Gala vs MEDGm
In our scoring, Gala edges ahead overall (8.2 vs 7.3 out of 10), and Gala costs less for compounded tirzepatide (about $3,000 a year less).
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Key differences
- Price
- Gala $149/mo vs MEDGm $399/mo for compounded tirzepatide (standing prices, no prepay or separate membership listed · about $3,000 a year less with Gala)
- Coverage
- Gala 50 states; MEDGm 50 states + DC (only MEDGm: District of Columbia)
- Included
- Gala: medication, clinician visits, shipping; MEDGm: medication, clinician visits, shipping
Gala
Affiliate partnerBest for compounded GLP-1/GIP combo on a yearly plan with free shipping
tirzepatide
$149
Our score 8.2/10
MEDGm
Affiliate partnerAlso prices compounded semaglutide and oral compounded semaglutide
semaglutide
$299
$179 first month
Our score 7.3/10
We may earn a commission if you sign up through these links. Partner status can affect which provider we feature; it never changes a score or a price.
Costs & coverage
Published prices with their terms attached. Yearly figures are modeled from the standing price and billing cadence. A check mark marks the better side, on like-for-like rows only.
Gala
MEDGm
Price
Tirzepatide / month
Better on this row: $149/mo
$399/mo
$279 first month
Tirzepatide / year (modeled)
Better on this row: $1,788
$4,788
Semaglutide / month
Not listed
$299/mo
$179 first month
Oral semaglutide / month
Not listed
$369/mo
$249 first month
Brand Wegovy / Ozempic / month
$1,299/mo
Not listed
Coverage
State availability
50 states
50 states + DC
Oral option listed
Not listed
Yes
Brand-name access listed
Wegovy / Ozempic
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Not disclosed
Yes
Minimum commitment
Not disclosed
Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term
Refunds
Not disclosed
'The Subscription Service fee is charged upfront for the contracted term you selected and is non-refundable' — the only exception is a documented medical disqualification, refunded for the months that can no longer be delivered
Early-cancellation fee
Not disclosed
None
FDA warning letters
None on record
None on record
Provider facts checked
August 2026
September 2026
Show where they differ by stateHide state lists
Only MEDGm (DC)
- District of Columbia
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Which fits your priorities?
Only the points where these two differ, from the table above and each provider’s record.
Choose Gala if…
- About $3,000 a year less than MEDGm for compounded tirzepatide at standing prices
- Lists brand-name Wegovy / Ozempic, which MEDGm doesn't price
- Brand-name Ozempic available alongside compounded options
What to weigh up
- Not available in District of Columbia
- $179/mo requires a yearly subscription — the standalone monthly price isn't published
Choose MEDGm if…
- Lists compounded semaglutide and oral compounded semaglutide, which Gala doesn't price
- Serves District of Columbia, where Gala doesn't
- Names the molecule on every compounded product page and prints the full 3-, 6- and 12-month price ladder publicly
What to weigh up
- About $3,000 a year more than Gala for compounded tirzepatide
- No dose ladder is published — the site never says which milligram strength you start on or how it steps up
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
Gala
8.2/10
MEDGm
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Gala vs MEDGm: FAQ
Key terms, explained
New to GLP-1s? Tap any term for a quick, plain-English definition.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
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Or see the full category ranking.
Wegovy®, Ozempic®, and Rybelsus® are trademarks of Novo Nordisk A/S. Mounjaro® and Zepbound® are trademarks of Eli Lilly and Company. All other product names and trademarks referenced on this page belong to their respective owners. WeightLossRankings.org is not affiliated with any pharmaceutical manufacturer. See trademark disclaimer.