Best Tirzepatide Online (2026), Ranked by True Cost
19 of 21 providers attach a prepay, auto-refill, or undisclosed lever to their advertised price — we rank on what you actually pay month-to-month.
/ The ranking
Some of these are affiliate links and we may earn a commission at no extra cost to you (disclosure). Rows marked Partner are the paid ones. Full write-ups below.
“Flat price” means one all-in monthly figure with no separate membership or lab fee; any other pricing chip names the mechanic that gets in the way. “Labs” is whether bloodwork is required, optional, or not used. The pharmacy chip states a facility type (503A pharmacy, 503B facility) only where the provider publishes one we could cite; “Not disclosed” means we read their site and they do not say, and “Unverified” means nobody has checked this company's pharmacy sourcing yet — of the providers we rank, only two publish a facility type at all. Every provider here includes the clinician consult. Prices were verified on each provider's own site in 2026 and can change without notice.
Lowest true monthly cost
$149/mo, flat at every dose
1
CoreAge Rx
The one desk here that answers the dose question in writing, and answers it "no".
$149/month for compounded tirzepatide, the same at every dose. Its FAQ answers "Do higher doses cost more?" with "No. One of our biggest advantages is that all doses cost the same", and "Will the monthly price go up later?" with "No. Whatever price you lock in at checkout stays the same for all future months, regardless of dose increases." No membership fee and no auto-rebill.
Compounded tirzepatide through CoreAge Rx's own storefront, prescribed after a 100% online consultation with a US board-certified physician and shipped free. What separates it here is not the headline but the FAQ behind it: asked "Do higher doses cost more?" it answers "No. One of our biggest advantages is that all doses cost the same, so you won't pay more as your treatment escalates," and asked whether the monthly price rises later, "No. Whatever price you lock in at checkout stays the same for all future months, regardless of dose increases." It also states plainly that there are no membership fees, no auto-rebills and no surprise charges. Verified in a rendered browser on 2026-08-28.
Strengths
Its own FAQ states in writing that all doses cost the same and that the checkout price holds for every future month — the dose question most providers here leave unanswered
No membership fee, no auto-rebill and no long-term contract, stated on both the product page and the FAQ
Consultation, free delivery and upfront pricing are named on the product page, with no separate consult fee published
Trade-offs
The figure is written "Starting at", and the FAQ says you "only pay for the plan you select at checkout" — but no plan ladder is published anywhere public, so whether this is the month-to-month rung or the cheapest multi-month one is not stated
No compounding pharmacy is named — the site says only "trusted partner pharmacies" and "compounded in the USA", and never says what kind of facility that is
The no-cost consultation is hedged: the FAQ says you "may be eligible" for one included with your order, not that every patient gets one
Visit CoreAge Rx ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
The rest of the field
20 more providers that verifiably sell compounded tirzepatide, each checked live against their own site on 2026-07-26. The order below runs from a genuine month-to-month rate down to providers whose only option is a multi-month prepay, or whose own pages disagree with themselves on the price.
2
Bodybuilding Health+
A genuine month-to-month option at $209 — with flat pricing at every dose.
BH
The homepage table: "$209/month" with no prepay, with 3-, 6- and 12-month prepay tiers at $179 / $169 / $159/mo. ⚠ Walked 2026-08-24: the /glp-1 page's own tirzepatide card frames the SAME figure differently — "$209 first month" against a struck-through $319, with "$286/mo on 3-month bundle". Two pages, two framings: whether $209 is the standing monthly rate or a first-month price against $319 is a question bbhealthplus.com answers both ways.
Bodybuilding.com's compounded-Rx telehealth arm. $209/month is the true no-commitment rate — the site's own tiered table shows 1-month at $209, dropping only with a 3/6/12-month prepay. Nothing on the public pages differentiates pricing by dose (2.5mg through the higher maintenance range), so the $209 appears to be a flat rate through titration, not a starter-dose teaser.
Strengths
Real month-to-month option exists at $209 — no prepay required to start or continue
No dose-tiered pricing found — the rate appears to hold through titration
Prepay discounts, when you want them, are published as an explicit table rather than hidden
Trade-offs
Whether a clinician consult is included or billed separately is not stated in plain language
Brand-new telehealth launch (~April 2026); thin independent review record
All sales are final per the site's general terms
The site disagrees with itself on this drug's price: the homepage sells $209 as the plain monthly rate while /glp-1 sells it as a first month against $319, and their 3-month figures ($179 vs $286) do not reconcile
A real $239 month-to-month rate, or $199 if you enroll in auto-refill.
