Review · Not a partner

MadeMed review

GLP-1 telehealth · Prices read September 2026

Our verdict

MadeMed has no single-month GLP-1 plan; the shortest it sells is a quarter, with compounded semaglutide injections at $239 a month billed $717 every three months. Tirzepatide shots are $399 a month on that plan, and all four “From” figures on its weight-loss page are six-month rates paid up front.

One month, no commitment

Not sold

The shortest plan this company sells is 3 months, so a single month is not on offer at any price. Every GLP-1 product page (/rx/injectable-semaglutide/, /rx/injectable-tirzepatide/, /rx/oral-semaglutide/, /rx/oral-tirzepatide/) offers exactly two plan tabs, “Quarterly” and “6-month”. No monthly plan is listed on any of them.

Real month to month
None confirmed
No one-month price on their public pages.
They advertise
$199/mo
6-month plan, $1,194 today
Our finding
No monthly plan, $239 quarterly
The whole ladder, with the working, is below.
Our relationship
Not a partner
Compare every priced provider →

The short version

In its favor

  • Clean FDA warning-letter record
  • Names its pharmacies, including Red Rock Pharmacy and AbsoluteRx
  • Prescribers licensed in your state

Against it

  • No single month is sold; the shortest plan is 3 months
  • A $39 consultation fee
  • No support hours published

What it is

MadeMed is a cash-pay telehealth store for compounded GLP-1s in four forms: semaglutide or tirzepatide, each as a once-a-week shot or a tablet held under the tongue every day until it melts. It sells tadalafil, sermorelin and NAD+ as well. After an online questionnaire, a physician decides within 24 hours with no video call, and approved orders ship overnight with syringes and swabs. The vials come with L-Carnitine mixed in; the tablets carry B6.

IDL Health LLC, doing business as MadeMed, runs the site from a suite on Westheimer Road in Houston. It doesn't practice medicine. Clinical care comes from Xpedicare, LLC and its affiliated physicians, and the site introduces Dr. Thai Pham, an internist, as one of the doctors leading the team. Prescriptions go to partner compounding pharmacies; the terms name AbsoluteRx and the About page names Red Rock Pharmacy.

Where you can buy depends on the product. The About page lists 40 states and the oral semaglutide page says the same 40, while the injectable pages give a shorter list of 23 that includes Missouri, New Mexico and New York, three states the About page leaves out. MadeMed doesn't take insurance, and for now it won't take HSA or FSA cards.

What it actually costs

MadeMed prices by drug
DrugMonth to monthLowest rate on a longer plan
Compounded semaglutideNot sold alone$199 /mo, 6 months
Compounded tirzepatideNot sold alone$369 /mo, 6 months
Oral semaglutideNot sold alone$179 /mo, 6 months

MadeMed won't bill you month to month. Each GLP-1 comes on either a quarterly or a six-month plan, and each card shows a monthly rate beside the amount actually billed. Semaglutide injections cost $239 a month on the quarterly plan ($717 every three months) or $199 on the six-month plan ($1,194). Tirzepatide injections are $399 quarterly ($1,197) or $369 over six months ($2,214).

The tablets cost less. Sublingual semaglutide is $219 a month quarterly ($657) or $179 on six months ($1,074), and sublingual tirzepatide is $299 ($897) or $279 ($1,674). The “From” figures on the weight-loss page ($199, $369, $179 and $279) are all six-month rates.

Your strength doesn't move the bill. Each card prices every dose the same, 0.25 mg to 2.4 mg for semaglutide and 2.5 mg to 15 mg for tirzepatide. Physician review, overnight shipping, injection supplies and optional meal and exercise plans come with the plan.

If a physician declines you, MadeMed refunds what you paid minus a $39 doctor visit fee. Once medication is dispensed, the sale is final. Plans renew until you cancel, which takes one click in the dashboard; canceling takes effect when the paid period ends and nothing is prorated. The FAQ promises an email seven days before each charge, and pausing stops billing right away.

The plan cards leave one thing unexplained: a vial or 60 tablets ship “every 2 months,” while billing runs every three or six months, and the tablet cards also list a “30-day supply.”

Who it's wrong for

Hoping to test a month before committing? The shortest commitment here is a quarter, and semaglutide's costs $717 at checkout.

Skip it if you were planning to pay with an HSA or FSA card. MadeMed says it doesn't take them at this time.

Live in Alabama, Massachusetts, South Carolina or Virginia? None of MadeMed's state lists includes you.

