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SurpassMD vs VevaRx

VevaRx costs $2 less a month, and both sell semaglutide and tirzepatide.

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By Ruth Calder · Enforcement Editor
Editorially reviewed (not clinically reviewed). Not medical advice · How we verify contentLast reviewed
SurpassMD logo

SurpassMD

7.3
★★★★☆3.7/5

Best for: coverage in all 50 states, which most sellers will not confirm

Visit SurpassMD →
VS

VevaRx

8.0
★★★★☆4/5

Best for: someone who wants the total cost stated up front and can pay three months at once

Visit VevaRx →

If you are choosing between SurpassMD and VevaRx, the first difference is cost: VevaRx is $2 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. VevaRx leads our six-part score, 8.0 to 7.3.

SurpassMD vs VevaRx price

VevaRx is the cheaper way in: $122 a month on a prepaid plan against $124 a month at SurpassMD. That is $2 less each month (2% lower), or about $24 over a year of treatment.

VevaRx's figure is a monthly average of a plan billed for several months at once, so the first charge is larger than the number shown.

Drug by drug: Semaglutide is cheaper at VevaRx ($122 a month on a prepaid plan vs $124 a month); tirzepatide is cheaper at VevaRx ($149 a month on a prepaid plan vs $184 a month).

Medications and formats

Both sell semaglutide and tirzepatide.

On format they match: each offers compounded injections.

Where each one treats patients

SurpassMD lists 51 states, and VevaRx does not publish where it ships.

Pricing

SurpassMD

Starting price for eligible patients, billed monthlyCompounded
$124/mo
semaglutide

Homepage/FAQ: 'Semaglutide starts as low as $124/m ... for eligible patients. Actual pricing depends on medication, dose, and provider approval.'

Starting price for eligible patients, billed monthlyCompounded
$184/mo
tirzepatide

Homepage/FAQ: 'tirzepatide starts as low as $184/m ... for eligible patients. Actual pricing depends on medication, dose, and provider approval.'

VevaRx

Compounded semaglutide (3-month plan, $367 charged up front, renews quarterly)Compounded
$122/mo
semaglutide

Site states "The three-month plan is priced at $367. Three month minimum required. Auto renews every three months." $122 is the site's own per-month equivalent, not a rate offered.

Compounded tirzepatide (3-month plan, $467 charged up front, renews quarterly)Compounded
$149/mo
tirzepatide

Site states "The three-month plan is priced at $467. 3 month minimum required. Ongoing plan billed every 3 months." $149 is the site's own per-month equivalent, not a rate offered.

What each price covers

Both prices cover the clinician visit and the medication itself.

VevaRx's price also covers shipping, which SurpassMD does not claim.

SurpassMD is silent on shipping, lab work and coaching.

VevaRx is silent on lab work and coaching.

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

VevaRx

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, VevaRx scores 8.0 and SurpassMD 7.3 out of 10.

SurpassMD is stronger on trust & safety (8.5 vs 6.5) and accessibility (10.0 vs 5.0).

VevaRx is stronger on value (8.7 vs 3.0) and support (7.0 vs 5.5).

Effectiveness and user experience are within half a point.

How we score

SurpassMD

7.3/10

Overall

VevaRx

8.0/10

Value25%

3.0A
vs
B
8.7

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

8.0A
vs
B
8.0

Trust & Safety15%

8.5A
vs
B
6.5

Accessibility10%

10.0A
vs
B
5.0

Support10%

5.5A
vs
B
7.0

FDA warning letters

Neither SurpassMD nor VevaRx has an FDA warning letter on record with us.

Features & Coverage

FeatureSurpassMDVevaRx
Starting Price$124/mo✓$122/mo prepaid
Features✓8 features3 features
States Available51Not disclosed
Compounded✓ Yes✓ Yes
Brand Name——
FSA/HSA Accepted✓ Yes—
FDA Warning LettersNoneNone

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 →

About VevaRx

VevaRx LLC sells compounded semaglutide and tirzepatide on three-month plans only, with clinical care routed to a third party its privacy notice names as TelegraMD. There is no month-to-month option: semaglutide is $367 for three months and tirzepatide is $467, each charged in one payment with a three-month minimum and automatic renewal every three months. The per-month figures the site shows are those totals divided by three. It also sells sermorelin, glutathione and NAD+. Its compounding pharmacy is described only as an independent state-licensed pharmacy and is not named.

Read our full VevaRx review →

Pros & Cons

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

VevaRx

What we like

  • Semaglutide costs $122 a month, 34% below the $185 median for compounded semaglutide across the sellers we compare
  • Tirzepatide costs $149 a month, 40% below the $250 median for compounded tirzepatide 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 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 VevaRx

Watch-outs

  • 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

Winner: VevaRx

VevaRx wins this one, 8.0 to 7.3, above all for someone who wants the total cost stated up front and can pay three months at once. It also costs $2 less each month than SurpassMD. SurpassMD fits better if coverage in all 50 states, which most sellers will not confirm is your priority.

Choose SurpassMD if…

You want coverage in all 50 states, which most sellers will not confirm and an opening price near $124 a month.

Choose VevaRx if…

You want someone who wants the total cost stated up front and can pay three months at once and an opening price near $122 a month.

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8.4

Strut Health

Semaglutide at $99/month, 48% below the typical price

8.4

Enhance MD

Knowing which pharmacy fills the vial: it names Tru Meds Rx

6.1

DudeMeds

Compounded semaglutide at $175/month

SurpassMD vs VevaRx: FAQ

VevaRx. It starts at $122 a month on a prepaid plan; SurpassMD starts at $124 a month, $2 more per month.
Yes, both sell semaglutide and tirzepatide.
SurpassMD lists 51 states; VevaRx does not publish where it ships. Confirm your state before paying.
Both include the clinician visit and the medication itself. Only VevaRx includes shipping.
SurpassMD has none. VevaRx has none.
No. Neither SurpassMD nor VevaRx pays us anything.

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