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Issue / August 2026
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Gut Metabolic

A food-science magazine on the gut microbiome and metabolic health — every claim sourced.

Prescription GLP-1 · price transparency review

Direct Meds review

Direct Meds is a Utah-based telehealth provider offering compounded semaglutide and tirzepatide in injection and sublingual formats.

Direct Meds publishes its price before the medical intake — you can see what it costs without handing over your health history first.

Semaglutide
From $249/mo (compounded oral)
Tirzepatide
From $299/mo (compounded oral)
Coverage
Coverage not published
Price visible
Before intake

It does not name its pharmacy. Direct Meds does not publicly disclose which compounding pharmacy fills its prescriptions. That is common and it is not an accusation — but it does mean the one thing you would most want to verify about a compounded medicine is the one thing you cannot.

Check Direct Meds pricing

Assume any company we link may compensate us — see our disclosure. It never changes what we write. Direct Meds sells a prescription medicine, not a probiotic; this site's ranked shelf is the metabolic probiotic board, and a supplement is a different decision from a drug.

What it does well

  • Semaglutide and tirzepatide available in both injection and sublingual formats
  • All-inclusive pricing covers medication, consultations, supplies, and 1–2 day temperature-controlled shipping
  • LegitScript Certified
  • Named 503A pharmacy partners: CraftedRx (MO) and ChemistryRx (PA)

What to check first

  • BBB rating 1.12/5 across 226 reviews citing a hidden 3-month commitment (charges of $940+ when buyers expected 1 month)
  • Wide rating gap: Trustpilot 4.6/5 vs BBB 1.12/5 — points to review-solicitation bias or unresolved complaints
  • Not available in Mississippi, Louisiana, or California
  • Compounded medications are not FDA-approved finished products
  • FDA issued this company a warning letter dated 9 September 2025; the letter is public in FDA's warning-letter database

Pricing and coverage on this page were read from Direct Meds's own website on . Prices change — confirm on Direct Meds's own site before you commit. This page is informational and not medical advice: a GLP-1 is a prescription drug and whether one suits you is a decision for a licensed clinician who knows your history. If you would rather start with food and fibre than a prescription, that is what most of this site is about — start with the research index.