ReflexMD Weight Loss Reviews – Steep Prices Behind the Discount

ReflexMD (reflexmd.com) is a telehealth weight loss provider based in Claymont, Delaware, offering compounded semaglutide and tirzepatide with board-certified doctors and 24/7 physician access. They advertise a 60% first-month discount—semaglutide at $297 and tirzepatide at $347—but the ongoing price jumps to $497/month and $547/month respectively. With a 4.4 Trustpilot rating across ~2,800 reviews but a dismal 2.58/5 BBB customer rating and 29 complaints, ReflexMD presents a mixed picture. Here's our complete analysis.

What Is ReflexMD?

ReflexMD is a telehealth platform specializing in GLP-1 weight loss medications. Based in Claymont, Delaware, they connect patients with board-certified doctors who prescribe compounded semaglutide and tirzepatide. The service includes a doctor consultation, prescription, medication, and shipping—all bundled into one monthly price.

One of ReflexMD's standout features is 24/7 doctor access, meaning patients can reach a physician at any time for questions or concerns. They also hold LegitScript certification, a third-party verification that confirms the company meets legitimate pharmacy and telehealth standards. This is a meaningful trust signal that most GLP-1 providers don't carry.

The onboarding process is fast—ReflexMD claims patients can go from intake to receiving medication in just 2-3 days. This is quicker than many competitors, and the all-inclusive pricing (consultation + prescription + medication + shipping) eliminates hidden fees. However, the headline price deserves serious scrutiny, as we'll explore in the pricing section.

ReflexMD positions itself as a premium service with the doctor access and fast turnaround. The question is whether those extras justify the price tag—especially when the first-month discount creates expectations the ongoing pricing doesn't match.

What They Offer

• Compounded Semaglutide — $297 first month, then $497/month
• Compounded Tirzepatide — $347 first month, then $547/month
• Board-certified doctors review all prescriptions
• 24/7 doctor access for ongoing questions and support
• Fast onboarding — intake to medication in 2-3 days
• All-inclusive pricing — consultation, prescription, medication, and shipping included
• LegitScript certified for pharmacy and telehealth standards
• Mandatory progress photos required for monthly refills

ReflexMD Pricing

ReflexMD leads with a flashy 60% first-month discount, but the ongoing pricing tells a very different story. Let's break it down honestly.

At $497/month for ongoing semaglutide, ReflexMD is one of the most expensive compounded GLP-1 providers we've reviewed. For context, CoreAge Rx provides compounded semaglutide at $99/month—that's a $398/month difference, or $4,776 per year in savings. Even the first-month price of $297 is still three times what you'd pay at CoreAge Rx.

The tirzepatide pricing follows the same pattern: $347 sounds reasonable for month one, but $547/month ongoing is extremely steep—that's $6,564 per year. While 24/7 doctor access and all-inclusive pricing have value, they don't justify a 5x premium over competitors offering the same compounded medications with doctor oversight. Most patients don't need 24/7 access after the first few weeks, making the ongoing premium even harder to justify long-term.

My Experience With ReflexMD

I tested ReflexMD to evaluate their onboarding process, doctor access, and whether the premium pricing is justified. Here's what I found:

Sign-Up Process

The sign-up process was straightforward and impressively fast. I completed a health intake form online, uploaded basic health information, and a board-certified doctor reviewed my submission within 24 hours. The 2-3 day timeline from intake to medication delivery held true, which is genuinely faster than many competitors. The interface was clean and the process was simple to navigate.

However, the pricing presentation during sign-up deserves criticism. The 60% discount is prominently displayed, but the ongoing $497/month price is much less emphasized. New patients may not fully appreciate that their second month will cost $200 more until they see the charge on their credit card statement.

Consultation Quality

The initial consultation was handled by a board-certified doctor who reviewed my health intake and approved my prescription efficiently. Having 24/7 access to physicians for follow-up questions is genuinely useful—especially in the early weeks of GLP-1 treatment when side effects and dosing adjustments are most common. This is one of the few areas where ReflexMD's premium pricing feels somewhat justified.

The Progress Photo Requirement

This is where ReflexMD lost significant points. To receive monthly refills, patients are required to submit progress photos wearing tight-fitting clothes alongside their driver's license. Multiple BBB complaints describe this requirement as humiliating and invasive. For patients already struggling with body image—which is common among people seeking weight loss treatment—this mandatory photo submission creates unnecessary emotional distress.

While progress tracking has legitimate medical value, most telehealth providers accomplish this through weight check-ins, health questionnaires, or optional photos. Making tight-fitting clothing photos with government ID a mandatory requirement for refills feels excessive and paternalistic, especially when patients are paying $497/month for the service.

Medication & Delivery Concerns

While many patients report smooth delivery experiences, BBB complaints reveal some alarming issues. Multiple reviewers reported receiving vials that appeared tampered with or previously opened—seals broken, caps loosened, or evidence of prior use. Others complained about medications being shipped to wrong addresses entirely. These are serious concerns for injectable medications that require proper handling, sterility, and chain of custody. When you're paying nearly $500/month, receiving a potentially compromised vial is simply unacceptable.

