MEDGm vs. Gala (2026): Prices, Pharmacies, Refund Rules and Safety Record Compared

How we compared them: We didn’t enroll with either company or test any medication. This comparison uses each company’s website, terms and refund policies (checked October 19, 2026, unless a source says otherwise), FDA’s warning-letter database, and dated third-party reports where a company doesn’t publish something itself. Every claim is cited below. Gala scores 8.2 and is Featured in our rankings; MEDGm scores 7.9 with a Caution label.

The short answer

• Choose Gala if you want a published price up front, especially for compounded tirzepatide (the same $199 headline price as semaglutide), a larger public review record, and an option for brand-name Ozempic.
• Choose MEDGm if knowing your pharmacy matters most: it names four partner pharmacies in its terms, while Gala names none. Be ready to confirm the plan term and price at checkout, because MEDGm doesn’t publish them up front.
• Either way, both require cancellation at least 72 hours before billing, and neither refunds much once treatment starts. Read the terms before you pay.

Side by side

	MEDGm	Gala
Our score	7.9 (Caution)	8.2 (Featured)
Compounded semaglutide	From $169/mo advertised (Oct 3 check); not shown on its homepage Oct 19, so check current price	$199/mo on a 3-month plan, all-included; “Start for $179/mo” also shown
Compounded tirzepatide	Not shown before intake: check current price	$199/mo on a 3-month plan, all-included; “Start for $179/mo” also shown
Plan terms	Monthly, or 3, 6 or 12-month bundles billed up front; fee and term shown at checkout	3-month plan at the $199 price; final price set at checkout
Operator	MEDGm, LLC (Delaware)	AI Coaching, Inc. (Delaware), d/b/a Gala
Clinicians	OpenLoop Health network	OpenLoop-affiliated and other affiliated medical groups
Pharmacies named	Yes: RedRock (UT), Health Warehouse (KY), Precision Medicine (NY), Triad Rx (AL)	No (“wide network of pharmacies”)
Brand-name option	Wegovy or Zepbound pathway, medication billed separately (third-party report)	Ozempic listed; Wegovy pill “coming soon”
Insurance	Cash-pay only	Cash-pay (“no insurance needed”)
Refunds	Full refund within 72 hours if no services received; medical disqualification; unshipped months on bundles	Medical disqualification only
Cancellation	72+ hours before renewal	72+ hours before billing
States	50 + DC (some services vary by state)	All 50
“Not FDA-approved” label	Yes, on homepage and in terms	Yes, on homepage and in terms
FDA warning letter	None found	None found
Trustpilot	No meaningful sample found	About 4.6 from roughly 3,900 merged reviews (third-party report)

Compounded semaglutide and tirzepatide are not FDA-approved. FDA does not review compounded drugs for safety, effectiveness, or quality.

Price

Gala is the easier one to price. Its homepage FAQ says GLP-1 treatment starts at $199 per month with a 3-month plan, with final pricing set at checkout. Its tirzepatide page says compounded GLP-1/GIP (including tirzepatide) costs $199 per month, all-included, and shows a “Start for $179/mo” button. A third-party review ties the $179 price to an annual plan and reports a $149/mo microdose option. Gala’s FAQ says dose increases and medication switches come at no additional cost.

• 3-month plan at $199: about $597 per 3 months, or $2,388 over a year.
• At $179, if it applies to your plan: about $2,148 over a year.

MEDGm advertised compounded GLP-1 injections from $169/mo (consultation, medication and delivery included) when we checked on October 3, 2026. On October 19, its homepage no longer showed a price, and it still doesn’t show tirzepatide or renewal prices before intake. A third-party tracker reported $299/mo month-to-month for semaglutide. MEDGm’s terms say the subscription term, membership fee and cancellation cutoff are disclosed at checkout and confirmed by email, and that it gives at least 30 days’ notice of fee changes. So: check the current price, and get the plan length and renewal amount in writing before you pay.

If price is your main concern, our cheapest compounded semaglutide and cheapest compounded tirzepatide lists compare dated prices across providers.

Who provides care

The two share clinical infrastructure, which is more common in this market than most patients realize.

