Remedy Meds Alternatives: 4 Options, Compared for Women Over 35

If you're looking at alternatives to Remedy Meds, four are worth your time. Mochi Health is the cheapest way to get compounded medication and hormone care together. Ro and Hers both give you brand-name medication and help fighting your insurer for it. Midi Health is the only one here that bills insurance directly. And Josie, our own program, is built specifically for perimenopause and menopause.

Why women leave Remedy Meds

Remedy Meds does the core job well, and most of their customers say so. They hold a 4.6 out of 5 on Trustpilot across more than 13,000 reviews, with people repeatedly praising how fast the care team responds and how quickly medication arrives. A reviewer who signed up and ordered firsthand found same-day consultations, overnight shipping, properly insulated cold-chain packaging, and unlimited video calls with providers, which most programs don't offer. They also reply to 99% of negative reviews, usually within a day.

Worth being direct about this: Remedy is the highest-rated company on this page. Mochi sits at 4.4, Midi at 4.1, Ro at 3.9, Hers at 3.3. So if you're leaving, you're probably not leaving because the care was bad.

Pricing is clear too. It's a flat all-in fee, $299 a month for compounded semaglutide and $399 for tirzepatide, with no membership on top and no increase when your dose goes up. Cancellation is automated in the patient portal and takes effect within 24 hours. Both of those are better than a lot of what's on this list.

So what do people actually complain about?

Refunds. Once a payment processes, Remedy doesn't refund it. The exception is if a provider decides you're not eligible after you've enrolled, in which case you get your money back in full. That policy is stated plainly, but it catches people who assumed a cancellation would stop a charge already in flight.

Unresolved complaints. Remedy carries an F rating from the Better Business Bureau for failing to respond to six complaints and leaving eleven unresolved. That sits oddly next to a 4.6 on Trustpilot, and the gap between the two is worth knowing about. Feedback on Reddit trends more negative than Trustpilot does, mostly on billing, customer service, and delivery.

Which pharmacy you're getting. This is the one that matters most and gets asked least, and it has its own section below.

Then there's the reason that has nothing to do with any of that. Remedy Meds is a general adult weight loss program. There's no hormone therapy in it. If you're 47 and your weight changed around the same time your sleep fell apart and the hot flashes started, Remedy treats one piece of that. You'll be finding a second provider for the rest, and paying both.

That's not a flaw in what they built. It's just not what you need. If you want the background on why the weight and the hormones move together, that's our complete guide to GLP-1 weight loss for women in menopause.

Mochi Health

The cheapest option on this list, and it covers hormones too.

Membership is $79 a month, with a 50% off first month promotion running. Medication sits on top of that: compounded semaglutide injections are $99 and compounded tirzepatide injections are $199, with shipping included and the price flat across every dose. Worth knowing that the flat pricing applies to injections only. Oral semaglutide tablets run $108 to $309 and drops start at $115, both increasing with dose. Brand-name pricing isn't published at all.

The hormone side is the part worth paying attention to. Mochi prescribes FDA-approved estradiol, including a transdermal patch starting at $72 a month plus membership. FDA-approved matters here. It means the product was reviewed for safety, effectiveness, and quality before it reached you. Compounded hormones aren't reviewed that way, which is a real difference in how much is known about what you're taking.

Care runs through a required video visit with a board-certified obesity medicine provider before anything is prescribed, then video visits every six months with messaging in between. You see the same provider each time and can switch providers yourself in the portal. Labs are included at no extra cost and aren't required. They hold a 4.4 on Trustpilot across more than 16,000 reviews, the largest review base on this list, and they serve all 50 states.

The catch is arithmetic, and there's a second one worth knowing. Membership and medication are separate charges, so add them before you compare against anyone's sticker price. Semaglutide plus membership is about $178 a month, tirzepatide about $278.

Because they're separate charges, they're also separate subscriptions. Cancelling one doesn't cancel the other, and Mochi's terms specify that emailing them doesn't count as cancellation. Billing and cancellation are the pattern in complaints filed against them, and if a surprise charge is what brought you here, it's the thing to ask about before you sign up.

