The short answer: LifeMD is a publicly traded telehealth company (Nasdaq: LFMD) whose affiliated clinicians prescribe brand-name GLP-1s such as Wegovy and Zepbound. Its weight-management program costs $39 for the first month, then $149 a month, and the medication is billed separately. Reviews: 3.9/5 on Trustpilot (4,273 reviews) and an A from the BBB. It lists no compounded GLP-1s, which are not FDA-approved.
How much does LifeMD cost?
| Option | Price | Billing |
|---|---|---|
| Weight Management Program (care, labs, coaching) | $39 first month, then $149/mo | Monthly, auto-renews |
| Weight Management Program, lowest listed price | From $75/mo | Term shown at checkout |
| Brand-name GLP-1 medication (self-pay) | From $149/mo; Wegovy pen from $199, Zepbound vial from $299 | Charged separately from the program |
| Medication with insurance | Copay, advertised as low as $25 | Through your plan |
The program fee covers clinician visits, prescriptions, coaching and lab work; the weight-management page says "Medication cost is not included." The $75 and $149 medication floors are from its membership page. Prices from LifeMD's own pages, checked Oct 9, 2026.
LifeMD all-in cost
| Medication | Month 1, all in | Each month after | First 12 months |
|---|---|---|---|
| Lowest-priced listed medication | $188 | $298 | $3,466 |
| Wegovy pen | $238 | $348 | $4,066 |
| Zepbound vial | $338 | $448 | $5,266 |
At the lowest dose. Medication prices rise with the dose, so real totals are higher. Totals are our arithmetic (membership plus medication) from the prices above.
Is LifeMD legit?
- Company: LifeMD, Inc., listed on Nasdaq as LFMD. Its FAQ says an affiliated 50-state medical group provides the care.
- Pharmacy: Prescriptions go to your local pharmacy, or are mailed if it lacks stock, per the program page. LifeMD also runs an affiliated pharmacy, opened in August 2024.
- LegitScript: LifeMD's FAQ says it is LegitScript-certified. We found no seal on its weight-management page, and LegitScript's lookup sits behind a CAPTCHA, so check the current status there.
- Trustpilot: 3.9/5 from 4,273 reviews: 73% five-star, 15% one-star, across all LifeMD services. LifeMD invites customers to review.
- BBB: A rating, BBB-accredited, with 849 complaints in three years.
Legit: a public company with an A BBB rating whose weight-loss page lists only brand-name GLP-1s. The catch is the cost structure. The program fee and the medication are separate bills, and that gap drives most complaints.
LifeMD complaints and praise: 65 Trustpilot reviews about weight loss
LifeMD's Trustpilot profile covers several services, so on Oct 10, 2026 we read the 60 reviews its search returns for “weight” (Mar 24 to Sep 30, 2026) plus 5 weight-loss reviews from its 100 most recent: 65 in all, 17 rated 1–2★ and 44 rated 4–5★. LifeMD's overall score that day was 3.9 from 4,273 reviews, across all services.
| What reviewers complain about | Share of the 17 reviews rated 1–2★ |
|---|---|
| Support slow or unreachable “No one ever answers the phone or answers my emails.” 1★ review, Jul 30, 2026 | 53% (9 of 17) |
| Program fee and medication billed separately, or costs above what was advertised “you will pay an additional $150 per month for the actual medication.” 1★ review, Sep 18, 2026 | 35% (6 of 17) |
| Duplicate or unexpected charges, or charged after cancelling “Requested a refund of the 299.00 charge and was told it is not cancelable.” 1★ review, Jun 9, 2026 | 35% (6 of 17) |
| Medication or refill delays “They have repeatedly rescheduled me and I am out of medicine” 1★ review, Jul 27, 2026 | 18% (3 of 17) |
| What reviewers praise | Share of the 44 reviews rated 4–5★ |
|---|---|
| Helpful, patient onboarding or support staff “I appreciate her honesty and guidance.” 5★ review, Apr 7, 2026 | 43% (19 of 44) |
| Reports losing weight | 30% (13 of 44) |
| Responsive care team “They respond quickly and helped me get my weight issues on track.” 5★ review, Apr 4, 2026 | 23% (10 of 44) |
Caveats: A keyword search favors “weight-loss journey” reviews, and many billing complaints about the $39 first month never say “weight”, so this subset likely reads more positive than the program does: across LifeMD's 100 most recent reviews of all services, 54 were rated 1–2★. Many five-star reviews praise a named rep right after a call, which suggests a review prompt. The bases are small. One reader coded the themes, and a review can carry several, so shares add up to more than 100%. These are reviewers' accounts, not verified facts.