$239/month standard 30-day supply, or $199/month with auto-refill enrollment (a 17% discount)
Compounded tirzepatide as an injection or an oral lozenge (the two formats share marketing copy; we could not confirm from the public pages whether $239/$199 applies identically to both — recommend confirming which format you're pricing before you buy). $239/month is available with no auto-refill commitment; $199 requires enrolling in recurring auto-refill, the same mechanic already documented on this brand's sermorelin line.
Strengths
A real, no-commitment month-to-month option exists at $239 — auto-refill is optional, not mandatory
Free provider visit bundled into the price
Format choice (injection or oral lozenge), rare in this category
Trade-offs
The lower $199 figure requires auto-refill enrollment — read that as a recurring commitment, not a one-time discount
Injectable vs. lozenge pricing is not clearly separated on the public pages
Received an FDA warning letter in February 2026 over marketing claims for compounded semaglutide and tirzepatide — worth reading before you buy
Visit Strut Health ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
4
Found Health
The only insurance-backed option here — a real $199/mo month-to-month rate if you're in-network, $289/mo cash.
Found's GLP-1 Program starts at $99/month with insurance or $169/month cash-pay — both are 12-month-prepaid-plan rates. Paying month-to-month, with no prepay, the plain rate is $199/month with insurance or $289/month cash-pay. Compounded tirzepatide is bundled into every one of these prices; a separate Medicare GLP-1 Bridge Program offers brand-name Wegovy/Foundayo/Zepbound for $50/month to eligible Part D members ages 65–75.
Found Health (joinfound.com) is a large-scale insurance-integrated weight-loss telehealth program — 300,000+ members served per its own site — a genuinely different structure from every cash-only compounding pharmacy here. One program price covers whichever GLP-1 a Found clinician prescribes; compounded tirzepatide and compounded semaglutide sit side by side in the same "Medication Toolkit" with no separate per-drug price found anywhere on the site, unlike most competitors here. Verified live in a rendered browser on 2026-08-04 directly against joinfound.com/plans-and-pricing: the page prints an explicit matrix (prepay vs. monthly, insurance vs. cash) with a footnote stating the basis of every figure — "Pricing based on 12-month plans paid up-front. Monthly plans start at $199/mo for insurance and $289/mo for cash-pay." The site also states flat dosing pricing: "compounded GLP-1s starting at $99/month (with flat pricing as your dose increases)." Branded GLP-1 medication (Wegovy, Zepbound, and others) is offered too, but its cost is billed separately from these figures — do not assume a branded prescription costs the same as a compounded one here.
Strengths
The only provider here that works with insurance — a real $199/mo month-to-month rate for readers whose plan is in-network, or $99/mo on a 12-month prepay
Explicitly flat pricing as your dose increases, the same claim this site rewards on other rows
300,000+ members served and a named Medicare GLP-1 Bridge Program ($50/mo, ages 65–75, brand-name only) — a scale and demographic reach no other row here offers
Trade-offs
The $99–169/mo advertised figures both require a full 12-month prepay; the true no-prepay rate is $199/mo insured or $289/mo cash — read past the homepage headline before comparing to a flat-rate competitor
The lower insurance-tier price depends on your specific plan being in-network and passing Found's own eligibility check — not a guaranteed flat rate the way a cash price is
Compounded medication is bundled into the plan price, but a branded prescription (Wegovy, Zepbound, etc.) is billed separately and is not covered by the $99–289 figures — confirm which path you're being quoted before comparing
Visit Found Health ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
Full write-ups for the remaining 17 providers▾
5
SHED
A genuine $299 month-to-month rate; the advertised $239 needs a full year prepaid.
$299/month with no prepay required; drops to $269/mo on a 6-month prepay or $239/mo on a 12-month prepay
Compounded tirzepatide injections (tryshed.com — shedrx.com redirects to the same company). $299/month is the genuine 1-month rate; the site's own homepage banner advertises "as low as $239/mo," which is the 12-month-prepay tier, not the plain rate. The site acknowledges dose titration but does not publish separate pricing by mg strength — the $299/$269/$239 tiers are by commitment length, not by dose.
Strengths
A real month-to-month option exists at $299 — no prepay required to start
Consult and provider review bundled into the price, no separate fee found
Discount tiers are published as an explicit table, not hidden behind a quiz
Trade-offs
The advertised "$239" headline is a 12-month-prepay rate, not the plain monthly one — read the banner skeptically
No published dose-tiered pricing, so whether $299 holds at a real maintenance dose is unconfirmed
Visit SHED ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
6
Enhance MD
Flat pricing at every dose — but every "month" is a 4-week billing cycle, so $329 is really about $358.
