Compounded tirzepatide cost: what programs charge, month by month

Compounded tirzepatide costs $85–$433 a month across the programs below right now. Each figure is what a program keeps charging after the first month, with any required membership added in and four-week billing turned into calendar months. If you want the drug itself explained first, start with the compounded tirzepatide guide. This page is about the money.

One plain fact before the numbers. Compounded tirzepatide skips FDA approval: no one at the FDA judges whether it is safe, whether it works, or how well it was made before a pharmacy sends it out ^[1]. It is also sold under tighter federal limits than during the shortage, which this status page explains.

The current price range, program by program

Sorted by real monthly cost, lowest first, the table answers the price question by itself. The top entry is the smallest monthly bill as of this update. Read its billing column before you count on that number, because a required membership or a prepaid term can sit behind it.

Also offered by (no standing monthly price published): Bodybuilding Health+Partner, Midi Health, Maximus, TrimRx.

A few programs don't publish an ongoing month-to-month price, so they aren't in the table. Oak prices only a 12-month plan. AgelessRx, Ivím Health, YourEra and MyDrHank show their price after the intake questions or at checkout. Microdose plans follow their own pricing, covered in our microdose tirzepatide guide.

The first month is often cheaper than the rest

About a third of the programs in the table run a first-month offer, and each of them charges more from month two. That's why the table leads with the ongoing price. The offer is real money saved once; the ongoing price is what you pay for the rest of the year.

HealthRX is a clear example. Its first month on the monthly plan is $99, then $214 a month after that. If you're comparing two programs, compare month four, not month one.

The other quiet difference is the calendar. A plan billed every 28 days charges you 13 times a year, not 12. Embody, Luvo Health, Sprout Health, Found and Wellorithm all bill on a four-week cycle. Their real monthly cost is the sticker times 13, divided by 12, which adds about 8%. The table has already done that math.

Some prices climb with your dose; many stay flat

Zepbound's label starts at 2.5 mg a week and lists 5, 10 and 15 mg as maintenance doses ^[3]. That matters for cost, because a price quoted at the starting dose may not be the price at month five. Midi Health sells a 4-week supply whose price rises in four steps as the dose goes up, and it bills visits separately. Its table figure is the starting band.

Many programs do the opposite and keep one price at every dose. Eden, Belle, TMates, Wellorithm and Enhance MD say so on their own sites. Collective prints "same price, any dose", and CoreAge Rx says any dose up to 15 mg a week is included. If you expect to stay on a maintenance dose for a year or more, a flat plan ages better: month twelve costs what month one did.

Prepaid plans cut the monthly figure but take the money up front

Most programs sell 3-, 6- or 12-month plans at a lower monthly rate. The catch is cash flow and commitment: you pay for months you haven't reached yet. Gala's longer plans, for example, lower the monthly figure but bill several months at once. Check the refund terms before you prepay a dose you haven't tried.

Memberships are the other add-on. Collective's medication price is low, but it requires a yearly membership, which the table folds into the monthly figure. Live Vital sells a 10-week protocol for one total, which the table spreads across calendar months. HumeCare+ calls its 3-month plan no-commitment, yet its checkout shows a 3-month total, so read the summary before you pay. The monthly cost tool does this arithmetic for any plan you're weighing.

What the monthly price includes, and what it leaves out

Most prices include the medication, the prescriber visit and shipping. Strut Health says its price includes provider visits, follow-ups and free shipping; RxSpan MD lists consult, medication, supplies, shipping and support. Labs are where programs split. MEDGm includes lab work in its price, Enhance MD requires labs before the first visit, and Found and Maximus bill labs separately. Midi Health bills visits on top of the medication.

• Visit fees: included at most programs; billed separately at Midi Health.
• Labs: included at MEDGm; separate at Found and Maximus; required before starting at Enhance MD.
• Supplies and shipping: included at most programs, but read the order summary.

Brand Zepbound now overlaps the top half of the range

LillyDirect sells Zepbound vials and KwikPens self-pay at $299 a month for the 2.5 mg starting dose and $399 for 5 mg as of this update ^[2]. Higher doses cost $449 a month if you refill within 45 days, and $499 to $699 if you don't. At 7.5 mg and up, that sits above the compounded median of $249, but well inside the range. How the two products differ beyond price is covered in compounded tirzepatide vs Zepbound.

LillyDirect fills the prescription, but you still need a prescriber. Several telehealth programs offer that visit for brand Zepbound. Their real monthly cost below combines the program fee and the medication.

Also offered by (no standing monthly price published): Sesame, Found, ShedPartner.

Insurance rarely pays; HSA and FSA rules depend on a diagnosis

Plan on paying cash. Collective and MEDGm, for example, say plainly that they don't bill insurance, and most programs in the table are built around self-pay.

Health savings and flexible spending accounts are a different question. IRS Publication 502 counts prescribed drugs as medical expenses, and counts weight-loss costs only when they treat "a specific disease diagnosed by a physician (such as obesity, hypertension, or heart disease)" ^[4]. HSAs use the same definition of medical care ^[5]. The IRS doesn't address compounded drugs by name, so ask your plan administrator before you pay. Eden, Gala, Embody, altRx and DirectMeds say they accept HSA or FSA cards; Collective and MEDGm say eligibility depends on your plan. Keep an itemized receipt either way.

The smallest monthly bill, and what it leaves out

The first entry in the table is the smallest real monthly cost right now. It's a fair place to start, as long as you check three things before you choose on price: whether a membership or prepaid term sits behind it, whether the program names its compounding pharmacy, and whether it serves your state. FDA lists "deep discounts or prices that seem too good to be true" among its telehealth red flags ^[1], so a price far below the rest deserves a second look.

The providers are scored, not just priced, on the compounded tirzepatide scores. For the sign-up steps, see where to get compounded tirzepatide. If you're weighing semaglutide too, its prices are on the compounded semaglutide cost page.

Six charges to look for before you pay

1. A required membership billed separately from the medication.
2. Billing every 28 days instead of monthly, which means 13 charges a year.
3. A price that rises when your dose goes up.
4. Lab work or visit fees not included in the plan price.
5. A first-month offer that resets to a higher ongoing price.
6. A prepaid term with limited refunds once the medication ships.