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Head-to-head dispatch

Apex MD vs Velvet Rx

Two GLP-1 providers, one scorecard. Both are graded on the same six Desk Score dimensions — here is how they stack up, and which one fits you.

Dispatch #53Desk pick
Apex MD

Apex MD is a US virtual telemedicine platform licensed in all 50 states that prescribes compounded GLP-1 medications for weight loss.

Marked down on: Compounds bundle NAD, B-12 and L-Carnitine rather than a single-ingredient GLP-1

vs
Dispatch #200
Velvet Rx

Velvet Rx (velvetrx.com) is a cash-pay telehealth platform offering compounded semaglutide, compounded tirzepatide, and an oral GLP-1 across three publicly-listed SKUs ranging from $139 to $199 'today'…

Marked down on: Oral GLP-1 SKU doesn't name the specific drug — a real gap given Rybelsus, Foundayo, and compounded oral semaglutide differ clinically

Apex MD takes this head-to-head with the higher Desk Score, 80/100 (B−) against 66/100 (C) for Velvet Rx. Velvet Rx still holds its ground where its strengths line up with yours.

Desk Score, dimension by dimension

Same six measured dimensions for both. The red flag marks the stronger side. See the methodology.

Apex MD

80/100

B−

Overall

Velvet Rx

66/100

C

Price transparency

94
86

State access

86
24

Molecule range

77
77

Onboarding speed

65
68

Support responsiveness

77
80

Licensing & trust

69
58

The spec sheet

FieldApex MDVelvet Rx
Semaglutide$299/mo$299/mo (compounded)
Tirzepatide$399/mo$359/mo (compounded)
CoverageAll 50 statesCoverage not published
Brand-nameCompounded onlyCompounded only
Oral optionYesYes
Best forPeople who want nationwide access to compounded glp-1 with unlimited visits and labs included.Readers who want cash-pay compounded GLP-1 with bundled shipping across three SKUs.
Desk Score80/100B−66/100C

The verdict

Desk pick — Apex MD

Apex MD takes this head-to-head with the higher Desk Score, 80/100 (B−) against 66/100 (C) for Velvet Rx. Velvet Rx still holds its ground where its strengths line up with yours.

Choose Apex MD if…

People who want nationwide access to compounded glp-1 with unlimited visits and labs included.

$299/mo sema · $399/mo tirz · All 50 states

Choose Velvet Rx if…

Readers who want cash-pay compounded GLP-1 with bundled shipping across three SKUs.

$299/mo (compounded) sema · $359/mo (compounded) tirz · Coverage not published

Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we file on a provider reads the same either way. Read full breakdowns: Apex MD · Velvet Rx.

Also here

CoreAge Rx tops every dispatch at 94/100

Whichever of these two you lean toward, the Desk's #1-rated provider outscores them both. The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

More head-to-heads

Or see the full comparison hub and the complete ranking.

Pricing and verification reflect each provider's public disclosures at last scoring; the Desk Score is our editorial judgment per the methodology. Prices change — confirm on each provider's own site. Not medical advice; see our disclosure.