How much does SurpassMD cost?

When we last checked, the lowest eligible ongoing compounded price at SurpassMD worked out to an estimated $219 per calendar month. This is a monthly budget equivalent; the actual charge and billing interval may differ. Confirm today's all-in invoice amount, renewal dates and dose-specific rate before signing up.

Is SurpassMD safe to use while breastfeeding?

Discuss breastfeeding with your prescriber before starting treatment through SurpassMD. Advice depends on the exact medicine and formulation, your treatment needs and your infant's circumstances; limited milk data do not establish infant safety. Oral and injectable products can have different labeling, and a compounded preparation needs its own assessment. Tell the clinician if you are pregnant or planning pregnancy so treatment and any stopping interval can be planned individually.

Does SurpassMD offer both semaglutide and tirzepatide?

SurpassMD discloses both semaglutide and tirzepatide options. Confirm the specific product, formulation, current availability in your state and eligibility with the provider; a listed menu does not mean either medicine is appropriate for you.

Where does SurpassMD rank for mothers?

SurpassMD takes 49/100 in our Editors' Rating, placing it #240. Six factors chosen for mothers feed that number. CoreAge Rx, a featured partner, is worth a side-by-side look.

Grade C

SurpassMD review

The homepage cards say semaglutide "as low as $114" and tirzepatide "$177" — but those are first-subscription prices on a 12-month supply. Month to month, the standing rate is $219 for semaglutide and $309 for tirzepatide, the same at every dose, and SurpassMD now prints that renewal table on each medication page. Coverage is genuinely broad, all fifty states plus DC, with 503A compounding and cold-chain shipping inside 48 hours, plus an oral semaglutide tablet.

$175to start

then $219/mo ongoing

Flat price · every dose

Medication Shipping

See plans at SurpassMD

Six-factor Editors' Rating
Public signup walkthrough

Compare alternatives ↓

By Margaux Ellery, Editor-in-Chiefa mother on the MetabolicMoms desk, not a treating clinician

October 2026

This review draws on the provider’s public pricing, terms and disclosures. No one on this desk is your clinician.

SurpassMD at a glance

Semaglutide: $219/mo month to month ($175 first month)
Tirzepatide: $309/mo month to month ($247 first month)
Coverage: All 50 states and DC
Brand-name: Compounded only

How we scored SurpassMD

Each score comes out of SurpassMD's published pricing, disclosures and oversight, and the six combine into the 49/100 Editors' Rating on our weighted six-factor framework. A commission never changes a provider's score.

Pricing transparency58/100 · Weak

The headline rate obscures a plan requirement or a hidden step-up.

Family-budget value46/100 · Weak

Cost is unpredictable, premium, or hides behind a plan commitment.

Fits around motherhood54/100 · Weak

Little here is shaped around a mother's week or her life stage.

Ongoing support & titration40/100 · Weak

Support is thin once the prescription ships.

Clinical oversight & labs38/100 · Weak

Oversight and lab support fall short of the best we track — the review below says exactly where.

Flexibility to pause or cancel62/100 · Weak

Leaving costs you — notice windows, minimum terms or fees you don't get back.

How we verified this review

Primary source: The company's own site

Month to month, SurpassMD charges $219 for semaglutide and $309 for tirzepatide, the same at every dose. The homepage's "as low as $114" and "$177" are first-subscription prices on a 12-month supply; 3- and 6-month supplies sit in between. The oral semaglutide tablet shows only a $183 introductory price. SurpassMD covers all fifty states and DC, describes 503A compounding with cold-chain shipping inside 48 hours, accepts HSA and FSA cards, and names its operating company as Life Vitality LLC.

What to expect when you sign up

We walked SurpassMD's public signup — a first-hand look at the flow. We don't create accounts, enter medical data, or complete checkout, so this is what any visitor sees, not a patient outcome.

These signup observations are from August 2026. The flow and offers may have changed; use the current pricing and terms in this review.

