bmiMD is an online weight loss service that prescribes compounded semaglutide and tirzepatide, including microdose plans, filled by a partner pharmacy in the US.
Our verdict
CleanLow advertised prices and no FDA letter or regulator action found. The rating is provisional: the BBB record and refund policy are still open, and the homepage carries stale promotions.
- FDA record
- No warning letter found in fda.gov searches or a compilation of 163 letters through Sept 30 2026 [2].
- BBB
- No confirmed BBB record. We could not check bmiMD's BBB profile as of Oct 17 2026, so this rating does not rest on a good BBB record and stays provisional until we do.
- Best for
- Cash-pay buyers who want compounded semaglutide or tirzepatide at a low monthly price and can store cold-chain shipments properly.
- Watch out
- We have not yet confirmed this company's BBB record. Its refund policy page could not be read, "as low as" prices do not show the plan length, and Trustpilot reviewers report warm shipments and repeat charges [3].
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- Price from
- Compounded semaglutide as low as $119/mo; compounded tirzepatide as low as $179/mo; checked Oct 17 2026 [1]
- Sells
- Compounded semaglutide and tirzepatide (standard and microdose), MIC+B12 injections, metformin ER
- Pharmacy
- Not named; "a US-based licensed partner pharmacy" [1]
- FDA letter
- None found [2]
- BBB
- No confirmed record; not checked as of Oct 17 2026
bmiMD cost
bmiMD shows "as low as" prices with struck-through higher figures. The page does not say how long a plan must run to get the low price, or whether the price changes by dose. Here is exactly what it showed on Oct 17 2026.
| Product | Advertised price | Struck-through price | Checked | Source |
|---|---|---|---|---|
| Compounded semaglutide | As low as $119/mo | $199.80 and $228.60 | Oct 17 2026 | [1] |
| Compounded tirzepatide | As low as $179/mo | $299.70 and $349.20 | Oct 17 2026 | [1] |
| Sitewide promotion | 20% off | n/a | Oct 17 2026 | [1] |
The two struck-through numbers for each drug and the "as low as" wording suggest the lowest price needs a multi-month plan, but the page does not say [1]. Ask for the full price at your dose and the total charged up front before you pay. For context on what other programs charge, see cheapest tirzepatide online and our semaglutide cost guide.
Costs to ask about
- Plan length behind the "as low as" price, and whether it is charged in one payment.
- Price at higher doses, if it differs.
- Refund terms: the Return and Refund Policy page could not be read when we checked, so we cannot tell you what it says.
- How cold-chain problems are handled, since Trustpilot reviewers describe warm or damaged deliveries [3].
What bmiMD sells
The menu covers compounded semaglutide and compounded tirzepatide, microdose versions of both, an MIC+B12 injection and metformin ER. A naltrexone, bupropion and B6 product appears in the site menu only [1]. bmiMD says its prescribers are licensed in all 50 states, but it does not show which drugs are available in which state [1].
The pharmacy is described as "a US-based licensed partner pharmacy" and is not named. bmiMD also says products get third-party testing in "FDA and DEA registered labs" [1]. Its homepage avoids the "same active ingredient" wording that FDA has cited in letters to other sellers [4].
About microdosing: it is not a labeled use of any approved GLP-1. The Zepbound label lists no dose below 2.5 mg, and says 2.5 mg is a starting dose, not a maintenance dose [5]. Read microdosing semaglutide and microdosing tirzepatide before choosing a microdose plan.
FDA, BBB and review record
FDA: No warning letter to bmiMD turned up in fda.gov searches or in a compilation of 163 GLP-1 letters through Sept 30 2026 [2]. Compare our FDA warning letter tracker, which lists the sellers that were cited.
BBB: We have not yet confirmed bmiMD's BBB profile or complaint count. If it shows a D or F rating or a billing complaint pattern, this rating will change to Avoid under our rating rules.
Trustpilot: 4.4 from 874 reviews, 290 in the last 12 months, on a profile claimed in April 2024. Negative reviews describe warm or damaged cold-chain deliveries, one empty vial, repeated charges and hard cancellation. bmiMD replies to 37% of negative reviews, typically after more than a month [3].
Who it suits and who should keep looking
- Suits: people paying cash who want compounded semaglutide or tirzepatide at one of the lower advertised prices, and who are home to receive and refrigerate shipments.
- Keep looking if: you want an FDA-approved brand drug, need insurance billing, or want written refund terms before you buy. Brand options are covered in our LifeMD review.
