SurpassMD review
$114 a month for semaglutide is a low number, so I went looking for the catch, and SurpassMD tells you itself — just not next to the price. Down in the FAQ: those figures are "for eligible patients with a promotion". What the price is without one, it never says. The coverage is genuinely good though — all fifty states plus DC, 503A compounding, cold-chain, shipped within 48 hours of approval. There's an oral semaglutide too, with no price anywhere.
- HSA / FSA-eligible
- Read every disclosure
- No insurance needed
- tracked the real cost
- read the fine print
SurpassMD at a glance
- Semaglutide
- As low as $114/mo, promotional
- Tirzepatide
- As low as $177/mo, promotional
- Coverage
- All 50 states and DC
- Brand-name
- Compounded only
How I scored SurpassMD
Every factor here comes from SurpassMD's own pricing and its disclosures, and the six add up to the 59/100 Mom-Tested Score on the same weighted six-factor method I use on every provider. Some providers are partners, and we may be paid if you sign up through our links.
Scores low: pinning down the real ongoing number takes work.
Scores high: where you live is unlikely to be the obstacle.
Covers what most moms need, if not every option.
Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.
Scores low here: getting started asks more of your week than most.
Support is the weakest part of this provider's score.
How I verified this review
- Confidence
- medium
- Primary source
- SurpassMD's website
Semaglutide is advertised at "as low as $114/m" and tirzepatide at "as low as $177/m", but the FAQ qualifies both: they apply "for eligible patients with a promotion", and pricing also depends on dose and provider approval. No non-promotional price is published anywhere, and the oral semaglutide option carries no price at all. SurpassMD covers all fifty states and DC, describes 503A compounding with cold-chain shipping inside 48 hours, accepts HSA and FSA cards, and names its operating company as Life Vitality LLC.
Before you sign up
I opened SurpassMD's signup and stopped at the first screen that asked for personal details, so I can't tell you what comes after it. Here's what's worth knowing before you start.
Worth knowing
- The August 21 visit recorded no monthly price on the homepage reached then. Current public cards advertise promotional starting rates of $114/$177, subject to dose and provider approval.
- The August visit used a separate intake site and stopped before personal details.
Pricing
| Medication | Monthly | Plan |
|---|---|---|
| Compounded semaglutide | $114 | Promotional starting price"Semaglutide As low as $114/m*". The FAQ qualifies it: "for eligible patients with a promotion. Actual pricing depends on medication, dose, and provider approval." No non-promotional price is published. |
| Compounded tirzepatide | $177 | Promotional starting price"Tirzepatide As low as $177/m*", under the same promotional qualification. |
HSA and FSA usually work for this — worth checking your own plan. The prices here are what SurpassMD's public disclosures showed at last review, and they change often; confirm the current number on SurpassMD's own site.
What I like
- All fifty states and DC
- Says exactly how the pharmacy side works: 503A compounding, cold-chain, tracked, out the door within 48 hours
- There's an oral semaglutide tablet as well as the shots
- "Cancel anytime", HSA and FSA cards accepted, and you can pay in installments
- Tells you who it actually is: "SurpassMD is a brand of Life Vitality LLC"
The caveats
- Both prices are promotional and it only admits that in the FAQ — "for eligible patients with a promotion"
- Price also "depends on medication, dose, and provider approval", so these are floors twice over
- The oral semaglutide option has no price at all
- The Delaware address is a commercial registered-agent address shared by thousands of companies, not a clinic
- There's a weight-loss projection slider on the homepage — "Month 12 ~14% estimated weight loss" — which is marketing, though the site does label it illustrative
What I actually think of SurpassMD
$114 a month for semaglutide is a low number, so I went looking for the catch, and SurpassMD tells you itself — just not next to the price. Down in the FAQ: those figures are "for eligible patients with a promotion". What the price is without one, it never says. The coverage is genuinely good though — all fifty states plus DC, 503A compounding, cold-chain, shipped within 48 hours of approval. There's an oral semaglutide too, with no price anywhere. It runs about $114/month — toward the cheaper end of what I've reviewed.
I look at SurpassMD the way moms actually have to — not just the real monthly number, but nursing and pregnancy timing and canceling without a fight. That's the stuff a generic weight-loss review skips right over.
What SurpassMD really costs
- Compounded semaglutide — Promotional starting price: $114/mo
- Compounded tirzepatide — Promotional starting price: $177/mo
That's under the roughly $179 median across the providers I've reviewed — real money back in the grocery budget.
Which meds SurpassMD prescribes
SurpassMD prescribes semaglutide and tirzepatide. They work differently; a clinician should assess the indication, medical history, contraindications and practical access before choosing between them. Compounded GLP-1s are not FDA-approved finished products like Wegovy and Zepbound. Ask who dispenses the prescription and why a compounded formulation is appropriate for your situation.
