Lttl vs MEDVi
In our scoring, Lttl edges ahead overall (7.2 vs 7.1 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 MEDVi $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
- MEDVi 48 states (Lttl doesn't publish a state list)
- Included
- Lttl: medication, clinician visits, shipping; MEDVi: medication, clinician visits, shipping, coaching
- Safety
- FDA warning letters on record: Lttl none, MEDVi 1
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
MEDVi
Affiliate partnerBest for switching between compounded and brand-name GLP-1 through one provider
semaglutide
$299
$179 first month
Our score 7.1/10
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
MEDVi
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
Oral semaglutide / month
Better on this row: $179/mo
$149 first month
$249/mo
Oral semaglutide / year (modeled)
Better on this row: $2,148
$2,988
Tirzepatide / month
$149/mo
billed every 4 weeks
Not listed
Coverage
State availability
List not published
48 states
Oral option listed
Yes
Yes
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping, coaching
FSA/HSA accepted
Yes
Not listed
Terms & safety
Price shown
Before intake
Before intake
Lab work
Not disclosed
Not required
Video visit
Not disclosed
Not required
Cancel anytime
Yes
Not disclosed
Minimum commitment
None on the monthly plan; 3-, 6- and 12-month prepay tiers offered at lower per-month rates
Membership
FDA warning letters
Better on this row: None on record
1 warning letter
Provider facts checked
October 2026
August 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 MEDVi for compounded semaglutide at standing prices (one bills every 4 weeks (13 charges a year), so this compares modeled yearly cost)
- Lists compounded tirzepatide, which MEDVi doesn't price
- No FDA warning letters on record (MEDVi has 1)
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 MEDVi if…
- Publishes its full state list (48 states)
- Both compounded and brand-name (Wegovy, Zepbound) GLP-1 options in one platform
- Oral tablet and injectable formats
What to weigh up
- 1 FDA warning letter on record
- 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)
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
MEDVi
7.1/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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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 →GobyMeds
No-membership, no-auto-renew compounded GLP-1 orders, from about $99/mo on a 3-month bundle
Read full review →From $169/mo
Get started →Ivim Health
Compounded GLP-1 with weekly provider check-ins and health coaches, under a required monthly membership
Read full review →From $65/mo + membership
Get started →Lttl vs MEDVi: 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.