MEDVi vs Sprout Health: Which GLP-1 Program Is Actually Worth Your Money in 2026?

By WPG Research TeamUpdated April 7, 2026

Disclosure: Some links on this site are affiliate links. If you purchase through these links, we may earn a commission at no extra cost to you. Thank you for supporting our site.·For informational purposes only—not medical advice.

Bottom line: If you're comparing MEDVi vs Sprout Health for GLP-1 weight loss and you just want someone to cut through the noise — MEDVi is the stronger choice for most people. Lower entry cost ($179 first month vs. $199–$249), more medication options (injectable and oral tablets, semaglutide and tirzepatide and liraglutide), 10,000+ Trustpilot reviews at 4.5 stars, 24/7 support that actually responds, coverage in 49 states, and a 5-month money-back guarantee.

MEDVi vs Sprout Health GLP-1 weight loss program comparison showing both provider medication vials side by side for 2026

Sprout Health's one advantage is flat monthly pricing — $249/month for semaglutide regardless of dose increases, $299/month for tirzepatide. If you're on a long-term plan and you know your dose will go up, that can save you $500+ per year over MEDVi's dose-based pricing.

But here's the catch: Sprout has serious, well-documented customer service problems. We're talking BBB complaints about wrong medications shipped, unanswered phone calls, emails that go nowhere, and a cancellation process that multiple users describe as broken. The FDA also issued a warning letter to Sprout Health regarding misleading marketing claims about their compounded GLP-1 medications. That's not a rumor — it's public record.

So the real question isn't “which is cheaper?” It's “which one will I trust with my health and my money?” For most people reading this, that answer is MEDVi. But we'll walk through every scenario so you can decide for yourself. Keep reading — we cover pricing breakdowns, real customer experiences, cancellation policies, medication options, safety checks, and the specific situations where Sprout might still make sense.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. GLP-1 medications require evaluation by a licensed healthcare provider. Compounded medications are not FDA-approved. Always consult your doctor before starting any weight loss medication.

The Bottom Line (Read This First)

MEDVi vs Sprout Health GLP-1 quick verdict infographic comparing semaglutide pricing, Trustpilot ratings, cancellation policies, and best use cases

MEDVi vs Sprout Health — the fastest way to choose

Quick Decision: Pick MEDVi If You're This Person, Pick Sprout If You're That Person

Not everyone needs to read 8,000 words. If you already know your priorities, this section gets you to a decision in 30 seconds.

Pick MEDVi if…

  • You want the lowest first-month cost to test whether GLP-1 works for your body ($179 vs. $199–$249)
  • You want the option to choose oral tablets instead of needles (Sprout is injections only)
  • You want both semaglutide and tirzepatide available, plus liraglutide as a third option
  • You value 24/7 customer support with a team that actually picks up the phone and responds to reviews
  • You want a 5-month money-back guarantee instead of 30 days
  • You live in one of the states Sprout doesn't serve (AL, AR, CA, LA, MS)
  • You prefer paying with HSA/FSA funds (MEDVi actively markets HSA/FSA eligibility)
  • You're new to GLP-1s and want the safety net of a larger, more established program (100,000+ patients served)

Pick Sprout if…

  • Your #1 priority is flat monthly pricing that never increases with dose escalations ($249/month semaglutide, $299/month tirzepatide — locked)
  • You're comfortable managing your own care with minimal provider interaction
  • You don't need oral tablet options (you're fine with weekly injections)
  • You're in a state Sprout serves and you've read the customer service warnings below and accept the risk

Skip both and talk to your doctor if…

  • Your insurance covers brand-name Wegovy or Zepbound — you'll likely get better-studied medication with more oversight
  • You have contraindications (personal or family history of medullary thyroid cancer, MEN 2 syndrome, or pancreatitis)
  • You're uncomfortable with compounded medications in general — neither provider sells FDA-approved finished products for their standard plans
MEDVi vs Sprout Health decision flowchart helping users choose between flat pricing, needle-free options, review footprint, and support quality

Choose MEDVi vs Sprout Health in 60 seconds — follow the arrows

MEDVi vs Sprout Health: The Full Comparison Table

This is the table that answers 80% of your questions in one scroll. We verified every data point directly from official provider websites and policy pages.

CategoryMEDViSprout Health
Best ForMost people — lower entry, more options, better supportBudget-conscious long-term users who want flat pricing
Semaglutide (Month 1)$179 (injections) / $249 (tablets)$199 (with FIRST50 promo) or $249
Semaglutide (Ongoing)$299/mo (injections) / $369/mo (tablets)$249/mo flat — no dose increases
Tirzepatide (Month 1)$279–$349 (injections) / $279 (tablets)$249 (with promo) or $299
Tirzepatide (Ongoing)$399–$499/mo$299/mo flat — no dose increases
Price Increases With Dose?Yes — price goes up as dose increasesNo — locked at initial rate
Medication OptionsSemaglutide, tirzepatide, liraglutide (injectable + oral)Semaglutide, tirzepatide (injectable only)
Oral Tablets Available? Yes — dissolvable semaglutide and tirzepatide No
Brand-Name Available?Yes — Ozempic/Wegovy at $1,999/moNo
Provider NetworkOpenLoop Health (US-licensed physicians)MD Integrations
Pharmacy PartnersBelmar Pharma Solutions, Beluga HealthPromise Pharmacy
Trustpilot Rating★ 4.5/5 · 10,000+ reviews★ 2.2/5 · 12 reviews
ConsumerAffairs2.6 stars (common for telehealth)Mixed — customer service complaints dominate
BBB ComplaintsMinimalMultiple — wrong meds, unreachable support, billing issues
FDA Regulatory FlagsNone specific to MEDViFDA warning letter re: misleading marketing claims
Support Availability24/7 messaging + phone + emailEmail + phone (users report voicemail, no callbacks)
Response to Negative ReviewsResponds to ~99% on TrustpilotMinimal response
State Availability49 states (excludes ND)~44 states (excludes AL, AR, CA, LA, MS, ND)
Cancellation PolicyCancel 72 hours before billing dateCancel before prescription is processed; no refund after
Money-Back Guarantee5 months (minus 25% consultation fee)30 days
HSA/FSA Eligible Yes (marketed; verify with your plan)Not prominently marketed
Delivery Timeline3–7 days after approval5–7 business days after prescription
LegitScript Certified✓ Yes✓ Yes
Patients Served100,000+ (reported)Not disclosed

Pricing verified: March 2026 from medvi.org and joinsprouthealth.com | Trustpilot data verified: March 2026 | Policy terms verified: March 2026 from official terms of service and refund policy pages

First Things First: What Are You Actually Getting? (Compounded vs. Brand-Name GLP-1s)

Before we go deeper on MEDVi vs Sprout, we need to clear up the single biggest point of confusion in this entire space.

