We have spent this review series asking the same questions of every provider: what does it cost at a maintenance dose, what are the eligibility rules, are labs required, what happens if you are declined, and is the medication FDA-approved. RenewMD is the first one that answers all of them on its own site, before you hand over an email address.
Overview
RenewMD is a cash-pay telehealth service offering compounded GLP-1 medications on a 28-day cycle, available in 49 states plus Washington DC. Clinical services are delivered through OpenLoop Health, an independent telehealth partner — which RenewMD discloses rather than obscuring.
The pricing model is genuinely all-inclusive: one price per 28 days covers provider consultations, medication if prescribed, labs, and coaching. Labs included is the part that stands out — almost every cash-pay competitor either skips bloodwork entirely or bills it separately.
RenewMD at a Glance
| Medications offered | Compounded semaglutide injection, compounded tirzepatide injection, and compounded oral semaglutide |
|---|---|
| Brand-name or compounded | Compounded. RenewMD states these are pharmacy-prepared formulations regulated under Section 503A and are not FDA-approved products |
| Consultation process | Asynchronous provider review in most states; a brief video call under 15 minutes in some states. Provider review within 24–48 hours |
| Eligibility | Published: ages 18–74, and a BMI of 30 or higher, or 27 or higher with a weight-related comorbidity |
| Provider involvement | Licensed provider conducts a medical evaluation before any prescribing decision; consultations and coaching are included in the plan price |
| Lab requirements | Included in all plans — via a Quest Diagnostics draw site, or an at-home draw if none is nearby |
| Pharmacy fulfillment | A licensed US pharmacy; specific partner not named. Clinical services are delivered through OpenLoop Health |
| Shipping frequency | Ships every 28 days, discreetly. Medication typically ships on days 3–5 after approval |
| Support services | Provider consultations, coaching, and a secure clinical portal. Phone 1-701-515-4105, email support@renewmd.clinic |
| Membership fees | None — one price per 28 days with no hidden fees |
| Medication fees | Semaglutide injection $249 per 28 days ($179 on a 12-month plan); tirzepatide injection $339 ($269 on 12 months); oral semaglutide $279 ($209 on 12 months). No dose-based price increases |
| Cancellation policy | Cancel anytime, no lock-in |
| Refund policy | Full refund if a provider says no. RenewMD states that payment for a consultation does not guarantee a prescription |
| Insurance | Not stated — cash-pay model |
| HSA/FSA | Not stated on the site |
| Availability | 49 states plus Washington DC. Louisiana residents are not served |
What It Discloses That Others Do Not
It is worth being specific about why this provider rates as highly as it does, because the medications themselves are the same compounded semaglutide and tirzepatide everyone else sells.
- The regulatory status, precisely. RenewMD names Section 503A of the Federal Food, Drug, and Cosmetic Act and states the products are not FDA-approved. Most competitors either stay silent or imply equivalence to Wegovy — one in our review set received an FDA warning letter for exactly that.
- Eligibility, with numbers. Ages 18–74, BMI 30+, or 27+ with a comorbidity. You know before you pay whether you are likely to qualify.
- What happens if you are declined. Full refund, stated plainly, alongside a warning that payment does not guarantee a prescription.
- Its clinical partner. OpenLoop Health is named. Many telehealth brands are marketing layers over an unnamed clinical partner and never say so.
- The state it cannot serve. Louisiana, named explicitly, instead of a vague "most states."
- That the price does not rise with dose. One price per 28 days, all-in.
None of that makes compounded medication into an approved product. It does mean you can make an informed decision, which is the thing most of this market makes difficult.
Medications Offered
- Compounded semaglutide injection — weekly self-administered
- Compounded tirzepatide injection — weekly, dual-action
- Compounded oral semaglutide — pill form
No brand-name options. If you want FDA-approved medication, the manufacturer-direct routes — NovoCare for semaglutide, LillyDirect for tirzepatide — or a brand-name telehealth service like Imbue Health are the alternatives. Our comparison guide covers the trade-off.
Pricing and Fees
| Medication | Per 28 days | On a 12-month plan |
|---|---|---|
| Semaglutide injection | $249 | as low as $179 |
| Oral semaglutide | $279 | as low as $209 |
| Tirzepatide injection | $339 | as low as $269 |
Every price covers provider consultations, medication, labs, and coaching, with no dose-based increases. That bundle matters when comparing: Cora Health at $99–$175 is cheaper on the headline number but does not include labs, and Shapely charges uninsured patients $75 for bloodwork on top of everything else.
Note the 28-day cycle, not monthly. A 28-day billing cycle means 13 payments a year, not 12. At $249 that is $3,237 annually rather than the $2,988 a monthly reading would suggest — roughly one extra payment.
This is not a trick — weekly injections genuinely run on 4-week cycles — but it is worth doing the arithmetic on the annual figure rather than the cycle price.
The 12-month plan prices are a substantial discount, but a 12-month commitment to a compounded medication is a real commitment. Weigh it against the cancel-anytime terms on the standard plan.
Consultation, Eligibility, and Labs
Provider review happens within 24–48 hours. In most states this is asynchronous — a provider reads your answers and sends approval by email. In some states a brief video call, typically under 15 minutes, is required instead. RenewMD explaining that the format varies by state is more candour than most provide.
