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Defy Medical vs Josie: Which Is Better?

Head-to-head comparison of Defy Medical and Josie based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Defy Medical scores higher overall in our independent evaluation (71.9/100 vs 57.6/100), leading on trust & safety, experience, product range, reputation. Josie comes out ahead on value. Josie has the lower entry price (from $90/mo vs $150/mo), so the better value depends on which treatment you need.

Physician-led telemedicine hormone clinic offering TRT, women's HRT, peptides, GLP-1s, and sexual-health treatments through its own 503B pharmacy.

Visit Defy Medical
58
Josie
Fair

Small menopause-focused telehealth brand selling compounded and branded GLP-1s, microdose GLP-1 maintenance plans and estradiol/progesterone HRT at flat published prices.

Visit Josie

Score Breakdown

DimensionDefy MedicalJosie
Overall Score71.9/100 ✓57.6/100
Trust & Safety30%72/100 ✓50/100
Value25%60/10070/100 ✓
Experience20%78/100 ✓58/100
Product Range15%78/100 ✓60/100
Reputation10%80/100 ✓45/100

At a Glance

Founded2011—
HeadquartersTampa, FL—
Publicly tradedNoNo
Treatment categories33
Treatments listed47
Starting price$150/mo$90/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryDefy MedicalJosie
Hormone Therapy$150–$250
Women's Bioidentical HRT
$90–$100
Estradiol Patch or Cream (HRT)
Weight Loss / GLP-1$150–$250
GLP-1 Weight Loss (Semaglutide/Tirzepatide)
$189
Microdose GLP-1 Maintenance (semaglutide or tirzepatide)

Defy Medical

+15 years in operation (founded 2011) — one of the longest-running cash-pay hormone-therapy telehealth brands, with a named Medical Director (Dr. Justin Saya)
+Trustpilot rating of 4.8/5 across 4,144 reviews, and the company responds to 94% of negative reviews, typically within 24 hours
+Broad treatment range from a single provider — TRT, women's HRT, peptides, GLP-1s, sexual dysfunction, and hair loss — dispensed through its own 503B-registered pharmacy with labs required before prescribing
−Pricing is not published on the website; patients must complete a roughly $250 consult before learning treatment costs, a transparency gap versus competitors that post pricing upfront
−Some patients report delays of a week or more between consult and medication fulfillment
−Mobile app quality lags the web experience, per patient feedback
Read the full Defy Medical review →

Josie

+Flat pricing at any dose, published before intake: compounded semaglutide $249/mo ($194/mo prepaid annually), tirzepatide $349/mo ($233/mo annually)
+Offers injectable, oral ODT and microdose ($189/mo) GLP-1 formats alongside HRT in one women's-midlife intake
+Names its lead clinician (Dr. Ana Lisa Carr, MD, board-certified in family medicine) and says it serves all 50 states
−FDA warning letter (Feb 20, 2026) for misbranded compounded semaglutide/tirzepatide marketing
−White-label setup: Josie is a trade name of One Eleven Nutrition LLC on the CareValidate platform, and its terms say it doesn't control provider decisions
−An $80 consultation fee applies if a provider approves a plan and the patient declines medication, and filled orders are non-refundable
Read the full Josie review →

Defy Medical vs Josie — FAQ

Is Defy Medical better than Josie?

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Defy Medical scores higher overall in our independent evaluation (71.9/100 vs 57.6/100), leading on trust & safety, experience, product range, reputation. Josie comes out ahead on value. Josie has the lower entry price (from $90/mo vs $150/mo), so the better value depends on which treatment you need.

Is Defy Medical or Josie cheaper?

▾

Josie has the lower starting price (from $90/mo vs $150/mo for Defy Medical). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Defy Medical and Josie both offer?

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Both platforms treat Hormone Therapy, Weight Loss / GLP-1. Defy Medical covers 3 treatment categories total and Josie covers 3.

Still deciding?