Both MEDVi and Sprout primarily sell compounded GLP-1 medications. These are not the brand-name Wegovy, Ozempic, Zepbound, or Mounjaro pens you see in TV commercials. Compounded versions are pharmacy-prepared formulations containing semaglutide or tirzepatide that are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. They are prepared by licensed compounding pharmacies — not by Novo Nordisk or Eli Lilly.

Here is why that matters:

Compounded medications are not FDA-approved as finished products. The FDA has been clear about this — compounded drugs have not been reviewed for safety, effectiveness, or quality the way brand-name medications have. They exist primarily to fill gaps when FDA-approved drugs are in shortage or when patients have specific medical needs (like allergies to inactive ingredients).

That does not mean compounded GLP-1s are dangerous. Millions of Americans use compounded medications every day for all sorts of conditions. Both MEDVi and Sprout work with licensed US compounding pharmacies that follow federal and state regulations. But you should understand what you are buying, and any provider that implies otherwise is being misleading.

Compounded vs brand-name GLP-1 medications explained — simple comparison showing FDA-approved labeling versus compounding pharmacy preparation and why wording matters

Compounded vs brand-name GLP-1s — know what you're buying before you pay

In fact, the FDA issued a warning letter to Sprout Health specifically because their website contained claims that could imply their compounded medications are FDA-approved — which they are not. We cover this in detail in the safety section below.

The bottom line: If you want FDA-approved brand-name medication and your insurance covers it, go through your doctor. If you are paying cash and want affordable access to GLP-1 therapy, compounded options through platforms like MEDVi are a legitimate path — just go in with eyes open.

MEDVi: What You Are Getting (The Full Breakdown)

How It Works

MEDVi keeps it simple. You complete an online health evaluation (about 10–15 minutes), covering your medical history, current medications, and weight loss goals. A licensed provider through the OpenLoop Health network reviews your submission — usually within 24 hours — and determines whether GLP-1 therapy is appropriate for you.

If approved, your prescription goes to one of MEDVi's partner pharmacies (Belmar Pharma Solutions or Beluga Health), and your medication ships to your door. Most patients report receiving medication within 3–7 days of approval.

You do not need a video call to get started (though you can request one for free). You get unlimited messaging with your care team, 24/7 support access, a metabolic report, a sample meal plan, and a nutrition guide — all included in the monthly price.

MEDVi Pricing: What You Actually Pay

Let us be direct about this, because the intro pricing is the most common source of confusion.

MedicationMonth 1Months 2+
Semaglutide injections$179$299/mo
Semaglutide tablets$249$369/mo
Tirzepatide injections$279–$349$399–$499/mo
Tirzepatide tablets$279$399/mo
Brand-name Ozempic/Wegovy$1,999/moSame

The honest truth: That $179 first month is an introductory rate. It jumps to $299+ for semaglutide, and up to $499 for tirzepatide. If you can only afford the intro month, this might not be the right time — plan for the ongoing cost before you start.

But here is the context that matters: Brand-name Wegovy runs $1,300+ per month without insurance. Even with insurance, copays often land between $300–$500 per month. At $299/month for semaglutide all-in — physician evaluation, medication, shipping, unlimited messaging — MEDVi is still among the most affordable paths to GLP-1 therapy. And that $179 first month is genuinely useful. It gives you a low-risk way to find out whether GLP-1 therapy works for your body before committing.

Pro tip: Set a calendar reminder for day 25. If the medication is not working or you cannot afford to continue, cancel before the 72-hour billing window and you are out $179. That is a fair deal.

What is included in every month: Physician evaluation, personalized treatment plan, metabolic analysis, unlimited messaging with providers, medication supply, and standard shipping. No hidden membership fees. No separate consultation charges.

MEDVi Medication Options

This is where MEDVi genuinely separates itself from most competitors — not just Sprout.

  • Injectable options: Compounded semaglutide (weekly injection), compounded tirzepatide (weekly injection), and compounded liraglutide (daily injection).
  • Oral tablet options: Compounded semaglutide (daily dissolvable tablet) and compounded tirzepatide (daily dissolvable tablet).
  • Brand-name (premium pricing): Ozempic/Wegovy ($1,999/month).

The oral tablet option is a genuine differentiator. If you are needle-averse — and plenty of people are — having a daily dissolvable tablet as an alternative matters. Sprout does not offer this. Most budget competitors do not either.

Having liraglutide as a third option also gives your provider more flexibility. If semaglutide does not agree with you, there is another GLP-1 medication to try without switching platforms.

What Real MEDVi Customers Say

We analyzed reviews across Trustpilot (~10,000+ reviews), ConsumerAffairs, and BBB to get a balanced picture. Here is what the patterns actually show.

What people praise most:

  • Fast, painless onboarding with approval often within 24 hours and medication at the door in days
  • Real weight loss results — many reviewers mention steady progress on the medication
  • A responsive support team — the 24/7 messaging and email support gets consistent praise
  • Included extras like labs through Quest Diagnostics when medically necessary, check-in appointments, and a dedicated patient coordinator

One MEDVi patient on ConsumerAffairs described losing 20 pounds in two months on tirzepatide, calling the whole process “ridiculously uncomplicated.” He paid with his HSA and plans to do annual refresher months for ongoing health benefits.