Not for you if a live conversation with the prescriber matters. Review runs on the questionnaire and secure messages, with no video visit.

If a physician turns you down, $39 of your payment stays with MadeMed as a doctor visit fee.

The American checks

Prescriber licensed in your state
Stated
Pharmacy named
Two partner pharmacies are named, neither with a state: Red Rock Pharmacy on the About page and AbsoluteRx in the terms of use.
What you get
Compounded only: semaglutide and tirzepatide as injectable vials and as sublingual tablets, from “licensed, accredited compounding pharmacies in the United States”. Neither 503A nor 503B is stated. No brand-name GLP-1 is sold.
Overseas fulfillment
None disclosed
Support hours
No hours are published. Phone +1 (800) 582-1428, MadeMed's support email, a web message form, and secure messaging with the medical team.

What each check means, and what “Not stated” covers, is on how we review.

Questions people ask about MadeMed

On the record12 sourcing notes: every price with the page it came from, and what the company doesn't publish
  1. Sources: MadeMed's public site: MadeMed's home page, MadeMed's weight loss page, MadeMed's treatments page, MadeMed's injectable semaglutide page, MadeMed's injectable tirzepatide page, MadeMed's oral semaglutide page, MadeMed's oral tirzepatide page, MadeMed's about page, MadeMed's how it works page, MadeMed's contact page, MadeMed's support page, MadeMed's terms page and MadeMed's returns page. Each plan card was read with its “Quarterly” tab (the default) and its “6-month” tab selected. The online consultation behind “Get Started” was not opened.
  2. The prices, from the plan cards. /rx/injectable-semaglutide/: “Quarterly 6-month Save $40/mo Most Popular $239 /month 1 vial shipped every 2 months. Your dose only changes when you request it, no automatic increases. Billed $717 every 3 months.” and “Quarterly 6-month Save $40/mo Most Popular $199 /month 1 vial shipped every 2 months. Your dose only changes when you request it, no automatic increases. Billed $1194 every 6 months.” /rx/injectable-tirzepatide/: “Quarterly 6-month Save $30/mo Most Popular $399 /month 1 vial shipped every 2 months. Your dose only changes when you request it, no automatic increases. Billed $1197 every 3 months.” and “Quarterly 6-month Save $30/mo Most Popular $369 /month 1 vial shipped every 2 months. Your dose only changes when you request it, no automatic increases. Billed $2214 every 6 months.” /rx/oral-semaglutide/: “Quarterly 6-month Save $40/mo Most Popular $219 /month 60 tablets shipped every 2 months. Your dose only changes when you request it, no automatic increases. Billed $657 every 3 months.” and “Quarterly 6-month Save $40/mo Most Popular $179 /month 60 tablets shipped every 2 months. Your dose only changes when you request it, no automatic increases. Billed $1074 every 6 months.” /rx/oral-tirzepatide/: “Quarterly 6-month Save $20/mo Most Popular $299 /month 60 tablets shipped every 2 months. Your dose only changes when you request it, no automatic increases. Billed $897 every 3 months.” and “Quarterly 6-month Save $20/mo Most Popular $279 /month 60 tablets shipped every 2 months. Your dose only changes when you request it, no automatic increases. Billed $1674 every 6 months.” The weight-loss page cards read “From $199/mo” (injectable semaglutide), “From $369/mo” (injectable tirzepatide), “From $179/mo” (oral semaglutide) and “From $279/mo” (oral tirzepatide).
  3. Flat dose pricing, from the semaglutide FAQ: “One flat price means your doctor recommends exactly the dose that's clinically right for you. At 0.25mg or 2.4mg, your price is the same. Every dose also includes L-Carnitine at no extra charge.” Titration: “Increases are not automatic: your dose stays the same until you tell us you're ready, then your care team reviews and approves the step up (typically no sooner than every 4 weeks).”
  4. What the plan includes, from /rx/injectable-semaglutide/: “What's Included: Semaglutide vial + L-Carnitine, one dose per 2-month shipment (0.25mg → 2.4mg range) Board-certified physician consultation Free overnight discreet shipping Injection supplies included Made in US pharmacy”. From /rx/oral-semaglutide/: “What's Included: 60 sublingual tablets with B6, titrated 1mg → 6mg (2-month supply) Board-certified physician consultation Free discreet shipping 30-day supply Made in US pharmacy”. Under each card: “Prescription products require an online consultation with a healthcare provider who will determine if a prescription is appropriate. If not prescribed, you'll receive a full refund minus a $39 doctor visit fee.”
