- walked the public signup
- tracked the real cost
- read the fine print
SurpassMD review
$114 a month for semaglutide is one of the lowest numbers I've seen anywhere, 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
- Walked the public signup
- No insurance needed
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, its disclosures and the signup I walked, and the six add up to the 59/100 Mom-Tested Score on the same weighted six-factor method I use on every provider — never nudged by whether a provider pays us.
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
- Last verified
- August 2026
- Confidence
- medium
- Primary source
- surpassmd.com
Read from SurpassMD's own pages in August 2026. 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.
What to expect when you sign up
I walked SurpassMD's public signup funnel (August 2026) — a first-hand look at the flow. I don't create accounts, enter medical info, or check out, so this is what any visitor sees, not a patient outcome.
- 1The signup call to action leaves surpassmd.com for intake.surpassmd.com, a separate host
- 2The intake responded HTTP 200 when checked on 2026-08-21
- 3Walked to the intake entry only. No personal information was submitted, so nothing past the entry screen is asserted here
What I noticed
- No monthly price is visible on the public homepage; the number appears only after you begin the intake
- Intake is hosted on intake.surpassmd.com, so the company you fill the form in with is not the domain you started on
Pricing
Prices re-verified
| 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 — wider than almost anyone else on this list
- 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 one of the lowest numbers I've seen anywhere, 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 walked.
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 I found across the providers I walked — real money back in the grocery budget.
Which meds SurpassMD prescribes
SurpassMD prescribes semaglutide and tirzepatide — the two with the strongest published weight-loss numbers, and having both on one account genuinely matters if insulin resistance is in the mix (which it often is with PCOS or after gestational diabetes), because that's when tirzepatide tends to be the better fit. These are compounded from a licensed pharmacy — that's why the price stays down — but compounded GLP-1s aren't FDA-approved finished products the way Wegovy and Zepbound are, and it's worth knowing that going in.
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'd rather a prescriber actually talk through nursing and pregnancy timing with you — that's what my #1 pick, CoreAge Rx, is built to do.
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.
A standing caveat, because I'm a mom writing this and not your doctor: GLP-1 meds aren't established as safe during pregnancy or breastfeeding, and every label advises against it. Nothing here changes that — 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. For most moms, CoreAge Rx is still the stronger all-round fit — and you can see them side by side in this head-to-head.
The bottom line for moms
Best for: If you're in one of the states everyone else skips, and you'll ask what happens when the promotion ends.
If SurpassMD isn't the one
Providers I have a referral relationship with, ordered by Mom-Tested Score — highest first. A fee never moves a score, but it does decide who shows up in this box, so it isn't everyone: my full ranking has every provider, paid or not.
- Visit CoreAge RxMom-Tested Score94/100ACoreAge RxMy #1 pick
The one I'd point a friend to first: I finished the intake in a single nap, the price on screen was the price I'd actually pay, and both semaglutide and tirzepatide were right there on one account.
- Visit Pallas HealthMom-Tested Score86/100B+
Pallas is one of the few places that will sell you either the cheap compounded route or the real brand-name pen without making you pick a provider first — compounded semaglutide works out to about $199 a month and tirzepatide about $299, while actual Zepbound, Ozempic, Wegovy and Mounjaro sit alongside them at cash-pay prices from $1,069. The price genuinely doesn't climb as you titrate, Pallas says so plainly on its own site, and the clinician, dose adjustments, check-ins and messaging are all inside that one number with no membership fee stacked on top. Two clinicians are named and both check out in the federal NPI registry, the LegitScript badge it displays is a real one, and it publishes an actual refund policy — full refund if a clinician turns you down, and a $5 processing fee if you cancel a qualifying payment — which is more paperwork than most of this market bothers with. The two things to know before you commit: it bills every 12 weeks in $597 and $897 chunks rather than monthly, and it never names its compounding pharmacy.
- Visit Trimi HealthMom-Tested Score85/100B
The price-first pick: some of the lowest flat, all-inclusive pricing I found, in all 50 states — great if the monthly number is your whole decision and you read the annual-prepay fine print before you sign.
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?
- No — and that's true of every GLP-1, compounded or brand: none is established as safe in pregnancy or breastfeeding, and the labels say don't. SurpassMD is no exception. Plan any GLP-1 for after weaning and talk the timing through with your own clinician. I'm a mom, not a doctor.
- Does SurpassMD have both semaglutide and tirzepatide?
- Yes — SurpassMD offers both. Tirzepatide's dual GIP/GLP-1 action is often the one clinicians reach for when insulin resistance drives weight, which matters if you've got PCOS or a history of gestational diabetes.
- Where does SurpassMD land on your list?
- SurpassMD scores 59/100 on the Mom-Tested Score (ranked #162), which weights the six things that actually matter when you're doing this around kids. My #1 pick, CoreAge Rx, leads the list — worth seeing how they stack up.
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.