# Apex MD reviews (2026): GLP-1 telehealth sellers | This GLP The weekly injection is sold with three additives, and what those additives do was not measured in the trials behind the drug. Publisher: This GLP Editorial Team Canonical: https://thisglp.com/reviews/apex-md Updated: 2026-10-28 By [This GLP Editorial Team](https://thisglp.com/about) · Updated September 2026 Additives inside the price # Apex MD review The weekly injection is sold with three additives, and what those additives do was not measured in the trials behind the drug. ## The verdict Apex MD prices compounded semaglutide at $299 a month by injection and tirzepatide at $399. The injectable preparation includes NAD, B-12 and L-carnitine, none of which the outcome trials studied. **Disclosure:** This GLP is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. The order on this page is not commercial, and a commission never changes what we write about a provider. [How we make money](https://thisglp.com/disclosures). Category GLP-1 telehealth Molecule Semaglutide · Tirzepatide Form Injection · Oral Dose pricing Flat across doses States 51 From From $299/mo Prescription Required Compounded Yes — not FDA-approved Apex MD sells compounded semaglutide and compounded tirzepatide as weekly injections. Oral pills appear only on a separate microdosing line. The injectable plans are described as month-to-month. Coverage extends to fifty states and the District of Columbia. 1. ## Who writes the prescription, and what do they see? A prescription is required for both products and treatment is arranged online. The plans are sold as month-to-month, so a reader is not committed past the first fill. What an intake asks before a prescription is written is not published. Nor is how often a patient is reviewed once the plan is running. The injectable preparation is not plain semaglutide. It is compounded with NAD, B-12 and L-carnitine in the same vial. That combination is the product Apex MD is selling, and it is priced as one thing. Whether the additives change the result is a separate question from whether the semaglutide does. 2. ## What happens when the dose goes up? The rate is stated as flat across doses on every plan. An escalation therefore does not move the monthly figure. That matters most between month one and month four, when the dose usually rises. Whether the additive quantities scale with the GLP-1 dose is not stated beside the price. 3. ## What the price includes These are among the higher figures in the compounded market, and the additives are part of what the price buys. A month-to-month plan is what is being priced, with no prepay rung published against it. The gap between the two molecules is $100 a month. 4. ## What it claims, and what it cites Both products are compounded, so a pharmacy prepares them and no regulator reviews the finished vial. The trial evidence a reader may have seen for [semaglutide](https://thisglp.com/research/semaglutide-cochrane-review) and [tirzepatide](https://thisglp.com/research/tirzepatide-vs-semaglutide-which-works-better) came from the approved products at label doses. Those trials studied the molecule alone. A combination with NAD, B-12 and L-carnitine was not measured. ## Where it holds up, and where it does not - Strength: Additives named on the product page - Strength: Rate stated as flat at every dose - Strength: Plans described as month-to-month - Limitation: Additive combination not studied in trials - Limitation: Figures sit high for compounded products - Limitation: No prepay rung published ## What the evidence says about this kind of treatment The assessment above is about Apex MD. These are about the drugs it sells, and they are traced to the primary literature. - [What happens to the dose, and to the side effects, over the first twenty weeks?](https://thisglp.com/research/how-long-does-nausea-last-on-a-glp1) - [How much of the weight lost is muscle, and what changes that?](https://thisglp.com/research/muscle-loss-on-glp1) - [What does the trial evidence show when treatment stops?](https://thisglp.com/research/stopping-glp1-and-weight-regain) Right for A reader who wants a month-to-month plan with no prepay commitment, and who is told what is in the vial before ordering. Wrong for A reader who wants the preparation to match what the trials tested, since the injection here carries three additives the trials did not include. ## The evidence behind what Apex MD prescribes These studies examine the medicines, not this provider. Results with approved products do not establish the quality or effectiveness of a seller’s compounded formulation. - [Cochrane Review of Semaglutide for Obesity: 18 Trials Graded](https://thisglp.com/research/semaglutide-cochrane-review) A 2025 Cochrane review pooled eighteen randomized trials. The weight figure is high certainty and smaller than the marketing, and almost everything else is graded lower. - [Tirzepatide vs Semaglutide: Which Works Better for Weight Loss?](https://thisglp.com/research/tirzepatide-vs-semaglutide-which-works-better) In a 72-week randomized trial at weight-management doses, weight fell 20.2 percent on tirzepatide and 13.7 percent on semaglutide. Routine-care studies found a smaller gap, three to four points. ## How Apex MD compares | Seller | Who it suits | Go | | --- | --- | --- | | Liberty | A reader who wants to know what kind of facility made the vial, and will accept a mid-market rate to get that in writing. | | | EverSlim | A reader who wants one monthly charge covering the medication, the visit and the postage, without a prepay term attached to reach the rate. | | | Maximus | A reader weighing a compounded preparation against the manufacturer's own pen, with both priced on one seller's pages. | | [Compare all providers side by side →](https://thisglp.com/best) More GLP-1 telehealth sellers reviews: [EOS Health](https://thisglp.com/reviews/eos) [Eve](https://thisglp.com/reviews/eve) [Everlywell (Weight Care+)](https://thisglp.com/reviews/everlywell-weight-care-plus)[Eviora MD](https://thisglp.com/reviews/eviora-md) [Factor Health MD](https://thisglp.com/reviews/factor-health-md) [Fella Health](https://thisglp.com/reviews/fella-health) Sponsored alternative SkinnyRx Readers choosing tirzepatide, the one line with a published standing rate ## Frequently asked What are the additives in the injection? NAD, B-12 and L-carnitine, compounded into the same weekly injection as the semaglutide. They are described on the product page rather than added at checkout. Do the additives change what the drug does? That was not measured. The published outcome trials for semaglutide and tirzepatide used the approved products at label doses, with no additives. A combination product is a different preparation from the one those trials studied. Is there an oral version? Not in the GLP-1 program. Oral pills are sold on a separate microdosing line, which is a different product from the full-dose injection. Is Apex MD expensive compared with other GLP-1 telehealth sellers? Apex MD publishes a starting figure of $299/mo. Across the 402 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $49 to $525.42 with a median of $190, which puts Apex MD above the median. The other 178 GLP-1 telehealth sellers we review quote only after an intake or price by dose, so they are not in that comparison. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes. Or [compare every seller we cover](https://thisglp.com/best). **Research, not medical advice.** This GLP is independent and educational. Nothing here is a substitute for individualized care from a licensed clinician, and reading it creates no doctor–patient relationship. Talk to your own provider before starting, stopping, or changing any medication, peptide, or therapy. See our [methodology](https://thisglp.com/methodology) and [terms](https://thisglp.com/terms).