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Direct Meds vs ProlongMD: Which Is Better?

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

Our Verdict

Direct Meds scores higher overall in our independent evaluation (74.5/100 vs 60.1/100), leading on trust & safety, value, experience, product range, reputation. ProlongMD has the lower entry price (from $25/mo vs $53/mo), so the better value depends on which treatment you need.

Cash-pay pharmacy and telehealth combo focused on transparent pricing and no-surprise billing.

Visit Direct Meds
60

Small, veteran-owned cash-pay telehealth practice offering compounded GLP-1s, TRT, enclomiphene, women's hormones, ED, hair loss and peptides after a $79 video consult.

Visit ProlongMD

Score Breakdown

DimensionDirect MedsProlongMD
Overall Score74.5/100 ✓60.1/100
Trust & Safety30%72/100 ✓52/100
Value25%82/100 ✓74/100
Experience20%74/100 ✓55/100
Product Range15%72/100 ✓70/100
Reputation10%68/100 ✓45/100

At a Glance

Founded20212025
HeadquartersMiami, FLPhoenix, AZ
Publicly tradedNoNo
Treatment categories68
Treatments listed913
Starting price$53/mo$25/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.

CategoryDirect MedsProlongMD
Weight Loss / GLP-1$237–$249
Compounded Semaglutide (sublingual)
$99–$119
Compounded Semaglutide/B12
Men's Health—$129–$159
Enclomiphene 25 mg
Sexual Health$53–$216
DirectMax rapid-dissolve ED tablet (apomorphine + sildenafil + tadalafil)
$75
Tadalafil 24 mg
Longevity & Peptides$199–$299
NAD+ Injections
$179
Sermorelin
Hormone Therapy$180–$197
Women's HRT (Nuvella): estradiol, progesterone, DHEA
$89–$119
Testosterone Cypionate (200 mg/mL)
Women's Health—$33
Progesterone (oral)

Direct Meds

+Transparent cash-pay pricing with no hidden fees
+Integrated pharmacy for fast fulfillment
+Competitive GLP-1 pricing
−GLP-1 tiers carry a three-month billing commitment while the same pages display a Cancel Anytime badge
−Marketing site publishes only two of sixteen-plus prices, one of them only inside invisible schema markup; the real prices sit on a storefront the marketing pages never link to
−FDA warning letter (Sept 2025, ref 716822) — compounded semaglutide and tirzepatide cited as misbranded over claims that they contain the same active ingredient as the branded drugs
Read the full Direct Meds review →

ProlongMD

+Low published prices: compounded semaglutide/B12 from $99/mo and tirzepatide/B12 from $149/mo, with no membership fee
+$79 video consult is credited toward the first treatment purchase, and a written price-match policy covers comparable injectable programs
+Names its prescribing clinicians (two physicians, two nurse practitioners) and runs synchronous video visits
−Sells BPC-157/TB-500 and GHK-Cu/BPC-157/KPV/TB-500 'peptide blends', compounds the FDA has flagged for safety concerns and which have no approved drug form
−Dispensing pharmacies are not named, and the states served are not published (visible reviews come only from TX and CO)
−Very new (LLC formed August 2025) with no independent review footprint; several on-site star ratings have no review text
Read the full ProlongMD review →

Direct Meds vs ProlongMD — FAQ

Is Direct Meds better than ProlongMD?

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Direct Meds scores higher overall in our independent evaluation (74.5/100 vs 60.1/100), leading on trust & safety, value, experience, product range, reputation. ProlongMD has the lower entry price (from $25/mo vs $53/mo), so the better value depends on which treatment you need.

Is Direct Meds or ProlongMD cheaper?

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ProlongMD has the lower starting price (from $25/mo vs $53/mo for Direct Meds). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Direct Meds and ProlongMD both offer?

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Both platforms treat Weight Loss / GLP-1, Men's Health, Sexual Health, Longevity & Peptides, Hormone Therapy, Women's Health. Direct Meds covers 6 treatment categories total and ProlongMD covers 8.

Still deciding?