Another reviewer highlighted getting labs included in the price, having a patient coordinator assigned, and appreciated the thorough screening process — giving 4 stars because while the care was excellent, the website could be more user-friendly.

What people complain about:

  • Price jumps after month one (the most common complaint — this is expected, but still catches people off-guard)
  • Occasional billing issues where some users report being charged before expected or difficulty getting refunds processed quickly
  • The ConsumerAffairs rating of 2.6 stars looks concerning until you realize that review platform tends to attract complaints for telehealth companies broadly — the Trustpilot profile with 10,000+ reviews at 4.5 stars is a much larger and more representative sample

The important signal: MEDVi responds to approximately 99% of negative reviews on Trustpilot. That is not something you see from companies that do not care. It tells you there is an actual support team behind the brand actively working to resolve issues. Nobody in this space is perfect at scale — but how a company handles problems matters more than whether problems exist.

MEDVi Money-Back Guarantee

MEDVi offers a 5-month guarantee: if you follow the program for five months without achieving weight loss, you may qualify for a refund minus a 25% doctor consultation fee. Get the specific terms in writing before you rely on this — but the existence of a 5-month window is significantly more generous than Sprout's 30-day window or the “no refunds after prescription is processed” policy.

Sprout Health: What You Are Getting (The Full Breakdown)

How It Works

Sprout Health follows a similar telehealth model. You take a short eligibility quiz (about 2 minutes), get pre-approved, select your medication, and pay. After payment, you complete a detailed medical questionnaire. A licensed clinician through MD Integrations reviews your info — typically within 24 hours — and if appropriate, writes your prescription.

Your medication gets compounded at a partner pharmacy (Promise Pharmacy) and ships to your door. Sprout states the process from prescription to delivery takes 5–7 business days.

Sprout Pricing: The Flat-Rate Advantage

Here is where Sprout is genuinely competitive:

  • Compounded semaglutide: $249/month (flat — no increase with dose changes)
  • Compounded tirzepatide: $299/month (flat — no increase with dose changes)
  • First-month promo: $50 off with code FIRST50 (when available)

The big claim — and it is a real one — is that your price stays locked even as your clinician increases your dose. Most GLP-1 providers (MEDVi included) charge more as your dose goes up. Sprout does not. For long-term users who expect dose escalation, this is meaningful.

The Math on Semaglutide Over 12 Months:

  • MEDVi: $179 (month 1) + $299 × 11 = $3,468/year
  • Sprout: $199 (month 1 with promo) + $249 × 11 = $2,938/year
  • Savings with Sprout: ~$530/year

For tirzepatide, the gap is even wider:

  • MEDVi: $349 (month 1) + $499 × 11 = $5,838/year (high end)
  • Sprout: $299 × 12 = $3,588/year
  • Savings with Sprout: ~$2,250/year

Those are real savings. We will not pretend otherwise. But savings only matter if you actually receive your medication reliably and can reach someone when things go wrong. That is where Sprout's story gets complicated.

Why We Say Verify Everything With Sprout

We found inconsistencies across Sprout's own website. Their terms page and their pricing landing page do not always list the same excluded states. Some review sites report Sprout ships to all 50 states — but their official terms exclude AL, AR, MS, LA, CA, and ND. That kind of inconsistency is not a deal-breaker on its own, but it is a yellow flag that suggests operational growing pains.

What Real Sprout Health Customers Say

This is where the picture shifts dramatically from the pricing advantage.

Trustpilot: 2.2 stars from 12 reviews. The sample size is small, but the complaints are specific and concerning — cancellation difficulties, lack of communication, and charges without delivery.

ConsumerAffairs: Reviews paint a pattern of operational issues. Multiple customers describe receiving the wrong medication. Others report paying and then hearing nothing — no approval email, no medication, no response to inquiries.

BBB Complaint Patterns:

  • Wrong medications shipped — customers ordered tirzepatide and received semaglutide, or received anti-nausea medication instead of their GLP-1 prescription
  • Phone support effectively unreachable — calls go to voicemail after a few rings, with a recording saying the office is closed during posted business hours. Multiple users report calling dozens of times with zero callbacks
  • Patient portal reportedly has no visible cancellation option — despite the website claiming you can cancel by logging into your account
  • Continued billing even after cancellation requests — users report accounts showing active weeks after requesting cancellation
  • At least one BBB complaint escalated to a state Attorney General filing

The positive reviews do exist. One Trustpilot reviewer described getting medication delivered in two days with free nausea medication included — a genuinely good experience. A health coach who tested Sprout personally reported that when she was not approved for medication, she received a full refund promptly. That is legitimate and responsible behavior.

But the negative pattern is hard to ignore. The medication seems to work when it arrives. The problem is everything else — communication, operations, billing, and cancellation. Sprout recently brought on a new customer service lead (based on BBB response signatures), which suggests they are aware of the problem. Whether the issues have been resolved remains to be seen.

Sprout FDA Warning Letter (You Should Know About This)

In September 2025, the FDA issued a warning letter to Sprout Health Partners LLC. The letter stated that Sprout's website contained claims that could mislead consumers into believing their compounded GLP-1 medications are FDA-approved.

To be clear: Compounded medications are not FDA-approved as finished products. This applies to every compounded GLP-1 provider — MEDVi included. But the FDA specifically called out Sprout for the way they presented this on their marketing pages.

What this means for you: It does not mean Sprout's medication is unsafe. It means their marketing was misleading on a critical health claim, and the FDA felt strongly enough to issue a formal warning. If you choose Sprout, verify that these claims have been corrected and understand exactly what you are getting.

We are not sharing this to scare you away from Sprout — we are sharing it because if you are putting medication in your body, you deserve to know the full regulatory picture. Transparency is not optional for health decisions.

Head-to-Head: The Five Comparisons That Actually Matter

1. Pricing: Who Is Actually Cheaper?

First month: MEDVi wins. $179 vs. $199–$249 for semaglutide. Lower barrier to test whether GLP-1 works for you.

