of a forty-eight-week commitment. Its own price table, on the same page, prices four weeks at $269 and $369. The tier is four weeks rather than a month, so a year holds thirteen charges. And its footer manages to say both "available in all 50 states" and "available in all states except Arkansas, Mississippi, and New Jersey", one line apart, on every page we read.
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The money verdict
I would buy the four-week plan here and treat every headline on the site as a different product. $269 for four weeks of semaglutide is unremarkable; $199, the number on the homepage, is a year of commitment and a quarterly delivery. The gap between those two is the widest in this batch on a percentage basis. What makes it harder to recommend is not the pricing but the state claim: this company tells a reader in Arkansas that it serves all fifty states and that it does not serve Arkansas, in the same footer, on every page.
Worth it if
- You want the whole price ladder visible before answering anything, which it is
- You want the microdose line, where the single price is at least honest about being one
- You will commit to forty-eight weeks and are comfortable with quarterly delivery
Look elsewhere if
- You live in Arkansas, Mississippi or New Jersey, which one of its two state claims excludes
- You compared on $199, because that is a year's commitment and not a rate
- You want to know which pharmacy compounds it, which the site never says
$179/cycle
Arkansas, Mississippi, New Jersey
Every 4 weeks (13×/yr)
At a glance
$179/cycle
Advertised
$179/cycle
Walk-away
$2,327
Year at this price
What Compounded semaglutide microdose injection costs
SexyMD charges one rate: $179/cycle to start and the same after. It does not rise once the first cycle ends.
Ready to check SexyMD’s current price?
Prices may change.
Best for: You want the whole price ladder visible before answering anything, which it is Skip it if: You live in Arkansas, Mississippi or New Jersey, which one of its two state claims excludes
What’s included
- "Same price, all dosage levels" and "no hidden fees, everything included", per its checkout heading
- Provider review before any prescription is issued
- A full refund if a provider declines to approve the order, or if it cannot be filled
- Cancellation from the account dashboard, with 48 hours' notice before renewal
Pricing, per compound
Everything SexyMD sells, cheapest year first. “Advertised” is the price it leads with; “Walk-away” is what you pay if you stop after one cycle.
| Provider | Advertised | Walk-away | Year at this price |
|---|---|---|---|
Compounded semaglutide microdose injection $179 whichever plan length you pick — four, eight or twelve weeks all cost the same. | $179.00/cycle | $179.00/cycle | $2,327.00 $179.00 × 13 four-week cycles |
Compounded tirzepatide microdose injection $259 flat across all three plan lengths. | $259.00/cycle | $259.00/cycle | $3,367.00 $259.00 × 13 four-week cycles |
Compounded semaglutide injection $269 for a four-week plan, the only tier with no commitment. | $199.00/cycle | $269.00/cycle | $3,497.00 $269.00 × 13 four-week cycles |
Compounded tirzepatide injection $369 for four weeks against the $299 advertised. | $299.00/cycle | $369.00/cycle | $4,797.00 $369.00 × 13 four-week cycles |
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 sexymd.com, one product at a time. Check the current price before you buy.
See SexyMD’s pricesHow this compares
On our compounded tirzepatide board, SexyMD is $259 and the cheapest we have priced is Collective — medication plus the required annual fee at $85.58.
See every compounded tirzepatide price we have checked →On our compounded semaglutide board, SexyMD is $179 and the cheapest we have priced is Collective — medication plus the required annual fee at $75.58.
See every compounded semaglutide price we have checked →
Pros and cons
Pros
- The full four-tier ladder is on every product page before any account, questionnaire or email.
- Both microdose products are priced flat across every plan length, so there is no commitment trick on that line.
- It publishes a specific state exclusion — Arkansas, Mississippi and New Jersey — which is more than most sellers here will name.
- Its terms grant a full refund where a provider declines to approve an order or where it cannot be filled.
- Cancellation is self-serve from the account dashboard rather than a phone call.
- Its intake screens for the conditions that matter, naming medullary thyroid carcinoma, pancreatitis and gastroparesis among others before it will proceed.
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- No FDA warning letter.
Cons
- Every headline price is the forty-eight-week rate.
- It says both "available in all 50 states" and "available in all states except Arkansas, Mississippi, and New Jersey" in the same footer block, on all eleven pages we read.
