Mochi Health has built an impressive reputation in the telehealth weight loss space, boasting over 14,700 Trustpilot reviews and a team of board-certified obesity medicine specialists. They offer both compounded and brand-name GLP-1 medications across all 50 US states. But does their clinical expertise justify the $178/month price tag for compounded semaglutide? Here is our complete, honest review.
What Is Mochi Health?
Mochi Health (joinmochi.com) is a telehealth platform that specializes exclusively in obesity medicine. Founded in 2022 and incorporated in Delaware with a principal office in San Francisco, California, Mochi has quickly scaled to become one of the largest online weight loss providers in the United States. They are LegitScript certified and available in all 50 US states plus Washington DC.
What genuinely differentiates Mochi Health from many competitors is their clinical team. Rather than relying solely on general practitioners or nurse practitioners, Mochi employs board-certified doctors who specialize in obesity medicine alongside registered dietitians. This dual-provider model means patients receive both medical oversight for their prescription and nutritional guidance to support their weight loss journey. It is a clinical approach that most telehealth competitors simply do not offer.
Another notable distinction is that Mochi Health treats both adults and children for weight management, which is relatively uncommon in the telehealth GLP-1 space. They also actively assist patients with insurance prior authorizations for brand-name GLP-1 medications like Wegovy and Zepbound, which can save patients thousands of dollars if their insurance covers these drugs.
Medications Offered
Mochi Health offers one of the broadest medication menus of any telehealth weight loss provider. Their prescribing options include:
- Brand-name GLP-1s: Wegovy and Ozempic (semaglutide), Mounjaro and Zepbound (tirzepatide), Saxenda and Victoza (liraglutide)
- Compounded GLP-1s: Compounded semaglutide and compounded tirzepatide at lower price points
- Non-GLP-1 weight loss medications: Topiramate, bupropion, and orlistat for patients who may not be candidates for GLP-1s
- No controlled substances: Mochi does not prescribe phentermine or other controlled substance appetite suppressants
The availability of brand-name GLP-1 medications is a significant advantage. Many telehealth providers only offer compounded versions, but Mochi's providers will actively work with your insurance company to get brand-name medications covered through prior authorization. If you have insurance that may cover Wegovy or Zepbound, this assistance alone could be worth the membership fee.
Mochi Health Pricing
Mochi Health uses a two-part pricing structure: a required monthly membership fee plus the cost of your medication. This is an important distinction because the advertised medication prices do not include the membership, and the total monthly cost is higher than it initially appears.
Pricing Breakdown:
- Monthly Membership: $79/month (required - includes all visits, messaging, care coordination)
- Compounded Semaglutide: $99/month (medication only)
- Compounded Tirzepatide: $199/month (medication only)
- At-Home Lab Kits: $99-$149 (if needed)
- Shipping: Included
- HSA/FSA: Accepted
Important: True Monthly Cost
The total cost for compounded semaglutide is $178/month ($79 membership + $99 medication). For compounded tirzepatide, the total is $278/month ($79 membership + $199 medication). These are the real numbers you should compare against other providers, not just the medication price alone.
For comparison, CoreAge Rx offers compounded semaglutide starting at $99/month all-in with no separate membership fee, making it nearly half the price of Mochi for the same type of medication.
To be fair, the $79/month membership does include meaningful services: monthly video visits with a physician or nurse practitioner, unlimited messaging with your care team, ongoing dietitian support, and insurance prior authorization assistance. If you value having obesity medicine specialists and dietitians as part of your care team, there is real clinical value in the membership. The question is whether that added value is worth nearly doubling your monthly cost compared to more affordable providers.
One area where Mochi Health can potentially save you significant money is with brand-name GLP-1 insurance coverage. If their providers successfully get your insurance to cover Wegovy or Zepbound, you could pay just the $79 membership plus your insurance copay, which might end up being far less than paying out of pocket for compounded medication anywhere. This is a scenario where Mochi's pricing model truly shines.
My Experience With Mochi Health
I signed up for Mochi Health to evaluate their service firsthand. Here is what the experience was like from start to finish.
Sign-Up and Consultation
The onboarding process began with a detailed health questionnaire on their website covering medical history, current medications, weight loss goals, and lifestyle factors. The questionnaire was thorough and took roughly 15 minutes to complete. After submitting my information and paying the $79 membership fee, I was matched with a board-certified obesity medicine physician within a few days.
