Midi Health review

What it is

Midi Health, Inc. runs a virtual clinic for women in midlife, covering perimenopause, menopause, sleep, mood, bone and joint pain, sexual health and weight, with clinicians it describes as trained in women's health and menopause care. Its weight-management service offers GLP-1 prescriptions, lab work and follow-up visits, and the company says more than 500,000 women have used Midi. Care is delivered by medical groups named in its terms: Integrative Women's Care PC, IWC Medical Group, P.A., IWC Medical Group KS, P.A., and Robert G. Aptekar, M.D., P.C. Prescriptions it fills itself go through Precision Compounding Pharmacy, and Midi says its partner compounding pharmacies are licensed and 503A-accredited. It is in-network with most major PPO plans, displays a LegitScript seal (ID 16722013) and shows an NCQA accreditation badge for utilization management and credentialing. It also sells its own supplements, including a "Daily GLP-1 Support" product, which are separate from prescription care.

How it works

You book a virtual visit online and fill out a short questionnaire on your weight history, current medicines, past treatments, risk factors and goals before you meet. The first video visit runs about 30 minutes. Your clinician asks about changes in your waistline, eating and sleep, may order targeted labs such as blood sugar or cholesterol, and builds a Care Plan that can include a GLP-1, labs, hormone or non-hormone prescriptions, supplements and coaching. Booking a visit doesn't mean you'll receive a GLP-1; the clinician weighs your history and risks against your goals. Follow-up visits last 15 minutes and are where dose changes and side effects are handled. Midi says you don't necessarily need in-person care: it can order labs, recommend local screenings and coordinate with another provider. A compounded prescription ships discreetly with supplies; a brand-name prescription goes to the pharmacy you choose. Midi also offers microdosing, prescribing lower doses than the usual weight-loss amounts, with weekly doses from $34 for eligible patients. Its weight page says it is available in all 50 states, but its GLP-1 article says the program is not available everywhere and its FAQ says availability depends on your state, so confirm for yours when you book.

Pricing transparency

Visits are covered by most PPO plans, subject to your copay, deductible and coinsurance, or cost $250 for the first visit and $150 for each follow-up self-pay. There is no membership fee, and HSA or FSA funds can pay for visits. Prescriptions, labs, imaging and supplements aren't included in the visit price. Compounded medication is priced per 4-week supply, shipping and supplies included. The injectable GLP-1 is $165.90 from 0.1 to 0.5 mg, $270.90 from 0.75 to 1.5 mg, $340 at 1.75 and 2 mg and $355 at 2.5 mg. The injectable GLP-1/GIP is $210 at 1.25 and 2.5 mg, $285 from 3.75 to 6.25 mg, $375 from 7.5 to 12.5 mg and $434 at 13.75 and 15 mg. The under-the-tongue GLP-1 runs $164 to $275, and the under-the-tongue GLP-1/GIP $209 to $460. Brand-name drugs cost whatever your insurance and pharmacy charge. For a self-pay patient starting the injectable GLP-1, the first month is $250 plus $165.90, and after that $165.90 for medication plus $150 for each follow-up visit. Medicare is out of network (beneficiaries may pay cash but cannot claim), and Medicaid and Medi-Cal patients can't be treated, even self-pay. Medication subscriptions renew automatically; cancel at least two days before the renewal date by email, phone or your account, and the cancellation takes effect at the end of the current period. Midi doesn't refund partly used periods, and other refunds are case by case.

Branded vs compounded

Brand-name GLP-1s when appropriate, sent to your own pharmacy, and Midi's own compounded line: an injectable and under-the-tongue "GLP-1" and an injectable and under-the-tongue "Dual-Action GLP-1/GIP". Midi's price page doesn't name the molecules. The injectable GLP-1's doses (0.1 to 2.5 mg) match semaglutide's and the GLP-1/GIP's (1.25 to 15 mg) match tirzepatide's, but ask your clinician which drug you're getting. Midi's compounding disclosures are clear: compounded medications "are not FDA-approved" and the FDA doesn't review them for safety, effectiveness or quality before they reach patients. The trial evidence for semaglutide and tirzepatide belongs to the branded injections. Under-the-tongue versions are a further step removed: the only approved oral semaglutide is a tablet you swallow, built around an absorption enhancer, and how much of an under-the-tongue dose reaches the bloodstream hasn't been shown in published human trials. Midi's article on its GLP-1 programs says compounded GLP-1s are "generally considered safe for most people when used as prescribed", which runs ahead of the evidence for compounded products specifically. Microdosing uses doses below those the trials tested, so its effect on weight is not well established.

Pros and watch-outs

The evidence behind what Midi Health prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• 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.

• 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.

• GLP-1 pill vs injection: what you trade for swallowing it

  Oral semaglutide 50 mg matched the injection to within 0.2 of a percentage point — but not at the approved dose, and the daily fasting protocol is the cost nobody mentions.

• “Microdosing” GLP-1 drugs: a trend, not a protocol — what the evidence says

  Sub-therapeutic semaglutide and tirzepatide is spreading fast. The pharmacology is clear, the honest part is clearer: efficacy is dose-related, and no trial has tested intentional microdosing.

How Midi Health compares

A few alternatives worth a look, depending on what you’re optimizing for.

• Found

  Compounded GLP-1 with the drug included, and insurance for the visits

  See Found →
• Peter MD

  GLP-1 from a men's-health provider that also covers TRT and longevity

  See Peter MD →
• Hers

  Women who want a brand-name GLP-1, including a pill, inside an app with 24/7 messaging

  See Hers →

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