Advertised "$329/mo" with no prepay, but "Billed every 4 weeks" — about $358 per calendar month. The prepay tiers are "$313/mo" billed every 12 weeks, "$296/mo" billed every 24, and "$280/mo" billed every 48 ($3,360 per 48-week term, about $304 per calendar month). Promo codes SUMMER50 ($50 off 1-month plans) and SUMMER100 ($100 off 3+ month plans) discount the first order only
Compounded tirzepatide (branded "GLP-1 Advanced") with metabolic lab testing every 6 months and ongoing provider care bundled in. Re-verified 2026-08-24: the plan table now prints a billing cycle beside every tier, and none of them is a calendar month — the "1-month" tier is "Billed every 4 weeks" at $329, and the "12-month" tier is billed every 48 weeks. Four weeks is not a month: thirteen 4-week charges land inside twelve calendar months, so the no-prepay tier really costs about $358 per calendar month, and the 48-week tier ($280 × 12 = $3,360 per term, over roughly 11 calendar months) about $304. A genuine strength survives the re-check: the page still states "Same Pricing - All Doses" — one consistent price from the first dose to the last, confirmed not dose-tiered.
Strengths
Explicitly states flat pricing through every dose — a real, stated policy, not an inference
Ongoing provider care, metabolic labs, and clinician support bundled into the price, not billed separately
The billing cycle is now printed beside every tier — the 4-week "month" is at least disclosed, which most sites running the same mechanic never do
Trade-offs
Every tier's "per month" price is a 4-week billing cycle, not a calendar month — thirteen charges a year, so the advertised $329 works out to about $358 a month and the $280 tier to about $304
The advertised "$280/mo" headline requires a 48-week prepay, $3,360 billed per term
Ship-to states are not published on the pages we reviewed
Visit Enhance MD ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
7
Direct Meds
The most mechanically honest price here — $399 flat, no fine print found.
$399/month, stated on-site as billed every month, with no prepay or auto-refill lever found
Compounded injectable tirzepatide. The product page states the $399 figure plainly as a monthly bill with no prepay, auto-refill, or promo-code requirement — the most mechanically transparent price here, even though it is also one of the higher ones. Separate marketing material elsewhere references a "new patient" promo as low as $199 for a first month; we could not confirm whether that promo is live at checkout, so it is not used here.
Strengths
No prepay, auto-refill, or membership lever found gating the price — genuinely the plain monthly rate
"No hidden fees" language matches what we found on the actual product page
Consult bundled into the price
Trade-offs
The joint-highest confirmed no-lever price here, tied with SkinnyRx's month-to-month rate
No published dose-tiered pricing — whether $399 holds at every dose is unconfirmed
Received an FDA warning letter in September 2025 over marketing of compounded semaglutide/tirzepatide — worth reading before you buy
Visit Direct Meds ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
8
MadeMed
No month-to-month option exists at all — every plan requires at least 3 months prepaid.
$399/month on a 3-month prepay (the shortest commitment offered), or $369/month on a 6-month prepay
Compounded injectable tirzepatide. Unlike every provider ranked above it, MadeMed publishes no plain single-month option at all — the site's only two plans are quarterly ($399/mo, billed $1,197 every 3 months) and 6-month ($369/mo). A genuine strength: the page explicitly states "All doses, same price" from 2.5mg through 15mg, so at least the number does not move as you titrate.
Strengths
Explicitly flat pricing through every dose (2.5mg–15mg), stated on the page
Doctor consult included; if not prescribed, refund minus only a $39 visit fee
The lower of its two tiers ($369) beats several competitors' true month-to-month rates
Trade-offs
No true month-to-month option exists — a minimum 3-month prepayment is required just to start
That makes it harder to exit if the medication does not work for you than any provider ranked above it
A separate "MadeMed Club" membership is referenced by third-party reviews but was not present on the live product page — unconfirmed
Visit MadeMed ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
9
HealthRX
No month-to-month option, and its own two pages disagree on the headline price.
Two different headline figures appear on two different pages of the same site: healthrx.com (homepage) advertises "from $209/mo" (a 3-month plan) while healthrx.com/tirzepatide (the dedicated product page) advertises "from $149/mo" (described as an annual plan). Neither is a plain 1-month rate.
Compounded injectable tirzepatide. Verification on 2026-07-26 found a genuine page-to-page inconsistency, both figures and both URLs recorded here rather than resolved to one number: https://www.healthrx.com/ (homepage) shows "$209/mo," explicitly labeled a 3-month plan; https://www.healthrx.com/tirzepatide (the dedicated product page) shows "$149/mo," tied to an annual plan — no 1-month, no-prepay price was found on either page. On the plus side, both pages agree the price is flat at every dose ("same price at every dose"), and this brand's own sermorelin listing was the single most price-transparent row in that ranking — this tirzepatide listing does not carry the same standard over.
