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 $349 as a daily oral, with tirzepatide at $399 and $419. The injectable preparation includes NAD, B-12 and L-carnitine, none of which the outcome trials studied.
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- Category
- GLP-1 telehealth
- Molecule
- Semaglutide · Tirzepatide
- Form
- Injection · Oral
- Dose pricing
- Flat across doses
- States
- 51
- Injection
- From $299/mo
- Oral
- From $349/mo
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Updated
- September 2026
Apex MD sells compounded semaglutide and compounded tirzepatide, each as a weekly injection and as a daily oral. The four figures read $299, $349, $399 and $419 a month on August 2, 2026. The injectable plans are described as month-to-month. Coverage extends to fifty states and the District of Columbia.
Who writes the prescription, and what do they see?
A prescription is required for all four 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 recorded on this row. 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.
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.
What the price includes
These are among the higher figures in the compounded market, and the additives are part of what the price buys. The oral route costs $50 more than the injection on semaglutide and $20 more on tirzepatide. 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 by injection and $70 by the oral route.
What it claims, and what it cites
All four products are compounded, so a pharmacy prepares them and no regulator reviews the finished vial or tablet. The trial evidence a reader may have seen for semaglutide and tirzepatide 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: Both molecules in both routes
- 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.
- 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.
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. | See Liberty → |
| 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. | See EverSlim → |
 Maximus | A reader weighing a compounded preparation against the manufacturer's own pen, where the semaglutide decision costs nothing either way. | See Maximus → |
More GLP-1 telehealth sellers reviews: AVARA RxBayan HealthBioGlow HealthCollectiveEmbodyEnhance MD
Sponsored alternative
Synergy Rx
A reader who wants the oral and injectable rates for both molecules stated up front rather than after an intake form.
Check Synergy Rx availability →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 the oral version cheaper?
- It is dearer at this seller. Oral semaglutide is $349 against $299 for the injection, and oral tirzepatide is $419 against $399.
- Is Apex MD expensive compared with other GLP-1 telehealth sellers?
- Apex MD publishes a starting figure of $299/mo. Across the 25 GLP-1 telehealth sellers we review that publish a single monthly figure, those run $76 to $299 with a median of $149, which puts Apex MD above the median. A starting figure is not a bill — labs, consultations and shipping are often charged separately, so confirm what your own quote includes.