How Does MEDVi Work? Steps, Plans, Billing and Cancelling

By WPG Research Team · Last verified November 9, 2026 · Last updated November 9, 2026

MEDVi works in four steps: you fill out an online assessment, pay at checkout, a clinician reviews you, and if you are approved a partner pharmacy ships your medicine. MEDVi itself is not a pharmacy. It runs the website, billing and support, while clinicians from a network called OpenLoop Health decide whether to prescribe. Its main plans are compounded GLP-1 injections or tablets, paid in cash, plus brand-name options listed on its site.

One detail surprises people: MEDVi says the clinician meets you after checkout, not before. We read MEDVi's sites, terms and refund policy on November 9, 2026. Here is the process, what each step costs you, and where the risks are.

Weight Loss Provider Guide is an independent comparison resource for GLP-1 telehealth providers.

Bottom line: MEDVi is a cash-pay telehealth program. You pay first, a clinician decides if you qualify, and if you do not qualify you get a refund. If you do, medicine ships from a partner pharmacy and billing repeats until you cancel. Compounded GLP-1s are not FDA-approved, and MEDVi received an FDA warning letter in February 2026 about its marketing.

Best for: Cash-pay adults who want a low-friction online program and will read the refund rules first.

Not best for: Anyone who needs insurance to pay for medicine, wants an FDA-approved manufacturer pen, or has a personal or family history of medullary thyroid cancer (MTC) or MEN 2.

See which GLP-1 path fits you

How MEDVi works, step by step

Step	What happens	What to know
1. Assessment	You answer questions online, starting with your weight-loss goal	The assessment screens you out if you do not meet the exclusion rules. It does not create a doctor-patient relationship
2. Checkout	You choose a plan and pay	MEDVi says its prescriptions are cash-pay and there is no contract
3. Clinician review	An OpenLoop Health clinician reviews you after checkout	The clinician decides whether to prescribe. If you do not qualify, you get a refund
4. Pharmacy ships	If prescribed, a partner pharmacy ships to your door	MEDVi does not make or ship the medicine itself
After that: ongoing care	Support and refills continue while you are subscribed	Billing repeats until you cancel

For timing questions, see how long MEDVi takes to approve a prescription and MEDVi shipping time.

Step 1: The online assessment

You start by answering health and goal questions. MEDVi's sign-up page opens with a weight-loss goal question: losing 1 to 20 pounds, 21 to 50, 51 or more, or not sure. MEDVi says the assessment also screens for conditions that would rule you out of GLP-1 treatment, using exclusion rules set by OpenLoop Health.

Be honest with every answer. Do not use a GLP-1 if you or a family member has had medullary thyroid cancer (MTC), or if you have MEN 2. Tell the clinician about pregnancy, plans to become pregnant, breastfeeding, pancreatitis, gallbladder disease and any diabetes medicines.

Step 2: Checkout and billing

MEDVi asks you to pay before the clinician decides. That is why the refund rules matter. MEDVi says its programs are cash-pay with no contract, and that medicine is included in the program price. It also advertises "HSA/FSA Approved" and says insurance may reimburse brand-name options only. See does MEDVi take HSA or FSA and does MEDVi accept insurance.

MEDVi's compounded starting price did not display on its own page on November 9 (the page showed an unfilled field), so we do not quote one. Its brand-name cards say "$99 Membership + Medication Cost." For checked prices, see MEDVi cost. Before you pay, screenshot the plan length, the total charged today and the date of the next charge.

Step 3: The clinician review

MEDVi says an OpenLoop Health clinician meets you after checkout and keeps the decision to prescribe. MEDVi says medical care is provided by "CareGLP Affiliated P.C.s" and OpenLoop Health, which it describes as a network of U.S.-licensed doctors.

Two outcomes are described on MEDVi's site:

Approved. The clinician prescribes and the order goes to a pharmacy.
Not approved. MEDVi's refund policy says if a provider disqualifies you for a medical reason, you receive a full refund.

Step 4: The pharmacy ships your medicine

MEDVi says it is not a pharmacy and does not produce compounded medicine. Its terms list three partner pharmacies: Triad Rx in Alabama, RedRock Pharmacy in Utah and Beaker Pharmacy and Compounding in Texas. MEDVi also says what arrives may look different from what its site shows. Read each pharmacy's FDA record in what pharmacy MEDVi uses.

Check the label when the package arrives. Confirm the drug, strength and directions match what your clinician told you. If a package is damaged or wrong, MEDVi's refund policy says to contact it right away. Damaged items may be replaced when you send proof, and incorrect items are replaced.

What medicines does MEDVi offer?

MEDVi's sign-up page lists two compounded options and three brand-name options.