• MEDGm: its site says an OpenLoop Health clinician meets with you after payment to decide whether you qualify for a prescription, and that OpenLoop clinicians keep the decision to prescribe. Its terms say the first review is synchronous, and later refill reviews may be asynchronous unless you or your provider ask for a visit. MEDGm itself doesn’t practice medicine or pharmacy.
• Gala: its FAQ says care comes from licensed clinicians at independently owned practices, including OpenLoop-affiliated medical groups and other affiliated practices, and that Gala provides administrative and technology services, not medical care. Visits may be by video or by messaging depending on your state and medication; if a video visit is required, it’s typically the first one.

OpenLoop-affiliated practices also serve other providers we cover, including Fridays and Found.

Pharmacies and transparency

This is where MEDGm is stronger. Its Terms of Use list four partner pharmacies by name, address and phone number: RedRock Pharmacy (St. George, Utah), Health Warehouse (Florence, Kentucky), Precision Medicine (Bellmore, New York) and Triad Rx (Daphne, Alabama). The terms say the list may change and that compounded medications come from state-licensed 503A or FDA-registered 503B facilities.

Gala doesn’t name its pharmacies. Its FAQ says it works with “a wide network of pharmacies across all 50 states,” and that its compounded medications are made with ingredients from FDA-regulated suppliers. Ask which pharmacy will fill your prescription before you pay.

Both label compounded GLP-1s as not FDA-approved on their homepages and in their terms, and neither had an FDA warning letter in our October 2026 searches. Third-party reports list both as LegitScript certified; you can check either on LegitScript’s lookup. Our guide to 503A vs. 503B pharmacies explains what the pharmacy type means.

Refunds and cancellation

Read this part before you enroll with either.

Gala (Cancellation and Refund Policy, last updated February 2026):

• You’ll get a full refund if a clinician disqualifies you for medical reasons. Otherwise, cancellations aren’t refunded.
• Your cancellation request must reach Gala at least 72 hours before your billing date, or you’ll be charged for one more cycle.
• Dispensed medication can’t be returned.

MEDGm (Terms of Use and Cancellation and Refund Policy, both last updated August 9, 2026):

• The refund policy gives a full refund if you cancel within the first 72 hours of your subscription term and haven’t received any services.
• If a clinician disqualifies you on medical grounds, you’re refunded for the part of the term that can’t be delivered.
• On monthly plans, there’s no refund for the month you cancel in. On plans billed 2 or more months at a time, the refund policy says you’re refunded for months in which no medication was shipped. The terms separately describe the membership fee as non-refundable, so confirm how your plan is treated in writing.
• Cancel at least 72 hours before your renewal date, in your member portal or by emailing support. MEDGm’s terms also allow billing and shipment up to 10 days before the renewal date.
• Two terms worth knowing: charges continue even in a period when you don’t complete a refill form or don’t receive a shipment, and if your clinician switches you to a different product (for example, tirzepatide instead of semaglutide), staying enrolled counts as consent unless you cancel.

Track record

Gala has a much larger public review base: about 4.6 on Trustpilot from roughly 3,900 merged reviews, per a third-party report (Gala’s homepage displays 4.8). Third-party reviewers also report complaints about charges after cancellation and unshipped medication, so keep written confirmation of any cancellation. Read our full Gala review.

MEDGm has little independent review history so far: we found no meaningful Trustpilot sample. That’s the main reason for its Caution label, along with plan terms it doesn’t publish up front. Our MEDGm legitimacy check goes through its company registration, clinicians, pharmacies and LegitScript documentation in detail.

Bottom line

Gala is the more predictable choice: a published $199 price for both medications on a 3-month plan, nationwide service, and a long public review record. Its weak spots are unnamed pharmacies and a strict refund policy. MEDGm is more transparent about who fills your prescription, but you won’t know your plan term or exact price until checkout, and there isn’t much customer feedback yet. Compare both with our #1-ranked Enhance MD, see Enhance MD vs. Gala and Fridays vs. Gala, or browse the full rankings. Whether any medication is right for you is a decision for you and a licensed clinician.