VivioMD review

What it is

VivioMD Group LLC runs the website and the non-clinical side of the program; it says it isn't a pharmacy or a drug manufacturer. Clinical care comes from U.S.-licensed clinicians at OpenLoop Healthcare Partners P.C. and its affiliated medical groups, which decide eligibility. Medication is dispensed by independent, state-licensed compounding and retail pharmacies, none of them named. The FDA letter addresses the company at an address in Lewes, Delaware, and its customer service runs weekdays on Central time. The homepage says its providers are licensed in all 50 states, but the terms say services are offered in 49 states and aren't available in Louisiana. It's cash-pay: insurance isn't required, and HSA and FSA payments are accepted. The footer links to LegitScript's public checker but displays no seal number, so look the company up yourself if certification matters to you. Its published terms of use also refer to dispute-resolution and other standard sections that the posted page doesn't include.

How it works

You start with a five-minute online assessment. A licensed provider from the partner medical group reviews it, with same-day review promised when you qualify, and the site describes a provider consultation as part of the process and a live consult as included with every plan. If you're approved, the prescription goes to a state-licensed pharmacy and ships free and discreetly to your door. After that you have ongoing access to the care team and clinicians, including 24/7 messaging, regular check-ins and dose adjustments as you progress. Medication orders may be sent to the pharmacy automatically once a provider approves your prescription, and the terms note that you can cancel a medication subscription only before an order is placed. The homepage also offers to let you talk to a licensed provider first if you're unsure whether treatment fits you.

Pricing transparency

No price appears on VivioMD's homepage or any of its public policy pages. The only pricing statements are promises: flat pricing that never goes up as your dose increases, transparent pricing with no hidden fees, free shipping, and a summer promotion banner advertising $100 off. Expect to see the actual cost during sign-up. Membership begins once you complete the intake and pay for the first month, and plans are billed in advance for the period you choose, monthly, quarterly or annual, renewing automatically at the then-current rate. If you took a discount tied to a minimum commitment and cancel early, the discount is forfeited and completed months are recalculated at full price. To cancel, email support or use your patient portal at least 72 hours before your next billing date; otherwise you're charged once more and the cancellation takes effect the following cycle. You get a full refund if you cancel within 72 hours of starting and haven't received any services, or if a provider disqualifies you. Monthly plans aren't refunded for the current or prior months; multi-month plans are refunded for months in which no medication shipped.

Branded vs compounded

VivioMD's public pages describe "top GLP-1 treatments, brand-name and personalized options", and its footer says a provider may prescribe a compounded medication, prepared by independent compounding pharmacies, which isn't FDA-approved. It doesn't name a molecule. The FDA's June 2026 warning letter states that when the agency reviewed the website in March 2026, it offered compounded semaglutide and tirzepatide products. The letter said product images labeled "VivioMD" suggested the company was the compounder when it is not, and it found those representations false or misleading under federal law. The site today carries a disclaimer that packaging images are illustrations and that VivioMD isn't a pharmacy or manufacturer. The letter is disclosed and linked on this page. Ask which medication, strength and pharmacy you'd receive before you pay.

Pros and watch-outs

The evidence behind what VivioMD 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.

• 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 VivioMD compares

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

• Strut Health

  A general telehealth that covers GLP-1 alongside other everyday care

  See Strut Health →
• CoreAge Rx

  Flat pricing that does not climb as your dose titrates up

  See CoreAge Rx →
• VitaraRx

  Cash buyers who want one compounded price at every dose and a named dispensing pharmacy

  See VitaraRx →

More GLP-1 telehealth reviews: Red Mountain Weight Loss · Allara Health · Blue Haven RX · Zealthy · Good Life Meds · Noom Med