Push Health Cost: What Tirzepatide Really Costs, Fee Plus Pharmacy Bill

How much does Push Health actually cost per month?

There isn't a single sticker price to quote, because Push Health isn't a single service — it's a marketplace of independent, state-licensed providers who each set their own fee for reviewing your case and writing a prescription. Across the platform, that fee commonly runs $65 to $200 per request, with several sources putting a straightforward tirzepatide request closer to the $65-to-$150 end and more involved cases toward the top of that range.

• Push Health's own consult and e-prescription fee: commonly $65–$200 per request
• No separate membership or subscription charge, per the company's own support materials
• The fee is shown to you before you submit payment, and is charged only when you request or renew a prescription
• That fee is the entire Push Health charge — it stops there

That last bullet is the one worth sitting with before you compare this number to anything else. A woman researching Henry Meds sees $349 and knows that's the whole bill. A woman researching Push Health sees $65 to $200 and, if she stops reading there, walks away thinking she's found the cheapest option in the category. She hasn't — she's found half the bill.

Does that price include the tirzepatide itself, or just the doctor visit?

Just the visit. Push Health's own support documentation is direct about this: the fees paid through the platform relate to the provider's online consultation and Push Health's processing and platform costs, and the fee does not cover the cost of the medication. The tirzepatide is a second, entirely separate charge, paid straight to whichever pharmacy ends up filling the prescription — not to Push Health, and not bundled into the number you paid at intake.

This is the structural difference that matters most when you're pricing Push Health against Henry Meds, Mochi Health, or Bliv. Those three sell a single monthly subscription that includes the drug. Push Health sells access to a prescriber. What you do with that prescription — and what it ends up costing — is a decision you make afterward, at a pharmacy Push Health doesn't own or bill for.

What is Push Health, exactly, and is it legit?

Push Health, Inc. is a telehealth marketplace based in El Segundo, California, registered with the Better Business Bureau since August 2012. It isn't a clinic with its own staff physicians; it's closer to a matching platform that connects patients to independent, state-licensed medical providers who use Push Health's software to conduct consultations, issue e-prescriptions, and order labs. The company says it has served more than a million patients since launch, and it holds a 3.9-out-of-5 rating on Trustpilot across roughly 782 reviews — a genuinely decent score, driven mostly by praise for speed and provider knowledge.

The less flattering side of the record: Push Health, Inc. carries an F rating from the Better Business Bureau and is listed as not accredited, with 85 complaints closed in the past three years. So it's a real, long-operating company — not a scam shell — but it's also one with a documented pattern of unresolved friction, mostly around billing and prescriptions that didn't reach the pharmacy as expected. Both facts belong in the same sentence, because they're both true.

How does Push Health actually work, step by step?

• You create an account and fill out a health intake covering your weight, relevant history, and why you're requesting tirzepatide
• An independent, state-licensed provider reviews the request — this is typically asynchronous (no live video call required), though it depends on the individual clinician
• If approved, you log back in, select a pharmacy from Push Health's network, and pay the fee before the request is finalized
• The prescription routes electronically to the pharmacy you chose
• You coordinate directly with that pharmacy for pickup, delivery, and payment of the medication itself

The asynchronous, no-appointment structure is a genuine convenience for a woman who already knows what she wants and just needs a licensed provider to sign off. It's a weaker fit if you want an ongoing relationship with one clinician who knows your history — because Push Health is a marketplace, you may not be matched with the same provider on your next request.

Where does the prescription get filled, and how much does the pharmacy charge?

This is the half of the bill that actually varies the most, and it's the one Push Health leaves almost entirely up to you. The company says it routes prescriptions through a network it describes as more than 50,000 pharmacies nationwide, and its own product pages are explicit that it is not a pharmacy and does not ship medication. Practically, that gives you three realistic paths.

