Totiva vs Medexpress: How the Two Weight Loss Services Compare
A side-by-side look at Totiva and Medexpress for weight loss treatment, with standard prices for Mounjaro, Wegovy pens, Wegovy tablets and Foundayo, checked in October 2026.
Written by:
Medically reviewed by Chris Armstrong, MPharm
Key Takeaways
Totiva and Medexpress both supply prescription weight loss treatment in the UK. Based on prices checked in October 2026, Totiva's standard price was lower at all 21 strengths compared. Totiva has no subscription and you only pay if approved.
Totiva and Medexpress are both UK online pharmacies that supply prescription weight loss treatment, including Mounjaro and Wegovy injections. The clearest difference we could verify is price. Totiva charges one standard price from your first order, with no subscription.
At Totiva, Mounjaro starts from £136.88 per pen, Wegovy pens from £92.88 per pen, Wegovy tablets from £98 per pack and Foundayo from £85.88 per pack. Medexpress's standard prices for the same medicines start at £183.94, £103.94, £112.90 and £100. The full strength-by-strength comparison is below.
Totiva Health is registered with the General Pharmaceutical Council (GPhC), the body that regulates pharmacies in Great Britain. Our registration number is 9012997, and we are operated by ZapMeds Limited. Anyone can check a pharmacy's registration and inspection report on the GPhC website.
Totiva vs Medexpress at a glance#
| Feature | Totiva | Medexpress |
|---|---|---|
| Mounjaro from (per pen) | £136.88 | £183.94 |
| Wegovy pen from (per pen) | £92.88 | £103.94 |
| Wegovy tablets from (per pack) | £98 | £112.90 |
| Foundayo from (per pack) | £85.88 | £100 |
Totiva prices are taken from Totiva's own website. Medexpress prices are taken from Medexpress's own website. Both were checked in October 2026. Prices and terms can change, so confirm them on each pharmacy's website.
We have only included rows we could verify for both pharmacies. Totiva's own terms are set out in full further down.
Price comparison: Totiva vs Medexpress, head to head#
These are the standard prices listed on each pharmacy's website in October 2026.
Mounjaro (per pen)#
| Strength | Totiva | Medexpress | Difference |
|---|---|---|---|
| 2.5mg | £136.88 | £183.94 | £47.06 lower at Totiva |
| 5mg | £157.88 | £193.94 | £36.06 lower at Totiva |
| 7.5mg | £207.88 | £253.94 | £46.06 lower at Totiva |
| 10mg | £232.88 | £283.94 | £51.06 lower at Totiva |
| 12.5mg | £248.88 | £303.94 | £55.06 lower at Totiva |
| 15mg | £268.88 | £313.94 | £45.06 lower at Totiva |
Wegovy pens (per pen)#
| Strength | Totiva | Medexpress | Difference |
|---|---|---|---|
| 0.25mg | £92.88 | £103.94 | £11.06 lower at Totiva |
| 0.5mg | £92.88 | £123.94 | £31.06 lower at Totiva |
| 1mg | £92.88 | £153.94 | £61.06 lower at Totiva |
| 1.7mg | £143.88 | £183.94 | £40.06 lower at Totiva |
| 2.4mg | £188.88 | £203.94 | £15.06 lower at Totiva |
We have left Wegovy 7.2mg out of this table. Totiva lists it as a pack of 4 injections, while the other Wegovy pens are listed as a single injection, so a per-pen comparison would not be like for like.
Wegovy tablets (per pack)#
| Strength | Totiva | Medexpress | Difference |
|---|---|---|---|
| 1.5mg | £98.00 | £112.90 | £14.90 lower at Totiva |
| 4mg | £101.00 | £121.90 | £20.90 lower at Totiva |
| 9mg | £116.00 | £161.90 | £45.90 lower at Totiva |
| 25mg | £165.00 | £201.90 | £36.90 lower at Totiva |
Foundayo (per pack)#
| Strength | Totiva | Medexpress | Difference |
|---|---|---|---|
| 0.8mg | £85.88 | £100.00 | £14.12 lower at Totiva |
| 2.5mg | £92.88 | £119.00 | £26.12 lower at Totiva |
| 5.5mg | £96.88 | £139.00 | £42.12 lower at Totiva |
| 9mg | £108.88 | £159.00 | £50.12 lower at Totiva |
| 14.5mg | £138.88 | £179.00 | £40.12 lower at Totiva |
| 17.2mg | £138.88 | £199.00 | £60.12 lower at Totiva |
Totiva prices are taken from Totiva's own website. Medexpress prices are taken from Medexpress's own website. Both were checked in October 2026. Prices and terms can change, so confirm them on each pharmacy's website.
How the pricing works at each pharmacy#
The price is only part of it. When you pay and whether you are signed up to anything matter too.