Strengths
Both pages agree pricing is flat through dose titration — a real, stated policy
Free provider visit and dose adjustments described as included
The lower end ($149/mo on an annual commitment) is competitive if you are willing to prepay a full year
Trade-offs
The site's own two pages advertise two different headline prices for the same product — a real transparency problem, not a hypothetical one
No plain month-to-month rate found on either page — every published number requires at least a 3-month prepay
This brand's sermorelin line was fully transparent; its tirzepatide line is not — check both before assuming consistency across a provider's own catalog
Visit HealthRX ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
10
PeterMD
A $149 first month that steps up to a real, stated $249/mo — billed quarterly, not month-to-month.
$149 for the first month, then $249/month billed quarterly (60mg dose) — an intro rate on top of a genuine quarterly-prepay commitment, not a month-to-month rate. The product page states it is not available in Alabama or Idaho; PeterMD's own affiliate-program listing discloses a broader exclusion set for this drug (also AR, CA, MI, NC, TX).
60mg compounded tirzepatide sold on PeterMD's storefront-style checkout — the same one-time-purchase-first design as its sermorelin and NAD+ lines, but this product is explicitly recurring: a discounted first month gives way to a stated $249/mo rate billed on a quarterly cadence. Unlike several competitors here (Synergy Rx's bare "starting at" card, RxSpan MD's first-month-only price), the ongoing figure here is a real, published number — the honest complaint is the billing cadence attached to it, not a hidden or unstated one.
Strengths
The ongoing $249/mo rate is a real, stated figure — unlike Synergy Rx (no terms) or RxSpan MD (first-month-only, no ongoing price published at all)
One account for PeterMD's full menu — TRT, semaglutide, sermorelin, NAD+, hair loss and ED — alongside this product
Physician-guided telehealth, founded 2021, HQ Miami FL; the company states 400,000+ patients served
The dose (60mg) is stated plainly rather than hidden behind a quiz
Trade-offs
No true month-to-month option: the $249 ongoing rate is billed quarterly, the same structural gate that puts MadeMed and HealthRX below providers with a genuine no-lever monthly price here
The $149 first month is an intro rate, not the recurring price — read past the headline before comparing it to a flat-rate competitor
Not available in Alabama or Idaho per the product page; the affiliate program's own disclosed exclusion list is broader still (also AR, CA, MI, NC, TX) and is not published on the customer-facing page
Whether a separate consult/appointment fee applies to this product, as it does on PeterMD's sermorelin and NAD+ lines, was not confirmed for tirzepatide specifically
Visit PeterMD ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
11
Pallas Health
A real, stated ongoing rate — billed as $897 every 12 weeks, with no monthly option at all.
PH
$179 for the first 4 weeks, then $897 billed every 12 weeks — advertised as "$299/month" average. There is no month-to-month tier: the funnel renders no term selector, so the second charge is $897 in one payment, four weeks after the first. Brand-name tirzepatide is sold alongside it and billed monthly: Zepbound $1,069, Mounjaro $1,349.
Compounded weekly injectable tirzepatide from a technology platform operated by Brentmoor, Inc., with prescribing by Lion MD on the CareValidate clinical-operations platform. The ongoing figure is real and published rather than hidden — the honest complaint here, as with PeterMD above, is the billing cadence attached to it. The renewal is anchored "every 12 weeks starting 4 weeks after approval," and 12 weeks is 84 days, which recurs 4.35 times a year rather than four. So the advertised "$299/month" — which is $897 divided by three — understates the ongoing cost on Pallas's own published terms by about 8.7%, to roughly $325 a month.
Strengths
The ongoing rate is a real, stated figure published before any intake, unlike Synergy Rx's bare "starting at" card or RxSpan MD's first-month-only price
Marketing price equals checkout price: the homepage FAQ, the landing pages, the treatment pages and the live medication-select screen all print the same figures
Names all six dispensing pharmacies — Belmar, Strive, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub and Foothills — and names two prescribing physicians with checkable NPI numbers
All 50 states and D.C. with the coverage published state by state: fully asynchronous in 43, and the eight jurisdictions requiring a video visit named individually
No minimum term, free self-serve cancellation, a pre-renewal reminder, 30 days' notice of a price change, and a full refund if a clinician declines you
Trade-offs
No true month-to-month option: the $299 figure is $897 billed every 12 weeks, the same structural gate that puts PeterMD, MadeMed and HealthRX below providers with a genuine no-lever monthly price here
The advertised average divides an 84-day cycle by three months, so the real ongoing cost is closer to $325 a month
$179 is a first-period intro rate, not the recurring price, and the sitewide "Up to $120 off your first month" banner is a discount rather than a price
One of the six named pharmacies, Belmar, received an FDA warning letter issued 31 March 2023 over compounding practices, which FDA closed out on 30 October 2023; Pallas itself carries no warning letter
$5 is deducted from each refunded payment for purchases on or after 14 July 2026, and the $60 visit deposit can be retained if you neither attend nor reschedule a required video visit
Only two clinicians are named site-wide, and the prescribing network behind them is not published
Visit Pallas Health ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
12
yourEra
The flat rate that once ranked first here is gone — now a "from $159/mo" floor with nothing behind it.