• An independent or compounding pharmacy: compounded tirzepatide from a 503A pharmacy commonly runs somewhere around $150 to $450 a month depending on dose and the specific pharmacy, based on typical market pricing for this category
• Lilly's self-pay vial program (LillyDirect): FDA-approved Zepbound at $299 a month for the 2.5mg starting dose, stepping up to $399–$449 a month at higher doses, provided you refill within the program's 45-day window
• A retail pharmacy with or without a GoodRx coupon: brand-name Zepbound or Mounjaro without insurance runs roughly $995 to $1,086 a month at full retail — a GoodRx coupon barely moves that number, since manufacturer pharmacy contracts leave little room for third-party discounting on a patent-protected brand

Push Health doesn't steer you toward one of these three paths over another, and it doesn't publish a recommended or default pharmacy. That's real freedom of choice — and it's also real homework you have to do yourself before you know your actual total.

Is Push Health's tirzepatide compounded or brand-name, and is that legal?

Both are on the table, and which one you get depends on the pharmacy you pick, not on Push Health itself. If you route your prescription to an independent 503A compounding pharmacy, you're taking compounded tirzepatide — mixed for you specifically under a narrower legal pathway than existed during the 2023–2024 shortage years, and not reviewed by the FDA as a finished product the way Zepbound or Mounjaro are. If you route to LillyDirect or a retail pharmacy, you're taking the FDA-approved brand-name drug, full stop.

The compounded route is still legal in 2026, just narrower than it used to be — a 503A pharmacy can compound tirzepatide for a specific, named patient when there's a documented clinical reason the commercial version won't work. For the full rundown of what changed and why, see compounded GLP-1. What's specific to Push Health is that the platform doesn't name or vet a single compounding pharmacy for you the way a bundled provider does — that verification is on you if you go this route.

What states does Push Health serve, and are there other fees?

Push Health's own materials don't publish a single consolidated list of states where tirzepatide prescriptions are available. The one state list the company does publish — 34 states plus D.C. — applies specifically to its optional Quest Diagnostics lab-testing service, not to prescriptions themselves, and it's easy to mistake one for the other if you're skimming quickly. State availability for a prescription request depends on which individual licensed provider is matched to you and where they hold a license, which Push Health confirms at the point of request rather than upfront.

• Lab work, if your provider orders it: a separate charge, run through Quest Diagnostics where available, not bundled into the consult fee
• The pharmacy's own dispensing or compounding fee: set by that pharmacy, not disclosed by Push Health
• Refill or renewal requests: appear to be billed the same way as an initial request — a new fee each time you submit one — though the exact cadence required to keep a prescription active isn't spelled out publicly
• Insurance: not billed by Push Health; whether your insurer reimburses the provider fee or the medication depends entirely on your plan

How does Push Health's total cost compare to Henry Meds, Mochi Health, and Bliv?

This comparison only works if you're honest about what you're comparing. Henry Meds, Mochi Health, and Bliv each sell one bundled subscription; Push Health sells a visit, and leaves the rest to you.

Henry Meds — $349–$449/mo, all-in, no ambiguity

Henry Meds charges $349 a month for oral compounded tirzepatide or $449 for the injectable version, with the provider visit, supplies, and shipping all folded into that single number. Compare that to Push Health's combined total — the $65–$200 fee plus a $150–$450 compounded pharmacy fill — and Push Health can land cheaper at the low end of both ranges, but Henry Meds' number is guaranteed and Push Health's isn't. Full pricing in the Henry Meds cost guide.

Mochi Health — $278/mo, flat at every dose

Mochi bills a $79 membership plus a flat $199 medication fee for tirzepatide at any dose, landing at $278 a month all-in with no titration surprises. Push Health's combined total can undercut that if you find a cheap compounding pharmacy, or exceed it easily if you route to a retail pharmacy instead — the deciding factor is entirely which pharmacy you choose, not anything Push Health controls. See the Mochi Health cost guide.

Bliv — $199/mo starting price, also unclear past the entry dose

Bliv is the closest structural cousin to Push Health on this list, in one specific way: neither publishes a full maintenance-dose price ladder for compounded tirzepatide. Bliv's $199 starting price is at least bundled — one company, one bill, no membership fee disclosed. Push Health's model adds a second layer of variability on top of that same dose-pricing ambiguity, since the pharmacy bill is a completely separate transaction with a completely separate company. Details in the Bliv cost guide.

