$99 a month. Same price at every dose. Zero dollars charged until a doctor says yes. That is the pitch this bmiMD review puts under the microscope — and on the surface, it is the strongest budget offer we track.
Then the fine print starts talking. That $99 rate bills $1,188 upfront for a full year. A $50 cancellation fee sits between your approval and your first shipment. Once the pharmacy processes your order, all sales are final. And the BBB grades this company a C+.
We score bmiMD 8.2 out of 10 — Very Good. Here is every number behind that call.
bmiMD in 60 Seconds
bmiMD is a New York City telehealth platform, founded in late 2022, that sells compounded GLP-1 weight-loss programs direct to consumers. Compounded semaglutide runs $99 to $129 a month depending on plan length. Compounded tirzepatide runs $139 to $159 a month, with an $89.50 first-month promo for new members. Microdose versions of both exist, plus cheaper non-GLP-1 options like metformin from $19/mo.
The price is genuinely all-inclusive: medication, a usually same-day telehealth visit, unlimited provider messaging, and refill management in one flat bill. No separate membership fee is listed anywhere on the site. And the product pages promise the same price at every dose — a big deal, because rivals often raise the bill 30-50% as your dose titrates up.
One structural fact to be clear about upfront: bmiMD sells compounded medications only. There is no brand-name Wegovy, Zepbound, or Ozempic option. Compounded semaglutide and tirzepatide are not FDA-approved — bmiMD’s own disclosure says they have not been evaluated by the FDA for safety, efficacy, or quality, and the FDA has published specific concerns about unapproved GLP-1 products.
The bmiMD Review Scorecard
| Metric | The number |
|---|---|
| Our rating | 8.2/10 — Very Good |
| Starting price | $99/mo semaglutide (12-month plan) |
| Cheapest entry | $89.50 tirzepatide first-month promo |
| Charge timing | Authorized, not charged, until provider approval |
| Trustpilot | ~4/5 across roughly 800+ reviews (July 2026 snapshots) |
| BBB | C+, not accredited, 38 complaints (1 unanswered) |
| Refunds | All sales final after pharmacy processing; $50 cancel-fee window |
| FDA approval | No — compounded GLP-1s only |
| Shipping | Free on subscriptions; 3-5 business days |
Baseline before we talk money. The drug class behind these programs is well studied: in the STEP 1 trial, adults on semaglutide 2.4 mg lost an average of 14.9% of body weight over 68 weeks, and SURMOUNT-1 recorded up to 20.9% average loss over 72 weeks on tirzepatide. Those results came from the FDA-approved brand products, not the compounded copies bmiMD ships. Keep that distinction in your math.
bmiMD Cost Breakdown (2026)
Here is the full published grid, verified on bmimd.com product pages in July 2026. Longer plans are billed for the entire period at once — the single most important line in this section.
| Plan length | Compounded semaglutide | Compounded tirzepatide |
|---|---|---|
| 12-month | $99/mo (billed $1,188 every 12 months) | $139/mo (billed $1,638) |
| 6-month | $109/mo ($654 total) | $149/mo ($864 shown) |
| 3-month | $119/mo ($357 total) | $159/mo ($447 shown) |
| Month-to-month | $129/mo | First month $89.50 promo, new members only |
Run the annual math on semaglutide. Month-to-month at $129 costs $1,548 a year. The 12-month plan costs $1,188 — a $360 saving, or about 23%. But you front the entire $1,188, and as you will see below, refunds all but vanish once the pharmacy gets your order. The 3-month plan at $357 is the sane middle: $119/mo buys most of the discount with a fraction of the exposure.
The sweeteners are real. Free shipping on subscription orders. HSA/FSA accepted, buy-now-pay-later offered, and a Subscribe & Save 10% discount applied at checkout. Insurance, however, is a hard no — bmiMD is cash-pay only, with no insurance mention anywhere on the site.
The Fine Print This bmiMD Review Flags
Three clauses from the refund policy deserve bold type. First: your card is only authorized at checkout, and if a provider finds you ineligible, the hold is released — a genuine 100% no-charge guarantee, and the best consumer protection bmiMD offers. Second: if you are approved but cancel before the pharmacy processes your order, bmiMD keeps a $50 non-refundable cancellation fee. Third: once the pharmacy processes the order, all sales are final — no refunds, including for partially used subscription periods.
Stack those rules against the billing structure. Commit to the $99 rate and you have wired $1,188 into a program where the refund door slams shut days after checkout. That is why we call the flat pricing excellent and the commitment terms the single biggest risk in this deal.
What Customers Complain About — and What They Praise
The third-party record splits cleanly. On Trustpilot, bmiMD holds roughly a 4-star average across 800+ reviews, per July 2026 search snapshots — a solid showing for a budget compounded-GLP-1 brand. The praise clusters around fast approvals and fast delivery, which matches the company’s same-day consult and 3-5 business day shipping claims.
The complaints cluster just as clearly. Per those same snapshots and the BBB file, negative reviews cite slow customer service, refund run-arounds, and shipping issues. On BBB, the picture is weaker: a C+ rating, no accreditation, and 38 complaints on file for a business started 12/31/2022 — including one complaint the company failed to answer at all, per bbb.org as checked in July 2026. For a brand asking up to $1,638 upfront, an unanswered BBB complaint is not a rounding error.
