StackMD

What you're buying

StackMD sells compounded semaglutide and compounded tirzepatide as weekly injections, alongside a longevity shelf of NAD+, glutathione and sermorelin. The legal entity behind the care is Medical 360 HC PLLC, a New York telehealth practice, and the prescribing and billing partner is SamaritanMD — a distinction the refund policy leans on heavily, because StackMD describes itself as a marketing and administrative platform that neither dispenses medication nor conducts consultations.

The formulations are described as semaglutide and tirzepatide compounded with B12 and glycine, and the site states plainly on every product image that compounded products "are not FDA-approved and have not undergone FDA evaluation for safety, efficacy, or quality." That disclosure is prominent and repeated, which we credit. The compounding pharmacies, however, are never named — the site refers only to licensed third-party pharmacies, so there is nothing for you to look up.

What it costs (and how it's billed)

StackMD's running header promises "Transparent Pricing," and in August 2026 the site gave us four different semaglutide numbers on two pages. The home page card said "Compounded Semaglutide Starts @ $125" and the block below it said "Plans starting at just $125/month." The semaglutide product page — the page with the buy button — said "Compounded Semaglutide $199," with no cycle attached, and the same "Why StackMD?" block on that page said "Plans starting at just $99/month." Tirzepatide follows the same pattern: "Starts @ $199" on the home card, and a flat "$299" on the product page.

We cannot reconcile those, and the site makes no attempt to. If you are budgeting, plan around the product-page figures — $199 for semaglutide and $299 for tirzepatide — because that is the page you buy from, and treat the $125, $99 and $199 starting figures as marketing. Whether either product-page number is a monthly charge, a per-vial charge or a one-time order total is not stated anywhere we could find. NAD+ is listed from $140 and sermorelin from $175, and neither says what the figure is charged per.

What the refund policy does say is unambiguous and harsh. "All sales are final. No refunds are issued except as described below." Consultation fees charged by SamaritanMD are non-refundable once a provider is assigned — explicitly including cases where no prescription is issued, where you are found ineligible, and where you do not attend. Dispensed medication cannot be returned, which is standard and lawful, but the exceptions are narrow: a dispensing error must be reported within seven calendar days with photographs, and a damaged shipment within 72 hours. StackMD says outright that it does not make the final determination on any of those claims.

Who can order

The footer says telehealth services are offered to patients in all 50 states, with care provided by professionals licensed in your state at the time of service, and that the availability of specific treatments varies by state and "will be disclosed on the applicable service pages." We read both service pages and found no state disclosure on either, so that promise is unfulfilled at the moment.

No minimum age, body mass index threshold or eligibility criteria appear anywhere on the site, and neither does any note about which states require a live video visit. The FAQ has an entry titled "What states is StackMD available in?" that does not open on the home page.

How the intake works

Four steps, described the same way on every page: a five-minute assessment about your health history and goals, a review by a licensed provider who sets the plan, delivery in as little as a few days, then ongoing support. The consultation is advertised as free and fast, shipping is free and discreet, no insurance is required, and orders are HSA and FSA eligible.

The wrinkle is who holds the relationship afterwards. Billing and refunds run through SamaritanMD, and StackMD says it "has no authority to issue refunds" on SamaritanMD's behalf; claims go to support@stackmdhealth.com and are forwarded on. Provider messaging happens in a patient portal that StackMD does not control either. If something goes wrong, you are dealing with at least three companies, and the site does not tell you which one to call first.

What we'd want changed

Publish one price per product, with a billing cycle, and make every page agree. A site whose header says "Transparent Pricing" while showing $99, $125 and $199 for the same semaglutide is not merely inconsistent — it makes the cheapest of those figures look like a bait. The per-dose table this site used to carry was the best thing about it and the reason its price-transparency mark used to be high; it is why that mark came down in August 2026, and bringing the table back would put it straight up again.

Then honor the footer's own promise about states. "Availability of specific treatments may vary by state and will be disclosed on the applicable service pages" is a commitment, and neither service page discloses anything. We would also want the non-refundable consultation fee shown before checkout rather than only inside the refund policy, since it is charged even when you are turned down.

Bottom line

StackMD names its legal entity and its telehealth partner, discloses the FDA status of its compounded products prominently, and offers a free consultation — all good. But the price is now the weakest part of a site that used to lead on it. Until the pages agree, assume $199 for semaglutide and $299 for tirzepatide, assume no refund once a provider has been assigned, and assume you will not learn the billing cycle until checkout.