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Evolve Telemedicine vs Josie: Which Is Better?

Head-to-head comparison of Evolve Telemedicine 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

Josie scores higher overall in our independent evaluation (57.6/100 vs 55.3/100), leading on value. Evolve Telemedicine comes out ahead on trust & safety, experience, product range, reputation.

55

A small concierge-style telehealth operator selling compounded hormone, weight-loss, and wellness therapies through a paid membership.

Visit Evolve Telemedicine
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

DimensionEvolve TelemedicineJosie
Overall Score55.3/10057.6/100 ✓
Trust & Safety30%55/100 ✓50/100
Value25%48/10070/100 ✓
Experience20%60/100 ✓58/100
Product Range15%65/100 ✓60/100
Reputation10%50/100 ✓45/100

At a Glance

Founded——
HeadquartersBloomfield Hills, MI—
Publicly tradedNoNo
Treatment categories33
Treatments listed57
Starting price$149.99/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.

CategoryEvolve TelemedicineJosie
Hormone Therapy$149.99
Baseline Labs
$90–$100
Estradiol Patch or Cream (HRT)
Weight Loss / GLP-1$400–$600
Compounded Semaglutide
$189
Microdose GLP-1 Maintenance (semaglutide or tirzepatide)

Evolve Telemedicine

+Broad concierge-style hormone and wellness menu (BHRT, TRT, thyroid support, peptide therapy, GLP-1 weight loss, sexual wellness, hair) under one membership with a free initial consult.
+Reports (per prior research, not independently verified on-site) shipping compounded medications to patients in all 50 states.
+A majority of Trustpilot reviewers (78% five-star) describe knowledgeable, thorough clinical staff.
−Reviewers report medication price increases of 200-300% within a few months of enrolling, with claims that comparable prescriptions cost significantly less elsewhere.
−Trustpilot sample is small (54 reviews) — too limited to draw strong reputational conclusions despite the 4.1 average.
−Lab result and refill turnaround delays are a recurring complaint, with patients told to request refills 20-25 days in advance to avoid running out.
Read the full Evolve Telemedicine 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 →

Evolve Telemedicine vs Josie — FAQ

Is Evolve Telemedicine better than Josie?

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Josie scores higher overall in our independent evaluation (57.6/100 vs 55.3/100), leading on value. Evolve Telemedicine comes out ahead on trust & safety, experience, product range, reputation.

Is Evolve Telemedicine or Josie cheaper?

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Josie has the lower starting price (from $90/mo vs $149.99/mo for Evolve Telemedicine). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Evolve Telemedicine and Josie both offer?

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

Still deciding?

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