MEDGm vs TMates
In our scoring, MEDGm edges ahead overall (7.3 vs 6.9 out of 10), and TMates costs less for compounded semaglutide (about $600 a year less).
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Key differences
- Price
- TMates $249/mo vs MEDGm $299/mo for compounded semaglutide (standing prices, no prepay or separate membership listed · about $600 a year less with TMates)
- Coverage
- MEDGm 50 states + DC; TMates 50 states (only MEDGm: District of Columbia)
- Included
- MEDGm: medication, clinician visits, shipping; TMates: medication, clinician visits, shipping, coaching
MEDGm
Affiliate partnerAlso prices oral compounded semaglutide
semaglutide
$299
$179 first month
Our score 7.3/10
TMates
Affiliate partnerBest for nationwide compounded GLP-1 availability including Puerto Rico
semaglutide
$249
Our score 6.9/10
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.
MEDGm
TMates
Price
Semaglutide / month
$299/mo
$179 first month
Better on this row: $249/mo
Semaglutide / year (modeled)
$3,588
Better on this row: $2,988
Tirzepatide / month
$399/mo
$279 first month
Better on this row: $297/mo
Tirzepatide / year (modeled)
$4,788
Better on this row: $3,564
Oral semaglutide / month
$369/mo
$249 first month
Not listed
Coverage
State availability
50 states + DC
50 states
Oral option listed
Yes
Not listed
Included in the price
Medication, clinician visits, shipping
Medication, clinician visits, shipping, coaching
Terms & safety
Price shown
Before intake
Before intake
Cancel anytime
Yes
Yes
Minimum commitment
Monthly plan or a 3-, 6- or 12-month bundle billed upfront for the full term
None
Refunds
'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
Not disclosed
Early-cancellation fee
None
Not disclosed
FDA warning letters
None on record
None on record
Provider facts checked
September 2026
August 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 MEDGm if…
- Lists oral compounded semaglutide, which TMates doesn't price
- Serves District of Columbia, where TMates 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 $600 a year more than TMates for compounded semaglutide
- No dose ladder is published — the site never says which milligram strength you start on or how it steps up
Choose TMates if…
- About $600 a year less than MEDGm for compounded semaglutide at standing prices
- All-inclusive monthly price covers medication, consults, nutrition coaching, and 24/7 support — no separate membership fee
- Fast stated turnaround — 2–3 days from intake to delivery
What to weigh up
- Not available in District of Columbia
- No third-party pharmacy accreditation (no LegitScript, PCAB, ACHC, or NABP)
Explore the scoring factors
Both providers are scored on the same six-dimension framework. The gradient bar marks the stronger side on each dimension.
MEDGm
7.3/10
TMates
6.9/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
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SkinnyRx
Compounded semaglutide or tirzepatide with the consult and free overnight shipping in one price
Read full review →From $149.25/mo
Get started →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 →MEDGm vs TMates: 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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