Head-to-head comparison
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.
Desk Score
Apex MD is a US virtual telemedicine platform licensed in all 50 states that prescribes compounded GLP-1 medications for weight loss.
$299/mo sema · $399/mo tirz · Verified July 2026
Marked down on: Compounds bundle NAD, B-12 and L-Carnitine rather than a single-ingredient GLP-1
Desk Score
Velvet Rx (velvetrx.com) is a cash-pay telehealth platform offering compounded semaglutide.
$299/mo sema · $359/mo tirz · Verified July 2026
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−
Velvet Rx
66/100
C
Price transparency
State access
Molecule range
Onboarding speed
Support responsiveness
Licensing & trust
The spec sheet
| Field | Apex MD | Velvet Rx |
|---|---|---|
| Semaglutide | $299/mo$299/mo | $299/mo$299/mo (compounded) |
| Tirzepatide | $399/mo$399/mo | $359/mo$359/mo (compounded) |
| Coverage | All 50 states | Not listed on Velvet Rx's site (checked July 2026) |
| Brand-name | Compounded only | Compounded only |
| Oral option | Yes | Yes |
| Best for | People who want nationwide access to compounded glp-1 with unlimited visits and labs included. | Cash-pay compounded GLP-1 with bundled shipping across three SKUs. |
| Desk Score | 80/100B− | 66/100C |
The verdict
Desk pick — Apex MDApex 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…
Cash-pay compounded GLP-1 with bundled shipping across three SKUs.
$299/mo sema · $359/mo tirz
Assume any provider we list may compensate us — we may earn a referral commission at no extra cost to you, and what we write about a provider reads the same either way. Read full breakdowns: Apex MD · Velvet Rx.
Also here
CoreAge Rx leads the whole ranking at 94/100
Whichever of these two you lean toward, our #1-rated provider outscores them both. One price at every dose, both molecules, all 50 states. The $99 and $149 figures are 12-month plans paid up front, not a monthly bill.
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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.