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Nu Image Medical vs Twentyeight Health: Which Is Better?

Head-to-head comparison of Nu Image Medical and Twentyeight 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

Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 70.5/100), leading on trust & safety, value, experience. Nu Image Medical comes out ahead on product range. Nu Image Medical has the lower entry price (from $3/mo vs $15/mo), so the better value depends on which treatment you need.

Nu Image Medical is a Tampa-based cash-pay telehealth veteran (founded 2004, online since 2008) with a wide compounded catalog spanning GLP-1s, testosterone, peptides, and men's and women's sexual health.

Visit Nu Image Medical

Brooklyn-based women's telehealth service covering birth control, emergency contraception, UTI/BV/yeast and herpes treatment, prescription skincare and branded GLP-1s under a $19.99/mo membership ($0 in-network).

Visit Twentyeight Health

Score Breakdown

DimensionNu Image MedicalTwentyeight Health
Overall Score70.5/10075/100 ✓
Trust & Safety30%66/10076/100 ✓
Value25%74/10080/100 ✓
Experience20%62/10072/100 ✓
Product Range15%85/100 ✓72/100
Reputation10%70/10070/100

At a Glance

Founded20042018
HeadquartersTampa, FLBrooklyn, NY
Publicly tradedNoNo
Treatment categories74
Treatments listed117
Starting price$3/mo$15/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.

CategoryNu Image MedicalTwentyeight Health
Weight Loss / GLP-1$99
Compounded Semaglutide Injections
—
Sexual Health$3
Sildenafil / Tadalafil / Mt. Everest Max
—
Women's Health$84
Women's Sexual Health (compounded gel / estradiol vaginal cream)
$15–$19.99
Complete Care Membership

Nu Image Medical

+Roughly 18 years of continuous online operation, far longer than most competitors in the category
+Low entry pricing published on-site: semaglutide from $99/mo (12-month supply), ED tablets from $3, enclomiphene from $80/mo
+One of the widest catalogs reviewed, spanning GLP-1s, testosterone, peptides, NAD+, hair loss, and women's sexual health (Addyi, estradiol cream, compounded gel)
−Strict all-sales-final policy with no refunds except for damaged product, plus explicit chargeback-contest language
−Headline GLP-1 price requires buying a 12-month supply; shorter-term pricing isn't shown before enrollment
−Reviewers report provider replies taking 6–8 days and little proactive follow-up
Read the full Nu Image Medical review →

Twentyeight Health

+Low entry cost: $19.99/mo membership ($0 when in-network), birth control from $16/pack cash and often $0 with insurance
+Accepts most commercial insurance and Medicaid in multiple states, which few D2C telehealth brands do
+One membership covers contraception, EC, UTI/BV/yeast, herpes, skincare and weight care, and urgent-care prescriptions are ready for pickup in 4–6 hours
−Medications are billed separately from the membership, which some reviewers say caused unexpected charges
−Weight care (branded Wegovy/Zepbound only) is limited to about 22 states, and skincare to a subset of states
−21% of Trustpilot reviews are 1-star, citing billing discrepancies and support communication problems
Read the full Twentyeight Health review →

Nu Image Medical vs Twentyeight Health — FAQ

Is Nu Image Medical better than Twentyeight Health?

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Twentyeight Health scores higher overall in our independent evaluation (75/100 vs 70.5/100), leading on trust & safety, value, experience. Nu Image Medical comes out ahead on product range. Nu Image Medical has the lower entry price (from $3/mo vs $15/mo), so the better value depends on which treatment you need.

Is Nu Image Medical or Twentyeight Health cheaper?

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Nu Image Medical has the lower starting price (from $3/mo vs $15/mo for Twentyeight Health). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Nu Image Medical and Twentyeight Health both offer?

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Both platforms treat Weight Loss / GLP-1, Sexual Health, Women's Health. Nu Image Medical covers 7 treatment categories total and Twentyeight Health covers 4.

Still deciding?