MDExam review
Flat price, any medication
A Miami telehealth program selling compounded tirzepatide, semaglutide and an oral option at one price, $297 for a single month or less per month on longer purchases.
Our verdict
MDExam's pricing is simple and, for tirzepatide buyers, unusually even: every medication costs the same, so compounded tirzepatide is $297 for one month, the same as semaglutide, falling to $225, $192 or $166 a month if you buy 3, 6 or 12 months at once. Visits with its clinicians and nutrition and exercise coaching are included, and it uses a real video visit rather than a form-only review. Two things need care. First, the $50 consultation fee is extra, though you get it back if you don't qualify. Second, refunds stop once your prescription reaches the pharmacy, and the monthly subscription keeps renewing until you cancel, so cancel before the next order is sent if you want to stop. Its FAQ also says it accepts most major insurance plans, which sits oddly with a menu of compounded drugs that insurers rarely cover; treat it as cash-pay unless your plan confirms otherwise in writing. For someone set on tirzepatide who'll commit to a few months, the longer purchases are competitive.
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At a glance
- Category
- GLP-1 telehealth
- Access
- Compounded tirzepatide, semaglutide or oral option, $297 for one month or $166–$225/mo on 3- to 12-month purchases; $50 consultation, refunded if not approved
- Medications
- Compounded tirzepatide · Compounded semaglutide
- Visit
- Quiz intake / Video visit
Partner alternative
Enhance MD
Lab-guided treatment under ongoing physician oversight
Check Enhance MD availability →What it is
MD Exam LLC is a telehealth weight-loss company headquartered at 779 SW 9th Avenue in Miami, Florida, which says it treats patients by telemedicine in all 50 states and has served more than 86,000 people. Its team page names nurse practitioner Alberto Nunez, Dr. Joel Jones, D.O., and Dr. Robert Bilbao, M.D. The program bundles telemedicine visits, nutrition and exercise coaching and medication. Its terms say it works with licensed pharmacies, including FDA-registered 503B outsourcing facilities, and that you can choose your own pharmacy; if you don't, it sends the prescription to a partner pharmacy. Support is by phone at a toll-free number, by email and through the patient portal.
How it works
You fill out a medical questionnaire, pick an appointment time (same-day slots are offered) and get a text with a link to a video visit shortly before it starts. The clinician reviews your history and weight-loss goal and recommends a program; you decide whether to go ahead. After that, the doctors review your chart and message you with any follow-up questions, and the medication ships from the pharmacy, which the site says arrives within a business week, though its about page allows up to two weeks. Along the way you report your weight in the portal each week, text your provider, schedule check-ins, and have a nurse to contact with questions. Testimonials on the homepage are patient stories, not typical results.
Pricing transparency
The start page sets one price for every medication, whether injectable tirzepatide, injectable semaglutide or the oral option: $297 for one month of medication, $225 a month when you buy three months, $192 a month for six months and $166 a month for twelve. Its FAQ advertises the program "as low as $225 per month", which is the 3-month rate; the month-to-month figure is $297. Those prices include medication, telemedicine visits and coaching. The consultation costs $50 and is refunded in full if you don't qualify. Billing is a recurring monthly subscription that continues until you cancel through the portal or by email, and you need to cancel before your medication is sent to the pharmacy; once it has been, the charge can't be stopped or refunded, and medication can't be returned. If you're approved and a prescription has been sent, there's no refund, and any payment plan stays in place.
Branded vs compounded
The menu is compounded tirzepatide and compounded semaglutide as weekly injections, plus an oral medication for patients who prefer not to inject; the start page doesn't name the drug in the oral option. MDExam's terms state plainly that its compounded semaglutide and tirzepatide are not FDA-approved and that it isn't affiliated with Novo Nordisk or Eli Lilly, and they note compounded products can differ in labeling and potency from approved ones. Brand-name Wegovy or Zepbound isn't sold as a plan, though the FAQ offers to explore alternatives if you can't get a brand-name drug. Its footer links to LegitScript's search page rather than to a numbered certification. A search of the FDA warning-letter database under the company's name and web addresses returned no letters.
