Apex MD vs MyStart Health
Apex MD and MyStart Health both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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MyStart Health
Best for: bloodwork inside the $299/month rather than billed on top
Visit MyStart Health →If you are choosing between Apex MD and MyStart Health, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Apex MD leads our six-part score, 7.0 to 6.5. One of the two has an FDA warning letter on record, covered below.
Apex MD vs MyStart Health price
Apex MD and MyStart Health start at the same figure, $299 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $299 a month; tirzepatide is cheaper at MyStart Health ($299 a month vs $399 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Apex MD lists 51 states, and MyStart Health does not publish where it ships.
Pricing
Apex MD
weekly injection, includes NAD/B-12/L-Carnitine, month-to-month
weekly injection, month-to-month
daily oral
daily oral
MyStart Health
The program 'starts at $299/month, excluding any discounts,' and includes consults, unlimited clinician access, medication, labs and shipping. A '$150 Off + Lifetime 25% Off' promotion runs (coupon SELFLOVE25), but the discounted price is not published; plan prices appear only after you sign a medical attestation.
Same flat $299 all-inclusive program price. MyStart offers compounded tirzepatide by injection; no oral tirzepatide is advertised. Per-drug pricing is not published and appears only after the intake questionnaire.
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
MyStart Health's price also covers lab work, which Apex MD does not claim.
Apex MD is silent on lab work and coaching.
MyStart Health is silent on coaching.
Apex MD
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
MyStart Health
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
In the price
Coaching
Not stated
Where each one scores higher
Overall, Apex MD scores 7.0 and MyStart Health 6.5 out of 10.
Apex MD is stronger on trust & safety (8.5 vs 3.5) and accessibility (10.0 vs 5.0).
MyStart Health is stronger on value (3.7 vs 1.6), user experience (8.0 vs 7.5) and support (8.5 vs 7.0).
Effectiveness is within half a point.
Apex MD
7.0/10
MyStart Health
6.5/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent MyStart Health a warning letter dated September 9, 2025 (letter 714755), and it is still open.
Apex MD has no FDA warning letter on record with us.
Features & Coverage
| Feature | Apex MD | MyStart Health |
|---|---|---|
| Starting Price | $299/mo | $299/mo |
| Features | ✓8 features | 6 features |
| States Available | 51 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | ✓None | 1 letter |
About Apex MD
By injection each week: 299 dollars per month covers compounded semaglutide, 399 dollars compounded tirzepatide. Swallowed daily instead, semaglutide is 349 dollars per month and tirzepatide 419 dollars. L-Carnitine, B-12 and NAD are added into the formulations. No extra fee attaches to Labcorp labs or to provider visits, of which there is no limit, and the package usually arrives inside four business days. Microdosing is on the menu, and licensure covers all 50 states.
Read our full Apex MD review →About MyStart Health
MyStart Health charges $299/month all-inclusive for compounded semaglutide and tirzepatide, with a price-lock guarantee, same-day physician consultations, and 24/7 care team access. It is LegitScript certified and structured as a Delaware MSO partnering with licensed US clinicians. What it does best is speed of onboarding.
Read our full MyStart Health review →Pros & Cons
Apex MD
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
- We found no FDA warning letters issued to Apex MD
- Baseline bloodwork is required before a prescription
Watch-outs
- Semaglutide costs $299 a month, 62% above the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $399 a month, 60% above the $250 median for compounded tirzepatide across the sellers we compare
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
MyStart Health
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits, shipping and lab work
Watch-outs
- Semaglutide costs $299 a month, 62% above the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $299 a month, 20% above the $250 median for compounded tirzepatide across the sellers we compare
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued MyStart Health a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Apex MD wins this one, 7.0 to 6.5, above all for an oral route if you will not self-inject. MyStart Health fits better if bloodwork inside the $299/month rather than billed on top is your priority.
Choose Apex MD if…
You want an oral route if you will not self-inject and an opening price near $299 a month.
Choose MyStart Health if…
You want bloodwork inside the $299/month rather than billed on top and an opening price near $299 a month.
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Get started →Apex MD vs MyStart Health: FAQ
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