Direct Meds vs Form Health
A compounded prescription at one all-in price against a physician- and dietitian-led program that prescribes FDA-approved drugs only.
Short answer
Direct Meds is a prescription service: compounded semaglutide at $297 a month or tirzepatide at $399, all-inclusive, reviewed online. Form Health is a medical program with obesity-medicine physicians and a dietitian by video, billed to insurance or $299 a month self-pay, with brand-name medication extra. Direct Meds has an FDA warning letter; Form has none.
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Is Direct Meds or Form Health better?
Form Health suits someone whose insurance covers obesity care. It bills most private insurers and Medicare for visits, labs and brand-name medication, and its care team handles prior authorizations. Without coverage, $299 a month buys the care team and the drug is billed separately at its cash price. Direct Meds suits a cash buyer who wants compounded medication shipped fast with no program; it ships a 90-day supply billed monthly. Direct Meds received FDA warning letter 716822 in September 2025, linked below.
How they differ
- Published up front
Direct Meds
Compounded semaglutide injections $297/mo, tirzepatide $399/mo, no membership; sublingual semaglutide from $249/moForm Health
Self-pay $299/mo covering clinician and dietitian visits; labs and medication billed separately- Insurance
Direct Meds
Cash-pay onlyForm Health
Works with insurance- How you're seen
Direct Meds
Async intakeForm Health
Video visit- Medications
Direct Meds
Compounded semaglutide, Compounded tirzepatideForm Health
Branded medication- FDA warning letter
Direct Meds
Form Health
None on record
| Direct Meds | Form Health | |
|---|---|---|
| Published up front | Compounded semaglutide injections $297/mo, tirzepatide $399/mo, no membership; sublingual semaglutide from $249/mo | Self-pay $299/mo covering clinician and dietitian visits; labs and medication billed separately |
| Insurance | Cash-pay only | Works with insurance |
| How you're seen | Async intake | Video visit |
| Medications | Compounded semaglutide, Compounded tirzepatide | Branded medication |
| FDA warning letter | Warning letter 716822 | None on record |
What each one costs and includes
Month-to-month prices a new patient can buy, with any required membership counted in. First-month promotions and prepaid averages are labeled as such.
- First full month
Direct Meds
$297 a month for compounded semaglutide injections, $399 for tirzepatide or $249 for sublingual semaglutide, with no membershipForm Health
With insurance, your usual copay or deductible; self-pay is $299 a month for the care team, with medication and labs billed separately- Once you're on a steady dose
Direct Meds
The same listed price; the pages don't say whether higher doses cost moreForm Health
$299 a month plus the brand-name drug at its cash price if insurance doesn't cover it- What the fee covers
Direct Meds
Medication, provider review, nurse support, shipping and follow-upsForm Health
Monthly video visits with an obesity-medicine physician or endocrinologist, a registered dietitian, messaging and the app- Medications
Direct Meds
Compounded only: semaglutide and tirzepatide injections and sublingual semaglutide, from two named 503B pharmaciesForm Health
FDA-approved only: Wegovy, Zepbound, Foundayo, Saxenda and Contrave, with no compounded option- Insurance
Direct Meds
Cash-pay; HSA/FSA cards acceptedForm Health
Bills most major private insurers and Medicare, and handles prior authorizations- Commitment and refunds
Direct Meds
Ships a 90-day supply while billing monthly; orders generally can't be canceled after 24 hours; medication received isn't refundableForm Health
Renews until you cancel; needs a primary-care visit in the past 12 months and a BMI of 30, or 27 with a related condition- How care works
Direct Meds
Online provider review within hours, no video call, and same-day shipping on orders before 2 p.m. CentralForm Health
Monthly video visits with an obesity-medicine physician or endocrinologist and a registered dietitian- Look elsewhere if
Direct Meds
You want brand-name medication or insurance billing, live in Louisiana or Mississippi, or want early-cancellation costs spelled outForm Health
You're paying cash and want the lowest monthly total, want compounded medication, or haven't had a recent primary-care visit
| Direct Meds | Form Health | |
|---|---|---|
| First full month | $297 a month for compounded semaglutide injections, $399 for tirzepatide or $249 for sublingual semaglutide, with no membership | With insurance, your usual copay or deductible; self-pay is $299 a month for the care team, with medication and labs billed separately |
| Once you're on a steady dose | The same listed price; the pages don't say whether higher doses cost more | $299 a month plus the brand-name drug at its cash price if insurance doesn't cover it |
| What the fee covers | Medication, provider review, nurse support, shipping and follow-ups | Monthly video visits with an obesity-medicine physician or endocrinologist, a registered dietitian, messaging and the app |
| Medications | Compounded only: semaglutide and tirzepatide injections and sublingual semaglutide, from two named 503B pharmacies | FDA-approved only: Wegovy, Zepbound, Foundayo, Saxenda and Contrave, with no compounded option |
| Insurance | Cash-pay; HSA/FSA cards accepted | Bills most major private insurers and Medicare, and handles prior authorizations |
| Commitment and refunds | Ships a 90-day supply while billing monthly; orders generally can't be canceled after 24 hours; medication received isn't refundable | Renews until you cancel; needs a primary-care visit in the past 12 months and a BMI of 30, or 27 with a related condition |
| How care works | Online provider review within hours, no video call, and same-day shipping on orders before 2 p.m. Central | Monthly video visits with an obesity-medicine physician or endocrinologist and a registered dietitian |
| Look elsewhere if | You want brand-name medication or insurance billing, live in Louisiana or Mississippi, or want early-cancellation costs spelled out | You're paying cash and want the lowest monthly total, want compounded medication, or haven't had a recent primary-care visit |
Direct Meds
Partner- Access
- Compounded semaglutide injections $297/mo, tirzepatide $399/mo, no membership; sublingual semaglutide from $249/mo
- Medications
- Semaglutide · Tirzepatide · Oral
- Insurance
- Cash-pay
- Visit
- Async intake
What we like
- One all-inclusive monthly price per drug: $297 semaglutide, $399 tirzepatide
- No membership fee and no long-term contract
- Names both dispensing pharmacies and which states each one fills
Watch-outs
- Ships a 90-day supply while billing monthly, and the terms don't say what you owe if you stop early
- Prescription orders generally can't be canceled after 24 hours, and medication received isn't refundable
Pick Direct Meds if: You want compounded medication and nothing else.
Check Direct Meds availability →Read the full Direct Meds review →
Form Health
- Access
- Self-pay $299/mo covering clinician and dietitian visits; labs and medication billed separately
- Medications
- Branded
- Insurance
- Works with insurance
- Visit
- Video visit
What we like
- Care led by obesity-medicine physicians or endocrinologists, with a registered dietitian, by monthly video
- Works with most major private insurers and Medicare, and handles prior authorizations
- FDA-approved medication only, including the Foundayo pill
Watch-outs
- The self-pay fee covers the care only; medication and labs cost extra
- Without insurance coverage for the drug, branded GLP-1s get expensive fast
Pick Form Health if: You want a clinical program with dietitian support and FDA-approved medication.
Check Form Health availability →Read the full Form Health review →Want the full field? See every option in our GLP-1 providers roundup, or narrow by tirzepatide / semaglutide and price.