Two transparency notes cut in opposite directions. On the plus side, bmiMD publishes third-party quality-testing claims most rivals skip: potency verified within ±10% of target strength every 3-6 months, sterility to USP 797, endotoxin testing to USP 85, and pH checks — all performed by FDA- and DEA-registered labs, per the company. On the minus side, bmiMD never names its compounding pharmacies and does not state whether they are 503A or 503B facilities. Compare that with Trinity Meds (6.8/10), which names all four of its pharmacies and still scores 1.4 points lower here — pharmacy transparency is good, but it cannot outweigh Trinity’s 2.1 Trustpilot record.
How Ordering From bmiMD Works
bmiMD flips the usual telehealth order: you pick a plan before you talk to anyone. Here is the flow, per the company’s how-it-works page.
- Select a plan. Your card is authorized, not charged — the money is held, not taken.
- Complete the intake. A HIPAA-compliant medical questionnaire covers your history and goals.
- See a provider. A board-certified clinician conducts a telehealth consultation, usually the same day.
- Approval triggers the charge. If eligible, the hold is processed and your prescription goes to an independent, US-licensed partner compounding pharmacy.
- Delivery in 3-5 business days. Medication and supplies ship free on subscription orders.
Ongoing care includes unlimited provider messaging, monthly check-ins, and refill management at no extra charge. If the provider finds you ineligible, the authorization is released in full.
Three flags before you tap Buy. One: the $50 cancellation-fee window opens the moment your intake is approved and closes when the pharmacy processes the order — if you get cold feet, cancel within hours, not days. Two: after processing, all sales are final, so choose your plan length like the money is already gone. Three: coverage claims wobble — the site FAQ says bmiMD connects patients to licensed clinicians in all 50 states, while the company’s Trustpilot description says 49 states, and California and North Carolina customers reportedly route through state-specific order flows. Confirm your state before you commit a year of money.
bmiMD vs Noom Med
Our top alternative is Noom Med (8.7/10 — Very Good), and the head-to-head is really a price-versus-pedigree trade.
| Metric | bmiMD | Noom Med |
|---|---|---|
| Our score | 8.2/10 — Very Good | 8.7/10 — Very Good |
| Semaglutide price | $99-$129/mo, flat at every dose | $129 first month, then $249-$279/mo billed quarterly |
| Tirzepatide price | From $139/mo; $89.50 first-month promo | $149 first month, then $299/mo |
| Dose pricing | Same price at every dose | Not stated by the site |
| BBB record | C+, not accredited, 38 complaints | A+, accredited since 2021 |
| Brand-name option | None — compounded only | Wegovy/Zepbound path from $39 first month + drug cost |
| Coaching | Provider messaging and check-ins | Full Noom app, 1:1 coaching, behavior program |
| State coverage | 49-50 states claimed | Excludes Alabama, Louisiana, Mississippi |
| Refund terms | All sales final; $50 cancel-fee window | Cancel anytime; no published refund policy |
The gap is stark on price. After the first month, Noom’s standard compounded semaglutide recurs at $249 to $299 a month billed quarterly — up to three times bmiMD’s 12-month rate, and its own pricing hub and product pages showed conflicting recurring rates ($199/$249/$299 versus $179/$279) in the same July 2026 week. bmiMD is the only one of the pair that stays inside our best GLP-1 under $150 bracket at every single dose.
Noom answers with pedigree: an A+ accredited BBB record against bmiMD’s C+, a company operating since 2008, compounding via an FDA-regulated 503B outsourcing facility per its press release, and a brand-name Wegovy/Zepbound pathway bmiMD simply does not have. If you want insurance-billed brand medication or heavyweight behavioral coaching, Noom Med earns its 8.7. If you want the lowest stable monthly number, bmiMD wins this table on cost alone.
Final Verdict: Who Should Actually Buy
bmiMD: 8.2/10 — Very Good. This is our kind of budget pick: $99 to $129 a month for compounded semaglutide that never gets pricier as your dose climbs, a card that is not charged until a provider approves you, published third-party potency and sterility testing, and a roughly 4-star Trustpilot record across 800+ reviews. On raw value per dollar, very little we track beats it.
Buy it the smart way. Start with the 3-month plan at $119/mo ($357) or month-to-month at $129 — not the 12-month plan — until the service proves itself to you. The $99 headline rate demands $1,188 upfront under terms where all sales are final after pharmacy processing and a $50 fee taxes early cancellations. A C+ BBB rating with 38 complaints, including one unanswered, tells you the support experience can wobble exactly when a billing dispute matters most.
Skip bmiMD if you want brand-name Wegovy or Zepbound, insurance billing, named pharmacies, or flexible refunds — those buyers should pay up for Noom Med or another premium program in our 10 best weight loss meds ranking. And hold the medical reality in frame: compounded semaglutide and tirzepatide are not FDA-approved, and the famous trial numbers — 14.9% at 68 weeks, up to 20.9% at 72 weeks — belong to the approved brand drugs. bmiMD sells a cheaper road, not a certified one. At $99 a month, flat forever, that trade will make sense for a lot of careful shoppers.