Elevated Health vs Vital Step
Elevated Health and Vital Step both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Elevated Health
Best for: moving between compounded and brand without changing seller
Visit Elevated Health →Vital Step
Best for: people who want compounded semaglutide or tirzepatide in tablet form and accept a no-refund policy
Visit Vital Step →If you are choosing between Elevated Health and Vital Step, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Vital Step leads our six-part score, 5.6 to 4.9. One of the two has an FDA warning letter on record, covered below.
Elevated Health vs Vital Step price
Elevated Health and Vital Step start at the same figure, $296 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, $296 a month; tirzepatide is cheaper at Elevated Health ($359 a month vs $396 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, Elevated Health prices compounded injections and brand-name pens, while Vital Step prices compounded injections.
If you want the FDA-approved brand rather than a compounded version, Elevated Health is the only one of the two with a brand-name price.
Where each one treats patients
Elevated Health does not publish where it ships, and Vital Step lists 50 states.
Pricing
Elevated Health
$196 first month, $296/mo after on the monthly plan; lower on longer plans (3-mo $242, 6-mo $229, 12-mo $187/mo)
$259 first month, $359/mo after on the monthly plan; lower on longer plans (3-mo $304, 6-mo $281, 12-mo $235/mo)
new branded option
Vital Step
$179 for the first month, then $296 a month, on the plan labelled no commitment. Longer plans are listed as 3, 6 and 12-month supplies with lower monthly rates; the advertised "as low as $161" is the first month of the 6-month plan.
Compounded semaglutide tablets on the same price ladder as the injection: $179 for the first month, then $296 a month.
$279 for the first month, then $396 a month. The advertised "as low as $198" is the first month of the 6-month plan, which then continues at a higher monthly rate.
Compounded tirzepatide tablets on the same price ladder as the injection: $279 for the first month, then $396 a month.
What each price covers
Both prices cover shipping.
Elevated Health's price also covers the clinician visit and the medication itself, which Vital Step does not claim.
Elevated Health is silent on lab work and coaching.
Vital Step is silent on the clinician visit, the medication itself, lab work and coaching.
That matters most for the drug: unless Vital Step confirms otherwise, budget for medication on top of its listed price.
Elevated Health
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
Vital Step
Covered by the monthly price
Medication
Not stated
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Vital Step scores 5.6 and Elevated Health 4.9 out of 10.
Elevated Health is stronger on value (2.4 vs 1.7) and support (7.0 vs 5.0).
Vital Step is stronger on trust & safety (5.0 vs 1.0) and accessibility (10.0 vs 5.0).
Effectiveness and user experience are within half a point.
Elevated Health
4.9/10
Vital Step
5.6/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Elevated Health a warning letter dated September 9, 2025 (letter 719811), and it is still open.
Vital Step has no FDA warning letter on record with us.
Features & Coverage
| Feature | Elevated Health | Vital Step |
|---|---|---|
| Starting Price | $296/mo | $296/mo |
| Features | 4 features | ✓8 features |
| States Available | Not disclosed | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | ✓None |
About Elevated Health
Elevated Health lists compounded semaglutide at $176/mo and compounded tirzepatide at $238/mo, with $100 off the first month as a promotional offer. Oral semaglutide is also on the menu.
Read our full Elevated Health review →About Vital Step
Vital Step is a Las Vegas telehealth company selling compounded semaglutide and tirzepatide as weekly injections or daily tablets, with care through the Dr. TelX medical group. Month to month, semaglutide runs $296 and tirzepatide $396 after a discounted first month of $179 or $279. The "as low as" prices in its ads are first-month rates on six-month plans, and its policy says charges are not refundable.
Read our full Vital Step review →Pros & Cons
Elevated Health
What we like
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication, clinician visits and shipping
Watch-outs
- Semaglutide costs $296 a month, 57% above the $188 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
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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 Elevated 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
Vital Step
What we like
- The monthly price includes shipping
- Serves all 50 states
- We found no FDA warning letters issued to Vital Step
Watch-outs
- Semaglutide costs $296 a month, 57% above the $188 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $396 a month, 58% above the $250 median for compounded tirzepatide across the sellers we compare
- You only see a price after finishing the medical intake, so you cannot compare costs before sharing health information
- 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
Vital Step wins this one, 5.6 to 4.9, above all for people who want compounded semaglutide or tirzepatide in tablet form and accept a no-refund policy. Elevated Health fits better if moving between compounded and brand without changing seller is your priority.
Choose Elevated Health if…
You want moving between compounded and brand without changing seller and an opening price near $296 a month.
Choose Vital Step if…
You want people who want compounded semaglutide or tirzepatide in tablet form and accept a no-refund policy and an opening price near $296 a month.
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