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Josie vs Midi Health: Which Is Better?

Head-to-head comparison of Josie 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 57.6/100), leading on trust & safety, value, experience, product range, reputation.

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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
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

DimensionJosieMidi Health
Overall Score57.6/10074.8/100 ✓
Trust & Safety30%50/10078/100 ✓
Value25%70/10072/100 ✓
Experience20%58/10074/100 ✓
Product Range15%60/10072/100 ✓
Reputation10%45/10078/100 ✓

At a Glance

Founded—2021
Headquarters—Menlo Park, CA
Publicly tradedNoNo
Treatment categories33
Treatments listed73
Starting price$90/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.

CategoryJosieMidi Health
Women's Health——
Hormone Therapy$90–$100
Estradiol Patch or Cream (HRT)
$50–$250
Menopause & Perimenopause Care (HRT, non-hormonal)
Weight Loss / GLP-1$189
Microdose GLP-1 Maintenance (semaglutide or tirzepatide)
$50–$250
Branded GLP-1 Prescribing (Wegovy/Zepbound)

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 →

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 →

Josie vs Midi Health — FAQ

Is Josie better than Midi Health?

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Midi Health scores higher overall in our independent evaluation (74.8/100 vs 57.6/100), leading on trust & safety, value, experience, product range, reputation.

Is Josie or Midi Health cheaper?

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Midi Health has the lower starting price (from $50/mo vs $90/mo for Josie). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Josie and Midi Health both offer?

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Both platforms treat Women's Health, Hormone Therapy, Weight Loss / GLP-1. Josie covers 3 treatment categories total and Midi Health covers 3.

Still deciding?

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