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Clinic file

ReflexMD

Reviewed by Editorial review in progress · Last updated 2026-07-12

The bottom line

No verdict has been issued yet.

This is a neutral factual record. ReflexMD (reflexmd.com, with a landing site at tryreflexinc.com) is a direct-to-consumer weight-loss telehealth brand operated by ReflexMD, Inc., a Delaware-law entity whose stated address is 2093 Philadelphia Pike, Unit/PMB #2388, Claymont, DE 19703 (a private-mailbox address per the BBB listing). It sells compounded semaglutide (advertised from $297), compounded tirzepatide (from $367), and injection-free '3-in-1 Weight Control Pills' (from $199) on a recurring membership that bundles the consultation, medication, and shipping, billed month-to-month or on 3- or 6-month plans. The company claims 75,000+ patients treated and advertises a 4.5 Trustpilot rating; its help center says its physician network covers every state and its marketing says 'Licensed nationwide,' though the Terms hedge that certain services 'are currently only available to individuals located in certain states.' No compounding pharmacy partner is named anywhere on the public site. BBB lists the business as started 03-28-2023 with a B+ rating, no accreditation, and 30 complaints on file; reviewer themes include continued billing after cancellation and medication arriving warm. The site's 'Telemedicine Policy' page hosts the Terms of Service of M&D Integrations, Inc. (mdintegrations.com), a white-label telehealth clinician-network vendor. No FDA action, government enforcement action, or lawsuit specific to ReflexMD was located as of the access date; independent news coverage was not located, and most search results about the brand are affiliate-style review blogs or advertorial content, which this record does not rely on for company facts. Parent company and founders are not disclosed on the company's own site.

The supply chain

You buy fromReflexMDThe brand: marketing, checkout, and the subscription.
Your clinician works forMD IntegrationsA contract medical group named on the clinic's own site — the brand doesn't employ your clinician.
Your prescription is filled byNo pharmacy on our recordNothing we can verify — the receipt the rest of the chain depends on.
Licensed where you live?Check your stateEvery fill depends on the pharmacy holding a license in your state — verified below, state board by state board.

What checks out

No gate criteria passed yet.

What to watch

Restrictive cancellation and refund mechanics paired with an active consumer-complaint record. ReflexMD's Terms and fulfillment policy make the membership fee non-refundable once paid, auto-renew the subscription unless the patient cancels at least two days before the renewal processing date, and require non-California residents to cancel by phone call only (California residents, who are protected by that state's online-cancellation law, may also cancel by email). The BBB profile for ReFlexMD (Claymont, DE) shows 30 complaints filed and a B+ rating without BBB accreditation, with the rating factors citing the complaint volume and response time; BBB customer reviews describe continued billing after cancellation attempts and refund denials, as well as medication arriving warm or hot in transit. These are the company's own written policies plus a matching third-party complaint record, not isolated anecdotes.
Fully anonymous compounded-drug supply chain. ReflexMD sells compounded semaglutide and compounded tirzepatide but does not name the compounding pharmacy anywhere on its public site: the Terms say only that patients are 'assigned a pharmacy within our network,' and the help center says prescriptions are 'forwarded to one of our pharmacies.' Patients therefore cannot check the fulfilling pharmacy's state licensure, FDA inspection history, or accreditation before purchase - a disclosure gap that matters more here because BBB reviewers report cold-chain problems (medication arriving warm or hot) and because many competing GLP-1 telehealth brands do name their 503A/503B partners in their Terms.
Who provides your care
Care is outsourced to MD Integrations
A contract medical group named on ReflexMD's own pages. The brand selling the subscription doesn't employ the clinician who prescribes.
MD Integrations
“NOTICE OF PRIVACY PRACTICES FOR MD INTEGRATIONS, INC. … “We” or “MDI” refers to MD Integrations, Inc. dba MD Integrations.”
From ReflexMD's own page.
Source: reflexmd.com/pages/privacy_practices (accessed 2026-07-15)
Why this matters

A contract medical group serves many brands at once. Your prescriber answers to the vendor's protocols and staffing, not to the clinic you pay — and if the brand switches vendors, your care relationship goes with it. It does not by itself disqualify a clinic, but it weighs against the verdict.

Trustpilot review integrity
Review integrity concern
100% of this company's reviews are organic (unprompted) — above our 40% threshold, the pattern most consistent with review gaming.
Score
4.6 / 5 across 382 reviews (trailing 12 months)
Review source
100% organic (unprompted) · 0% verified or invited (company-sent, post-transaction)
OrganicVerified / invited
Source: Trustpilot's own "Transparent Inviting" disclosure, company profile (accessed 2026-07-12).
Review integrity concern

100% of this company's Trustpilot reviews are organic (unprompted), above our 40% threshold. Verified and invited reviews both require a real completed transaction and the company choosing to send the invite, which makes them hard to fabricate at scale. A heavy skew toward organic, unprompted reviews is a known review-manipulation vector — it does not by itself disqualify a clinic, but it weighs against the verdict. See how we weigh this.

Corporate address transparency
Agent or mailbox address — no operating location listed
Virtual office / rented mailbox, found on the company's own site.
Legal entity
ReflexMD, Inc.
Listed address
2093 Philadelphia Pike, Unit #2388, Claymont, DE 19703
Notes
2093 Philadelphia Pike is a high-volume virtual-mailbox address; "Unit #2388" is a PMB number. Delaware governing law.
Source: Terms, contact address (accessed 2026-07-19)

Who fills your prescription

ReflexMD does not name any compounding pharmacy partner anywhere on its public site. Its Terms state only that patients who receive a prescription 'will be assigned a pharmacy within our network to ship your prescription (collectively, the Pharmacies)'; a help-center article adds that the prescription is 'forwarded to one of our pharmacies or a pharmacy of your choice.' The compounded semaglutide and tirzepatide it sells include methylcobalamin (vitamin B12), per a help-center article explaining the medication's red color. No 503A/503B facility name, location, or accreditation is disclosed, so the supply chain behind its compounded products cannot be publicly verified from the company's own disclosures.

