Apex MD vs Velvet Rx
Apex MD and Velvet Rx both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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If you are choosing between Apex MD and Velvet Rx, 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.
Apex MD vs Velvet Rx price
Apex MD and Velvet Rx 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 Velvet Rx ($359 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 Velvet Rx 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
Velvet Rx
What each price covers
Both prices cover the clinician visit, the medication itself and shipping.
Apex MD is silent on lab work and coaching.
Velvet Rx is silent on lab work and 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
Velvet Rx
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
Where each one scores higher
Overall, Apex MD scores 7.0 and Velvet Rx 6.5 out of 10.
Apex MD is stronger on trust & safety (8.5 vs 6.5) and accessibility (10.0 vs 5.0).
Velvet Rx is stronger on value (2.4 vs 1.6) and user experience (8.0 vs 7.5).
Effectiveness and support are within half a point.
Apex MD
7.0/10
Velvet Rx
6.5/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Apex MD nor Velvet Rx has an FDA warning letter on record with us.
Features & Coverage
| Feature | Apex MD | Velvet Rx |
|---|---|---|
| Starting Price | $299/mo | $299/mo |
| Features | ✓8 features | 6 features |
| States Available | 51 | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | None | None |
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 Velvet Rx
Three SKUs are listed openly on Velvet Rx's site: an oral GLP-1, compounded tirzepatide and compounded semaglutide. The 'today' prices of $139 to $199 are a first-month promotion; regular monthly rates are $299, $359 and $349. Each plan takes in a doctor consult, the written prescription, 4 weeks of drug, shipping free in 1-2 days and a medical team reachable at any hour. Cash is the only tender, and FSA/HSA qualify.
Read our full Velvet Rx 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
Velvet Rx
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
- We found no FDA warning letters issued to Velvet Rx
Watch-outs
- Semaglutide costs $299 a month, 62% above the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $359 a month, 44% 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
- 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. Velvet Rx fits better if an oral route if you will not self-inject 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 Velvet Rx if…
You want an oral route if you will not self-inject and an opening price near $299 a month.
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Moving between compounded and brand without changing seller
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Get started →Apex MD vs Velvet Rx: FAQ
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