The video consultation itself was genuinely impressive. My provider was a physician who specialized in obesity medicine, not a general practitioner reading from a telehealth script. They spent about 30 minutes reviewing my health profile, discussing medication options in detail, and explaining the clinical rationale behind their recommendation. They asked thoughtful follow-up questions and clearly had deep expertise in weight management pharmacology. This was noticeably more comprehensive than consultations I have experienced with other telehealth providers.
I was also introduced to a registered dietitian as part of my care team, which is something most GLP-1 providers simply do not offer. The dietitian provided practical nutritional guidance tailored to my situation and was available for ongoing questions through the platform's messaging system. Having both a physician and a dietitian involved in my care felt genuinely more holistic than the typical telehealth weight loss experience.
Medication and Shipping
My compounded semaglutide prescription was sent to the pharmacy within 24 hours of my consultation, and the medication arrived at my door approximately one week later. The packaging was adequate but not exceptional. The medication arrived with ice packs, though by the time it reached me the packs were no longer cold.
Temperature Concern: Multiple patients on consumer review sites have reported receiving GLP-1 medications that arrived warm or without adequate temperature control. Semaglutide and tirzepatide are temperature-sensitive peptides that should be shipped cold. While Mochi includes ice packs, the effectiveness of their cold-chain shipping during warmer months has been questioned by some patients. This is a legitimate safety concern worth noting, and something you should verify when your medication arrives.
Ongoing Care and Support
The ongoing care experience is where Mochi Health's clinical model really demonstrates its value. Monthly video visits with my provider allowed for regular dose adjustments and progress monitoring. The provider reviewed my side effects, weight loss progress, and overall health markers with a level of attention that felt more like a traditional doctor's visit than a telehealth check-in.
The secure messaging system was responsive, with replies typically coming within 24 hours from either my physician or dietitian. Having direct access to both providers through a single platform made it easy to ask questions about everything from injection technique to meal planning. The Trustpilot reviews overwhelmingly confirm this experience, with many patients reporting easy communication and genuine physician engagement.
That said, my experience with customer service on billing and administrative matters was less smooth. When I had a question about the separate membership and medication charges on my credit card statement, it took multiple messages to get a clear explanation. The billing structure genuinely confused me at first, and I suspect many patients have a similar experience based on the BBB complaints about unclear charges.
Pros and Cons
Pros
- Board-certified obesity medicine specialists rather than general practitioners, providing expert-level care
- Registered dietitians included as part of your care team at no extra cost
- 14,700+ Trustpilot reviews with an "Excellent" rating, one of the largest review volumes in the industry
- Available in all 50 states plus Washington DC, with LegitScript certification
- Insurance prior authorization assistance for brand-name GLP-1s like Wegovy and Zepbound
- Broadest medication menu including brand-name, compounded, and non-GLP-1 options
- Monthly video visits with your provider for comprehensive progress monitoring
- Treats adults and children for weight management, which is uncommon among telehealth providers
- HSA/FSA accepted for both membership and medication costs
- Unlimited provider messaging through secure platform with typically fast response times
Cons
- High total cost - $178/month for compounded semaglutide ($79 membership + $99 med) is nearly double some competitors
- Separate membership + medication billing can be confusing and makes the true cost less transparent
- Temperature control concerns with shipped medications reported by multiple patients on consumer review sites
- Aggressive 24-hour refund window - you must cancel within 24 hours for a full refund of your membership
- BBB complaints about billing including patients billed for months without receiving medication
- Some patients report no weight loss with Mochi's compounded semaglutide compared to other providers' versions
- No phentermine or controlled substances available if those are clinically appropriate for you
- Lab kits cost extra at $99-$149 on top of membership and medication fees
Is Mochi Health Legit?
Yes, Mochi Health is a legitimate telehealth provider with strong credentials. They are LegitScript certified, which requires verification of business practices, licensing, and regulatory compliance. Their providers are board-certified physicians and nurse practitioners licensed in the states where they practice. The company is incorporated in Delaware with a principal office in San Francisco, and they have been operating since 2022.
The sheer volume of their Trustpilot reviews, over 14,700 with an "Excellent" overall rating, provides strong social proof. While no company is immune to negative reviews, the overwhelming majority of Mochi Health patients report positive experiences with easy onboarding, responsive providers, and meaningful weight loss results. Many patients specifically mention losing 20-30+ pounds with the program, and numerous reviews praise the direct physician access via chat and video.
However, there are some legitimate concerns worth investigating. The Better Business Bureau has received complaints about Mochi Health's refund policy, billing transparency, and medication delivery delays. Specific complaints include patients being billed for up to 2.5 months without receiving their medication, and confusion about the separate membership and medication charges. On ConsumerAffairs, at least one patient reported receiving GLP-1 prescriptions that arrived warm and without proper temperature control for three consecutive months, with the company denying the issue when contacted.