Partner pharmacies have not yet been profiled. Each named partner must clear the pharmacy gate independently before this clinic stays on the index.

What it's actually like

Pricing (per ReflexMD's own landing pages): compounded semaglutide from $297, compounded tirzepatide from $367, and injection-free '3-in-1 Weight Control Pills' from $199, each labeled a starting price that 'may vary based on medical evaluation.' All plans are described as including a licensed-physician consultation, the prescription, medication, syringes, and free expedited (overnight FedEx) shipping, with 'flat rate every dose' (no dose-based upcharge), FSA/HSA eligibility, and no insurance required. Payment plans are month-to-month, 3-month, or 6-month subscriptions, billed automatically on a recurring basis; the Terms call this the ReflexMD Program Membership Fee and state it includes the cost of medication and pharmacy fulfillment. Intake: an online medical questionnaire with required photo uploads, then review by a U.S.-based medical team and an audio-visual consultation; the help center describes an 'exclusive physician-only clinical network,' says lab work is encouraged (every 3-6 months) but not required to join, and says no pre-existing prescription is needed. The site's 'Telemedicine Policy' page hosts the Terms of Service of M&D Integrations, Inc. (mdintegrations.com), a telehealth clinician-network vendor, indicating third-party infrastructure behind the clinical network. Pharmacy chain: not disclosed - patients are 'assigned a pharmacy within our network'; no compounding pharmacy is named anywhere on the public site (see pharmacyModel). Fulfillment timing: the fulfillment policy says the pharmacy takes 3-6 business days to process before overnight shipping (a help-center article says 1-3 business days), with most patients receiving medication within a week. States: marketing claims 'Licensed nationwide' and the help center repeatedly states the platform connects consumers with 'board certified physicians in every state'; the Terms hedge that '[c]ertain of our Services are currently only available to individuals located in certain states,' and no state list is published. Refund/cancel/refill: the membership auto-renews unless cancelled at least two (2) days before the renewal processing date; once paid, the membership fee is non-refundable ('due to the nature of the medication, any monthly fees you have already paid cannot be refunded') and there is no return policy for shipped medication. Cancellation is phone-only for non-California residents (+1-866-849-6382); California residents may cancel by phone or by email. There is no long-term contract (month-to-month service). Governing law and disputes: Delaware law governs; disputes must be resolved in confidential binding arbitration before a single AAA commercial arbitrator under AAA consumer rules, with a class-action waiver and jury waiver, a mandatory pre-arbitration informal dispute-resolution conference, and a mail-in opt-out to the Claymont, DE address; disputes not subject to arbitration go exclusively to state and federal courts in Los Angeles, California. The Terms' date of last revision is May 03, 2024. Corporate history: BBB records a business start date of 03-28-2023; the About Us page tells a pandemic-era origin story about 'educating people about alternative options of expensive drugs' but discloses no founders, founding date, or parent company.

ReflexMD in your state

Ship-to coverage per our record, and the state-by-state read: whether ReflexMD's partner pharmacies hold a license where you live, checked against each state board's own portal. Click any state for its file.

Alaska — Ships here, per our recordAlabama — Ships here, per our recordArkansas — Ships here, per our recordArizona — Ships here, per our recordCalifornia — Ships here, per our recordColorado — Ships here, per our recordConnecticut — Ships here, per our recordDelaware — Ships here, per our recordFlorida — Ships here, per our recordGeorgia — Ships here, per our recordHawaii — Ships here, per our recordIowa — Ships here, per our recordIdaho — Ships here, per our recordIllinois — Ships here, per our recordIndiana — Ships here, per our recordKansas — Ships here, per our recordKentucky — Ships here, per our recordLouisiana — Ships here, per our recordMassachusetts — Ships here, per our recordMaryland — Ships here, per our recordMaine — Ships here, per our recordMichigan — Ships here, per our recordMinnesota — Ships here, per our recordMissouri — Ships here, per our recordMississippi — Ships here, per our recordMontana — Ships here, per our recordNorth Carolina — Ships here, per our recordNorth Dakota — Ships here, per our recordNebraska — Ships here, per our recordNew Hampshire — Ships here, per our recordNew Jersey — Ships here, per our recordNew Mexico — Ships here, per our recordNevada — Ships here, per our recordNew York — Ships here, per our recordOhio — Ships here, per our recordOklahoma — Ships here, per our recordOregon — Ships here, per our recordPennsylvania — Ships here, per our recordRhode Island — Ships here, per our recordSouth Carolina — Ships here, per our recordSouth Dakota — Ships here, per our recordTennessee — Ships here, per our recordTexas — Ships here, per our recordUtah — Ships here, per our recordVirginia — Ships here, per our recordVermont — Ships here, per our recordWashington — Ships here, per our recordWisconsin — Ships here, per our recordWest Virginia — Ships here, per our recordWyoming — Ships here, per our record
Ships here, per our recordNot on our record

How we review. Every clinic must clear two gates: a credible compounding pharmacy, licensed in every state it ships to, and a clinic that supports long-term patient success. We pay for our own access and accept no payment, referral fees, or coupon arrangements from anyone we cover. See the methodology.