Best Online Tirzepatide Programs in 2026 (13 Providers Compared)

All-in compounded tirzepatide, no membership: Curex

Curex takes our top slot for simple billing and clear labeling. One price covers the online visit, the medicine, shipping and dose changes. There is no separate membership.

Elsewhere, a required membership or a dose-based price often adds $80 to $150 to the headline figure. That makes Curex's one-line billing unusual.

The catch is its "from $199" headline. That price needs a year paid upfront, at the lowest dose. Month to month, the tablet costs about $250 and the shot about $300 at the starting dose. Both cost about $100 more at higher doses. Curex sells tirzepatide as a weekly shot or as a tablet that dissolves under the tongue.

• Pros: one all-in price with no membership; shipping and follow-ups included; shot or dissolving tablet; month-to-month plan available.
• Cons: the $199 price needs a year paid upfront; month to month it costs about $250 to $400, by form and dose; up to $100 of the visit fee is never refunded; Trustpilot 4.3 on about 100 reviews, many from its allergy business.

Cheapest first month: Mochi Health

Mochi Health has the cheapest first month on this list. Since August 15, 2026, Mochi prices tirzepatide by dose. The medicine starts at about $90 a month at the lowest dose. It climbs to about $200 at the top dose.

New members pay nothing for the first month of membership, in most states. So month one at the lowest dose costs about $90.

After that, budget for the membership. Mochi charges about $80 a month on top of the medicine, for visits, messaging and care coordination. That makes about $170 a month all-in at the lowest dose. At the top dose, it is about $280. Unlike Gala or TrimRx, your bill climbs as your dose goes up. Our tirzepatide dosage chart shows how long each dose step usually lasts.

Mochi now works like a pharmacy marketplace. You pick the pharmacy, and the medicine price can vary with that choice.

The separate charges have drawn complaints. Mochi had more than 1,300 complaints with the Better Business Bureau, or BBB, by July 2026. Read the cancellation terms before you enroll. On the plus side, its team includes doctors board-certified in obesity medicine. Mochi also offers menopause hormone therapy on the same membership.

• Pros: cheapest first month here; first month of membership free for new members; some doctors board-certified in obesity medicine; hormone therapy on the same membership.
• Cons: price rises with your dose; the membership is a separate charge; the medicine price varies by pharmacy; many billing complaints.

Other strong compounded tirzepatide programs

BetterMe Rx: lowest price on a 12-month plan

BetterMe Rx has the lowest 12-month rate here, but only if you pay for a year at once. The 12-month plan works out to about $160 a month. You pay it in one charge of about $1,910. Shorter plans cost more:

• Month to month: about $250 a month.
• 3-month plan: about $210 a month.
• 6-month plan: about $180 a month.
• 12-month plan: about $160 a month, paid upfront.

The price is the same at every dose. Visits and shipping are included. Its FAQ names its doctor networks and the seven US pharmacies it uses, which is good transparency.

It doesn't rank higher because of its track record. Once an order is processed, nothing is refunded, including unused prepaid months. Reviews are mixed, at 3.6 out of 5 on Trustpilot. Complaints mention leaking vials and slow support. The site doesn't publish the company's legal name. BetterMe also sells tirzepatide tablets, but no clinical evidence shows they work, so stick with the weekly shot.

Gala: flat price with hormone therapy on the same account

Gala is one of the cheapest flat-rate programs here. Tirzepatide costs about $180 a month on a yearly plan. On a 3-month plan, it costs about $200 a month. Both prices hold at every dose.

Gala also treats perimenopause on the same account. It offers estradiol, the main estrogen used in hormone therapy, plus progesterone and non-hormonal options for hot flashes.

The visit, dose changes, messaging and shipping are included. Prescribing runs through a licensed medical group in all 50 states.

The reservations are real. Nothing is refunded when you cancel, unless a provider turns you down for medical reasons. The pharmacy is never named. The BBB gives Gala a C-, with repeated billing complaints. If the price and the hormone pairing appeal, start with the 3-month plan.

• Pros: same price at every dose; visit and shipping included; hormone therapy on the same account; Trustpilot 4.6 across about 4,200 reviews.
• Cons: 3- or 12-month plans with no refunds; pharmacy not named; BBB C- with billing complaints; founded only in 2024.

LevelsRx: video visits and coaching, about $350 at every dose

LevelsRx suits you if you want to see a clinician on camera rather than fill in a form. Unlimited video visits, one-on-one nutrition coaching, auto-refills and shipping are included. Its terms name its partner pharmacies. One is a known 503A compounder, a state-licensed pharmacy that mixes drugs for one patient at a time.

Its regular price is about $350 a month. The site says it stays the same at every dose. Prices for longer plans appear only once you start the intake. The brand is so new it has almost no independent reviews.

• Pros: video visits and coaching included, no membership; one price at every dose; named pharmacies; brand-name Wegovy and Zepbound on the same platform.
• Cons: mid-pack price; longer-plan prices hidden until intake; very few public reviews; states served not published.