Ongoing semaglutide: Sprout wins. $249/month vs. $299/month — and Sprout does not increase with dose. Over a year, that is roughly $530 in savings.

Ongoing tirzepatide: Sprout wins significantly. $299/month vs. $399–$499/month. Annual savings could exceed $2,000.

Our take: If you are testing the waters, MEDVi is cheaper to start. If you are committed to 6+ months and comfortable with Sprout customer service risks, the flat pricing saves real money. But ask yourself: is saving $45/month worth the risk of dealing with a support team that may not answer when you need them?

MEDVi vs Sprout Health semaglutide annual cost comparison showing MEDVi at $3,468 per year and Sprout at $2,988 per year with a $480 difference

Semaglutide cost example — simple annual math using published pricing

2. Customer Service: Who Actually Shows Up?

This is the single biggest differentiator — and it is not close.

MEDVi offers 24/7 messaging, responds to virtually every negative Trustpilot review, has phone and email support that users consistently describe as responsive, and assigns dedicated patient coordinators.

Sprout has phone support that multiple customers across Trustpilot, ConsumerAffairs, and BBB describe as a voicemail graveyard. Emails go unanswered for days or weeks. The patient portal has been reported as missing basic functions like a cancel button.

Verdict: MEDVi wins decisively. When you are taking prescription medication and have questions about side effects, dosing, or billing — you need someone to answer. This alone is reason enough for most people to choose MEDVi.

3. Medication Options: What Can You Actually Take?

MEDVi: Injectable and oral options for semaglutide and tirzepatide, plus liraglutide as an additional option. Brand-name Ozempic/Wegovy available at premium pricing.

Sprout: Injectable semaglutide and tirzepatide only. No oral options. No liraglutide. No brand-name.

Verdict: MEDVi wins. The oral tablet option is a game-changer for people who do not want to do weekly injections. Having three different GLP-1 medications available gives your provider more flexibility to find what works best for your body.

4. Trust and Track Record: Who Can You Verify?

MEDVi: 100,000+ patients (reported), 10,000+ Trustpilot reviews at 4.5 stars, LegitScript certified, named physicians on their website (Dr. Ana Lisa Carr, Dr. David Mansour, Dr. Kelly Tenbrink), physical address at 131 Continental Dr, Ste 305, Newark, DE 19713. No FDA warning letters specific to MEDVi.

Sprout: Patient count not disclosed, 12 Trustpilot reviews at 2.2 stars, LegitScript certified, BBB complaints with mixed resolution, FDA warning letter regarding misleading marketing claims.

Verdict: MEDVi has a substantially more verifiable track record. More reviews, more patients, more transparency about their provider network. Sprout is a newer player that is still building (or rebuilding) trust.

5. Cancellation: Who Makes It Easy to Leave?

MEDVi: Must request cancellation at least 72 hours before your next billing date. Month-to-month, no contract. No refunds after cancellation except medical disqualification. Straightforward.

Sprout: Can cancel for full refund before prescription is processed. After prescription goes to pharmacy, no refunds. Cancel via patient portal. But here is the problem — multiple users report the portal has no visible cancel option. Phone and email requests go unanswered.

Verdict: MEDVi wins. Cancellation with MEDVi is what you would expect — a clear policy with a clear deadline. With Sprout, the policy sounds fine on paper, but users describe the actual experience as a nightmare. If you do go with Sprout, initiate cancellation in writing well before your billing date and keep records of everything.

Honest Tradeoffs: What We Would Want to Know Before Buying

We already told you MEDVi is our pick. But we would feel dishonest if we did not lay out the real downsides of both.

MEDVi Downsides (And Why They Are Manageable)

1. The price jump after month one is real. Semaglutide goes from $179 to $299. Tirzepatide can hit $499/month. That is not cheap.

The context: Brand-name Wegovy costs $1,300+/month without insurance. Even with insurance copays, many people pay $300–$500/month. At $299/month for semaglutide all-in — physician evaluation, medication, shipping, unlimited messaging — MEDVi is still among the most affordable paths to GLP-1 therapy. And the 5-month money-back guarantee means you are not stuck if it does not work.

2. ConsumerAffairs rating is 2.6 stars. That looks bad in isolation.

The context: ConsumerAffairs tends to attract complaints more than praise — it is a common pattern for telehealth companies. MEDVi's Trustpilot profile with 10,000+ reviews at 4.5 stars is a much larger and more representative sample. The company responds to nearly every negative review, which means there is accountability even when things go wrong.

3. Compounded medications are not FDA-approved. This is true for every compounded GLP-1 provider, including Sprout.

The context: MEDVi works with licensed US compounding pharmacies (Belmar and Beluga Health) that follow USP standards. The compounded formulations are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality — that is the tradeoff you accept for paying $299/month instead of $1,300/month.

Sprout Downsides (And Why They Are Harder to Dismiss)

1. Customer service is unreliable. This is not one angry reviewer — it is a pattern across Trustpilot, ConsumerAffairs, and BBB spanning months.

2. Cancellation is difficult in practice. The portal reportedly lacks a cancel button. Phone calls go to voicemail. Emails go unanswered. Users report continued billing.

3. FDA issued a formal warning letter about misleading marketing claims.

4. State availability is limited AND inconsistent. Different pages on their own website list different excluded states.

5. No oral medication options. Injectable only.

6. Thin review history. 12 Trustpilot reviews do not give you enough data to assess reliability.

What Happens After You Click Get Started (Step-by-Step)

Knowing the process reduces anxiety. Here is what to expect with each provider.

MEDVi: Quiz to Medication Timeline

  • Day 1: Complete online health evaluation (about 10–15 minutes). Covers medical history, current medications, weight loss goals, contraindications screening.
  • Day 1–2: Licensed provider through OpenLoop Health reviews your submission. Most approvals happen within 24 hours. You do not need a video call, but you can request one for free.
  • Day 2–3: If approved, your prescription goes to the partner pharmacy. You choose injectable or oral.
  • Day 3–7: Medication ships to your door. GLP-1 injectables ship with cold packs in insulated packaging.
  • Ongoing: Unlimited messaging with your care team. Check-in appointments scheduled. Dose adjustments as needed. Labs through Quest Diagnostics if medically necessary (included in price).