Legitimacy Indicators:
- LegitScript certified - independently verified for regulatory compliance
- Board-certified obesity medicine physicians with verifiable credentials
- 14,700+ Trustpilot reviews with an "Excellent" overall rating
- Available in all 50 states + DC with proper state-by-state licensing
- Registered with FDA-compliant compounding pharmacies for medication sourcing
- HIPAA compliant with secure patient communication portal
- Transparent corporate structure - Delaware incorporation, San Francisco headquarters
The bottom line on legitimacy: Mochi Health is a real, licensed, and certified telehealth provider. The clinical concerns about medication temperature during shipping and the billing complaints are issues worth monitoring, but they do not call into question the fundamental legitimacy of the service. They are not a scam. They are a legitimate medical provider with some operational areas that could be improved.
Who Is Mochi Health Best For?
Mochi Health's strengths align with specific patient profiles. Understanding who benefits most from their model will help you decide if it is the right fit for your situation.
Mochi Health is ideal if you: Want access to board-certified obesity medicine specialists rather than general telehealth providers. If clinical expertise is your top priority and you want physicians who have dedicated their careers to treating obesity, Mochi offers a level of specialization that most competitors cannot match. The included dietitian support adds another layer of clinical value that makes Mochi particularly strong for patients who want a comprehensive, medically-guided approach to weight loss.
Mochi is also an excellent choice if you have health insurance that might cover brand-name GLP-1 medications. Their providers actively assist with prior authorizations for Wegovy, Zepbound, and other brand-name drugs. If your insurance approves coverage, you could pay just the $79 monthly membership plus your copay, potentially saving hundreds or even thousands of dollars compared to paying out of pocket for compounded medications. No other telehealth provider we have reviewed puts as much emphasis on helping patients access insurance-covered brand-name GLP-1s.
Additionally, Mochi is a good fit if you need non-GLP-1 weight loss medication options. Their providers can prescribe topiramate, bupropion, or orlistat for patients who are not candidates for GLP-1 medications or who prefer a different approach. This flexibility means you are less likely to be turned away or need to find another provider if GLP-1s are not right for you.
Mochi Health might not be the best fit if: Your primary concern is keeping costs as low as possible. At $178/month for compounded semaglutide, Mochi is significantly more expensive than providers like CoreAge Rx at $99/month all-in. If you are comfortable with a straightforward compounded medication service and do not need obesity specialists or dietitian support, you can get comparable medications for substantially less money elsewhere. The membership fee adds up over time, and over the course of a year, the difference between Mochi and a more affordable provider can exceed $900.
Final Verdict: Is Mochi Health Worth It?
Mochi Health is a solid, clinically-focused GLP-1 provider that earns a 4.0 out of 5 rating. Their board-certified obesity medicine specialists, included dietitian support, and impressive 14,700+ positive Trustpilot reviews demonstrate a provider that delivers real clinical value. The insurance prior authorization assistance is a genuinely differentiated feature that could save qualifying patients significant money on brand-name GLP-1s.
However, the split pricing model between membership and medication makes the true cost less transparent than it should be. At $178/month for compounded semaglutide, Mochi is nearly double the price of our top-ranked provider, CoreAge Rx, for the same type of medication. The concerns about medication temperature during shipping and the aggressive 24-hour refund window are also factors that prevent a higher rating.
If you specifically want obesity medicine specialists, need dietitian support, or have insurance that might cover brand-name GLP-1s, Mochi Health is a strong choice worth the premium. Their clinical team is genuinely differentiated, and the volume of positive patient reviews speaks for itself. But if your primary goal is getting effective compounded semaglutide or tirzepatide at the most affordable price, you will find better value elsewhere without sacrificing quality or safety.
Compare Your Options
Mochi Health offers strong clinical expertise, but if affordable pricing is your priority, CoreAge Rx delivers compounded semaglutide at $99/month with no membership fees. Compare providers to find the best fit for your needs and budget.
The Bottom Line
Mochi Health is a legitimate, clinically strong provider with genuine expertise in obesity medicine. The 14,700+ positive Trustpilot reviews and nationwide availability make it a credible option for anyone considering GLP-1 weight loss treatment. Just make sure you understand the true monthly cost before signing up, and verify your medication arrives properly temperature-controlled. For patients who value clinical specialization and insurance assistance, Mochi Health delivers meaningful value. For budget-conscious patients who want straightforward, affordable GLP-1 access, there are better options available.