1Each medication page shows the full price table before you start: month to month, 3, 6 and 12 months, each with its introductory and renewal rate
2The signup button opens SurpassMD's separate intake portal
3A licensed provider reviews the assessment before anything is prescribed or shipped

What we noticed

The homepage leads with the lowest introductory price on the 12-month plan; the month-to-month renewal rate is on the medication pages
Intake runs on a separate portal rather than SurpassMD's main site

Pricing

Medication	Price	Plan
Compounded semaglutide	$175 → $219	30-day supply, month to month (all doses)Standard renewal rate $219 for a 30-day supply; $175 introductory price applies to the first subscription with a discount code. Same price at every prescribed dose.
Compounded semaglutide	$156 → $195	3-month supplyPer-month rate on a3-month supply; $156 introductory on the first subscription.
Compounded semaglutide	$144 → $180	6-month supplyPer-month rate on a6-month supply; $144 introductory on the first subscription.
Compounded semaglutide	$114 → $143	12-month supplyPer-month rate on a12-month supply; the homepage's "as low as $114" is this plan's introductory price.
Compounded tirzepatide	$247 → $309	30-day supply, month to month (all doses)Standard renewal rate $309 for a 30-day supply; $247 introductory price applies to the first subscription with a discount code. Same price at every prescribed dose.
Compounded tirzepatide	$232 → $299	3-month supplyPer-month rate on a3-month supply; $232 introductory on the first subscription.
Compounded tirzepatide	$220 → $275	6-month supplyPer-month rate on a6-month supply; $220 introductory on the first subscription.
Compounded tirzepatide	$177 → $222	12-month supplyPer-month rate on a12-month supply; the homepage's "as low as $177" is this plan's introductory price.
Oral semaglutide	$183	Oral tablet, 1-month supply (introductory)"Introductory pricing of $183 per month applies to the first subscription" with a discount code; the renewal rate is not published.

Swipe the table to see plan details →

GLP-1 telehealth is usually HSA- and FSA-eligible, so check your own plan. Everything above comes from SurpassMD's public disclosures at last review and change often; confirm the current number on SurpassMD's own site.

What we like

All fifty states plus the District of Columbia — wider coverage than most of our list
States its pharmacy arrangement plainly: 503A compounding, cold-chain, tracked, shipped within 48 hours of approval
Carries an oral semaglutide tablet as well as the injections
Publishes its full renewal table — month-to-month, 3-, 6- and 12-month rates — and the price does not rise as your dose goes up
"Cancel anytime", with HSA and FSA cards and installment payments both accepted
Says who it is — "SurpassMD is a brand of Life Vitality LLC"

The caveats

The homepage headline prices ($114 and $177) are first-subscription discounts on a 12-month supply; month to month you pay $219 or $309
The cheaper rates mean committing to a 3-, 6- or 12-month supply, and nothing is refunded on cancellation unless you're medically disqualified
The oral semaglutide tablet shows only a $183 introductory price; what it renews at is not published
The Lewes, Delaware address is a commercial registered-agent address shared by thousands of companies, not a clinic
The homepage runs a weight-loss projection slider — "Month 12 ~14% estimated weight loss" — which is a marketing estimate, though the site does label it illustrative

SurpassMD for mothers: our verdict

The $114 you see first is an opening price; after that, SurpassMD charges about $219/month. Its strongest marks from us are for flexibility to pause or cancel; its weakest are for clinical oversight.

SurpassMD pricing

Compounded semaglutide — 30-day supply, month to month (all doses): $175 to start, then $219/mo
Compounded semaglutide — 3-month supply: $156 to start, then $195/mo
Compounded semaglutide — 6-month supply: $144 to start, then $180/mo
Compounded semaglutide — 12-month supply: $114 to start, then $143/mo
Compounded tirzepatide — 30-day supply, month to month (all doses): $247 to start, then $309/mo
Compounded tirzepatide — 3-month supply: $232 to start, then $299/mo

That's close to the roughly $196/month most providers we've reviewed charge. A full year at the regular rate comes to roughly $2,628. A prepaid plan lowers the monthly equivalent to about $183 — worth it only if you're sure you'll stay. It charges one price at every dose — stepping up doesn't change the bill.

The price covers the medication and shipping.

The medications SurpassMD prescribes

SurpassMD prescribes semaglutide and tirzepatide. Semaglutide is the drug in Wegovy and Ozempic; tirzepatide, the drug in Zepbound and Mounjaro, also acts on GIP and is often preferred where insulin resistance drives weight. Expect compounded medication, not Wegovy or Zepbound pens. That's why the price is lower, and also why the FDA hasn't approved the finished product.

There's also an oral or under-the-tongue option for mothers who'd rather skip injections. Keep expectations modest: these forms have far less research behind them than the weekly shot.

Getting started

SurpassMD treats patients in all 50 states. You can see the price before you share any health history, so comparing it takes minutes, not an evening.