  5. An additive mismatch: the weight-loss page card reads “Injectable Semaglutide A powerful, once-weekly injection medically designed to quiet food noise and reduce your appetite. Enhanced with B12. From $199/mo”, while the product page says “The proven weight loss medication backed by clinical research. 15-20% average body weight loss. Enhanced with L-Carnitine. From $199/mo.”
  6. Billing and canceling, from the terms (“Last Updated: February 6th, 2026”): “Our services are offered on a subscription basis. You will be charged on a recurring basis (e.g., every 30 or 90 days) until you cancel. By purchasing a subscription, you authorize recurring charges to your chosen payment method until you cancel. You can cancel your subscription at any time by emailing MadeMed's support email or through your account portal. Cancellations will be effective at the end of the current billing period. We do not offer prorated refunds.” From the product FAQ: “We email you 7 days before every charge with the exact amount and easy options to pause, skip, or cancel.” and, on pausing, “Billing stops immediately.”
  7. Returns, from the Returns & Refunds Policy (“Last Updated: November 1st, 2025”): “For this reason, all sales of both prescription and over-the-counter products are final and non-refundable.” “Medical consultation fees are non-refundable after the consultation has been completed.” “Contact Period: You must notify us of any issues with your order within seven (7) days of the delivery date.”
  8. Who does what, from the terms: “These Terms of Use govern your use of our online interfaces and properties (e.g., websites and mobile applications) owned and controlled by IDL Health LLC (d/b/a "MadeMed," "we," "us," or "our") including, but not limited to, the MadeMed's home page website (the "Site")” and “Professional medical services are provided by Xpedicare, LLC and its affiliated physicians and providers (collectively, "Xpedicare" or the "Medical Group").” and “Our Service also provides access to prescription fulfillment services offered by our partner pharmacies, including AbsoluteRx (the "Pharmacy").” The About page: “Every consultation is reviewed by a board-certified physician licensed in your state to ensure your treatment plan is safe and appropriate for you.” and “We partner exclusively with licensed, accredited compounding pharmacies in the United States, like our partners at Red Rock Pharmacy.”
  9. The operator and the law: notices go to “IDL Health LLC (d/b/a MadeMed) 9668 Westheimer Rd Suite 200#32 Houston, TX 77063”. The terms apply Texas law and require individual arbitration through National Arbitration and Mediation, with a written opt-out allowed within 30 days.
  10. States and payment. /rx/injectable-semaglutide/ and /rx/injectable-tirzepatide/: “We currently offer Injectable Semaglutide in the following states: Arizona, Colorado, Connecticut, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Maine, Missouri, Montana, North Dakota, New Mexico, New York, Rhode Island, South Dakota, Texas, Utah, Vermont, Wisconsin, and Wyoming.” /rx/oral-semaglutide/: “We currently offer Oral Semaglutide in 40 states. We do not currently serve Alabama, Alaska, Arkansas, Hawaii, Massachusetts, Missouri, New Mexico, New York, South Carolina, or Virginia.” The About page lists 40 states under “We are currently licensed to serve patients in the following states”. On payment: “We do not accept insurance.” and “At this time, we do not accept FSA or HSA cards for payment.”
  11. Shipping, from the injectable FAQ: “Every order ships overnight in temperature-controlled packaging at no extra cost. Medication, syringes, alcohol swabs, and injection supplies are all included.” How It Works: “Do I need a video call with a doctor? No.”
  12. No FDA enforcement action on record: FDA's warning-letter search on “MadeMed”, “mademed”, “IDL Health LLC”, “Xpedicare, LLC”, “AbsoluteRx”, “Red Rock Pharmacy”, returns no letter addressed to MadeMed, its operator, the named pharmacies or MadeMed. Search FDA's warning letters.

Sources

MadeMed's own pages

  • MadeMed's injectable semaglutide pageCompounded semaglutide price
  • MadeMed's injectable tirzepatide pageCompounded tirzepatide price
  • MadeMed's oral semaglutide pageOral semaglutide price

FDA

Prices come from the company's own public pages only; the dated quotations are in On the record above.

What MadeMed sells, priced across the market

The same molecules at every other company we have reviewed, with the range each one falls in.

Words used above: Compounded, 503A, 503B, Prepay, Titration, HSA and FSA. All of them are in the glossary.

Check current price →

Every company we have reviewed is on the reviews index. See who writes these reviews. Your privacy choices and the terms of use apply to this page.