ElixaMD Review

ElixaMD: a $99 door, and a bill that depends on which page you believe

ElixaMD sells doctor-guided GLP-1 care online, and its storefront leads with one number: “FALL Sale! Only $99 + Fast, Free Shipping.” Read one screen further and the picture splits. Every product tile prices itself as “$99 Membership + Medication Cost,” while the FAQ on the same page says the $99 covers the medication too. That contradiction is the whole review in miniature. You can start cheaply here. You cannot learn the true monthly bill without handing over your date of birth first.

How the pricing works, and where it stops being clear

There are two ElixaMD websites, and only one of them has prices. The main site talks about “clear pricing” and lists what's included: 1:1 physician guidance, free dietitian visits and care coaching, 24/7 support, and fast shipping. It never prints a dollar figure. The storefront on its GLP-1 subdomain does, and this is where you should read carefully.

The FAQ there states: “The ElixaMD Semaglutide program starts at $99 for your first month with no contract.” It goes on: “Refills are locked in at $199 and include all the same program benefits.” Taken at face value, that's a $99 first month and $199 a month after it, medication included. But the four product tiles above that FAQ each say “$99 Membership + Medication Cost,” which reads as $99 for access with the drug billed on top. A footnote at the bottom of the page then says “Medication is included in the cost of the ElixaMD Program.” Three statements. Two of them can't both be true.

Because the site contradicts itself, this review doesn't headline a monthly price. TelePeptide shows what a cleaner setup looks like, folding the evaluation, medication and shipping into each listed price. For context, compounded GLP-1 programs on this site run around $179 a month. If the FAQ's $199 refill figure is the real ongoing rate, ElixaMD sits below that median with coaching and dietitian visits folded in. If the tiles are right, you won't know the drug cost until after intake. Ask support for the all-in refill price in writing before you pay.

How we get the market median: $179 is the middle value of each program's lowest listed ongoing monthly price for compounded semaglutide (month to month, not a first-month promo, a prepaid plan or a price with a membership on top), across the 121 programs that publish one.

Two smaller money details are plain. Plans are marked HSA/FSA eligible, and no insurance is required. The dietitian visits carry an asterisk: “Free to end users subject to insurance and copays eligibility to be determined at time of visit.” So the free dietitian may not be free for everyone.

What it sells: compounded semaglutide first, tirzepatide on a side page, brand names alongside

The storefront shows four tiles. “GLP-1 Injections” is the compounded semaglutide program, described as “One simple injection per week.” Next to it sit a Wegovy pill (“One pill per day”), a Wegovy injection, and a Zepbound injection. Both brand injections carry the line “Availability is subject to change.” The main grid has no compounded tirzepatide tile, but a second storefront page on the same subdomain does. It advertises “Semaglutide for $99/mo or Tirzepatide for $199/mo” and shows a “Prescription Tirzepatide” tile marked “$199/mo — Price Locked.” That tile doesn't say whether the drug is compounded or brand, though it sits next to a separate Zepbound tile and the page's disclosures are about compounded GLP-1s. If tirzepatide is what you want, ask for that plan by name and confirm the form before you pay.

• Dose ladder: not published. The only strength on the site is a results footnote citing patients who “maintained a dose of 2.4 mg/week”; the strength your $99 month buys isn't stated anywhere public.
• Refill cadence: monthly, per the FAQ's “Refills are locked in at $199” line, billed as a subscription that renews until you cancel.
• Pharmacies: named. The footer lists Triad Rx in Daphne, Alabama, RedRock Pharmacy in St. George, Utah, and Beaker Pharmacy & Compounding in McKinney, Texas, each with a street address and phone number.
• Shipping: free and described as expedited, with no delivery window promised.

Compounded medication carries the standard caveat, and ElixaMD prints it: compounded GLP-1s “are not FDA-approved or evaluated for safety, efficacy, or quality.” If you want the brand product, the Wegovy and Zepbound tiles route you through the same intake, but availability is explicitly not guaranteed.

What signing up looks like

The Get Started button leaves the marketing site for a separate intake app. The first screen is labeled “Free eligibility check • No credit card needed,” and it's a single long form. It asks for height and weight (it computes your BMI), a goal weight, the state your medication ships to, your date of birth, and your sex. Then come two checklists of medical conditions, a medications question, and an allergy question. The Continue button stays grayed out until every field is filled, and that includes date of birth. So the plan and price screens sit behind your birth date, not just your weight.

Pick Texas and the form answers “Licensed clinicians are available in TX!” The state menu lists all 50 states plus Washington, D.C. But the Terms say the service is “currently available to individuals located in certain states” and tell you to email support for the list. Treat the dropdown as a hint, not a promise.

The clinical review happens after you pay. ElixaMD's own disclaimer says an OpenLoop Health clinician “will meet with an individual after checkout to determine if they qualify.” Consultations can be “both live and via electronic form submissions,” so a video call isn't guaranteed and isn't required. If the clinician disqualifies you, the refund policy promises a full refund. Whoosh Wellness, by contrast, doesn't charge you at all until you're prescribed.

Cancellation and refunds

The policy is specific, and mostly strict. You may cancel anytime by emailing help@elixamd.com or through the portal chat, but the request must arrive “at least 72 hours prior to your next billing date” or the next charge goes through. A full refund is available only if you cancel within the first 72 hours and have received no services. After that, on monthly billing, “YOU WILL NOT BE ISSUED A REFUND UPON CANCELLATION FOR THE MONTH IN WHICH THE CANCELLATION OCCURRED.” Multi-month prepayments refund only the months in which no medication shipped. Shipped medication is never returnable.

Trust signals: what's shown and what isn't

ElixaMD names its three partner pharmacies with addresses, which most compounded sellers won't do. It names OpenLoop Health as the clinician network, and its footer lists a Newark, Delaware address, a phone number, and an email. Its LegitScript badge is a self-hosted image that links to LegitScript's generic lookup page rather than to a certificate for ElixaMD's site, so the badge doesn't prove certification on its own. There are no FDA warning letters against ElixaMD. The site also discloses that some of its images and text “may be generated or enhanced using artificial intelligence.”

Who should choose ElixaMD, and who should skip it

Choose it if you want compounded semaglutide with coaching and dietitian access bundled in, you're comfortable paying before a clinician reviews you, and you'll email support for the refill price first. The $99 start is a low-risk way in, especially with the 72-hour full-refund window. Skip it if you need a published dose ladder, a fixed all-in price you can compare before intake, or a compounded tirzepatide plan that's easy to find and clearly labeled. TrimRx lists compounded tirzepatide on its main menu as well as semaglutide and says its price stays steady as your dose changes. Skip it too if you refuse to enter a date of birth before seeing a plan.

ElixaMD is a plausible mid-priced option with a marketing problem: its own pages disagree about what $99 buys. Get the refill price in writing, and it becomes a reasonable choice.