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Defy Medical vs Midi Health: Which Is Better?

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

Our Verdict

Midi Health scores higher overall in our independent evaluation (74.8/100 vs 71.9/100), leading on trust & safety, value. Defy Medical comes out ahead on experience, product range, reputation.

72

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
75

Insurance-billed virtual clinic for perimenopause and menopause, prescribing FDA-approved and compounded HRT, non-hormonal options, and GLP-1s through menopause-trained clinicians.

Visit Midi Health

Score Breakdown

DimensionDefy MedicalMidi Health
Overall Score71.9/10074.8/100 ✓
Trust & Safety30%72/10078/100 ✓
Value25%60/10072/100 ✓
Experience20%78/100 ✓74/100
Product Range15%78/100 ✓72/100
Reputation10%80/100 ✓78/100

At a Glance

Founded20112021
HeadquartersTampa, FLMenlo Park, CA
Publicly tradedNoNo
Treatment categories33
Treatments listed43
Starting price$150/mo$50/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 MedicalMidi Health
Hormone Therapy$150–$250
Women's Bioidentical HRT
$50–$250
Menopause & Perimenopause Care (HRT, non-hormonal)
Weight Loss / GLP-1$150–$250
GLP-1 Weight Loss (Semaglutide/Tirzepatide)
$50–$250
Branded GLP-1 Prescribing (Wegovy/Zepbound)

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 →

Midi Health

+In-network with most major commercial PPO plans, which third-party reviewers put at roughly $50 out of pocket per visit
+Clinicians trained specifically in menopause care, prescribing both FDA-approved HRT and non-hormonal options and ordering labs and imaging
+No membership fee; self-pay is per visit ($250 first, $150 follow-up), which is cheaper than a monthly plan for patients on a stable regimen
−Billing is the dominant complaint: BBB logs 64 complaints in three years, mostly surprise balances after insurance confirmations
−Medicare, Medicaid and Medi-Cal are not accepted, excluding many women in the core menopause age group
−Compounded GLP-1 pricing is published only as a 'from $164 per 4-week supply' floor; dose-level prices require a visit
Read the full Midi Health review →

Defy Medical vs Midi Health — FAQ

Is Defy Medical better than Midi Health?

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Midi Health scores higher overall in our independent evaluation (74.8/100 vs 71.9/100), leading on trust & safety, value. Defy Medical comes out ahead on experience, product range, reputation.

Is Defy Medical or Midi Health cheaper?

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Midi Health has the lower starting price (from $50/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 Midi Health both offer?

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

Still deciding?

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