Compounded drug safety
Compounded semaglutide and tirzepatide are not FDA-approved, and FDA does not review them for safety, effectiveness or quality [13]. FDA says to discard multi-dose vials 28 days after first use and not to use injectables that arrive warm [6]. The approved tirzepatide label warns of thyroid C-cell tumors in rats and of pancreatitis; severe stomach pain that will not go away needs prompt care [5]. Call 911 for signs of a severe allergic reaction.
How we are paid
We may earn a commission if you join bmiMD through our link. It does not change the rating, and we rate providers we earn nothing from the same way. See how we make money.
Similar programs
These sell compounded or brand GLP-1s and are rated Clean or Caution. Our Direct Meds and OrderlyMeds reviews explain their FDA letters, and online GLP-1 programs compared covers the rest.
Clean or caution programs to compare
- Use caution
- Price
- Compounded semaglutide $297/mo; compounded tirzepatide $399/mo, all-inclusive (checked Oct 17 2026) [7]
- What you get
- Compounded semaglutide and tirzepatide
- FDA record
- Warning letter Sept 9 2025; cited claims not found on its main pages Oct 17 2026 [8]
- BBB
- Not yet confirmed
- Note
- Caution rating. See our Direct Meds review.
- Use caution
- Price
- Compounded semaglutide $149/mo; compounded tirzepatide $299/mo on the monthly plan (checked Oct 17 2026) [9]
- What you get
- Compounded GLP-1s; names its compounding pharmacies
- FDA record
- Warning letter June 8 2026 [10]
- BBB
- Not yet confirmed
- Note
- Caution rating. See our OrderlyMeds review.
- Clean
- Price
- Compounded semaglutide plan $169 to $289 per 28 days cash, medication included (checked Oct 17 2026) [11]
- What you get
- Compounded and brand GLP-1s plus non-GLP-1 options
- FDA record
- No warning letter found
- BBB
- Not yet confirmed
- Note
- Bills every 28 days, so 13 charges a year. See our Found review.
- Clean
- Price
- Membership $39 first month, then $74 to $149/mo; Wegovy pill from $149/mo; Zepbound KwikPen $299 to $449/mo (checked Oct 17 2026) [12]
- What you get
- FDA-approved brand GLP-1s only (Wegovy pen and pill, Zepbound, Foundayo)
- FDA record
- No warning letter found
- BBB
- Not yet confirmed
- Note
- Membership is billed on top of the drug. See our Ro review.
Questions people ask
Is bmiMD legit?
How much does bmiMD cost?
On Oct 17 2026 bmiMD advertised compounded semaglutide as low as $119 a month and compounded tirzepatide as low as $179 a month, with struck-through prices up to $228.60 and $349.20. Plan length is not shown [1].
What pharmacy does bmiMD use?
bmiMD does not name it. The site says prescriptions go to "a US-based licensed partner pharmacy" and that products are tested in "FDA and DEA registered labs" [1].
What do bmiMD reviews complain about?
On Trustpilot, negative reviews mention warm or damaged cold-chain deliveries, an empty vial, repeated charges and hard cancellation. bmiMD replies to 37% of negative reviews, typically after more than a month [3].
Is bmiMD semaglutide FDA-approved?
No. bmiMD sells compounded semaglutide and tirzepatide. Compounded drugs are not FDA-approved, and FDA does not review them for safety, effectiveness or quality [6].
Sources
13 cited
- bmiMD home page and prices. bmiMD, Oct 17, 2026.
- FDA warning letters database (compilation of fda.gov letters). WeightLossRankings.org, Sep 30, 2026.
- bmiMD reviews. Trustpilot, Oct 17, 2026.
- FDA: what telehealth companies should know when promoting compounded drugs. U.S. Food and Drug Administration, Jun 15, 2026.
- Zepbound (tirzepatide) prescribing information. U.S. Food and Drug Administration, Apr 2026.
- FDA's concerns with unapproved GLP-1 drugs used for weight loss. U.S. Food and Drug Administration, Oct 1, 2026.
- DirectMeds pricing. DirectMeds, Oct 17, 2026.
- FDA warning letter: directmeds.com, Inc. dba DirectMeds (716822). U.S. Food and Drug Administration, Sep 9, 2025.
- OrderlyMeds pricing. OrderlyMeds LLC, Oct 17, 2026.
- FDA warning letter: OrderlyMeds LLC dba OrderlyMeds (728291). U.S. Food and Drug Administration, Jun 8, 2026.
- Found offer terms (v3). Found Health, Inc., Oct 17, 2026.
- Ro weight loss pricing. Ro, Oct 17, 2026.
- Compounding and the FDA: questions and answers. U.S. Food and Drug Administration, 2025-09-16 (accessed 2026-10-17).
This page is general information, not medical advice. Talk with a licensed clinician about your own care.