Compounded tirzepatide

Midi Health review

By ·Editor·Reviewed

Midi Health is a women's health practice built around perimenopause and menopause, and it sells compounded tirzepatide by the four-week supply. The starting doses cost $210 a supply, about $228 across a calendar month. The price climbs as the dose does, and the clinician visits are billed on their own.

A real month costs$228advertised $210 +$18.28 gap
EvidenceVerified
Billing cycle4-wk
Price across dosesClimbs with the doseup to $472
Where it ships50 states
FDA warning letterNone found
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On this page

Who it suits

Good fit if

  • You're a woman in midlife who wants weight care from clinicians trained in hormones and menopause.
  • Your PPO plan covers Midi's visits, so the only cash cost is the medication itself.
  • You'd rather buy each refill yourself than be enrolled in a monthly subscription.

Look elsewhere if

  • You expect to reach 13.75 or 15 mg, where a supply averages about $472 a month.
  • You're on Medicaid or Medi-Cal, which Midi can't accept, even for self-pay care.

What you get

Midi's pricing page lists tirzepatide as a "Dual-Action GLP-1/GIP Injectable" and sets it in four price steps. Doses of 1.25 and 2.5 mg cost $210 for four weeks. The steps rise at 3.75 mg, 7.5 mg and 13.75 mg. Shipping and injection supplies are included in each figure, and there is no membership fee.

The medication is only part of the bill. Your first visit runs 30 minutes and each follow-up 15 minutes. Both are covered for patients whose insurance is in-network with Midi, and both carry a separate self-pay rate for everyone else.

Prescriptions are filled by Midi's partner compounding pharmacies, which it describes as licensed and 503A-accredited, and orders ship discreetly. Midi also sells a sublingual form of its GLP-1/GIP medication, dissolved under the tongue and priced on its own ladder.

How it works

  1. Check your coverage on Midi's site, then book a virtual visit. A card goes on file at registration, but it isn't charged at booking.
  2. Fill in a short questionnaire about your weight history, medications and goals before you meet.
  3. Meet your clinician in a 30-minute virtual visit. They may order labs and will decide whether a compounded GLP-1/GIP injection fits your care plan.
  4. If it's prescribed, a partner pharmacy compounds and ships the four-week supply. Your card is charged for the visit only after the visit ends.
  5. Buy refills yourself in the Midi portal as they come due. Fifteen-minute follow-ups are where your clinician adjusts the dose.

Pros and cons

Pros

  • Midi prints every tirzepatide dose from 1.25 mg to 15 mg with its price on one public page.
  • In-network PPO patients can have both the 30-minute first visit and the 15-minute follow-ups covered by insurance.
  • Weight care sits beside Midi's hormone and menopause treatment, with clinicians trained in women's midlife health.

Cons

  • The price rises in steps, and the 13.75 to 15 mg supply averages about $472 a month.
  • Supplies are priced every 28 days, so a year of treatment means 13 purchases, not 12.
  • Self-pay patients pay for each Midi visit on top of the medication, starting with the 30-minute first visit.

Check before you pay

Your insurance
Midi is in-network with most PPO plans. Medicare is out of network, so Medicare patients can only book self-pay visits and can't file claims for them.
Missed appointments
Reschedule or cancel a visit in the Midi portal at least 24 hours ahead to avoid a cancellation fee.
The drug's name
The pricing page says "Dual-Action GLP-1/GIP Injectable" rather than naming tirzepatide. Confirm the medication with your clinician before you buy.
HSA and FSA
Midi says HSA and FSA funds can pay for its visits and services.

Price

Midi Health costs $228 a month for compounded tirzepatide. It advertises $210. The card is charged $210 every 4 weeks. That is the starting dose; it rises to $472 at the top of its range.

How we got $228

The arithmeticOne month = 30.4375 days

  1. Midi Health advertises

    Read on Midi Health's own site

    $210.00

  2. The card is charged $210.00 — exactly what it advertises

    + $0.00

  3. And it is charged every 4 weeks, not every month

    13.04 charges a year, not twelve.

    + $18.28

A real month$228.28

A real month costs $18.28 more than the figure advertised.

There is also $250 once — first visit, thirty minutes, self-pay rate — covered for in-network insurance patients. You pay it a single time, so it is not part of the monthly figure above and does not change where this seller ranks.

The price above is the starting dose, and it rises as your dose does. At the top of the range this seller publishes, a month costs $472.

Where it sits, and what costs less

$86median $269$434+

105 cheaper · 29%256 dearer · 70%

The most expensive 10 sellers charge between $434 and $649 a month.

  1. Collective$86
  2. Teleios Health$99
  3. Valhalla Vitalitystarting dose$99
  4. RxPepsDirectstarting dose$100
  5. WeightRxstarting dose$125
  6. Midi Health$228

Another 100 sellers are cheaper than Midi Health. The whole cheapest list →

Where it says it operates

Listed in 50 states, all but 1 of the 51 we track.

State pages this seller appears on: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

What else this seller sells

The same seller appears in our data for one other medication.

Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.

Midi Health questions

Is Midi Health legit?
Midi Health is a U.S. telehealth practice for women in midlife, and it says it's in-network with most major insurers. Its clinicians prescribe, and licensed 503A partner pharmacies compound the medication. Compounded tirzepatide is not FDA-approved, and Midi's pricing page says so.
How much is Midi Health tirzepatide per month?
At 1.25 or 2.5 mg it's $210 per four-week supply, about $228 a calendar month. The price goes up at higher doses, reaching about $472 a month at 13.75 or 15 mg. Midi's compounded semaglutide starts lower, at about $180 a month.
Does Midi Health take insurance?
For visits, yes. Midi is in-network with most PPO plans and bills your insurer after the appointment. The compounded medication is paid out of pocket. Midi can't treat Medicaid or Medi-Cal patients.
Does Midi Health charge a membership fee?
No. You pay for visits and for each medication supply you buy, and nothing else recurs. Shipping and supplies are already in the medication price.