Tirzepatide is advertised "from $159/mo" on the homepage catalog card and product section — a floor, not a rate. The flat $169/month listing previously verified here is gone, and no plan table, tier structure, or dose pricing is published anywhere to say what $159 actually buys or what you pay above it
Weekly injectable compounded tirzepatide after an online provider review. Re-checked 2026-08-24: the homepage now prints "Tirzepatide GLP-1/GIP from $159 /mo" on its catalog card and "from $159/mo | CHECK ELIGIBILITY" on the product section, and the FAQ still states "There are no long-term contracts. Pause or cancel your program or Optimum membership" from the patient portal. But the plain flat rate this row once ranked first on no longer exists anywhere on the site — every tirzepatide figure is now a "from" floor. The site simultaneously claims "Same price at every dose. No hidden fees" under a "One Price" tile, which cannot be squared with a "from" price: a program cannot have one price at every dose and a floor at the same time, the same contradiction this ranking documented on Oak's earlier site. What a real month costs, at any dose, is not knowable from the public site.
Strengths
Explicit cancel-anytime language is still real, published copy: "There are no long-term contracts. Pause or cancel your program" from the patient portal
Telehealth visit and prescription described as included — "Prescription & telehealth visit included"
The $159 floor is the lowest advertised tirzepatide figure of any provider here — if a real rate ever gets published behind it
Trade-offs
The flat $169/month rate previously verified here is gone — the current "from $159/mo" is a floor with no published plan table, tiers, or dose pricing behind it
The site claims "Same price at every dose" while advertising a "from" price — the two cannot both be true, and nothing on the site resolves which one is
Visit yourEra ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
13
Synergy Rx
A real, named tirzepatide product — but only a "starting at" figure, no terms shown.
"Starting at $349" for Compounded Tirzepatide (injectable), or "Starting at $399" for an oral dissolving tablet — no dose basis, billing term, or commitment is stated on the product card
Compounded GLP-1 telehealth also carrying brand Wegovy, Mounjaro, and Ozempic. The storefront's Weight Loss tab lists "Compounded Tirzepatide — Starting at $349" and an oral dissolving tablet version at $399, both real, named, priced products — but the catalog card is the only pricing information reached; no product-detail page, checkout flow, or terms page confirmed whether $349 is a plain monthly rate, a starter-dose figure, or requires a prepay or auto-refill lever. Re-verified 2026-08-24 in a rendered browser: all four weight-loss cards are still live at the same figures (the tab is client-rendered, so a plain text fetch of the page sees none of them), and the site now runs an automatic credit banner — "Your $100 welcome credit — applied at checkout. No code needed." What that credit applies to, and whether it touches the tirzepatide card price, is only visible inside checkout.
Strengths
A real, named, priced compounded tirzepatide product — confirmed in a rendered browser, not just a payout-tier listing
Format choice: injection or oral dissolving tablet
Same storefront also carries NAD+ and sermorelin, if you want one provider for more than one product
Trade-offs
"Starting at" with no stated dose basis or billing term — the same ambiguity that downgraded Bodybuilding Health+'s sermorelin listing
No consult-inclusion, lab, or commitment information found on the product card
Whether $349 holds at a real maintenance dose, or is a starter-dose teaser, is unconfirmed
Visit Synergy Rx ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
14
RxSpan MD
Real, named products — but every price is explicitly first-month-only.
Tirzepatide Injection $329, Tirzepatide Capsules $349 — both explicitly "for the first month"; no ongoing/renewal price is shown anywhere on the site or in the checkout flow
A physician-led telehealth (Dr. John Diaz) with a broad menu spanning compounded GLP-1, longevity, hair loss, and sexual health. Rendered in a browser, the storefront shows two real, named tirzepatide products — an injection at $329 and capsules at $349 — but every price card on the site, and the final order summary in the checkout flow we walked through, is labeled "(For the first month)" with no month-2 price stated anywhere. The FAQ claims "no long-term commitments" and "transparent pricing," which does not match a price that only covers month one.
Strengths
Physician-led brand with a named, board-certified prescriber
Format choice: injection or capsules
Broader longevity menu (NAD+, sermorelin, glutathione) if you want one provider for more than one product
Available in all 50 states per the site's FAQ
Trade-offs
Every printed price is explicitly "for the first month" — the real ongoing monthly cost is never stated, including in the checkout flow's own order summary
"No long-term commitments" and "transparent pricing" are hard to square with a price that only covers the first month
No published dose-tiered pricing, so whether even the first-month price holds across doses is unconfirmed
Visit RxSpan MD ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
15
Try Ageless
A real sale price — $169 for injection — but the discount mechanism is unexplained.