Best if: you want the lowest total cost, you want a real video visit with an obesity medicine provider, or you want FDA-approved hormone therapy rather than compounded.

Ro

Brand-name medication, and someone to argue with your insurer.

Ro carries Wegovy, Zepbound, Ozempic, and Foundayo. No compounded medication at all. Membership is $39 for the first month, then $149 a month, or as low as $74 a month if you prepay $888 for the year. Medication is billed separately: the Wegovy pill starts at $149, the Wegovy pen at $199, and Zepbound at $299.

What you're really buying is administrative help. Ro handles prior authorization, which is the paperwork step where most brand-name GLP-1 prescriptions quietly die. If you have coverage and you've been stuck in that process, this is the thing that gets you unstuck. They'll also refund the $39 if you turn out not to be eligible for a GLP-1, which is a fair way to handle it.

Two things to watch. Zepbound's discounted pricing steps up with your dose, from $299 at the starting vial to $399 and then $449 at higher doses. And keeping that discounted rate requires completing your refill check-in within 45 days of your last delivery. Miss the window and you're charged full price.

There's no hormone therapy and no menopause care in the program. Ro holds a 3.9 on Trustpilot across roughly 5,000 reviews.

Best if: you want brand-name medication and you have insurance worth fighting for.

Hers

Brand-name access, plus everything else you might already use them for.

Hers moved away from compounded semaglutide in March 2026 after settling with Novo Nordisk, and now offers only FDA-approved medication. The lineup is broad: the Wegovy pill and pen, Zepbound vial and KwikPen, Ozempic pill, and Foundayo, Eli Lilly's orforglipron pill.

Membership is $39 for the first month, then auto-renews at $149 a month. Medication is billed on top of that. The Wegovy pill, Ozempic pill, and Foundayo start at $149 a month, the Wegovy pen and Ozempic at $199, and Zepbound at $299. So the real monthly floor is around $298 once membership is included. Brand-name Mounjaro and Zepbound run $1,899 a month if you don't qualify for the discounted programs.

Hers is also the broadest platform here. If you already use them for birth control, mental health, skin, or hair, adding weight care means one login and one bill. That's a real convenience and it's the main reason to pick them.

The tradeoffs: consultations are asynchronous, so you're filling out forms rather than talking to a provider on video, and labs generally aren't required before prescribing. Some people prefer that. If you want a conversation about what's actually going on with your body, it's a limitation. They're also not available in all 50 states, and the membership auto-renews, which matters if auto-billing is why you're leaving Remedy.

Hers is the lowest-rated option here, at 3.3 on Trustpilot across roughly 9,400 reviews. Read that with one caveat: the rating covers the entire Hers platform, including hair, skin, and mental health, not the weight program specifically.

Best if: you're already a Hers customer, or you want FDA-approved medication in pill form.

Josie

Built for perimenopause and menopause, with hormones and GLP-1 in the same program.

A licensed provider reviews your symptoms and health history before prescribing anything. Hormone therapy and GLP-1 care run through the same program rather than two companies. Available in all 50 states and Washington DC.

Compounded semaglutide is $249 a month for the injection, dropping to $194 on a twelve-month plan, and the oral dissolvable tablet is $299. Compounded tirzepatide is $349 a month in either form. Compounded hormone therapy is $269 to $299 per three months. Prices don't change when your dose goes up. First orders get $100 off any full-dose plan, $50 off a microdose plan, or $75 off hormone therapy, redeemed through the Find My Path quiz.

Here's the part that matters if billing is why you're leaving Remedy: Josie can't auto-charge you. There's no automatic refill. A provider has to review how you're doing before prescribing the next month, which means you fill out a refill form first. If you don't fill it out, nothing ships and nothing is charged. Cancelling is just not refilling. That's a consequence of how the care works, not a customer service policy someone can fail to action.

The only charge outside the price list is an $80 consultation fee, and it applies in one situation: a provider approves your plan and you then decide not to proceed.

