Mochi Health Review: Is It Legit for GLP-1 Weight Loss?

Mochi Health legitimacy and licensing

Yes. Mochi Health Corp. is a San Francisco company that the BBB says started in February 2022. Its terms explain that it provides management and technology services to affiliated medical practices, including Mochi Medical, P.A. in Florida and Mochi Medical CA, P.C. in California, which employ the prescribing clinicians. It says it has more than 500,000 members. It became BBB accredited on August 24, 2026 and holds an A rating, and we found no FDA warning letter to it about GLP-1 marketing as of October 12, 2026.

There are real concerns to weigh. Its lower-cost options are compounded GLP-1s, which FDA says are not reviewed for safety, effectiveness or quality. Eli Lilly and Novo Nordisk have both sued Mochi in federal court over compounded copies of their drugs, and both cases are still open. The BBB also lists 1,418 complaints in three years.

Mochi Health cost: membership plus medication

You pay two separate charges. Without insurance, membership costs $79 for one month, $207 for three, $354 for six or $588 for twelve, which works out to $49 a month. If your insurance covers the visits, the membership is $119 for six months or $199 for twelve, and Mochi shows your copay before you commit. In October 2026 it also advertised the first month free on the one-month plan.

Medication is extra and priced by dose. Compounded semaglutide starts at $60 a month and compounded tirzepatide at $90, and the price goes up as your dose increases. Brand-name options start at $149 for the Wegovy pill and Foundayo, $199 for Wegovy and $299 for Zepbound, before any insurance. Shipping is included in the medication price, but labs are not. Older reviews that describe one flat medication price for every dose are out of date.

Compounded vs brand-name GLP-1s at Mochi

Brand-name drugs such as Wegovy, Zepbound and the Foundayo pill are FDA approved and may be covered by insurance. Compounded versions are made by pharmacies, are not FDA approved and are cash only. Mochi lists compounded semaglutide and tirzepatide injections, a compounded oral semaglutide, and compounded orforglipron, the active ingredient in the FDA-approved Foundayo pill. Mochi’s own site states that compounded medications are not approved or evaluated by FDA.

The shortages that allowed wide compounding of semaglutide and tirzepatide ended in 2025. FDA has since reported adverse events and dosing errors linked to compounded GLP-1s. If a compounded drug is offered, ask the provider why it is right for you, which pharmacy makes it and how the dose is measured, and tell your regular doctor. This is not medical advice; a licensed clinician should decide whether any GLP-1 is appropriate for you.

Mochi Health lawsuits

Eli Lilly sued Mochi Health Corp., its affiliated medical practices and Aequita Pharmacy in the Northern District of California in April 2025. Lilly claims, among other things, that Mochi changed compounded tirzepatide doses for business rather than medical reasons. The judge dismissed the first complaint in late 2025 for failing to show harm, then allowed an amended complaint to go forward in part in April 2026 and ruled on another partial motion to dismiss in September 2026. The defendants filed their answer on September 22, 2026, and the case is ongoing.

Novo Nordisk filed a separate trademark case against Mochi in August 2025 in the same court, which is also pending. These are allegations, not findings. We found no FDA warning letter, FTC action or state attorney general action against Mochi as of October 2026.

Complaints and what members report

Mochi’s Trustpilot score is 4.5 out of 5 from about 19,300 reviews, but the company invites members to review, which tends to raise scores, and about 9% of reviews are one star. Positive reviews mention fast onboarding and attentive providers. One-star reviews describe slow replies, refill dates that slip, medication delays and difficulty resolving problems.

The BBB complaint count is high: 1,418 in three years. To avoid common problems, request refills early, keep track of your renewal date, cancel only through your account or by phone, and save confirmation of any cancellation.

Cancellation, refunds and your rights

Memberships and medication subscriptions renew automatically until you cancel. You can cancel in your account or by calling (619) 648-1247; the terms say email requests are not valid. Cancellation takes effect at the end of the current term, so a prepaid 6 or 12 month plan is not refunded for unused months. Membership refunds are case by case at Mochi’s discretion, and prescription medication cannot be returned or refunded once it is sent to a pharmacy.

The terms require binding individual arbitration and waive class actions unless you opt out within 30 days of accepting them, by email to [email protected] or by mail. If a price increase applies, the terms promise at least 30 days’ notice. Problems with a pharmacy or provider can also be reported to your state pharmacy or medical board.

Who should look elsewhere

If you want FDA-approved medication only, a brand-only program or your own doctor may be a better fit. If you have Medicare, Medicaid or employer coverage for GLP-1s, start with your plan and your doctor, since a telehealth membership adds cost. If you are pregnant or planning a pregnancy, have other health conditions, or take other medicines, talk to your own doctor before starting any weight loss medication.