- The tier sold as "/mo" is four weeks, so a year holds thirteen charges rather than twelve, and no page shows the annual figure.
- The two longest tiers print a monthly price and ship every twelve weeks, and what is actually charged is deferred to "the time of purchase".
- The asterisk on "as low as $199/mo*" resolves to no footnote anywhere on the homepage or collections page.
- Its microdose tirzepatide page describes twice-weekly dosing in one block and once-weekly injection in the next.
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- No pharmacy is named, and its LegitScript claim could not be resolved to a certificate.
- Three different unsourced review counts run across the site — 4.6K reviews, 1000+ reviews, and "loved by 800+ women" — with no platform named for any of them.
- Its checkout says 10,684 and 17,126 patients "chose this today", which is 27,810 people in one day on a site claiming 800+ reviewers.
- A 25-minute scarcity countdown runs at checkout and resets for every new session.
- Four Lorem ipsum placeholder posts are live and show on its collections page, bylined "By dev".
- There is no general right of refund once a provider has begun clinical review.
Where else SexyMD appears
Boards this company appears on
- The cheapest GLP-1 providers to actually stay on for a year
- The prices that do not change once you are through the intake
- The price transparency index: every company we have priced, scored on its own headline
- Every semaglutide seller we have priced, ranked by what a year really costs
- Every tirzepatide seller we have priced, ranked by what a year really costs
- Microdose GLP-1 plans, and what a year of one actually costs
- Cheapest compounded Tirzepatide, every price we have checked
- Cheapest compounded Semaglutide, every price we have checked
Compare the cost of compounded semaglutide · Compare the cost of compounded tirzepatide
How we verified this
What we checked
- Every price read off sexymd.com — 4 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
- Compounded semaglutide injection: The $199 in every headline needs forty-eight weeks, and four-week cycles come round thirteen times a year.
- Compounded tirzepatide injection: A year at the four-week rate is $4,797, which no page on the site shows.
- Compounded semaglutide microdose injection: The table implies a ladder this product does not have.
- Compounded tirzepatide microdose injection: Its own page describes twice-weekly dosing in one block and once-weekly in the next.
- 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.
- Four-weekly billing
- A cycle that repeats every 4 weeks rather than on the calendar month, so it bills 13 times a year, not 12. A stated shipping interval is not a billing interval.
- Compounded
- Made to order by a pharmacy from raw ingredients, rather than dispensed as an FDA-approved, mass-manufactured product.
Bottom line
Four weeks of semaglutide is $269 and four weeks of tirzepatide is $369 — and four weeks comes round thirteen times a year, so budget $3,497 or $4,797. If the forty-eight-week rate tempts you, note that those tiers ship every twelve weeks and that SexyMD does not publish what it charges you or when.
Visit SexyMDFrequently asked questions
What does SexyMD actually cost?
$269 for four weeks of compounded semaglutide and $369 for tirzepatide, buying without a commitment. Its microdose products are $179 and $259, flat whichever plan length you choose. Because the cycle is four weeks rather than a month, a year at the semaglutide rate is $3,497.
Where does the $199 figure come from?
The forty-eight-week plan. SexyMD's own table prices four weeks at $269, twelve at $249, twenty-four at $229 and forty-eight at $199 — and it is the last of those that appears in the homepage headline, the product hero and the collections page. The asterisk beside "as low as $199/mo*" is never explained.
Does SexyMD serve my state?
Its footer answers that question twice, incompatibly. One line says it is available in all 50 states; the next says services are available in all states except Arkansas, Mississippi and New Jersey. Both appear on every page we checked. If you live in one of those three, treat the specific claim as the real one.
Is a SexyMD month a month?
No. The plan a reader buys without committing is labeled "4 weeks" and priced "/mo". Four weeks comes round thirteen times a year rather than twelve, which adds a whole extra charge nobody advertises — and the longer tiers do not bill monthly at all, they deliver every twelve weeks.
Is the microdose plan cheaper if I commit?
No, and that is unusually straightforward of it. Both microdose products print the same price at four, eight and twelve weeks — $179 and $259 — so there is no saving to chase. The oddity is that they are shown in the same table format the full-dose pages use for a real ladder.
Sources
Every price above was checked against SexyMD’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.