Levers Health vs SurpassMD
Levers Health costs $1 less a month, and both sell semaglutide and tirzepatide.
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Levers Health
Best for: starting below a standard dose, with microdose tiers
Visit Levers Health →
SurpassMD
Best for: coverage in all 50 states, which most sellers will not confirm
Visit SurpassMD →If you are choosing between Levers Health and SurpassMD, the first difference is cost: Levers Health is $1 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Levers Health leads our six-part score, 7.9 to 7.3.
Levers Health vs SurpassMD price
Levers Health is the cheaper way in: $123 a month against $124 a month at SurpassMD. That is $1 less each month (1% lower), or about $12 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Levers Health ($123 a month vs $124 a month); tirzepatide is cheaper at SurpassMD ($184 a month vs $296 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Levers Health does not publish where it ships, and SurpassMD lists 51 states.
Pricing
Levers Health
New higher-dose tier.
Any-dose plan is $396/mo - the prior $296 row was actually the up-to-5mg Low-Dose plan, now relabeled below.
Marketed as $123/month, but billed and shipped as $246 every other month. $123 is the monthly equivalent.
SurpassMD
Homepage/FAQ: 'Semaglutide starts as low as $124/m ... for eligible patients. Actual pricing depends on medication, dose, and provider approval.'
Homepage/FAQ: 'tirzepatide starts as low as $184/m ... for eligible patients. Actual pricing depends on medication, dose, and provider approval.'
What each price covers
Both prices cover the clinician visit and the medication itself.
Levers Health's price also covers shipping, which SurpassMD does not claim.
Levers Health is silent on lab work and coaching.
SurpassMD is silent on shipping, lab work and coaching.
Levers 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
SurpassMD
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
Not stated
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Levers Health scores 7.9 and SurpassMD 7.3 out of 10.
Levers Health is stronger on value (7.9 vs 3.0) and support (7.0 vs 5.5).
SurpassMD is stronger on trust & safety (8.5 vs 6.5) and accessibility (10.0 vs 5.0).
Effectiveness and user experience are within half a point.
Levers Health
7.9/10
SurpassMD
7.3/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
Neither Levers Health nor SurpassMD has an FDA warning letter on record with us.
Features & Coverage
| Feature | Levers Health | SurpassMD |
|---|---|---|
| Starting Price | ✓$123/mo | $124/mo |
| Features | 4 features | ✓8 features |
| States Available | Not disclosed | 51 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | ✓ Yes |
| FDA Warning Letters | None | None |
About Levers Health
Levers Health LLC starts compounded semaglutide at $247/mo and compounded tirzepatide at $296/mo, and also sells low-dose and microdose GLP-1 for longevity. It positions itself as personalized performance medicine.
Read our full Levers Health review →About SurpassMD
For patients who qualify, the floor is $124/month on semaglutide and $184/month on tirzepatide. Payment is cash only, with Klarna-style financing and HSA/FSA both accepted. Life Vitality LLC runs the site, putting patients in touch with independent providers who hold licenses; the compounded drug then leaves a 503A pharmacy under cold chain. Consent and clinical intake are handled on the telehealth platform belonging to OpenLoop.
Read our full SurpassMD review →Pros & Cons
Levers Health
What we like
- Semaglutide costs $123 a month, 34% below the $185 median for compounded semaglutide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
- We found no FDA warning letters issued to Levers Health
Watch-outs
- Tirzepatide costs $296 a month, 18% 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
SurpassMD
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication and clinician visits
- Serves all 50 states
- We found no FDA warning letters issued to SurpassMD
Watch-outs
- 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
Levers Health wins this one, 7.9 to 7.3, above all for starting below a standard dose, with microdose tiers. It also costs $1 less each month than SurpassMD. SurpassMD fits better if coverage in all 50 states, which most sellers will not confirm is your priority.
Choose Levers Health if…
You want starting below a standard dose, with microdose tiers and an opening price near $123 a month.
Choose SurpassMD if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $124 a month.
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Get started →Levers Health vs SurpassMD: FAQ
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