The honest summary: Push Health can be the cheapest option on this page, or one of the most expensive, and the only way to know which is to price out your specific pharmacy before you pay the consult fee. Every one of its three competitors here removes that uncertainty by design.

Is there a coupon, discount, or way to lower the price?

The real savings lever at Push Health isn't a coupon code for the platform itself — it's which pharmacy you send the prescription to. A few concrete moves actually change the total:

• Compare a local independent compounding pharmacy's cash price against a chain before choosing where to route the script — the spread between pharmacies for the same compounded tirzepatide can be large
• If you want brand-name medication, use Lilly's self-pay vial program rather than full retail, and set a calendar reminder for the 45-day refill window — missing it triggers a significant price jump
• Check GoodRx before defaulting to a retail pharmacy's list price, though for brand-name tirzepatide the discount tends to be modest
• Ask whether your HSA or FSA card can be used for Push Health's own provider fee, which effectively discounts it by your marginal tax rate

How much does a full year of Push Health tirzepatide cost, realistically?

Two separate bills, added together, is the only honest way to estimate this. The Push Health side depends on how often your provider requires a new paid request — a detail the company doesn't publish — so a rough range of four to twelve paid requests a year at $65 to $200 each puts that piece somewhere around $260 to $2,400 annually. The pharmacy side depends entirely on your route: about $1,800 to $5,400 a year for a compounded fill at $150 to $450 a month, or anywhere from roughly $3,588 a year at LillyDirect's starting dose up past $13,000 a year at full retail with no discount.

• Push Health's own fee: ~$260–$2,400/yr, depending on how often a new request is required
• Compounded pharmacy route: ~$1,800–$5,400/yr
• LillyDirect brand-name route: ~$3,588–$5,388/yr
• Full retail brand-name route, no discount: ~$11,940–$13,032/yr

Remember, too, that most people on tirzepatide titrate to a higher dose over the course of a year, and pharmacy fees for compounded medication commonly climb with dose the way they do at most providers in this category. Whatever route you land on, treat the low end of these ranges as a floor, not a forecast.

Who is Push Health actually a good fit for, and who should look elsewhere?

Push Health makes the most sense for a woman who already has a specific, trusted pharmacy in mind — maybe a local independent compounder she's used before, or a clear GoodRx price at her regular chain — and just needs a licensed provider to write the prescription without a long appointment wait. It's also a reasonable option if you want to keep shopping pharmacies over time rather than committing to whichever one a bundled provider partners with.

It's a weaker fit if you want price certainty before you start, a single company to call when something goes wrong, or ongoing continuity with one clinician who tracks your progress over months. For any of those priorities, a bundled provider like Henry Meds or Mochi Health will serve you better, even at a real cost premium over Push Health's cheapest possible outcome.

What do real patients say — reviews, BBB, red flags?

The pattern across review sites is genuinely split rather than uniformly bad. On Trustpilot, Push Health holds a 3.9 out of 5 across roughly 782 reviews, with fast turnaround and provider quality as the most common praise — patients frequently describe getting a prescribed and sent-to-pharmacy decision within a day. The complaints cluster around a narrower but more serious set of issues: unresponsive assigned providers, difficulty reaching customer service during time-sensitive situations, and — most concerning for a prescription-fulfillment platform — a real number of accounts describing a paid fee with no corresponding prescription ever reaching the chosen pharmacy.

That BBB F rating mentioned earlier reflects the same tension: no accreditation, 85 complaints closed over three years, mostly billing and fulfillment friction, sitting alongside a genuinely decent Trustpilot score. No FDA warning letter or active lawsuit specific to Push Health, Inc. turned up in this research pass — worth a direct re-check before publishing, since search coverage of state medical board actions and litigation databases is incomplete. Given the marketplace structure, the safest read is that your individual experience depends heavily on which specific provider you're matched with — a genuinely different risk profile than a single clinical team standing behind every patient the way Henry Meds or Mochi Health does.