Head-to-head · WeighScore
Apex MD vs Silhouette MD
The verdict
Apex MD takes it — 71.8/100 to 69.4/100.
Apex MD grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Apex MD is a US virtual telemedicine platform licensed in all 50 states that prescribes compounded GLP-1 medications for weight loss.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Apex MD | Silhouette MD |
|---|---|---|
| WeighScore | 71.8/100 | 69.4/100 |
| Grade | C | C |
| Scorecard rank | #87 | #123 |
| Semaglutide | $299/mo | $149/mo (compounded) |
| Tirzepatide | $399/mo | $299/mo (compounded) |
| Coverage | All 50 states | Coverage not published |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Yes |
Graded #87 · C
Strengths
- Licensed in all 50 states
- Unlimited provider visits and Labcorp labs included in the plan
- Both semaglutide and tirzepatide, injectable or oral
- Medication delivery typically in under four business days
Where it loses points
- Compounds bundle NAD, B-12 and L-Carnitine rather than a single-ingredient GLP-1
- Does not publicly name its compounding pharmacy or list an accreditation seal
Graded #123 · C
Strengths
- Compounded semaglutide and tirzepatide in both injectable and oral formulations
- Concierge-level support — monitoring, expert guidance, and check-ins included on every plan
- Transparent, published pricing starting at $149/mo for semaglutide injection
- Prescriptions issued and fulfilled by licensed clinical partner OpenLoop Health
Where it loses points
- Tirzepatide ($299/mo) and oral options ($263–$325/mo) priced above many compounded competitors
- State availability not published
- Newer brand with limited independent review history
- Medications are compounded, not FDA-approved brand-name
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.