Sprout: Quiz to Medication Timeline

  • Day 1: Take eligibility quiz (about 2 minutes). If pre-approved, select medication and pay.
  • Day 1–2: Complete detailed medical questionnaire. Clinician through MD Integrations reviews within 24 hours.
  • Day 2–4: If prescribed, medication goes to Promise Pharmacy for compounding.
  • Day 5–9: Medication ships. Sprout states 5–7 business days from prescription to delivery, though some users report faster (2 days) and others report significant delays (14+ days based on Trustpilot reports).
  • Ongoing: Patient portal access for refills and provider messaging. Customer support via email and phone.

Safety, Legitimacy, and the Checks You Can Do Yourself

Both MEDVi and Sprout are LegitScript certified — that is a legitimate third-party verification that covers legal compliance, provider credentials, and medication sourcing. It is not a rubber stamp. Both use licensed US pharmacies and licensed physicians for prescribing.

But there are important safety considerations for any compounded GLP-1 program:

FDA Context You Should Know

  • 1. Compounded GLP-1s are not FDA-approved. The FDA has stated this clearly and has signaled intent to take enforcement action against providers that mass-market compounded GLP-1s with misleading claims. Both MEDVi and Sprout sell compounded products. This is a market-wide reality, not specific to either company.
  • 2. The FDA has warned about dosing errors with compounded injectable semaglutide. When medication comes in vials with syringes (rather than pre-filled pens), unit confusion can lead to overdoses. This applies to any compounded injectable semaglutide — ask your provider to clearly explain dosing before your first injection.
  • 3. The FDA warning letter to Sprout (September 2025) specifically flagged language on Sprout's website that could imply their compounded GLP-1s are FDA-approved. We are presenting this as fact — not as a reason to panic, but as information you should have when making your decision.

How to Verify Any GLP-1 Telehealth Provider (5-Minute Checklist)

Before you enroll with anyone, check these five things:

  1. LegitScript certification — Search their name at legitscript.com. Both MEDVi and Sprout pass this check.
  2. Named physicians or clinic network — Can you find the actual medical professionals who will review your case? MEDVi lists named providers. Sprout uses MD Integrations.
  3. Licensed pharmacy partners — Are medications prepared by identifiable, licensed US compounding pharmacies?
  4. Clear cancellation and refund terms — Can you find the exact policy on their website before you pay?
  5. No miracle claims — Any provider promising guaranteed results or implying FDA approval for compounded meds is a red flag.

Cancellation, Refunds, and How to Protect Yourself

This section exists because cancellation friction is the number one reason people leave angry reviews about any GLP-1 telehealth program. Here is how to avoid being that person.

MEDVi vs Sprout Health cancellation and refund rules comparison showing plain-English policy for both providers including timing windows and best practices

Cancellation and refund rules — plain-English policy comparison

MEDVi Cancellation (Plain English)

Cancel at least 72 hours before your next billing date. Month-to-month, no contract — cancel any time within that window. No refunds after cancellation, except if you are medically disqualified. The 5-month money-back guarantee is a separate program for people who follow the plan without results.

Pro tip: Set a phone reminder for 5 days before each billing date. Label it “MEDVi: Decide if continuing.” If you are happy, dismiss it. If not, you have given yourself plenty of time.

Sprout Cancellation (Plain English)

Cancel for full refund before your prescription is processed and sent to pharmacy. After the prescription is processed, no refunds. Cancel through patient portal. Month-to-month, no contract.

The problem: Multiple users report the patient portal does not have a visible cancel option. Phone calls go to voicemail. Emails go unanswered. If you choose Sprout, we recommend:

  1. Screenshot the portal when you sign up — document that the cancel option is (or is not) visible
  2. Send cancellation requests via email AND keep a copy
  3. If charges continue after a cancellation request, file a dispute with your credit card company and report to your state Attorney General consumer protection division
  4. Do not wait until the last minute — start the cancellation process early

Privacy: What Happens to Your Data

This does not get talked about enough. When you sign up for a GLP-1 telehealth program, you are sharing detailed health information. Here is what we found.

Sprout includes language in their terms about using hashed or de-identified data for advertising targeting, marketing purposes, and exclusion audiences. They offer opt-out options, but the default appears to include this usage. If data privacy matters to you, read their terms before enrolling and opt out of marketing data sharing.

MEDVi operates under standard HIPAA-compliant telehealth practices. Like any telehealth platform, they collect health data for treatment purposes.

For either provider: read the privacy policy before you share your medical history. It takes five minutes and it is worth it.

Real Results: What Does the Clinical Evidence Actually Say?

GLP-1 medications — when they work — can produce genuinely life-changing results. Here is what the science shows for the active ingredients used by both providers.

Semaglutide (the STEP-1 trial, published in the New England Journal of Medicine): Participants lost an average of approximately 14.9% of their body weight over 68 weeks. That is roughly 33 pounds for a 220-pound person.

Tirzepatide (the SURMOUNT-1 trial, also in NEJM): Participants lost between 16% and 22.5% of their body weight over 72 weeks, depending on dose. At the highest dose, that is nearly 50 pounds for a 220-pound person.

Important caveat: These results come from FDA-approved branded medications in controlled clinical trials. Compounded versions — what both MEDVi and Sprout sell — have not been studied in the same way. Compounded formulations are not FDA-approved and have not been independently studied in clinical trials. Formulation, concentration, and quality may differ from the branded products used in these trials.

MEDVi internal data (self-reported by patients): Many patients without diabetes who reach their maintenance dose report losing about 1–2 pounds per week after the first month, when combined with diet and exercise changes. Individual results vary widely.