Joi: a hormone clinic first, about $250 after a cheaper first month

Joi is a women's hormone clinic that added compounded GLP-1s. Its core products are bioidentical hormones, made to match the body's own: estradiol, progesterone and testosterone. One clinician and one coach handle weight and perimenopause together.

Tirzepatide costs about $150 for the first month. After that, it is about $250 a month, with coaching and messaging included. Joi names its medical director and pharmacy partners.

The catch is the contract. Joi bills about $750 for each three-month supply, so you commit three months at a time. All products are non-refundable.

• Pros: hormone therapy and GLP-1 under one clinician; coaching included; cheaper first month; named pharmacies; Trustpilot 4.6 across about 1,400 reviews.
• Cons: billed every three months, no refunds; GLP-1 is a secondary line; different prices in New York and New Jersey.

TrimRx: price locked at every dose, from about $260

TrimRx's main argument is that your price stays the same, however high your dose goes. Some rivals add $100 or more by the maintenance dose.

The low rate of about $260 needs a prepaid plan of several months. Month to month, its terms list about $350 for the first month. After that, it is about $400 a month. Prepaid months are non-refundable once the medicine ships. Visits, supplies and shipping are included.

Third-party reviews say its pharmacy is a 503A sterile compounder in Texas. TrimRx's own site doesn't name it.

Its reviews are the weak point. Trustpilot sits at 3.7 out of 5, and about 30% of reviews are one-star. Most of those are about auto-renewals and slow refunds. The BBB rates it F. Read the billing terms carefully.

• Pros: price locked at every dose; visits, supplies and shipping included; 503A sterile compounder, per third parties; approval in 24 to 48 hours without a video call.
• Cons: the low rate needs a prepaid plan; about $400 month to month; BBB F and steady billing complaints; little coaching, no labs.

ReadyRx: flat price and a written guarantee

ReadyRx pairs flat pricing with the best review record of the newer programs. It costs about $315 a month on a monthly plan. On a prepaid quarter, it drops to about $275 a month. Both prices hold at every dose. A code shown on its site takes about $20 off the first month.

Clinician review, messaging and cold shipping are included, with no membership. ReadyRx writes a weight-loss guarantee into its terms. It holds 4.7 out of 5 across about a thousand Trustpilot reviews.

Check two things first. The pharmacy isn't named up front. And tirzepatide isn't offered in about nine states, including California and North Carolina.

• Pros: same price at every dose, no membership; true month-to-month option; written guarantee; strong reviews.
• Cons: about 9 states excluded; pharmacy not named; text-only care; cancel four business days before renewal.

Eden: the lowest month-to-month price

Eden charges about $130 a month, all in, at every dose. There is no membership, no prepay and no intro price that jumps later. That is the lowest month-to-month price on this list.

Two cautions. In June 2026, the FDA sent Eden a warning letter over how it described its compounded products. Its BBB rating is F, with a flagged pattern of billing and cancellation complaints. See our Eden review.

• Pros: same price at any dose; month-to-month plan with no membership; the lowest month-to-month price here; its own in-house pharmacy.
• Cons: June 2026 FDA warning letter; BBB rating F, mostly billing and cancellation complaints.

Henry Meds: pill or shot, from an established provider

Henry Meds is one of the best-known names in compounded GLP-1 telehealth. It sells tirzepatide only as a pill, at about $350 a month. It no longer lists a tirzepatide shot.

Visits, supplies and shipping are in one price, with no membership. The pill is billed as a three-month supply, about $1,045 each time. Paying for it upfront in full lowers that to about $890.

Henry doesn't promise one price at every dose. Get the price for your maintenance dose before you start. It costs more than Mochi, and more than Curex's tablet at the starting dose. In return, you get a known provider and wide state coverage. Henry also offers hormone therapy for women.

Henry's semaglutide costs noticeably less than its tirzepatide. The pill is about $250 a month, and the shot about $295. If you are open to semaglutide first, that is a real saving.

• Pros: pill or shot; visits, supplies and shipping included; no membership; established provider; hormone therapy for women.
• Cons: its shot, at about $450, has the highest starting price among the compounded options here; the pill is billed three months at a time.

Fridays: best for coaching included

Fridays sells a full program, not just a prescription. Compounded tirzepatide costs about $240 a month on a 12-month plan. Month to month, it costs about $390. A fall sale code on its pricing page lowers the annual plan to about $200 a month.

The price includes group coaching over Zoom, a dietitian, mental health support groups and 24/7 messaging. If you would otherwise pay for coaching or a dietitian, the bundle is better value than it looks.

Fridays also sells a separate microdose tirzepatide for about $200 a month. It is marketed to people already stable on a GLP-1, the drug family tirzepatide belongs to. It is not meant as a way to start.

• Pros: coaching, dietitian and app included; one place for behavior change and medicine.
• Cons: the best price needs a 12-month commitment; about $390 month to month; annual prepayments are non-refundable; not offered in Louisiana.

Willow: no membership, LegitScript certified, 36 states

Willow charges about $400 a month for compounded tirzepatide at the starting doses. The price rises with your dose. It reaches about $500 at the middle doses and about $550 at the top. Medicine, doctor access and free two-day shipping are included, with no membership.

