Compounded tirzepatide

SurpassMD review

By ·Editor·Reviewed

SurpassMD's month-to-month tirzepatide plan renews at $309, and the card is charged every 28 days. Spread over a calendar month, that works out to about $336. The dose can go up without the price moving, and there's no membership fee, but the headline figure on the site belongs to a prepaid year with a discount code.

A real month costs$336advertised $177 +$158.90 gap
EvidenceVerified
Billing cycle4-wk
Price across dosesSame at every dose
Where it ships51 states
FDA warning letterNone found
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On this page

Who it suits

Good fit if

  • You expect your prescriber to raise the dose, since SurpassMD keeps one price at every prescribed strength.
  • You want medication, the provider review and cold shipping in one charge with no separate membership.
  • You'd like to pay with an HSA or FSA card, or split a payment with Klarna.

Look elsewhere if

  • You'd rather be charged once a calendar month than 13 times a year.
  • You want a refund option after you cancel, which SurpassMD only gives when a provider disqualifies you.

What you get

The plan covers the compounded tirzepatide, the provider review, cold-chain shipping and ongoing support from the care team. SurpassMD's product page lists four supply terms. The 30-day supply renews at $309. Longer terms cost less per month, down to a 12-month supply whose introductory rate is the $177 you see on the homepage.

That introductory rate needs a SurpassMD discount code and applies only to the first subscription. After it, the standard renewal rate applies. SurpassMD's pricing note says renewal prices vary by supply term, not by dose.

SurpassMD is a brand of Life Vitality LLC in Lewes, Delaware. It isn't a medical practice or a pharmacy. An independent professional medical corporation provides the clinicians, and licensed 503A compounding pharmacies dispense the vials.

How it works

  1. Take the online assessment. SurpassMD says it takes less than three minutes.
  2. The first month is charged when you complete the intake form, before a prescription is written.
  3. An independent licensed provider reviews your history and decides whether tirzepatide, semaglutide, oral semaglutide or nothing fits.
  4. If you're approved, the pharmacy ships the medication cold within 48 hours, with tracking.
  5. The plan then renews every 28 days until you cancel from the patient portal.

Pros and cons

Pros

  • A higher strength costs nothing extra: SurpassMD promises the “Same price at every prescribed dose.”
  • No membership fee: the product page lists membership as "No separate fee".
  • Service covers all 50 states plus Washington D.C., according to SurpassMD's footer.

Cons

  • Billing every 28 days means 13 charges a year, so a month averages $336, not $309.
  • The $177 headline is the 12-month introductory rate with a discount code, not the monthly renewal.
  • Canceling earns no refund at SurpassMD unless a provider medically disqualifies you.

Check before you pay

The 72-hour cancel window
Cancel at least 72 hours before your billing date. A later request is still charged, and the cancellation takes effect on the following billing date.
Which plan you pick
The 3, 6 and 12-month supply terms are cheaper per month but are longer commitments. Compare them with the 30-day plan at checkout.
Birth control
SurpassMD's tirzepatide FAQ says it can make oral birth control less effective. It advises a backup method for four weeks after starting and after each dose increase.

Price

SurpassMD costs $336 a month for compounded tirzepatide. It advertises $177. The card is charged $309 every 4 weeks.

How we got $336

The arithmeticOne month = 30.4375 days

  1. SurpassMD advertises

    Read on SurpassMD's own site

    $177.00

  2. The card is charged $309.00, not $177.00

    The advertised figure is not the amount that leaves the account.

    + $132.00

  3. And it is charged every 4 weeks, not every month

    13.04 charges a year, not twelve.

    + $26.90

A real month$335.90

A real month costs $158.90 more than the figure advertised.

Where it sits, and what costs less

$86median $269$434+

272 cheaper · 75%91 dearer · 25%

The most expensive 10 sellers charge between $434 and $649 a month.

  1. Collective$86
  2. Teleios Health$99
  3. Valhalla Vitalitystarting dose$99
  4. RxPepsDirectstarting dose$100
  5. WeightRxstarting dose$125
  6. SurpassMD$336

Another 267 sellers are cheaper than SurpassMD. The whole cheapest list →

Where it says it operates

Listed in 51 states, all but 0 of the 51 we track.

State pages this seller appears on: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

What else this seller sells

The same seller appears in our data for one other medication.

Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.

SurpassMD questions

Is SurpassMD legit?
SurpassMD is a telehealth brand run by Life Vitality LLC. An independent licensed medical corporation provides the prescribers, and licensed compounding pharmacies fill the orders. The tirzepatide is compounded, so it isn't Zepbound or Mounjaro, and the site says compounded drugs aren't FDA-approved.
How much is SurpassMD tirzepatide per month?
The 30-day plan renews at $309, charged every 28 days, which averages about $336 a calendar month. Longer supply terms cost less per month. SurpassMD's compounded semaglutide averages $238.
Does SurpassMD take insurance?
No. It's cash-pay only and isn't billed to insurance, Medicare or Medicaid. HSA and FSA cards may work, and Klarna is offered at checkout.
Can you cancel SurpassMD?
Yes, any time, through the patient portal or by contacting support. Give at least 72 hours before the billing date. You keep service until the cycle ends, but there's no refund for it.