Totiva#
The consultation is free. You pay only if a prescriber approves your treatment, so there is nothing to pay if you are not suitable. There is no subscription and no plan. You reorder when you need to.
The price you see for your first order is the same standard price you pay when you reorder. Mounjaro starts at £136.88 per pen and Wegovy pens at £92.88. You can see every strength on our weight loss page.
Medexpress#
According to its website in October 2026, Medexpress lists weight loss injections, including Mounjaro and Wegovy pens, as well as Wegovy tablets and Foundayo. The prices in the tables above are the standard prices listed there.
Medexpress Mounjaro price#
At Medexpress, standard Mounjaro prices run from £183.94 for 2.5mg to £313.94 for 15mg. At Totiva, the same range is £136.88 to £268.88.
Most people start on 2.5mg for 4 weeks, then move up in steps. So the starting price is only a small part of the story. The full table shows what you would pay as your dose rises.
Which is cheaper, Totiva or Medexpress?#
Based on the tables above, Totiva's standard price is lower at every strength compared. That covers 21 strengths across 4 medicines. The gap runs from £11.06 (Wegovy pen 0.25mg) to £61.06 (Wegovy pen 1mg). Both sets of prices were checked in October 2026, from each pharmacy's own website.
To compare fairly, match the same medicine at the same strength and the same pack size.
Does Medexpress use a subscription?#
We could not confirm Medexpress's current subscription terms, so we have not described them here. Before ordering from any online pharmacy, read the checkout page carefully. Look for whether you are agreeing to repeat orders, how to cancel and whether the price changes.
Totiva has no subscription. Neither approach is right or wrong. Automatic repeats can suit people who want a set routine, while ordering each time suits people who want full control over timing and cost.
Support and service#
Good support matters most in the early weeks. That is when people tend to have questions about nausea, moving up a dose, missed injections or travelling with pens.
At Totiva#
- A prescriber reviews your consultation answers before any treatment is approved.
- We do not ask for awkward consultation photos. You may still need to do an identity face match.
Got questions? Speak to a pharmacist on WhatsApp now
Prefer to browse first? View treatments
Is Medexpress legit?#
The best way to answer this for any pharmacy is to check for yourself. Search the GPhC register for the pharmacy's name or registration number. Then read its latest inspection report, which the GPhC publishes online.
You can look up Totiva's and Medexpress's registration and latest inspection result on the GPhC website in the same way.
Reading reviews of online pharmacies#
We have not quoted ratings for either pharmacy, because review scores move over time. If you are reading Medexpress reviews or Totiva reviews, these tips help:
- Focus on recent reviews. Service can change a lot in a year.
- Read the negative ones and the responses. How a pharmacy handles a problem tells you a lot.
- Watch for patterns. One late delivery is normal. Many reviews about the same issue are worth noticing.
- Separate pharmacy complaints from side effects. Nausea from a medicine is not the pharmacy's fault. Slow replies or billing problems are.
Who each pharmacy may suit#
Medexpress may suit you if:#
- You are already a patient there and settled on your current dose.
- You value staying with a service that already holds your history.
- You have used it before and been happy with how it works.
Totiva may suit you if:#
- You want a lower standard price at every strength compared.
- You would rather not sign up to a subscription.
- You want the same standard price each time you reorder.
- You want to pay nothing unless your treatment is approved.
Ready to see if treatment could work for you?
Checking any online pharmacy in the UK#
Weight loss injections are prescription-only medicines. That means a prescriber must assess you before they can be supplied. Before you order anywhere:
- Check the pharmacy is on the GPhC register.
- Read its latest inspection report.
- Avoid any site that sells these medicines without a proper consultation.
- Avoid social media sellers and unlicensed "weight loss pens". The MHRA has warned these may be fake or unsafe.
A consultation does not mean you will get a prescription. A prescriber decides based on your health. Sometimes the answer is a different treatment, or no medicine at all. Totiva treats adults aged 18 to 74.
When to speak to a clinician#
Talk to a clinician before starting, and be open in your consultation, if any of these apply:
- You are pregnant, trying to get pregnant or breastfeeding.
- You have had pancreatitis (inflammation of the pancreas), gallbladder problems or an eating disorder.
- You have diabetes and take insulin or other medicines that lower blood sugar.
- You take the contraceptive pill. Mounjaro can make oral contraceptive pills less effective. The MHRA advises using an extra barrier method, such as condoms, for 4 weeks after starting and for 4 weeks after each dose increase.
Get help quickly if you have severe stomach pain that does not go away, especially if it spreads to your back. Do the same if ongoing vomiting or diarrhoea leaves you dehydrated. Call 111, or 999 in an emergency.
If you would like to see whether treatment is right for you, you can start a free consultation. A prescriber reviews your answers, and you only pay if treatment is approved.
Medical Information: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting, stopping, or changing any treatment.