How SurpassMD compares

If you're weighing SurpassMD, these are priced nearby:

NuviaRx — $214.95/mo, semaglutide and tirzepatide
Optimized Health — $200/mo, semaglutide and tirzepatide
Enhance MD — $249/mo, semaglutide and tirzepatide, same price at every dose

Is SurpassMD right for you?

Worth it if…

You'd like the option to move to tirzepatide (or back) without changing providers.
You need a provider that works wherever you live.
You want to see the price before you share any health information.

Give it a miss if…

You'd only consider Wegovy or Zepbound themselves, not a compounded version.
You want to be able to cancel easily — read the cancellation terms in the cons first.
You'd like a prescriber to talk through pregnancy, breastfeeding or trying-to-conceive timing first — CoreAge Rx, a featured partner, is one to compare for that.

Can you trust it?

With any compounded GLP-1, ask which licensed pharmacy fills the prescription and what exactly is in the vial. How we score clinical oversight is set out in our methodology.

Tell your own clinician if you are pregnant, breastfeeding or trying to conceive before starting treatment. Using medication for weight loss is not recommended while pregnant. Breastfeeding decisions require the specific product’s labeling and an individual assessment, rather than a blanket rule across every GLP-1 formulation.

What to ask SurpassMD first

What does the price become after the first month?
How do I cancel, and is there a minimum term?
If I get pregnant or start trying, how do I pause, and will I be charged meanwhile?

SurpassMD is a reasonable choice at a typical price. It's strongest on flexibility to pause or cancel, so that's the reason to pick it. If you're still choosing, compare it with CoreAge Rx, a featured partner.

The bottom line for mothers

Best for: A family in a state most sellers skip that wants one flat price at every dose and can read past the introductory headline to the renewal rate.

See plans at SurpassMD

Alternatives to SurpassMD

These are partners — we may be paid if you sign up through these links. The full list has every provider we cover, partner or not.

CoreAge RxFeatured partner
The one program on our list whose number still makes sense at the top of the dose. A flat, all-in monthly price on both molecules, no teaser rate to expire, and a cancel button you can actually find — the closest thing to a family-budget guarantee we've reviewed.
Visit CoreAge Rx
bmiMD
A complete plan table and genuine nationwide coverage, undercut by a homepage that strikes the same product through from two different “regular” prices.
Visit bmiMD
SkinnyRx
A flat $249/mo semaglutide, $299/mo tirzepatide after a $99 first month, with an option most of the providers we list skips: a sublingual tablet instead of a weekly shot — but the FDA issued its parent entity, Lean Rx, Inc., a warning letter on 02/20/2026 (ref. 717989) for mislabeling itself as the compounder on its own product images and for marketing language implying its compounded products share FDA-approved status with Mounjaro and Zepbound, which they don't. Confirmed directly on FDA.gov; SkinnyRx's own site never mentions it.
Visit SkinnyRx

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SurpassMD, answered

How much does SurpassMD cost?: When we last checked, the lowest eligible ongoing compounded price at SurpassMD worked out to an estimated $219 per calendar month. This is a monthly budget equivalent; the actual charge and billing interval may differ. Confirm today's all-in invoice amount, renewal dates and dose-specific rate before signing up.
Is SurpassMD safe to use while breastfeeding?: Discuss breastfeeding with your prescriber before starting treatment through SurpassMD. Advice depends on the exact medicine and formulation, your treatment needs and your infant's circumstances; limited milk data do not establish infant safety. Oral and injectable products can have different labeling, and a compounded preparation needs its own assessment. Tell the clinician if you are pregnant or planning pregnancy so treatment and any stopping interval can be planned individually.
Does SurpassMD offer both semaglutide and tirzepatide?: SurpassMD discloses both semaglutide and tirzepatide options. Confirm the specific product, formulation, current availability in your state and eligibility with the provider; a listed menu does not mean either medicine is appropriate for you.
Where does SurpassMD rank for mothers?: SurpassMD takes 49/100 in our Editors' Rating, placing it #240. Six factors chosen for mothers feed that number. CoreAge Rx, a featured partner, is worth a side-by-side look.

Pricing, states and verification reflect SurpassMD's public disclosures at last review; the Editors' Rating is our editorial judgment per the published methodology. This is background reading, not medical advice — GLP-1 medications are not established as safe in pregnancy or breastfeeding. See our medical disclaimer and how we're funded.

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