Tirzepatide Injection: list $219, sale $169 (23% off). Tirzepatide Drop (oral): list $299, sale $249 (17% off). Neither product page states what unlocks the sale price — no promo code, auto-refill, or prepay term is named on the storefront grid.
Compounded longevity/peptide telehealth (see /best-sermorelin-online for this company's sermorelin listing, corrected the same day). The homepage "Best sellers" grid shows both tirzepatide formats as standard struck-through storefront sale prices (list price crossed out, sale price current) — a common e-commerce pattern, but unlike this company's sermorelin listing (which discloses a promo code by name), no mechanism is stated for either tirzepatide discount. Treat $169 as a real, current, displayed price with an unconfirmed basis, not a guaranteed no-lever rate.
Strengths
A real, current sale price is displayed on the storefront — not hidden behind a quiz
Format choice: injection or oral drop
Same provider also carries sermorelin and NAD+, if you want one provider for more than one product
Trade-offs
No stated mechanism for the discount — unlike this company's own sermorelin listing, which names its promo code
No published dose-tiered pricing, so whether $169 holds at a real maintenance dose is unconfirmed
Visit Try Ageless ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
16
Sprout Health
A $150 markdown with no stated mechanism — the least transparent priced row here.
"Starting at $349" shown struck through, marked down to "now from $199" — the site does not explain what unlocks the lower figure
Compounded tirzepatide injections (joinsprouthealth.com). The product page shows a $349 price crossed out next to a $199 figure, but never states whether $199 requires a prepay, an auto-refill enrollment, a promo code, or is simply the current rate — a real gap for a page that elsewhere claims "flat rate, no hidden fees or long-term contracts," language that sits oddly next to an unexplained $150 discount. A third-party blog claims a "$249 first month, then $299/mo, dose-locked" structure that directly contradicts the site's own $199/$349 figures — that third-party number is not used here.
Strengths
Consult, evaluation, and ongoing support described as included in the program
If $199 turns out to be the genuine no-lever rate, it is competitive
Trade-offs
The site does not explain what unlocks its own advertised $199 price — confirm the real mechanism before you rely on this number
A third-party source describes a materially different, higher price structure that we could not confirm or rule out on the primary site
Received an FDA warning letter in September 2025 over a marketing claim that its GLP-1 medications were "FDA-approved" — they are compounded, not FDA-approved
Visit Sprout Health ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
17
SkinnyRx
Prices tirzepatide on four terms, and puts the twelve-month one on every page.
$399/month month-to-month for compounded injectable tirzepatide, $349 on a four-month term, $329 on six and $299 only on twelve — the "Starting at $299/mo" on its tirzepatide tile is that twelve-month rung
Compounded tirzepatide sold two ways: a once-weekly injection or a once-daily tablet, with a separate microdose SKU. Payment is taken only after the pre-qualification intake, and its FAQ states you are not charged if a clinician declines you, with a full refund within 24 to 48 hours. Free shipping and unlimited provider messaging are included; the advertised 90-day money-back guarantee has conditions in the Terms — 90 consecutive paid days, a weekly weight logged in the app and every dose logged.
Strengths
A complete four-term ladder exists for every SKU, so the cost of not committing is a knowable number rather than a surprise at renewal
A genuine once-daily tablet route exists alongside the injection, on its own identical ladder
It answers the pharmacy question on its own FAQ rather than leaving it open — the regulatory category is stated, which is more than most desks here put in writing
No charge if a clinician declines you: payment is processed only after the intake, with a stated full refund within 24 to 48 hours
Trade-offs
Every advertised figure is the twelve-month rung — $299 on the tile against a $399 month-to-month rate, with no term printed beside it
The microdose costs the same as the full dose at both shared terms, $399 month-to-month and $349 on four months, so it is not a cheaper way in
An FDA warning letter was issued to Lean Rx, Inc. dba SkinnyRx on 20 February 2026. We disclose it; it is not a disqualification
The category is stated but no individual facility is ever named, so you cannot look up who actually makes your medication
Visit SkinnyRx ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
18
Gala Health
"Cancel anytime" beside a $179 hero — while the same page's own cost answer says $199.