Published eligibility: ages 18–74, BMI 30 or higher, or 27 or higher with a weight-related comorbidity. Those map directly onto standard prescribing criteria — see our eligibility guide. The upper age limit of 74 is unusual to publish and useful to know.
Labs are included in every plan, either at a Quest Diagnostics draw site or via an at-home draw if none is nearby. This is the single biggest clinical differentiator here. Baseline bloodwork establishes a starting point, can reveal a condition you did not know you had, and gives a prescriber something real to work from. Most cash-pay programs treat it as optional or absent.
Pharmacy, Shipping, and Support
Medication ships from a licensed US pharmacy every 28 days, typically on days 3–5 after approval. RenewMD does not name the pharmacy — the one significant gap in an otherwise strong disclosure record, and one that matters because for compounded medication the pharmacy is effectively the manufacturer. Precision Telemed and Cora Health both name theirs.
No cold-chain replacement policy is published either. See our storage and shipping guide for what to ask.
Support includes coaching in every plan, a secure clinical portal, and a published phone number and email address — small things, but a real phone number is more than several competitors offer.
Cancellation, Refunds, Insurance, HSA/FSA
- Cancellation: cancel anytime, no lock-in, on the standard plan. Confirm how this interacts with a 12-month plan before choosing the discounted rate.
- Refunds: full refund if a provider declines to prescribe — one of the fairest policies we have seen, and the direct opposite of Hello Alpha, which keeps its fee if prior authorization fails.
- Insurance: not stated. Treat as cash pay.
- HSA/FSA: not stated. Request an itemized receipt — see our HSA/FSA guide.
Pros and Cons
Pros
- Labs included in every plan — rare and clinically valuable
- Coaching included
- All-inclusive pricing with no dose-based increases
- States the 503A regulatory status and that products are not FDA-approved
- Publishes specific age and BMI eligibility
- Full refund if a provider declines
- Warns explicitly that payment does not guarantee a prescription
- Names its clinical partner, OpenLoop Health
- Names the one state it cannot serve
- Discloses that consultation format varies by state
- Cancel anytime, no lock-in
- Published phone number and email
Cons
- Fulfillment pharmacy not named
- Headline prices are higher than several competitors
- 28-day billing means 13 payments a year, not 12
- The best prices require a 12-month commitment
- Compounded only — no FDA-approved brand-name option
- Mostly asynchronous review rather than a live visit
- No cold-chain replacement policy published
- Insurance and HSA/FSA not addressed
- Not available in Louisiana
Who RenewMD May Be Best For
RenewMD suits someone who wants compounded medication handled properly rather than cheaply. Labs in every plan, published eligibility, a refund if declined, and a named clinical partner add up to a service that behaves like a medical practice instead of a fulfillment pipeline — and you can verify all of that before paying.
It is particularly good if you have not had bloodwork recently. Getting a baseline metabolic panel bundled into the price is worth real money, and it is the step most people skip when a program does not require it.
It is a weaker fit if price is your main constraint — Cora Health and Precision Telemed are cheaper, though neither includes labs — or if you want FDA-approved medication, or if you live in Louisiana.
Limitations
This review is based on RenewMD's published materials. We have not verified the 24–48 hour review time, the days 3–5 shipping window, lab fulfillment, or refund handling in practice. The fulfillment pharmacy is not named, which is the one material disclosure gap. Insurance, HSA/FSA handling, cold-chain replacement policy, and how cancel-anytime interacts with the 12-month plan are not published. Our rating reflects disclosure quality and included clinical services, not verified outcomes.
Alternatives
- Cheaper compounded, pharmacies named: Cora Health ($99–$175) or Precision Telemed ($139.99 flat).
- Want FDA-approved medication: Imbue Health, NovoCare, or LillyDirect.
- Also includes labs: Fella Health offers free labwork, though it does not publish its price.
- Compare the field: best compounded GLP-1 providers.
Frequently Asked Questions
Are labs really included?
Yes. RenewMD includes labs in all plans, via a Quest Diagnostics draw site or an at-home draw if none is nearby. Most cash-pay competitors either skip labs or bill them separately.
How much is it per year?
Billing runs on 28-day cycles, so there are 13 payments a year rather than 12. Semaglutide at $249 per cycle works out to about $3,237 annually, or roughly $2,327 on the 12-month plan rate of $179.
Who qualifies?
Published criteria are ages 18–74 with a BMI of 30 or higher, or 27 or higher with a weight-related comorbidity. A licensed provider evaluates your health profile before any prescribing decision.
What if I am declined?
Full refund. RenewMD also states plainly that payment for a consultation does not guarantee a prescription — which is the honest framing, and one several competitors avoid.
Is the medication FDA-approved?
No, and RenewMD says so directly: these are pharmacy-prepared formulations regulated under Section 503A and are not FDA-approved products. That precision is rare and worth crediting.
Medical Disclaimer & Review Date
This review is general consumer information, not medical advice. GLP-1 medications are prescription drugs with serious contraindications, and whether any treatment is appropriate for you is a decision only a licensed healthcare provider who knows your medical history can make. Nothing here should be used to start, stop, or change a medication.
Details in this review come from RenewMD's own published materials as of the date below. Pricing, medication availability, state coverage, and policies in this category change frequently — verify current terms directly with the provider before purchasing.
Date reviewed: August 5, 2026
Compare on the Whole Bundle, Not the Headline
A $249 plan that includes labs and coaching is not obviously worse value than a $139 plan that includes neither. Add the pieces up before deciding.