What to Realistically Expect

  • Most people notice appetite changes within the first 1–2 weeks
  • Meaningful weight loss typically starts showing after 4–8 weeks as the dose titrates up
  • Side effects like nausea and constipation are most common in the early weeks and usually improve as your body adjusts

Common side effects include nausea (the most frequent, especially early on), constipation or diarrhea, injection site reactions (for injectables), and reduced appetite (this is the intended effect). Rare but serious side effects include pancreatitis, gallbladder problems, and kidney issues. GLP-1 medications are contraindicated for people with a personal or family history of medullary thyroid carcinoma or MEN 2 syndrome.

Results are not guaranteed. This is not a magic shot. The medication helps manage appetite and metabolism — you still need to make better food choices and move your body. But for people who have spent years fighting biology with willpower alone, GLP-1 therapy can finally tip the scale in your favor. Literally.

Cost Scenarios: What You Will Actually Spend Over 3, 6, and 12 Months

Raw pricing is one thing. But what you actually spend depends on your medication choice, how long you stay on the program, and whether you start with an intro month discount. Here is the real math.

Semaglutide Injections: Total Cost Comparison

TimelineMEDVi TotalSprout TotalDifference
3 months$179 + $299 + $299 = $777$199 + $249 + $249 = $697Sprout saves $80
6 months$179 + ($299 × 5) = $1,674$199 + ($249 × 5) = $1,444Sprout saves $230
12 months$179 + ($299 × 11) = $3,468$199 + ($249 × 11) = $2,938Sprout saves $530

Tirzepatide Injections: Total Cost Comparison

TimelineMEDVi TotalSprout TotalDifference
3 months$349 + $499 + $499 = $1,347$299 × 3 = $897Sprout saves $450
6 months$349 + ($499 × 5) = $2,844$299 × 6 = $1,794Sprout saves $1,050
12 months$349 + ($499 × 11) = $5,838$299 × 12 = $3,588Sprout saves $2,250

What These Numbers Do Not Show

The tables above assume everything goes smoothly. They do not account for:

  • Lost money from billing disputes — If Sprout charges you after a failed cancellation attempt, you could lose $249–$299 or more while disputing with your credit card company
  • Cost of switching providers — If Sprout customer service fails you and you switch to MEDVi mid-program, you pay a new first-month fee and may have a gap in medication
  • The value of support — MEDVi includes 24/7 messaging, provider check-ins, and dedicated patient coordinators. Sprout support issues could mean you are managing side effects, dosing questions, and medication concerns without reliable help
  • HSA/FSA savings — MEDVi actively markets HSA/FSA eligibility, which could reduce your effective cost by using pre-tax dollars

The cheapest option on paper is not always the cheapest option in practice.

Building Your GLP-1 Provider Checklist (Use This Before You Enroll Anywhere)

Whether you choose MEDVi, Sprout, or a completely different provider, run through this checklist before you hand over your credit card. These are the questions that prevent regret.

Before you pay:

  • Can I find their physical business address?
  • Are they LegitScript certified? (Check legitscript.com)
  • Can I identify the pharmacy that will prepare my medication?
  • Are cancellation and refund terms clearly visible before checkout?
  • Is the first-month price clearly different from the ongoing price? (If they hide the ongoing price, that is a red flag)
  • Does the provider explain that compounded medications are not FDA-approved?

After you enroll:

  • Did I receive confirmation of my order within 24 hours?
  • Was I assigned to a specific provider or care team?
  • Can I reach support through at least two channels (email, phone, chat)?
  • Is the cancel option clearly visible in my account?

Before each billing cycle:

  • Am I still satisfied with the medication and the service?
  • Have I set a reminder 5 days before my billing date?
  • If I want to cancel, have I initiated the process in writing?

Print this. Bookmark it. Use it. It takes 10 minutes and could save you hundreds of dollars and weeks of frustration.

Alternatives: If Neither MEDVi Nor Sprout Fits

Not every provider works for every person. Here are some other paths worth considering:

  • If your insurance covers brand-name GLP-1s: Talk to your doctor about Wegovy (semaglutide) or Zepbound (tirzepatide). FDA-approved, well-studied, and potentially covered. Worth exploring before paying cash for compounded alternatives.
  • If you want the lowest possible compounded cost: Look at providers like GobyMeds (starter bundles at $119/month) or Remedy Meds. Compare total annual costs carefully — intro pricing can be misleading.
  • If you want maximum coaching and lifestyle support: Programs like Ro Body ($145/month membership + medication) or Calibrate offer structured coaching, behavioral support, and metabolic tracking alongside medication. More expensive, but more hand-holding if you want it.
  • If you want an FDA-approved oral option: The FDA approved an oral version of Wegovy (semaglutide) in late 2025. Self-pay starts around $149/month through some channels. Ask your doctor.

We cover more providers in our Best GLP-1 Programs guide and individual reviews across the site.

How We Evaluated MEDVi vs Sprout (Our Methodology)

We believe you should know exactly how we reached our conclusions — and what we did not do.

What we did:

  • Verified pricing directly from medvi.org and joinsprouthealth.com (March 2026)
  • Reviewed official terms of service, refund policies, and cancellation policies for both providers
  • Analyzed customer reviews across Trustpilot, ConsumerAffairs, and BBB — categorizing complaint patterns rather than cherry-picking individual reviews
  • Checked FDA public databases for warning letters, enforcement actions, and safety communications related to both providers and to compounded GLP-1s broadly
  • Verified LegitScript certification for both providers
  • Cross-referenced state availability claims against terms of service pages
  • Referenced published clinical trial data (STEP-1, SURMOUNT-1) from the New England Journal of Medicine

What we did NOT do:

  • We did not personally enroll in either program for this comparison
  • We did not verify pharmacy operations or conduct independent lab testing on medications
  • We did not interview company executives or employees
  • We cannot guarantee pricing has not changed since our last verification date

Our recommendation is based on the totality of evidence: MEDVi has a larger verified customer base, more medication options, better support infrastructure, fewer regulatory flags, and a more generous guarantee. Sprout's flat pricing is a real advantage — but it comes with operational risks that we believe outweigh the savings for most people.