The hero advertises "Start now — $179/mo" beside "Cancel anytime"; the same page's cost section answers that compounded GLP-1/GIP "(incl. Tirzepatide) costs $199 per month (all-included, with medical evaluation and ongoing support)" and then repeats "Start for $179/mo" — two figures, no term language anywhere, and nothing stating what makes $179 available or for how long
Compounded GLP-1/GIP telehealth. The page was reworked between our 2026-07-26 check and 2026-08-24: the prepay tiers previously recorded here ($199/mo on a 3-month plan, $179/mo tied to a yearly-subscription footnote) are gone — the footnote was deleted, and no term or plan language of any kind remains. What is left is a hero reading "Start now — $179/mo" with "Cancel anytime" beside it, and a cost section stating "$199 per month (all-included, with medical evaluation and ongoing support)" followed by "Start for $179/mo." The natural reading — $199 ongoing, $179 to start — is never actually stated, so neither number is used as a true monthly here. The figure also remains a blended GLP-1/GIP price ("incl. Tirzepatide"), not a tirzepatide-only rate.
Strengths
"Cancel anytime" is now real, published copy, and the multi-month prepay terms previously recorded here are gone from the page
Described as all-included — medical evaluation and ongoing support bundled into the price
Trade-offs
The page advertises $179/mo in its hero and $199 per month in its own cost answer, and nothing reconciles the two
No term language at all — whether $179 is an intro rate, the ongoing rate, or a promo is unstated, and the footnote that used to explain it was deleted rather than replaced
Still a blended GLP-1/GIP price ("incl. Tirzepatide"), not a tirzepatide-only rate — confirm exactly what you're being prescribed before paying
Visit Gala Health ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
19
Oak Longevity
Rebuilt its site since our last check — and removed every tirzepatide price along the way.
No tirzepatide price is published anywhere anymore. The homepage FAQ answers "Oak's programs start at as little as $119/month, with no hidden membership fees, no surprise charges, and free shipping"; the weight-loss page's own comparison table lists Oak's monthly cost as "$190/mo" — both are program-wide figures naming no drug, and nothing reconciles them
Compounded semaglutide and tirzepatide telehealth. The site was rebuilt between our 2026-07-31 check and 2026-08-24: the old hero pricing, the promotional banners, and the homepage comparison table — and with them every published tirzepatide figure, including the "from $185/mo" this row once carried, plus the three unreconciled semaglutide prices that earlier check documented — are gone. What remains: the weight-loss page's tirzepatide card ("Contains Tirzepatide — Compounded GLP-1/GIP," a once-weekly, physician-guided therapy with personalized dosing) lists features but no price, and the only dollar figures left on either page are the homepage FAQ's "start at as little as $119/month" and the weight-loss comparison table's "$190/mo" — two program-wide numbers, $71 apart, attached to no drug, with no stated relationship. The rebuild removed the numbers rather than reconciling them.
Strengths
Tirzepatide is still a real, named product — "Contains Tirzepatide," once-weekly, with personalized dosing stated on the card
The comparison table still lists membership fees as "None" and shipping as free
Free health coaching is still advertised, and the weight-loss page states no video call is required
Trade-offs
No tirzepatide price exists anywhere on the public site — you can no longer comparison-shop this provider at all
The two program-wide figures that remain ($119/month in the homepage FAQ, $190/mo in the weight-loss comparison table) disagree by $71 and name no drug
The previous version of the site published three unreconciled prices for the same drug; the rebuild removed them rather than reconciling them
Visit Oak Longevity ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
20
Breeze Meds
Still no tirzepatide price — the homepage now shows one category-wide "Starting at $199" instead of nothing.
No tirzepatide price published. The homepage now shows "Starting at $199" over "Weight Loss Injections" — a category card naming no drug, no unit, and no billing cycle (the vial pictured reads "Personalized GLP-1"); the per-drug price is still revealed only inside the intake
Compounded GLP-1 telehealth (breezemeds.com) whose navigation menu still names both "Tirzepatide Injection" and "Oral Tirzepatide" as real products — re-confirmed in a rendered browser on 2026-08-24. The change since our earlier walk of the intake flow: the homepage, which previously showed no dollar figure anywhere, now carries a "Starting at $199 — Weight Loss Injections" card, alongside "Starting at $169 — NAD+ Injections." Neither names a drug, a unit, or a billing cycle — $199 of what, per what, for which molecule is all unstated — so it is a category floor in the same shape as Care Bare Rx's below, not a tirzepatide price. Third-party press releases (Newswire/GlobeNewswire, Feb 2026) citing per-drug figures attributed to the company remain unused here.
Strengths
Confirmed, named tirzepatide product (injection and oral) — a real catalog match, not a guess from a payout tier
Same storefront also carries a longevity line (NAD+ injections, advertised from $169), if you want one provider for more than one product
Trade-offs
The only figure on the site is category-wide — "Starting at $199" names no drug, no unit, and no billing cycle, so it is not a tirzepatide price and cannot be compared to any monthly rate here
Whether a consult, labs, or a membership are bundled into the eventual price is unstated
50,000+ patients claimed on-site, but no independent review count found
Visit Breeze Meds ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
21
Care Bare Rx
Confirmed to sell tirzepatide by name — but publishes no price anywhere on the public site.
