Twenty Mile Medical

Medications offered

As listed on the provider’s own site. Whether a product is FDA-approved or compounded is the single most important distinction here — we explain why.

• SemaglutideType not stated
• TirzepatideType not stated

What they publish

Twenty Mile Medical publishes 8 of 12 standard terms. Fields marked “not publicly disclosed” were not stated on the pages we captured, and we have not filled those gaps with assumptions. Compare disclosure across providers

Membership / programme fee

None — charged per visit at a published flat $45, with no insurance required and stated to carry no surprise charges afterwards. A separate $69 per month figure is published against another service (as published)

Medication cost

Not sold by Twenty Mile Medical; prescriptions are sent to your local pharmacy and paid for there (as published)

Introductory offer

Not publicly disclosed on the pages we captured.

Insurance

States no insurance is required and visits are a flat $45.

HSA / FSA

Not publicly disclosed on the pages we captured.

Consultation process

Online consultation with a licensed clinician, with prescription if appropriate and no waiting room. States availability across 37 states.

Eligibility

States availability in 37 states and that prescriptions are issued where appropriate. Specific clinical criteria for GLP-1 treatment were not published on the pages we captured.

Lab work

States a provider discusses whether labs are needed and coordinates next steps, and that labs are ordered only where they add value rather than routinely.

Pharmacy fulfilment

States prescriptions are sent directly to your local pharmacy. No captive fulfilment channel or compounding is described.

Shipping

Not publicly disclosed on the pages we captured.

Support services

States GLP-1 medication support and refills for patients already on treatment, alongside ongoing care across its other services.

Cancellation

Cancellation terms were not published on the pages we captured.

Refunds

States the flat $45 fee carries no surprise charges after treatment.

What stands out

• A flat $45 per visit with no insurance and no membership is among the cheapest published clinical access in this directory — though it buys the consultation only, not medication.
• Positions itself partly around GLP-1 support and refills for people already on treatment, rather than only as a route to start it.
• Cites peer-reviewed literature on its clinical pages and explains GLP-1 mechanism and gradual titration accurately rather than in marketing terms.
• States that perimenopause is a clinical diagnosis rather than a laboratory one, and that labs should be ordered only where they add value — a more restrained position on testing than most practices selling adjacent services take.
• Sends prescriptions to your own pharmacy rather than a captive supplier.
• One captured page refers to care across Ontario, which sits oddly against the stated 37-state US footprint and is worth clarifying.
• Sells supplement plans alongside prescriptions on some service pages.
• No GLP-1-specific pricing, clinical criteria or programme structure is published.

Questions to ask before you pay

These are things we could not settle from published pages, or that we think are easy to misread. Get answers in writing.

• The $45 covers the visit only. What will the medication cost at your pharmacy?
• How many visits are needed over a year of GLP-1 treatment at $45 each?
• Is the GLP-1 branded, and will your pharmacy have it in stock?
• One page references Ontario. Which jurisdictions is the practice actually licensed in?
• What clinical criteria apply for GLP-1 prescribing?
• No cancellation terms are published.

Frequently asked