On bias: We earn a commission from MEDVi. We do not earn from Sprout. We have been transparent about this from the first paragraph. We believe our analysis holds up regardless of the financial relationship — and we would tell you to pick Sprout if the evidence supported it. Right now, it does not for most people.

Frequently Asked Questions

Is MEDVi legit?

Yes. MEDVi is LegitScript certified, based in Newark, Delaware, with a physical business address and published contact information. They partner with OpenLoop Health for physician services and licensed US compounding pharmacies (Belmar, Beluga Health) for medication. They report serving 100,000+ patients and have over 10,000 Trustpilot reviews at 4.5 stars.

Is Sprout Health legit?

Yes, with important caveats. Sprout Health is LegitScript certified and works with licensed providers through MD Integrations and licensed pharmacies including Promise Pharmacy. However, the FDA issued a warning letter in September 2025 about misleading marketing claims, and customer service complaints are well-documented across BBB, Trustpilot, and ConsumerAffairs — including wrong medications shipped, unanswered support requests, and cancellation difficulties.

Which is cheaper — MEDVi or Sprout?

It depends on your timeline. MEDVi is cheaper for the first month ($179 vs. $199–$249). Sprout is cheaper for ongoing semaglutide ($249/month vs. $299/month) and significantly cheaper for tirzepatide ($299/month vs. $399–$499/month). Over 12 months, Sprout can save $530+/year on semaglutide and $2,000+/year on tirzepatide — but only if you do not run into the customer service and billing issues that many users report.

Does MEDVi offer oral tablets?

Yes. MEDVi offers daily dissolvable semaglutide and tirzepatide tablets in addition to weekly injections. Sprout offers injections only.

Can I cancel Sprout Health easily?

In theory, yes — it is month-to-month with no contract. In practice, multiple users across Trustpilot, ConsumerAffairs, and BBB report that the patient portal lacks a visible cancel button, phone calls go to voicemail, and email requests go unanswered. If you use Sprout, send cancellation requests in writing and keep documentation.

Can I cancel MEDVi easily?

Yes. MEDVi is month-to-month with no contract. You need to request cancellation at least 72 hours before your next billing date. The process is straightforward — contact support or manage through your account.

Does insurance cover MEDVi or Sprout?

No. Both are cash-pay programs that do not bill insurance. MEDVi actively markets HSA/FSA eligibility — medical services and prescriptions from licensed providers are generally eligible, but verify with your specific plan administrator. If your insurance covers brand-name Wegovy or Zepbound with a low copay, that is likely a better path.

What states does Sprout Health serve?

Sprout Health terms exclude AL, AR, MS, LA, CA, and ND — but we found inconsistencies across different pages on their website. Verify your state eligibility directly with Sprout before paying.

What states does MEDVi serve?

MEDVi serves 49 states. North Dakota is the only confirmed exclusion.

What is MEDVi money-back guarantee?

If you follow the MEDVi program for at least five months without achieving weight loss, you may qualify for a refund minus a 25% doctor consultation fee. Get the specific terms in writing before relying on this guarantee.

Are compounded GLP-1 medications safe?

Compounded medications are pharmacy-prepared formulations that are not FDA-approved. They are prepared by licensed compounding pharmacies rather than the original manufacturers. The FDA has noted that it cannot verify their safety, effectiveness, or quality the same way it does for approved products. Both MEDVi and Sprout use licensed US pharmacies. The FDA has also issued warnings about dosing errors with compounded injectable semaglutide — ask your provider to clearly explain dosing before your first injection.

How fast will I get my medication?

MEDVi: Provider review typically within 24 hours, delivery 3-7 days after approval. Sprout: Clinician review typically within 24 hours, delivery 5-7 business days after prescription. Some Sprout users report faster delivery (2 days); others report significant delays.

Can I switch from one provider to the other?

Yes. Both are month-to-month. Cancel your current provider, then complete a new evaluation with the other. Share your dose history with your new provider so they can continue your treatment appropriately. If switching away from Sprout, start the cancellation process early and in writing.

What is the difference between semaglutide and tirzepatide?

Semaglutide activates GLP-1 receptors only — it reduces appetite and slows gastric emptying. Clinical trials show approximately 14.9% body weight loss over 68 weeks. Tirzepatide activates both GLP-1 and GIP receptors — a dual mechanism that produces stronger results in clinical trials (16-22.5% body weight loss over 72 weeks). Tirzepatide costs more but may be worth it for people with aggressive weight loss goals or who have not responded well to semaglutide alone.

What about the FDA shortage list and compounded GLP-1s?

Tirzepatide was removed from the FDA shortage list in late 2024, and the regulatory landscape around compounding during and after shortages continues to evolve. Semaglutide status fluctuates. Check the FDA Drug Shortage Database for the latest updates before enrolling with any compounded provider, as regulatory changes can affect availability.

How do I know if I qualify for GLP-1 medication?

Most compounded GLP-1 programs require a BMI of 27 or higher (with a weight-related health condition) or 30+ without additional conditions. Both MEDVi and Sprout screen for eligibility during their intake process. A licensed physician makes the final determination — enrollment does not guarantee a prescription.

What are common side effects in the first month?

The most common early side effects are nausea, constipation or diarrhea, reduced appetite (this is the intended effect), and mild injection site reactions. Most side effects are worst in the first 2-4 weeks and improve as your body adjusts to the medication. Staying hydrated, eating smaller meals, and increasing fiber intake can help manage digestive side effects. If you experience severe or persistent symptoms, contact your provider immediately.

When should I stop taking GLP-1 medication and contact a clinician?

Contact your provider right away if you experience severe abdominal pain that does not go away (possible pancreatitis), signs of an allergic reaction (rash, swelling, difficulty breathing), persistent vomiting or inability to keep fluids down, vision changes, or rapid heart rate. These are uncommon but require medical attention.

How much weight can I realistically expect to lose?

Based on clinical trial data: Month 1, 3-8 pounds. Months 2-3, 1-2 pounds per week on average. Months 4-6, many patients report 15-30+ total pounds. Clinical trials showed average losses of 15% body weight over 12-18 months (about 33 pounds for a 220-pound starting weight). Individual results vary significantly.