Pricing not published — a $199/mo figure exists only as a category-wide "starting at" floor across all weight-loss drugs, not tied to tirzepatide specifically
Compounded telehealth (CareValidate/CareGLP platform) whose product list explicitly names both "Tirzepatide (Injectable/Compounded)" and "Tirzepatide (Oral Form)" as sold products — a real, confirmed catalog match, unlike RxSpan MD (excluded from this site; see file header). No dollar figure tied specifically to tirzepatide, or to any dose, appears anywhere on the crawlable site; the actual price is revealed only inside a gated intake quiz we did not complete.
Strengths
Both injectable and oral tirzepatide formats are confirmed, named products
Broader catalog (weight loss, hair loss, sexual health, NAD+) if you want more than one product from one provider
Trade-offs
No price for tirzepatide specifically is published anywhere on the public site — you cannot comparison-shop before starting the intake quiz
The only visible number ($199/mo) is a category-wide floor, not confirmed to be tirzepatide's actual price
Whether a consult is included in the eventual price or billed separately is not stated in plain language
Visit Care Bare Rx ↗PartnerShown for honest comparison · verified on the provider's own site in 2026
How we rank
We do not run sponsored reviews, and nobody pays us to change what we write about a provider. Affiliate partners are listed ahead of non-partners, and this site's partner ordering within that group runs on the four factors below — deliberately different factors from our sermorelin ranking, because the two products fail in different ways.
True monthly cost, not the headline
19 of the 21 providers we checked attach some commitment (prepay, auto-refill, or an undisclosed intro rate) to their advertised number. We rank on what you pay enrolling month-to-month with no lever pulled, and name the commitment when the headline needs one — the same headline-vs-true-cost gap we track for every provider on this site in our price-transparency index.
Dose-scaling honesty
Tirzepatide is titrated up over months — a 2.5mg starter climbs toward a 10–15mg maintenance dose. Run your own schedule in our tirzepatide dosage calculator or work out a vial with our reconstitution calculator. A provider that states “same price at every dose” is telling you something real; one that publishes no dose-tier information at all has told you nothing about what you'll pay once you're at a real dose.
A genuine month-to-month option
Three providers here (MadeMed, HealthRX, Gala Health) have no plain single-month plan at all — the cheapest thing they sell is a multi-month prepay. That ranks below a genuine month-to-month option even at a somewhat higher price, because it's a real difference in how easy the program is to exit.
Internal consistency
We checked whether a provider's own pages agree with each other. HealthRX's homepage and product page advertise two different headline prices for the same drug; RxSpan MD and Sprout Health each show a real number that hides what happens after it — RxSpan MD labels every price "first month only" with no month-2 figure anywhere, and Sprout Health marks a price down by $150 with no stated mechanism. All three are named as findings, not smoothed over.
Read this first. Every provider here sells compounded tirzepatide — not the FDA-approved brand-name Zepbound. Compounded tirzepatide is not FDA-approved as a standalone product, and its legal availability depends on the branded product remaining in shortage. Tirzepatide is associated with real, randomized-trial weight loss, but it also comes with GI side effects and some loss of lean mass, and stopping it typically means regaining weight. This ranking judges provider pricing honesty — it is not a claim that compounded tirzepatide is right for you, and nothing here is medical advice.
If you are drug-tested: tirzepatide is monitored, not banned
Unlike the GH-releasing peptides in our sermorelin ranking (linked below), tirzepatide is not on WADA's Prohibited List. Since 2026 it sits in the Monitoring Program alongside semaglutide — WADA collects anonymized usage data, but using it for a legitimate medical reason is not an anti-doping rule violation today. Monitoring status is not permanent, and this class is under active watch. Read the full explainer in our WADA 2026 Prohibited List breakdown, or check any other compound's status yourself in the WADA prohibited-status checker.
This page ranks tirzepatide sellers specifically — a different ranking lens from our sermorelin ranking, where the dominant finding was whether a price was published at all, and from our semaglutide ranking, where the dominant finding was whether a provider's own pages agree with each other. Here, everyone publishes a number; the question is which one is real. If you want the lowest number instead of the honest one — every lever pulled, prepay and auto-refill included — see cheapest tirzepatide online, which answers that different question directly.
This page is informational and not medical advice. Compounded tirzepatide is available by prescription only after clinician review, is not FDA-approved as a standalone product, and its legal availability depends on the brand-name product (Zepbound) remaining in shortage under FDA compounding rules. Prices were verified against each provider's own site on 2026-07-26 and can change without notice. Talk to a licensed provider about whether any weight-loss program is appropriate for you.
