Lttl vs MEDGm
In our scoring, MEDGm edges ahead overall (7.3 vs 7.2 out of 10), and Lttl costs less for compounded semaglutide (about $2,301 a year less; one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost).
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Key differences
- Price
- Lttl $99/mo vs MEDGm $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $2,301 a year less with Lttl · one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Coverage
- MEDGm 50 states + DC (Lttl doesn't publish a state list)
- Included
- Lttl: medication, clinician visits, shipping; MEDGm: medication, clinician visits, shipping

Lttl
Affiliate partnerBest for every commitment tier priced openly, plus a low-dose microdose option
semaglutide
$99
billed every 4 weeks
Our score 7.2/10

MEDGm
Affiliate partnerPublishes its full state list (50 states + DC)
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.
Lttl
MEDGm
Price
Semaglutide / month
Better on this row: $99/mo
billed every 4 weeks
$299/mo
$179 first month
Semaglutide / year (modeled)
Better on this row: $1,287
13 charges
$3,588
Tirzepatide / month
Better on this row: $149/mo
billed every 4 weeks
$399/mo
$279 first month
Tirzepatide / year (modeled)
Better on this row: $1,937
13 charges
$4,788
Oral semaglutide / month
Better on this row: $179/mo
$149 first month
$369/mo
$249 first month
Oral semaglutide / year (modeled)
Better on this row: $2,148
$4,428
Coverage
State availability
List not published
50 states + DC
Oral option listed
Yes
Yes
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping
FSA/HSA accepted
Yes
Not listed
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Yes
Minimum commitment
None on the monthly plan; 3-, 6- and 12-month prepay tiers offered at lower per-month rates
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
October 2026
September 2026
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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 Lttl if…
- About $2,301 a year less than MEDGm for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Accepts FSA/HSA cards
- Publishes the full price matrix — every medication, form and commitment length — on a public /plans page before checkout
What to weigh up
- No published state list; confirm yours at signup
- Partner pharmacies are never named — the site refers only to 'a partner U.S. pharmacy' (a material disclosure gap for a YMYL purchase)

Choose MEDGm if…
- Publishes its full state list (50 states + DC)
- Names the molecule on every compounded product page and prints the full 3-, 6- and 12-month price ladder publicly
- Every product page states 'Same price, any dose', so titrating up does not raise the bill
What to weigh up
- About $2,301 a year more than Lttl for compounded semaglutide (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- 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.
Lttl
7.2/10
MEDGm
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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Collective
The lowest flat medication price if you can absorb an annual membership fee
Read full review →From $59/mo + membership
Get started →From $219/mo
Get started →Found
Compounded GLP-1 with medication included from $169/mo cash, plus insurance help for brand GLP-1s
Read full review →From $169/mo
Get started →Lttl 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.
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