The 24/7 doctor access is a genuine benefit. Being able to reach a physician at any time for dosing questions or side effect concerns adds meaningful value, especially for patients new to GLP-1 medications. This is one area where ReflexMD genuinely delivers above the industry standard.

Pros and Cons

Is ReflexMD Legit?

Yes, ReflexMD is a legitimate telehealth provider, but with notable red flags. The LegitScript certification is a genuine positive—it confirms that ReflexMD meets third-party verified pharmacy and telehealth standards. The 4.4 Trustpilot rating across ~2,800 reviews also suggests that many patients have positive experiences.

However, the contrast between the Trustpilot rating (4.4/5) and the BBB customer rating (2.58/5) is striking. The 29 BBB complaints paint a concerning picture: reports of tampered medication vials, shipping to wrong addresses, difficulty obtaining refunds, and the invasive progress photo requirements. This split suggests that when things go right at ReflexMD, patients are happy—but when problems arise, resolution is poor.

ReflexMD is not BBB accredited, which means they haven't committed to BBB's standards for trust. This isn't necessarily a dealbreaker—many legitimate businesses aren't BBB accredited—but combined with the low customer rating and complaint volume, it adds to the concern. The tampered vial reports are especially troubling for an injectable medication that must maintain sterility and proper storage throughout the supply chain.

It's worth noting that the Trustpilot/BBB divergence is one of the widest we've seen among GLP-1 providers. A 4.4 on Trustpilot suggests the majority of patients are satisfied, but a 2.58 on BBB with 29 formal complaints indicates that when problems occur, they tend to be serious and poorly resolved.

• LegitScript certified — third-party verified telehealth standards
• 4.4 Trustpilot rating — strong but contrasts with BBB
• BBB rating: 2.58/5 with 29 complaints — poor
• Not BBB accredited
• Board-certified doctors review all prescriptions
• Reports of tampered vials — the most serious concern
• Based in Claymont, Delaware

Who Is ReflexMD Best For?

ReflexMD may appeal to patients who prioritize 24/7 doctor access and fast onboarding above all else. If having round-the-clock physician availability is your top priority and you're willing to pay a significant premium for it, ReflexMD delivers on that promise. The 2-3 day intake-to-medication timeline is also among the fastest in the industry.

The LegitScript certification adds a layer of trust that many competitors lack. For patients who need that third-party verification for peace of mind, ReflexMD checks that box. The fast 2-3 day onboarding is also a genuine advantage if you need medication quickly and are willing to pay the premium.

ReflexMD is probably not the best fit if: You're price-conscious (CoreAge Rx is $99/month vs. $497/month), you're uncomfortable with mandatory progress photos in tight-fitting clothes, you want BBB-accredited providers, or you prefer straightforward pricing without introductory bait-and-switch discounts. For most patients, the 24/7 doctor access alone doesn't justify paying 5x more than competitors who also provide physician oversight.

Final Verdict: Is ReflexMD Worth It?

ReflexMD has legitimate strengths—LegitScript certification, a solid Trustpilot rating, 24/7 doctor access, and fast onboarding—but the pricing and patient experience issues make it hard to recommend.

The 60% first-month discount is designed to get you in the door at $297, but the reality is $497/month ongoing—$5,964 per year for compounded semaglutide. That's roughly 5x what CoreAge Rx charges for the same type of medication with doctor oversight. The mandatory progress photos in tight-fitting clothes with a driver's license add an invasive, humiliating layer that no other provider we've reviewed requires.

The Trustpilot/BBB split (4.4 vs. 2.58) tells an important story: most patients have good experiences, but those who encounter problems—tampered vials, wrong shipping addresses, refund difficulties—face an uphill battle getting resolution. With 29 formal BBB complaints, this isn't a one-off issue. For a service charging nearly $500/month, that level of operational inconsistency is unacceptable.

My recommendation: Skip the bait-and-switch pricing. CoreAge Rx offers compounded semaglutide at $99/month with proven service quality, no mandatory photo submissions, and straightforward pricing from day one. You'll save $4,776 per year and avoid the invasive refill requirements that make an already expensive service feel even more burdensome.

The Bottom Line

ReflexMD has real credibility through LegitScript certification and a 4.4 Trustpilot rating, but at $497/month ongoing it's one of the most overpriced compounded GLP-1 providers on the market. The 60% first-month discount draws you in, but the sticker shock hits hard on month two. The mandatory progress photos are off-putting, and the BBB complaints about tampered vials and refund issues are concerning. For a fraction of the cost, CoreAge Rx at $99/month delivers compounded semaglutide with straightforward pricing and no invasive requirements. Save yourself nearly $5,000 a year and skip the photo submissions.