Provider review
ReflexMD review
Calls its pricing flat-rate, and applies it to a high starting point.
Flat-rate is listed as a feature of the service, which is the structure a low dose wants. Both compounded figures sit well above what most of the field charges.
Reviewed by Lena OrtizMetabolic Health Editor
Price updated August 2026
How we’re funded. Some links here are affiliate links: start care through one and we may earn a commission, at no extra cost to you. Affiliate partners are listed first on our rankings — what we write about a provider is the same either way, and unflattering findings about one that pays us stay in. Full disclosure.
Price as published
ReflexMD
$297/mo sema · $367/mo tirz, stated flat-rate
- Vs median
- $128/mo above the $169 median
- Market
- $59–$1300/mo across 242 of 373
- Structure
- Same price at every dose
- Dispensed
- Pharmacy not publicly identified
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
In one paragraph
The verdict
The structure here is the one a low-dose reader is looking for: flat-rate pricing is listed as a stated feature of the service, which means holding a small dose should not cost more per milligram than the plan already charges. What that structure is applied to is the harder question. Both compounded figures sit noticeably above what most providers reviewed here charge for the same two molecules, so the flat rate is being laid over a high starting point. That is a genuine trade rather than a trick, and it is worth doing the arithmetic on rather than taking either way: a flat rate above the median can still beat a dose-scaling plan if you expect to titrate high and stay there, and it will lose badly to one if you genuinely intend to stay small. Two details to keep straight while you compare. No dose is published behind either figure, so the flat claim cannot be checked against a ladder — you are taking it on the site’s word. And the cheapest item on the page is not a cheap GLP-1: it is a three-in-one oral weight-control tablet, a different product entirely, priced closely enough to the GLP-1s to be mistaken for one.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
Who it suits, and who it does not
A good fit if
- You expect to titrate to a high dose and want the price fixed before you start.
- You want free shipping and FSA or HSA eligibility stated plainly.
- You want the promotional discount shown openly rather than gated behind a signup.
Look elsewhere if
- You intend to stay at a small dose. A flat rate above the median is the worst case for that.
- You want the flat claim verifiable. No dose ladder is published to check it against.
- You see the cheapest figure and assume it is a GLP-1. It is a weight-control tablet.
What it actually costs
Price as published
Compounded semaglutide $297/month and compounded tirzepatide $367/month, with a non-GLP-1 "Weight Control" oral tablet at $199/month alongside · ★ "flat-rate pricing" is listed as a stated feature beside free shipping and FSA/HSA eligibility, so the price is claimed not to move with the dose · a promotional code takes 15% off three-month plans, advertised openly with the code shown rather than gated · both GLP-1 figures sit well above the median for compounded plans here, and no dose is published behind either · the oral tablet is a three-in-one weight-control pill rather than an oral GLP-1, which is worth not confusing at that price point
- Vs median
- $128/mo above the $169 median across the 242 of 373 programs we track that publish a plain monthly rate
- Market
- $59–$1300/mo is the full published spread in our ranking
- Structure
- Same price at every dose
One figure regardless of how much drug you take. Reassuring if you expect to titrate upward, and the least economical structure on this page if you do not: a quarter dose costs what a full one does.
88 of the 373 programs we track price a small dose this way. "Flat-rate pricing" is listed as a stated feature of the service, so a low dose should not cost more per milligram than the plan already charges. Both compounded figures sit well above the median here, so the flat rate is applied to a high starting point — a real trade rather than a trick, and worth the arithmetic before choosing it.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
What is included
- Consult
- Included in the price
- Dietitian
- Not included
- Labs
- Not required
- Pricing
- Flat at every dose
- Price last updated
- August 2026
What it does well
- States flat-rate pricing as a feature, so the figure should not move as the dose rises.
- Publishes both molecules openly with free shipping and FSA/HSA eligibility.
- Advertises its promotional discount with the code shown rather than gating it.
Pharmacy, labs and oversight
ReflexMD dispenses through a Not named facility. No bloodwork is required before you start. A clinician review is included in the price.
Transparency check
4 of 4 published openly
What ReflexMD publishes about itself, read from its own pages when we verified them — not estimated, and not a score.
- Pharmacy named and regulatedNo pharmacy is identified anywhere we could find on its own pages.
- Published
- A price you can read before intakeA monthly rate is published on its own pages — the figure in the price row above, read there and verified against it.
- Published
- What a higher dose costsOne price at every dose, so the bill is knowable before you titrate.
- Published
- No FDA warning letter on fileChecked against the FDA's own warning-letter database; nothing on file for this company.
- None on file
How the program works
The structure here is the one a low-dose reader wants — flat-rate pricing is listed as a feature of the service, which means holding a small dose is not supposed to cost more per milligram than the plan already charges. What that structure costs is another matter: both compounded figures sit noticeably above what most of the field charges for the same molecules, so the flat rate is being applied to a high starting point. That is a real trade rather than a trick, and it is worth doing the arithmetic on: a flat rate above the median can still beat a dose-scaling plan if you titrate high, and will lose badly to one if you genuinely stay small. Two details to keep straight. No dose is published behind either figure, so the flat claim cannot be checked against a ladder. And the cheapest item on the page is not a cheap GLP-1 — it is a three-in-one oral weight-control tablet, a different product entirely, and at $199 it sits close enough to the GLP-1 prices to be mistaken for one.
The honest cons
Both GLP-1 figures sit well above the median for compounded plans.
- No dose is published behind either, so the flat-rate claim cannot be checked.
- The cheapest item is an oral weight-control tablet, not an oral GLP-1.
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
How it compares
ReflexMD is one of 373 low-dose GLP-1 programs we track, and 242 of them publish a monthly rate you can read before signing up. The ranking lists every published price on one screen, ordered with the companies that pay us first — a mechanism we state there, on the page it applies to.
Where this sits
#205 of 373
Ordered with the companies that pay us first, and ReflexMD is not one of them. A disclosed partition, not a score.
Compare all 373 providers →Read this before you buy
Intentional GLP-1 microdosing is off-label and unproven — no randomized trial has established that a sub-label dose does anything, and any dose belongs with a clinician who knows your history. If you are going to have that conversation, have it with real numbers.
- Low dose vs full dose
- What microdosing GLP-1 costs
- What a flat price costs at a low dose
- The true annual cost of a plan
Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.
The closest alternative
MadeMed
$239/mo flat
- Vs median
- $70/mo above the $169 median
- Market
- $59–$1300/mo across 242 of 373
- Structure
- Same price at every dose
- Dispensed
- Pharmacy not publicly identified
Advertising disclosure · we may earn a commission if you start care through some of these links, at no extra cost to you.
Read the MadeMed review →Microdosing is off-label and unproven — decide with a clinician. Prices are as published by the provider when we last checked; confirm current terms before you buy.