How to cancel LifeMD
- Email weightloss@lifemd.com, or in the patient portal go to My account → Billing & Card → Cancel/Pause Subscription.
- Cancel before your next billing date. Service runs to the end of the paid term, with no prorated refund.
- Keep the written confirmation. Charges after cancelling are a common complaint.
Per LifeMD's terms, prescription medications cannot be returned and unused time on a plan is not refunded. Its money-back offer refunds the program fee, minus visits, insurance checks and labs, only if you lose under 10% after a year and logged your weight weekly.
LifeMD vs alternatives
| Provider | Type | Published price | Billing | Link |
|---|---|---|---|---|
| LifeMD | Brand-name, FDA-approved (Wegovy, Zepbound) | Program $149/mo after a $39 first month, plus medication | Monthly | LifeMD site |
| Hers | Brand-name, FDA-approved (Wegovy, Zepbound) | Membership $149/mo after a $39 first month, plus medication from $149/mo | Monthly | Our Hers review |
| Ro | Brand-name, FDA-approved (Wegovy, Zepbound) | Membership $149/mo (or $74–$99/mo prepaid), plus medication from $149/mo | Monthly, or 3, 6 or 12 months upfront | Our Ro review |
| Cora | Our partner · compounded, not FDA-approved | Semaglutide $99–$175/mo, tirzepatide $135–$225/mo, same at every dose | Monthly to annual prepay (annual is the low end) | See Cora's prices |
| LillyDirect | FDA-approved (Zepbound vials) | $299–$449/mo self-pay, by dose | Monthly; clinician visit billed separately | See LillyDirect's prices |
Prices from each company's own site: LifeMD Oct 9, 2026, Cora Oct 9, 2026, LillyDirect Oct 9, 2026. Compounded semaglutide and tirzepatide are not FDA-approved, have not been evaluated by the FDA for safety, effectiveness or quality, and are not therapeutically equivalent to Wegovy, Ozempic, Zepbound or Mounjaro.
Disclosure: Nouri is independent of LifeMD and earns nothing from it. Nouri may earn a commission when you sign up with some of the providers we link to. It doesn't change what you pay or how we rank providers. Order in the tables is not a ranking. Facts checked Oct 9, 2026; prices change, so confirm at the source. Full disclosure.
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Frequently Asked Questions
Is LifeMD legit?
Yes: it is publicly traded (Nasdaq: LFMD) and holds an A rating with BBB accreditation. Its Trustpilot score is 3.9/5, and billing is the most common complaint.
How much does LifeMD cost per month?
The weight-management program is $39 for the first month, then $149 a month, per LifeMD's site on Oct 9, 2026. Medication is extra unless insurance covers it.
Does LifeMD include the medication?
No. Its terms say the program fee does not include medication unless you choose a medication-included plan.
Does LifeMD offer compounded semaglutide?
Its weight-management page lists only brand-name drugs, such as Wegovy, the Wegovy pill and Zepbound. Compounded GLP-1s are not FDA-approved.
How do I cancel LifeMD?
Email weightloss@lifemd.com or use Billing & Card in the patient portal. There is no prorated refund for the rest of a paid term.
What is the LifeMD money-back offer?
If you lose less than 10% of your weight after a year of continuous enrollment, LifeMD may refund the program fee minus visits, insurance checks and labs. You must log your weight weekly and attend every visit.
Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before starting or changing any medication or treatment. Licensed providers review patient assessments before making clinical decisions.
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