MEDVi States Available: Where You Can (and Can’t) Use MEDVi in 2026

The Short Answer (Before You Scroll)

What We Actually Checked (and What You Should Confirm)

Here’s exactly what we cross-checked and when. Because MEDVi’s own terms don’t publish a public 50-state list — they direct visitors to email customer support — we built ours from three independent sources that all agree.

Is MEDVi Available in My State?

Yes, almost certainly — unless you live in North Dakota. MEDVi serves 49 U.S. states based on every public source we checked. North Dakota is the only state currently excluded.

MEDVi’s own terms say the platform is “available only to individuals located in certain states” and direct people to email [email protected] for the current list. That’s an unusual move for a telehealth platform this large. Most providers publish their state list. MEDVi doesn’t.

So how did we get to 49? Three independent sources publish the same breakdown: ConsumerAffairs, Bariatric Journal, and On Pattison all list North Dakota as the one excluded state, with consistent details on the restricted formats and the live-consult requirements. That alignment across three sources is why we’re confident in the 49-state number.

The Full MEDVi State Availability List

MEDVi is available in every U.S. state except North Dakota. Two states limit which formulation you can order, and six states add a live consultation step. The table below shows all 50 states with the exact rule that applies to each one.

Washington, D.C. note: Public state availability reporting references the 50 U.S. states. D.C. status wasn’t clearly listed in our sources. If you’re in D.C., confirm directly with MEDVi support before signing up.

Why MEDVi Isn’t Available in North Dakota (and What to Do Instead)

MEDVi does not currently serve North Dakota residents. State telehealth and pharmacy licensing rules vary, and not every telehealth platform has the clinician licensing to operate in every state. North Dakota residents who want a similar program should look at Eden, which is available in all 50 states.

For most North Dakota readers, Eden is the closest match to what brought you to MEDVi: all 50 states, cash-pay compounded semaglutide and tirzepatide, no long-term contract, HSA/FSA accepted, and FDA-approved Wegovy and Zepbound paths. If you were drawn to MEDVi because you wanted FDA-approved brand-name medication — Wegovy, Zepbound, Ozempic, Foundayo — then Ro is the better path. Ro says it is licensed in all 50 states plus D.C. and includes an insurance concierge.

Can MEDVi Ship Tablets to Alabama or California?

Public reporting attributes this to state pharmacy and compounding rules, not to MEDVi policy. If you live in Alabama or California and the only reason you wanted MEDVi was the daily tablet format, this is a real fit issue.

Which States Require a Live Video Visit With MEDVi?

In every other supported state, MEDVi runs fully async. That means you fill out a detailed health questionnaire online, a licensed clinician reviews it (typically within 24–48 hours), and if you’re approved, your medication ships. No video call. No phone tag.

For these six states, here’s how it typically works:

1. 1

   Complete the online intake form

   Same form everyone fills out.

2. 2

   MEDVi schedules a brief video visit

   Usually within 2–3 days (sometimes same-day).

3. 3

   The visit is short

   Generally 10–15 minutes — confirms your medical history and goals.

4. 4

   Prescription processed normally

   Same medication, same price, ships after the visit.

It doesn’t change your price. It doesn’t change your medication. It typically adds 2–3 days to your timeline. Some readers in these six states will want to skip the live visit entirely. Eden runs async in most states.

How Much Does MEDVi Cost in 2026?

MEDVi’s compounded semaglutide injection starts at $179 for the first month and $299 per month for refills. All MEDVi programs are cash-pay only and accept HSA and FSA payments.

Semaglutide injection pricing ($179/$299) verified directly on MEDVi’s official GLP-1 page. Tablet, tirzepatide, and branded prices come from current public source reporting (ConsumerAffairs). Confirm at checkout before payment.

Who MEDVi Is the Right Fit For (and Who Should Pick Someone Else)

MEDVi is best for cash-pay GLP-1 patients in supported states who want a low entry price, a deep menu of compounded options, and a fully online program.

How to Verify Your MEDVi State Eligibility Before You Pay

Because MEDVi’s terms direct users to email customer service for the current state list, the safest approach is to confirm your state inside MEDVi’s eligibility flow before submitting payment information. Five things to verify:

1. 1

   Enter your state in MEDVi's eligibility flow

   MEDVi's intake form will tell you on screen if your state is supported. Trust the signup flow over any third-party article (including this one). State coverage changes.

2. 2

   Confirm which formats are available

   If you live in Alabama or California, the flow should only offer injections — not tablets. If you see tablet options being offered to an AL or CA address, confirm with MEDVi support before checkout.

3. 3

   Confirm whether your state needs a live consult

   In KS, IN, MS, NM, OK, and WV, MEDVi will tell you on screen that a video visit is required. If you see this and want to stay async, consider Eden instead.

4. 4

   Screenshot the price — both first-month AND refill price

   The $179 first month is the hook; the $299 refill is your real monthly cost. Screenshot both so there's no surprise on month two.

5. 5

   Read the cancellation policy before paying

   MEDVi's policy requires cancellation requests at least 72 hours before your next billing date to stop the next charge. After medication is shipped, refunds are generally not available. Mark the date in your calendar.

What About the FDA Warning Letter to MEDVi?

You may have seen news about this. We’re including it because it’s a material fact a reasonable reader would want to know.

Source: FDA Warning Letter #721455 to MEDVi, LLC, February 20, 2026

What Real MEDVi Reviews Say About Service, Billing, and Support

Trustpilot shows MEDVi with an average TrustScore of 4.4 across more than 13,000 reviews as of our May 2026 check. Positive reviews focus on provider kindness, fast turnaround, and clinical support. Negative reviews concentrate on billing friction and cancellation experiences.

These are service experiences, not medical efficacy claims. The pattern across review platforms is consistent: provider experience and clinical care get the strongest scores. Billing, refunds, and cancellation friction generate the most negative reviews. That’s a good reason to read the cancellation policy before you pay.

What If MEDVi Isn’t a Good Fit for Your State?

If MEDVi isn’t right for your state — because you’re in North Dakota, because you specifically need tablets in Alabama or California, or because you want FDA-approved branded medications — there are direct alternatives.

Our Methodology for the MEDVi State Availability Matrix

MEDVi States Available — Frequently Asked Questions

Sources

• ·MEDVi Terms and Conditions
• ·MEDVi GLP-1 Program
• ·MEDVi Cancellation and Refund Policy
• ·FDA Warning Letter #721455 — MEDVi, LLC (Feb 20, 2026)
• ·FDA: Concerns with Unapproved GLP-1 Drugs Used for Weight Loss
• ·ConsumerAffairs MEDVi Reviews
• ·Bariatric Journal MEDVi Review
• ·Trustpilot MEDVi Profile