Option	What MEDVi says	What to know
GLP-1 injections	One injection per week	Compounded. Not FDA-approved
GLP-1 tablets	One dissolvable tablet per day	Compounded. Not FDA-approved
Wegovy pill	One pill per day	FDA-approved brand-name drug. "$99 Membership + Medication Cost"
Wegovy injection	Availability subject to change	FDA-approved brand-name drug. Same pricing note
Zepbound injection	Availability subject to change	FDA-approved brand-name drug. Same pricing note

MEDVi's own terms say compounded GLP-1s are "not FDA-approved or evaluated for safety, efficacy, or quality." FDA says the same of all compounded drugs. For drug-level detail, see MEDVi semaglutide cost and MEDVi tirzepatide.

What support does MEDVi include?

MEDVi advertises 24/7 support, doctor-led plans and care coaching, and free dietitian visits, with a footnote that free visits depend on insurance and copay eligibility checked at your visit. You can reach MEDVi at help@medvi.org or (323) 690-1564. Read the footnotes on its checkout pages so you know exactly what you are paying for.

How billing, cancelling and refunds work

Billing repeats until you cancel, so the cancel rules are part of how MEDVi works. From MEDVi's Cancellation and Refund Policy:

You can cancel any time. Email hello@medvi.org or message through your patient portal, at least 72 hours before your next billing date. If you miss that window, you pay for that cycle.
First 72 hours. If you cancel within the first 72 hours of your term and have received no services, you get a full refund.
Monthly plans. No refund for the month you cancel or any month before it.
Plans paid 2 or more months at a time. You get a refund for months where no medicine shipped.
Otherwise. MEDVi says no refunds, and federal law generally bars returning prescription medicine.

Step-by-step cancel help is in MEDVi cancellation policy. Compare rules across providers in compounded GLP-1 refund policies compared.

What are the risks of using MEDVi?

Know three things before you start.

FDA sent MEDVi a warning letter. On February 20, 2026, FDA said MEDVi's old website had misleading claims about compounded semaglutide and tirzepatide, including labels that suggested MEDVi was the compounder and "same active ingredient" wording. MEDVi says the letter was aimed at an outside marketing agency and that it has never received an FDA letter. FDA addressed it to MEDVi, LLC dba MEDVi.
Customers report billing and delivery problems. BBB rates MEDVi F and lists hundreds of complaints. See our MEDVi reviews for the wider record.
Compounded drugs have no label-grade safety data. Common side effects are nausea, diarrhea and constipation, and rare problems include pancreatitis and gallbladder disease. See MEDVi side effects.

Is MEDVi a good fit?

MEDVi can fit you if you are paying cash, want an online-only process, accept compounded medicine and will buy one month first.

Skip or compare other options if you need insurance to pay, want an FDA-approved drug with a full manufacturer label, or want a long prepaid plan with an easy refund.

See if you qualify with MEDVi

Want only FDA-approved medicine? Ro sells only FDA-approved GLP-1s. On November 9, 2026, Ro listed a $39 first month of membership (refunded if you are not eligible), then $74 to $149 a month, with the Wegovy pill from $149 a month for the starting dose and the Zepbound KwikPen from $299 a month on top.

See Ro's brand-name GLP-1 prices

Comparing both? Read MEDVi vs Ro and our MEDVi reviews. For a ranked shortlist, see our best GLP-1 online programs, ranked the same way every time (how we rank).

FAQ

How does MEDVi work?

You complete an online assessment, pay at checkout, and an OpenLoop Health clinician reviews you after checkout. If you are approved, a partner pharmacy ships your medicine and you are billed on your plan's schedule until you cancel.

Do I see a doctor before I pay MEDVi?

MEDVi says the clinician meets you after checkout. The online assessment screens you first, but the prescribing decision comes after payment. If you are disqualified for a medical reason, MEDVi's policy says you get a refund.

Is MEDVi a pharmacy?

No. MEDVi says it is not a pharmacy and does not produce compounded medicine. Its terms list Triad Rx, RedRock Pharmacy and Beaker Pharmacy and Compounding as partner pharmacies.

Does MEDVi take insurance?

MEDVi says its prescriptions are cash-pay. Insurance may reimburse brand-name options only. See does MEDVi accept insurance.

How do I cancel MEDVi?

Email hello@medvi.org or message through your patient portal at least 72 hours before your next billing date. Refunds are limited, so read the rules above first.

Is MEDVi available in every state?

No. MEDVi says its services are available only in certain states. Email help@medvi.org for the current list before you pay. See MEDVi states available.

Is MEDVi FDA-approved?

MEDVi's compounded medicines are not FDA-approved. The brand-name drugs it lists, such as Wegovy and Zepbound, are FDA-approved. See is MEDVi GLP-1 FDA-approved?.

What we actually verified

Claim	What we saw	Confidence
Process: assessment, checkout, clinician after checkout, pharmacy ships	MEDVi's sign-up page, home page and terms	High (Nov 9, 2026)
Partner pharmacies	MEDVi's terms	High
Refund and cancel rules	MEDVi's Cancellation and Refund Policy	High
Compounded starting price	Not displayed on Nov 9, so not quoted	Not verified
FDA warning letter	Full letter on fda.gov, dated Feb 20, 2026	High
State availability	MEDVi says "certain states" and gives no list online	Not verified

Sources

All checked November 9, 2026.

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