What happens if I stop taking the medication?

Weight regain is possible. Clinical data shows that many patients regain a significant portion of lost weight within a year of stopping GLP-1 medication if they haven't made lasting lifestyle changes during treatment. Both MEDVi and Sprout emphasize nutrition guidance alongside medication — the goal is to build habits that persist even if you eventually come off the medication.

Our Final Verdict

We have given you the data. We have shown you the pricing. We have been honest about the tradeoffs. Here is where we land.

For most people, MEDVi is the better choice. The $179 first month gives you a low-risk entry point. You get more medication options — including oral tablets if needles are not your thing. You get 24/7 support from a team that actually responds. You get a 5-month money-back guarantee. And you get the peace of mind that comes from a program with 100,000+ patients and 10,000+ verified reviews.

Yes, MEDVi gets more expensive after month one. Yes, tirzepatide can hit $499/month. Plan for it. Set reminders. Know your numbers before you commit. But when you are putting prescription medication in your body, the quality of the program surrounding that medication — the support, the responsiveness, the accountability — matters as much as the monthly price.

Imagine looking in the mirror six months from now and seeing real, visible progress. Imagine your clothes fitting differently. Imagine the confidence that comes from knowing you finally found something that works with your biology instead of against it. That is what GLP-1 therapy can do when it is paired with the right program and the right support.

MEDVi gives you the best shot at getting there without the headaches.

The one scenario where Sprout makes sense: You are a long-term user who has already confirmed GLP-1 works for you, you want flat pricing locked regardless of dose increases, and you are fully prepared to handle customer service issues on your own — including potential cancellation headaches. If that describes you, Sprout's pricing advantage is real and could save you $500–$2,000+ per year.

For everyone else? We would go with MEDVi.

Prefer flat-rate pricing and comfortable managing your own care?

The Bigger Picture: Why This Comparison Matters

If you have read this far, you are not the kind of person who makes health decisions lightly. You have done your research. You have compared providers. You are being careful with your money and your body. That is exactly the right approach.

GLP-1 medications represent a genuine breakthrough in weight management. The clinical data is strong. The results are real. But the space is also crowded with companies trying to capitalize on demand — and not all of them have built the infrastructure to support you properly.

The difference between a good GLP-1 experience and a bad one is rarely the medication itself. It is almost always the program surrounding it: Can you reach someone when you have questions? Will your medication arrive on time? Is the billing transparent? Can you cancel without a fight?

MEDVi has built that infrastructure at scale. Over 100,000 patients. Over 10,000 reviews. 24/7 support. Named physicians. Licensed pharmacies. A money-back guarantee that gives you five months to see results. They are not perfect — no company at this scale is. But they have earned the trust of more GLP-1 patients than almost any other telehealth provider in this space.

Sprout Health offers a compelling price point, especially for tirzepatide users. But until they fix their customer service infrastructure, billing transparency, and cancellation process, the savings come with risk that most people should not take on.

Your weight loss journey is too important to leave to a company that might not answer when you call.

Choose the provider that will be there for you. Then commit to the process. The medication handles the biology. You handle the habits. Together, that is how real, lasting change happens.

Sources

We cited these sources throughout this article. All links were verified as active in March 2026.

Official Provider Pages

  • MEDVi pricing and plans: medvi.org
  • MEDVi refund policy: medvi.org/refund-policy.html
  • MEDVi terms and conditions: medvi.org/terms-and-conditions.html
  • MEDVi Getting Started (labs, billing, membership): medvi.org/welcome
  • Sprout Health pricing: joinsprouthealth.com
  • Sprout Health terms of service: joinsprouthealth.com/terms

FDA Safety and Regulatory Guidance

  • Compounding and the FDA: Questions and Answers — fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers
  • FDA Alert: Dosing Errors with Compounded Semaglutide — fda.gov/drugs/human-drug-compounding/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
  • FDA Concerns: Unapproved GLP-1 Drugs Used for Weight Loss — fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss
  • FDA Warning Letter to Sprout Health Partners LLC (September 2025)
  • FDA: Policies for Compounders as GLP-1 Supply Stabilizes — fda.gov/drugs/drug-safety-and-availability/fda-clarifies-policies-compounders-national-glp-1-supply-begins-stabilize

Clinical Trials

  • STEP-1 trial (semaglutide) — published in the New England Journal of Medicine
  • SURMOUNT-1 trial (tirzepatide) — published in the New England Journal of Medicine
  • Wegovy prescribing information (FDA AccessData)
  • Zepbound prescribing information (FDA AccessData)

Third-Party Review Platforms

  • MEDVi Trustpilot: trustpilot.com/review/medvi.org
  • MEDVi ConsumerAffairs: consumeraffairs.com/health/medvi.html
  • Sprout Health Trustpilot: trustpilot.com/review/joinsprouthealth.com
  • Sprout Health BBB profile: bbb.org

Affiliate Disclosure: This page contains affiliate links to MEDVi. If you enroll through our links, we may earn a commission at no additional cost to you. We do not have a financial relationship with Sprout Health. This compensation does not influence the accuracy or integrity of the information presented. Our recommendation is based on verified data, cross-platform review analysis, regulatory records, and published clinical evidence. Full disclosure

Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. GLP-1 medications are prescription medications requiring evaluation by a licensed clinician. Always consult a qualified healthcare professional before starting any prescription treatment. Compounded medications are not FDA-approved. The FDA does not verify the safety, effectiveness, or quality of compounded drugs before they are marketed. Results vary and are not guaranteed. Individual outcomes depend on adherence to treatment plans, lifestyle factors, and individual physiology.

Editorial Policy: All pricing, policy terms, and review data were verified directly from official provider websites and third-party review platforms. Verification dates are noted throughout the article. If you find information that has changed since our last update, please contact us so we can verify and correct it.

Last updated: March 2026 | Pricing last verified: March 2026 | Review data last verified: March 2026