There's a needle-free option here too, and it's worth asking exactly which kind before you choose it. An FDA-approved GLP-1 tablet is a studied medicine with its own label; a compounded under-the-tongue version is a different thing, far less studied than the shots the trials actually used. They get advertised in almost identical language.
Who SurpassMD is — and isn't — for
A good fit if…
- money is the actual barrier and you want a low, predictable number you can plan around.
- you might need to move between semaglutide and tirzepatide as your body and hormones shift.
- staying covered no matter where you are matters — a move for family shouldn't blow up your care.
Look elsewhere if…
- you specifically want an FDA-approved brand pen with its own pregnancy and lactation labeling.
- you want to compare another option before deciding — review the published terms and support offered by CoreAge Rx, our featured partner, alongside this provider.
Can you trust it?
My confidence is middling — the core facts hold up, but some details (per-state availability, how the program really runs) aren't fully public. With any compounded GLP-1, the most useful thing you can do is confirm which licensed pharmacy fills it and what's actually in the formulation — I explain how I weigh oversight in the scoring method.
Pregnancy plans and breastfeeding need a product-specific discussion with your prescriber. Lactation guidance differs by medicine and formulation; limited milk-transfer studies do not establish long-term safety for every infant. See the breastfeeding evidence guide and plan the timing with your own clinician.
So, would I use it?
SurpassMD is a genuine budget play — weigh it against the picks below on nursing and pregnancy timing and canceling without a fight. If you want a second option, CoreAge Rx is our featured partner — you can see them side by side in this head-to-head.
The bottom line for moms
Best for: If you want a provider that covers every state, and you'll ask what happens when the promotion ends.
If SurpassMD isn't the one
These are partners — we may be paid if you sign up through these links. My full list has every provider, partner or not.
- Visit CoreAge RxMom-Tested Score94/100ACoreAge RxFeatured partner
A featured partner advertising compounded semaglutide at $79 and tirzepatide at $129 a month, with the same price at every listed dose, supplies and shipping included.
- Visit Strut HealthMom-Tested Score78/100C
Strut advertises injectable semaglutide at $129 a month and tirzepatide from $149. Its oral semaglutide pages disagree on price. Consultation and shipping are included, and its February2026 FDA warning letter belongs beside the comparison.
- Visit LttlMom-Tested Score75/100C
Lttl lists monthly auto-refill at $99 for compounded semaglutide and $149 for tirzepatide, each with a four-week supply. Lower monthly equivalents require prepayment. Assessment, care-team access, medication and shipping are included; its refund pages conflict.
Providers like SurpassMD
A few more providers with a lot in common with SurpassMD, if you want to read them side by side.
- Ozi review46/100 · Grade C · Compounded only · $79+/mo
- Trellis Vitality review79/100 · Grade B− · Compounded only · $150+/mo
- Teleios Health review63/100 · Grade C · Compounded only · $99+/mo
- Andrew Meds review73/100 · Grade C · Compounded only · $199+/mo
- Pomegranate Health review48/100 · Grade C · Compounded only · $119+/mo
- Open Water Rx review72/100 · Grade C · Compounded only · $169+/mo
Keep comparing SurpassMD
Head-to-head & alternatives
SurpassMD, answered
- How much does SurpassMD cost?
- As I last checked, SurpassMD's pricing starts around $114/month (As low as $114/mo, promotional semaglutide, As low as $177/mo, promotional tirzepatide). Confirm the current, all-in number on SurpassMD's own site before you commit — these move.
- Is SurpassMD okay to use while I'm breastfeeding?
- Breastfeeding advice depends on the exact medication and formulation. Breastfeeding is not recommended during oral semaglutide treatment; injected semaglutide and tirzepatide labeling calls for weighing clinical need, breastfeeding benefits and possible infant effects. Limited milk-transfer findings do not establish infant safety. Discuss the product offered by SurpassMD, your baby's age and feeding pattern with your prescriber and pediatrician before deciding.
- Does SurpassMD have both semaglutide and tirzepatide?
- Public information lists tirzepatide from SurpassMD; confirm whether semaglutide is also currently available and which formulations are offered. Medication choice needs an individual clinical assessment, including your medical history and treatment goals.
- Where does SurpassMD land on your list?
- SurpassMD scores 59/100 on the Mom-Tested Score (ranked #178), which weights the six things that actually matter when you're doing this around kids. CoreAge Rx, our featured partner, is worth a look side by side.
Pricing, states and verification reflect SurpassMD's public disclosures at last review; the Mom-Tested Score is one mom's editorial judgment per the published method. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See my medical disclaimer and how I'm funded.