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Ranked #178 for moms · Grade C · 59/100

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.

$114/mo
Medication Shipping
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  • HSA / FSA-eligible
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Written by (pen name) — provider research, not medical advicePrices checked

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.

No-surprise pricing28/100 · Weak

Scores low: pinning down the real ongoing number takes work.

Works in your state92/100 · Nailed it

Scores high: where you live is unlikely to be the obstacle.

Both meds available78/100 · Fair

Covers what most moms need, if not every option.

Cancel without a fight62/100 · Weak

Exit terms are the weak point: lock-in, notice periods, or a cancellation you have to chase.

Nap-time-easy signup62/100 · Weak

Scores low here: getting started asks more of your week than most.

Support you can reach38/100 · Weak

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

Compounded semaglutide$114Promotional 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$177Promotional 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.

  • CoreAge 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 CoreAge Rx
  • 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 Strut Health
  • 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.

    Visit Lttl

Providers like SurpassMD

A few more providers with a lot in common with SurpassMD, if you want to read them side by side.

Keep comparing SurpassMD

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.

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