Pros and watch-outs
What we like
- Same price for tirzepatide, semaglutide and the oral option
- Month-to-month price shown: $297 including medication
- Video visit with a clinician, with coaching included
- Consultation fee refunded if you don't qualify
- Named clinicians and a Miami headquarters
Watch-outs
- $50 consultation fee on top of the plan
- No refund once a prescription reaches the pharmacy
- Subscription renews until you cancel
- Oral option's drug isn't named before the intake
- Insurance claims on its FAQ don't fit a compounded-only menu
Best for
Cash buyers who want compounded tirzepatide without paying more than for semaglutide, and who'd like a live video visit and coaching in the price.
Who should look elsewhere
Anyone who wants brand-name medication billed to insurance, or a buyer who wants refunds after the first prescription is sent.
The evidence behind what MDExam prescribes
We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.
- Tirzepatide vs semaglutide for weight loss: what the trials actually support
Most comparisons are cross-trial. Only SURPASS-2 and SURMOUNT-5 randomized one drug against the other — here's the precise distinction.
- What the semaglutide weight-loss trials actually showed
STEP 1, STEP 4, and SELECT — the efficacy, the rebound, and the cardiovascular signal, read straight from the primary literature.
- Compounded vs branded GLP-1: regulatory status, sourcing and the evidence
Compounded GLP-1 isn't FDA-approved, the shortage exception behind it ended in 2025, the FDA moved against mass-marketed copies in 2026, and the trial data belong to the branded product. Here's the precise picture.
How MDExam compares
A few alternatives worth a look, depending on what you’re optimizing for.
EdenCompounded or branded GLP-1 through one consumer telehealth account
See Eden →
WellMedRxCompounded GLP-1s by injection or tablet, with a named clinician network and pharmacy
See WellMedRx →
KovaPeople who want a compounded GLP-1 with an app that keeps them on top of doses, protein and side effects
See Kova →
More GLP-1 telehealth reviews: Avono HealthBalanced Hormone HealthBasalBelleElevated HealthEllieMD
Access & cost
How we assessed this. This review reflects Aminoscope’s own read of MDExam’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- How much does MDExam cost?
- Every medication costs the same: $297 for one month, or $225, $192 or $166 a month if you buy 3, 6 or 12 months. The consultation is $50 and is refunded if you don't qualify.
- Is MDExam's tirzepatide more expensive than semaglutide?
- No. Its start page prices injectable tirzepatide, injectable semaglutide and the oral option the same.
- Can I cancel MDExam?
- Yes. The subscription renews monthly until you cancel through the portal or by email. Cancel before your medication is sent to the pharmacy; after that, the charge can't be reversed.
- Does MDExam take insurance?
- Its FAQ says it accepts most major insurance plans, but it sells compounded medication that insurers rarely cover, so expect to pay cash unless your plan confirms coverage.
- Are MDExam's medications FDA-approved?
- No. Its terms state that its compounded semaglutide and tirzepatide are not FDA-approved.
- Is MDExam legit?
- MDExam is a GLP-1 telehealth service you reach through an online questionnaire and a video visit with a clinician. The medications it names are Compounded tirzepatide and Compounded semaglutide. What it publishes up front: Compounded tirzepatide, semaglutide or oral option, $297 for one month or $166–$225/mo on 3- to 12-month purchases; $50 consultation, refunded if not approved. Before you pay, ask in writing about which states it serves and whether it bills insurance.
- Is MDExam expensive compared with other GLP-1 telehealth providers?
- MDExam publishes a starting figure of $297/mo. Across the 112 GLP-1 telehealth providers we review that publish a single monthly figure, those run $49 to $399 with a median of $179, which puts MDExam above the median. The other 173 GLP-1 telehealth providers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.