Tirzepatide · Compounded · 2026
Compounded tirzepatide is the lower-cost, pharmacy-made version of the molecule in Zepbound and Mounjaro. These 25 programs sell it month to month, and each row prints its standing monthly price.
The short answer
Prices on this board run from $129 to $399 a month for the same molecule. CoreAge Rx, a featured partner, charges $129 a month. Providers we work with may appear first. Compounded tirzepatide is not FDA-approved. Shopping on price alone? See the cheapest tirzepatide board.
25 of 279 providers. CoreAge Rx is a featured partner; providers we work with may appear first. The Metabolic-Fit Score is printed on every row so you can check it.
CoreAge's officially linked public offer advertises compounded semaglutide at $79/month and tirzepatide at $129/month across doses, with care and overnight shipping included. It describes one-time purchases without a required subscription. Main navigation still shows semaglutide from $99; confirm your prescription quantity and total, and read the refund limits before paying.
A compounded program that advertises ongoing provider care, metabolic testing every six months and shipping within its price. Semaglutide is $249 and tirzepatide $329 every four weeks without a longer commitment; lower equivalents require 12-, 24- or 48-week terms. Microdose and combination options need separate current quotes.
Physician-founded and genuinely cheap, with both molecules in a lozenge or a shot and a free MD visit — but a February 2026 FDA misbranding letter is a caveat a mother should read before signing up.
The widest menu on our list — injections, sublingual lozenges, daily drops, four brand-name pens and the approved oral GLP-1 — with three compounding pharmacies named, prices published for every plan length, and cancellation terms among the most restrictive we have read.
A low-entry, all-in compounded program with both molecules, one price at every dose and a clean cancel-anytime policy — appealing, though the 'from' price isn't explained and the outcome claims are unverified marketing.
The most complete set of routes on our list — a real branded lane through insurance or LillyDirect, a compounded lane priced the same at every dose, and a non-GLP-1 generics lane — undercut by a three-day refund window and a complaint pattern that sits squarely on billing.
Injection or sublingual, both molecules — but we list it only with full disclosure: a 2025 FDA warning letter and a BBB complaint pattern around surprise 3-month charges make cancellation the real risk here.
Unusually open about its clinicians and pharmacies — a named CMO, roughly forty-five named physicians, three named compounding pharmacies — and unusually loose about its advertising, having dropped 'comparable to FDA-approved semaglutide' claims only after the National Advertising Division referred it to the FTC.
Flat pricing through every dose escalation, named partner pharmacies and a state list it actually publishes — undercut by an open FDA warning letter, an F rating at the BBB, and brand-name pens advertised on its site that you cannot buy.
Bodybuilding Health+ does the disclosure part better than most of this market and the branding part more loosely. It names four compounding pharmacies outright with phone numbers, and it names two lead physicians with their NPI numbers — both of whom check out as active MDs in the federal registry. Pricing is flat at every dose and public before any intake: $179 a month for compounded semaglutide and $209 for tirzepatide, dropping to about $142 and $175 only if you buy a bundle up front. The looser part is the name. The operator is Dynamo Group LLC of Boca Raton, not Bodybuilding.com, and the 'trusted by millions since 1999' line on the page is the licensor's heritage rather than the clinic's. It's compounded-only, so there's no FDA-approved Wegovy or Zepbound route, the bundle discounts come with no published refund terms, and a prominent '4.8 (200+ reviews)' badge sits above a Trustpilot widget whose rating we could not confirm.
$165/mo semaglutide and $214/mo tirzepatide month to month, dropping to $97 and $177 on a 12-month plan — with a genuinely itemized exclusion list that explicitly screens out pregnancy, planned pregnancy, and breastfeeding rather than staying silent on it.