Three honest limitations. Josie's hormone therapy is compounded, not FDA-approved, which is a real difference from what Mochi offers. If total cost is the deciding factor, Mochi comes in lower. Refunds are limited to situations where Josie made the error, so it's worth being sure before you order.

And Josie is new. There are five Trustpilot reviews, at 3.8. Remedy has more than 13,000 and Mochi has more than 16,000. If a long public track record is what you're weighing, Josie doesn't have one yet, and no amount of writing on this page changes that.

Best if: your weight changed alongside perimenopause or menopause and you want both treated by the same providers, or you've been burned by automatic billing.

Midi Health

The only one that bills insurance.

Midi is built around midlife rather than adapted to it. It covers perimenopause through postmenopause, prescribes hormone therapy including estrogen patches, and can prescribe a GLP-1 alongside it. Visits are with clinicians who work in midlife medicine specifically, and Midi is in-network with most PPO plans.

Midi also works differently from everything else here. You pay per visit, not per month. With insurance, most patients pay around $50 out of pocket per visit, though you may owe a deductible of up to $250 for a new patient visit and up to $150 for a follow-up. Paying cash, the first visit is $250 and follow-ups are $150.

The part to plan for: the visit price doesn't include labs or medication. Midi prescribes, and you source the medication through your insurance or a pharmacy. So your total depends heavily on whether your plan covers a GLP-1, and many don't. Midi also can't treat Medicaid or Medi-Cal patients at all, even self-pay, and isn't covered by Medicare.

Midi holds a 4.1 on Trustpilot across about 1,500 reviews, the smallest review base here. If you're weighing it against other midlife-focused care, we've written separately about how Midi Health compares with Allara Health.

Best if: you have a good PPO and you'd rather pay per visit than subscribe.

The price you see isn't the price you pay

Three things sit on top of the advertised number, and most comparison articles mention none of them.

Membership is usually separate. Ro and Hers both charge $149 a month before you've had a single dose. Mochi is $79. When a program advertises medication at $149, the bill is closer to $298.

Dose increases can raise the price. You start low and step up over several months. That's how these medications work. Zepbound through Ro is the clearest example: $299 at the starting vial, $399 at the next step, $449 at the higher doses. The price you compared at signup isn't the price you'll be paying in six months.

There's a smaller trap inside that one. Ro's discounted Zepbound pricing requires completing your refill check-in within 45 days of your last delivery. Miss the window and you pay full price. Worth knowing before you assume a discounted rate is permanent.

This is where Remedy Meds is strong, and it's one of the better reasons to stay. Their pricing is flat regardless of dose. Mochi's and Josie's are too. If you're comparing a flat-fee program against a brand-name one, compare at the dose you expect to be on later, not the one you start at.

Labs are usually extra. Most compounded GLP-1 programs don't require them. Hormone therapy is different: some prescribers treat based on symptoms, others want lab work first. Ask, because it's rarely in the advertised price.

And you still have to qualify. Brand-name programs carry BMI and health criteria, and paying cash doesn't waive them. Compounded providers generally set lower thresholds, though it still depends on your health history. Ask what happens if you're declined, and whether you're charged anything if you are.

Ask which pharmacy fills your prescription

This is the question almost nobody asks, and almost nobody answers.

Compounded medications are made by compounding pharmacies. The telehealth company isn't the pharmacy. It writes the prescription and sends it somewhere, and which pharmacy that is depends on which state you live in, because pharmacies aren't licensed everywhere.

That means no telehealth program can promise you one specific pharmacy nationwide. Not Remedy, not Josie, not anyone that isn't a pharmacy itself.

What differs is how openly they'll tell you. A reviewer who ordered from Remedy Meds firsthand could verify the single pharmacy that filled her order, and its record was clean, but Remedy wouldn't name any of the others they work with. When she called to ask, the phone agent told her compounded medication comes from "your local pharmacy," which isn't how compounded GLP-1s work. Without knowing which pharmacies a program uses, there's no way to check their licensing or disciplinary history.

