Tirzepatide programs that also treat menopause, scored

This is the compounded tirzepatide lineup filtered down to programs whose own pages list menopause hormone therapy. Scores, plates and order carry over unchanged, so a program ranks here exactly where it ranks on the full list, minus the rows that dropped out.

OurView Health leads at 85. Keep in mind what that number grades: the tirzepatide plan, on price, care, pharmacy and clarity. The hormone offer is the entry ticket to this page, and it earns no points.

Women in their 40s and early 50s often land between two kinds of care: weight treatment on one side, hot flashes and sleep on the other. A program on this list can prescribe for both, which saves a second intake and a second set of forms.

Perimenopause brings a detail the Zepbound label spells out. Tirzepatide may make birth-control pills less reliable, because it slows stomach emptying. The label advises switching to a non-oral method, or adding a barrier method, for 4 weeks after starting and after each dose increase.

That matters if you're still having periods, even irregular ones, and still use a pill for contraception. Ask the program how it handles it before your first shipment.

Then compare the hormone menus. 16 of the 17 programs here list estradiol and 16 list progesterone, in forms that range from patches to compounded creams. A program that only offers creams may suit you less than one with an FDA-approved patch.

• Price (35). Scored on the starting tirzepatide month alone. Your hormone prescription is a second line on the bill that this part ignores.
• Care (25). Points for a named prescriber, intake review, labs, follow-up and dose-change fees on the tirzepatide plan. Whether those cover the hormone visit is something to read on the review.
• Pharmacy (25). Earned by naming the pharmacy behind the tirzepatide. A program can score full marks here and still send your estradiol cream to another compounder.
• Clarity (15). Price before intake, cancellation terms, states served. The scoring method has each check.

Starting tirzepatide plates on this list run $129 to $367 a month, required fees included, and the middle one is $278. Over a year that middle plate is about $3,336 by our math.

Hormone prices are a separate read. Only 7 of the 17 programs here publish a monthly figure for estradiol or progesterone; the figures span $49 to $229, and the typical program's least expensive item is $107. For the remaining 10, the hormone price appears only after you start.

For programs that publish both prices, a starting tirzepatide month plus the least expensive hormone item adds up to about $178 to $488. Treat that as a starting estimate. Tirzepatide prices often climb with the dose, and estradiol with progesterone is two items, not one.

Ask whether hormones sit inside a membership. Some programs fold several prescriptions into one monthly fee, which can make the combined bill lower than our sum suggests.

1. Do you see me for both prescriptions in one visit, or two?
2. If I use a birth-control pill, what do you advise while my tirzepatide dose is going up?
3. Which estradiol forms do you prescribe, and are any of them FDA-approved products?
4. Is the hormone price fixed, or does it change with the dose or form?
5. Do you want baseline labs before hormones, and are they in the price?