RxSpan MD is a genuinely well-disclosed service wrapped in marketing that undercuts it. The disclosure: four compounding pharmacies named with phone numbers, two lead physicians named with NPI numbers that verify as active MDs, flat pricing posted before any intake, both compounded and real FDA-approved brand GLP-1s on one platform, and oral capsules for anyone who won't inject. Compounded semaglutide is $249 a month and tirzepatide $329, with brand Zepbound at $1,069, Ozempic at $1,299 and Wegovy at $1,349. The marketing is the problem. Its testimonials still name a different company — one patient describes what she 'expected from CareGLP' — and the doctors quoted in them are not the clinicians the same page names as its medical team. The homepage is built around a board-certified plastic surgeon who founded the practice but is licensed in California only and isn't the prescriber. Its compounded prices also sit above the typical price we track, and the oral capsules cost the same or more than the injections.
Price-first and nationwide: flat, all-inclusive compounded pricing at $175 and $235 month to month, down to $99 and $125 on a 12-month plan — strong if you read the prepay fine print.
Semaglutide: $199/mo; tirzepatide: Starting at $399/mo. Oral semaglutide starts at $299 and oral tirzepatide at $399; confirm your dose, plan length and cancellation terms.
A menopause-focused program that bills insurance for eligible visits. The visit is covered in network or $250 self-pay, and the medication is billed separately from $164 per four-week supply — both figures published. It's built for perimenopause, not the postpartum year.
Pallas charges $199 every four weeks for compounded semaglutide and $299 for tirzepatide, after first-month offers of $139 and $179. Lower annual-plan averages require a longer commitment; provider care and shipping are included.
Advertised dose-flat monthly plans are $99 for semaglutide and $149 for tirzepatide, with care, medication and shipping included. Confirm the selected supply and plan. Cancellation stops future renewal; after prescribing, payments including unused prepaid months are nonrefundable under the stated policy.
Gaya Wellness is a women's and menopause-focused practice discussing weight, metabolism and hormone symptoms together. Foundation at $149/month excludes medication, Premium at $349 includes a GLP-1, and Concierge at $549 adds hormone therapy; the homepage's separate $199 starting figure needs clarification.
The Edit advertises semaglutide at $200 for the first order, then $259 a month, and tirzepatide at $300 first order, then $349. Care, supplies and two-day temperature-controlled shipping are included; prepaid plans have separate totals.
AurenRx lists semaglutide at $149 a month on subscription and tirzepatide at $229. One-off monthly options cost $179 and $259 respectively.
Semaglutide: $249 every 4 weeks; $179 with 52 weeks prepaid; tirzepatide: $339 every 4 weeks; $269 with 52 weeks prepaid. Lower $179 and $269 amounts require 52 weeks prepaid, and the prices apply to four-week cycles.
Trellis Vitality is the cheapest genuinely-disclosed option on this page: $150 a month for compounded semaglutide and $199 for tirzepatide, month to month, with every dosage available at the same price and no membership fee, no consult fee and a $0 assessment. Commit for three or six months and those fall to $140/$133 and $189/$179. It names the pharmacy that compounds the medication — Vials Rx, described as a US state-licensed, cGMP-compliant facility — which is the disclosure most of its cheaper competitors skip, and it covers all 50 states with board-certified clinicians reviewing intake. The caveats are about what it doesn't sell and doesn't say. There is no FDA-approved brand option, no oral formulation, and none of its pricing appears on the homepage at all — you have to reach the GLP-1 product page to find a single number, which makes it look more opaque than it actually is. There is also no postpartum, breastfeeding or PCOS content anywhere.
Pepti publishes semaglutide prices of $99–$199 a month and tirzepatide prices of $159–$319, depending on dose. Medication, physician care and shipping are included without a separate membership fee.