Some programs do better. Mochi shows its partner pharmacies in the patient portal and lets you pick between them, which is unusually open for this market. Josie's month-to-month plans use Strive, one of the highest-rated compounding pharmacies for GLP-1s. Whether you get Strive depends on where you live: if you're in California, Alaska, Arkansas, Indiana, Minnesota, or South Carolina, your prescription goes to a partner pharmacy instead. Multi-month bundles route to partner pharmacies as well.

Ask any program you're considering which pharmacy fills your prescription, whether that's the one you'll actually get, and whether you have any say in it. If they can't answer, that tells you something.

A microdose and a maintenance dose are not the same thing

The word microdose is doing several different jobs across this market, and the medication looks the same either way.

Three of the programs here sell one. Remedy Meds charges $189 a month for either semaglutide or tirzepatide. Josie charges $189 across all four of its options. Hers has a Wegovy pill microdosing plan starting at $149 plus membership. They are not selling the same thing.

Remedy markets theirs as a way to get started: a smaller dose for people who are nervous about side effects or have never used an injectable, with the expectation of moving up to a full dose later. That's a beginning. It's a small amount of medication given to someone who hasn't started yet.

Josie's is for the other end of the same course. It's what you step down to after a full dose has already done the work, and its job is to keep appetite regulation steady so the weight you lost stays lost.

Same word, opposite ends of the process. Those two things need different conversations with a provider and different expectations about the next six months. If you want the longer version, we've written about microdosing GLP-1s vs full therapeutic dosing.

The pricing is worth a close look too, because this lane has the same membership trap as everything else. Hers' plan is $149 for medication plus the membership, which is $39 your first month and $149 after that. So month one is $188 and month two is $298. Remedy and Josie are $189 flat with no membership on top, month to month, no plan length to commit to.

That's not an apples-to-apples comparison, and it shouldn't be read as one. Hers is dispensing FDA-approved Wegovy in pill form. Remedy's and Josie's are compounded, which means they haven't been reviewed by the FDA for safety, effectiveness, or quality. You're paying more for a product with more oversight behind it. Whether that's worth $109 a month is a real question, not a rhetorical one.

If you specifically want needle-free, the choice is narrow and clear. Hers has the Wegovy pill at roughly $298 a month all in. Josie's $189 covers an oral dissolvable tablet as well as the injection, but compounded. Same delivery, different regulatory category, about $109 apart.

When any program advertises a low dose, ask two things: which end of the course it's meant for, and what the second month costs.

How to choose

Start with whether you need hormone care. That one question removes most of this list. If hot flashes, night sweats, or broken sleep are part of why you're here, Remedy, Ro, and Hers treat half the problem and you'll be booking a second provider for the rest.

Then ask about insurance. Midi bills it directly. Ro and Hers help you use it. Everyone else is cash pay. Cash pay has one real virtue: you can know the number in advance.

Then compare total monthly cost, not sticker price. Membership plus medication plus labs, at the dose you expect to be on in six months.

Then ask how refills are billed. This is the one that catches people. Ask whether the next charge happens automatically or whether something has to be approved first, and ask exactly what you have to do to stop it. A program where a provider reviews you before each refill can't charge you by default. A program that ships and bills on a schedule can. And if membership and medication are billed separately, ask whether cancelling one cancels the other, because often it doesn't.

Then ask what happens if you're declined, and whether you're charged for the visit.

Then ask which pharmacy, and what happens in your state.

The question almost nobody answers

Most of this list is built around getting the weight off. Very few are built around what happens after.

Appetite regulation is biology. When the medication stops, the biology comes back, which is why stopping outright so often undoes the result. The options are usually staying on a full dose indefinitely or stopping and hoping.

There's a third option, and it's worth asking every program on this list whether they offer it. A maintenance dose lets you step down after you've reached your goal and hold what you've got, without staying at full strength forever. Josie runs microdose maintenance plans at $189 a month across all four medication options, injection or oral, month to month with no plan length to commit to.

If your weight changed alongside perimenopause or menopause, and you'd rather have one set of providers handling the hormones and the weight together, Josie's GLP-1 program for menopause starts with a short intake. A licensed provider reviews it before anything is prescribed, and first orders come with $100 off a full-dose plan, $50 off microdose, or $75 off hormone therapy.