The habit-coaching app many moms already have on their phone, now with clinicians and a long medication menu: compounded microdose semaglutide or tirzepatide, full-dose compounded tirzepatide, and brand-name Wegovy, the Wegovy pill, Zepbound, Ozempic, Mounjaro and Foundayo. The microdose plan is $79 to start, then $179 a month; full-dose tirzepatide is $149 to start, then $299 a month. Both bill on 12-week subscriptions plus tax and include the medication and the app. Brand-name care is $39 to start, then $129 a month, with the medicine paid through insurance or out of pocket. Prices sit in footnotes with different effective dates, the compounded plans skip some states, and no state list is published.
One of very few programs that shows you the entire price table before asking for a single detail. Semaglutide is $175 a month with no commitment; the advertised $146 is $875 prepaid for six months.
| # | Provider | Tirz from | Score | |
|---|---|---|---|---|
| 1 | CoreAge Rx | $129/mo | See review | 86 · B |
| 2 | Enhance MD | $329/4 wk | 40 states | 81 · B− |
| 3 | Strut Health | $149/mo | See review | 80 · B− |
| 4 | ShedRx | $299/mo | All 50 states | 76 · C |
| 5 | yourEra | $159/mo | See review | 76 · C |
| 6 | Found Health | $359/4 wk | See review | 74 · C |
| 7 | Direct Meds | $399/mo | See review | 70 · C |
| 8 | Willow | $399/mo | 36 states | 66 · C |
| 9 | Sprout Health | $349/mo | 44 states | 61 · C |
| 10 | Bodybuilding Health+ | $209/mo | All 50 states | 59 · C |
| 11 | HealthRX | $214/mo | All 50 states | 57 · C |
| 12 | RxSpan MD | $329/mo | All 50 states | 57 · C |
| 13 | Trimi Health | $235/mo | All 50 states | 80 · B− |
| 14 | Breeze Meds | $399/mo | All 50 states | 78 · C |
| 15 | Midi Health | $164/4 wk | All 50 states | 72 · C |
| 16 | Pallas Health | $299/4 wk | All 50 states | 65 · C |
| 17 | Harbor | $149/mo | See review | 63 · C |
| 18 | Gaya Wellness | $349/mo | See review | 62 · C |
| 19 | The Edit | $349/mo | All 50 states | 62 · C |
| 20 | AurenRx | $229/mo | All 50 states | 61 · C |
| 21 | Elara Health and Wellness | $339/4 wk | All 50 states | 61 · C |
| 22 | Trellis Vitality | $199/mo | All 50 states | 61 · C |
| 23 | Pepti | $159/mo | 36 states | 58 · C |
| 24 | Noom Med | $299/mo | See review | 57 · C |
| 25 | Rx.com | $285/mo | 49 states | 57 · C |
We track 279 telehealth programs that sell compounded tirzepatide. This board shows 25 of them with a month-to-month price, from $129 to $399 a month (middle figure $299). CoreAge Rx is a featured partner; providers we work with may appear first. Each review lists the states served and what the price includes.
No. Zepbound and Mounjaro are the FDA-approved tirzepatide products. A compounded version is prepared by a pharmacy for an individual prescription and is not reviewed by the FDA for safety, effectiveness or quality. Ask the program which licensed U.S. pharmacy fills it and whether that pharmacy is a 503A or 503B facility.
The FDA declared the tirzepatide shortage resolved in late 2024. Pharmacies may still compound it for an individual patient when a prescriber documents a clinical reason, which is why many programs describe a personalized dose or an added ingredient such as vitamin B6 or B12. Rules can change, so a program's own terms are worth reading.
Ask what the price is at your expected maintenance dose, whether it is billed monthly or every four weeks, and who answers when side effects show up. Tirzepatide is not used in pregnancy, can make oral birth control less reliable after a start or dose increase, and has no data in breastfeeding, so tell the clinician if you are nursing or planning a pregnancy.
Rankings reflect our published methodology. This page is informational and not medical advice; compounded medications are not FDA-approved brand products, and GLP-1 medicines are not used in pregnancy or while trying to conceive. See our medical disclaimer. Some links here earn us a referral fee, walled off from the score — read our funding disclosure.
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