Willow is LegitScript certified. That is an outside check of a telehealth company's legitimacy, and fewer programs carry it. Willow serves 36 states. It also sells tirzepatide as a daily tablet that dissolves under the tongue, from about $400 a month.

• Pros: LegitScript certified; no membership; shot or tablet; free two-day shipping.
• Cons: only 36 states; the price climbs with the dose, to about $550 at the top, the highest compounded price here.

Best brand-name option: Zepbound from LillyDirect

LillyDirect is the only option in this table that is FDA-approved as a finished product. Eli Lilly sells Zepbound directly to self-pay patients, as vials or as a KwikPen. The price rises with the dose:

• 2.5 mg: about $300 a month.
• 5 mg: about $400 a month.
• 7.5 mg to 15 mg: about $450 a month.

At the lowest dose, Zepbound costs about the same as Curex's shot month to month, and about $100 more than Curex on a prepaid year. That gap buys an FDA-approved product with a regulated manufacturing process and a steady supply.

The fine print is a refill clock. To keep these prices, you must refill within 45 days of your last delivery. Miss it, and the higher doses jump to about $500 to $700 a month. If the rules around compounded tirzepatide worry you, the extra cost may be worth it.

On Medicare, there is a cheaper route. Since July 1, 2026, the Medicare GLP-1 Bridge lets eligible members of a Part D drug plan get the Zepbound KwikPen for $50 a month. It runs through the end of 2027, for people who meet its weight and health criteria.

• Pros: the only FDA-approved tirzepatide in this table; sold directly by Eli Lilly; vials or KwikPen; close to compounded prices at 2.5 mg and 5 mg.
• Cons: strict 45-day refill window; higher doses cost more than most compounded programs; you need a prescriber, though LillyDirect can connect you with one.

Compounded vs. brand-name tirzepatide in 2026: is it legal?

Compounded tirzepatide was easy to find in 2023 and 2024 because the drug was in shortage. A shortage lets compounding pharmacies make copies to fill the gap. The FDA declared the shortage over in December 2024.

Pharmacies then had a short grace period. It ended on February 18, 2025 for 503A pharmacies, the state-licensed ones that fill one prescription at a time. It ended on March 19, 2025 for 503B outsourcing facilities, which make larger batches.

What remains is a narrower path, one patient at a time. A 503A pharmacy may still compound tirzepatide when a prescriber documents a medical reason the approved drug won't work. One example is an allergy to an ingredient in Zepbound or Mounjaro. The compounded programs on this page work on that basis.

On April 30, 2026, the FDA proposed keeping tirzepatide off the list of drugs that 503B facilities may compound from bulk ingredients. The comment period closed July 30, 2026. As of early October 2026, no final decision had been issued. Our compounded tirzepatide guide covers the rules in more depth.

• Not FDA-approved: compounded tirzepatide is mixed by a pharmacy, and its quality standards differ from brand-name Zepbound or Mounjaro.
• A red flag: any seller claiming "FDA-approved compounded" tirzepatide is wrong. Compounded drugs are never FDA-approved as finished products.
• Still moving: the April 2026 proposal is not final, so the rules could change.
• The gap is smaller: Zepbound from LillyDirect now starts at about $300 a month.

Tirzepatide vs. semaglutide: which is right during menopause?

SURMOUNT-5 was the first trial to compare the two drugs head to head. At 72 weeks, people on tirzepatide lost 20.2% of their body weight on average. People on semaglutide lost 13.7%.

Waist size dropped about 18 cm on tirzepatide, against 13 cm on semaglutide. Stomach side effects led 5.6% of people on semaglutide to stop treatment. On tirzepatide, 2.7% stopped for that reason. Our guide to tirzepatide side effects covers what to expect.

Semaglutide has moved up since then. The FDA approved a higher 7.2 mg Wegovy dose in March 2026. In its own trial, STEP UP, that dose produced 20.7% average weight loss, against 2.4% on placebo. That narrows the gap. It doesn't settle it, because the results come from separate trials with different people.

The waist result matters in midlife. Belly fat tends to build up as estrogen falls. That fat is linked to higher heart and metabolic risk. Semaglutide has its own strengths. It has a longer safety record and heart-outcome data from the SELECT trial. It usually costs less, too.

If you have never taken a GLP-1, semaglutide is a well-studied first step. Tirzepatide may be the better pick if you want the largest likely effect. It may also suit you if semaglutide didn't work well. For semaglutide programs, see our best online semaglutide guide.

Why tirzepatide matters for women in perimenopause

Tirzepatide is sold as Mounjaro and Zepbound. It acts on two gut hormones at once, GIP and GLP-1. In perimenopause, falling estrogen moves fat toward the belly. It also disrupts sleep and makes the body handle sugar less well. Tirzepatide works on appetite and blood sugar, which fits that picture.

It does not replace hormone therapy. Hormone therapy treats hot flashes, night sweats, vaginal dryness and bone loss. A GLP-1 does not touch those. If you are already on hormone therapy and still gaining weight, tirzepatide may help where hormones alone can't. Many women use both, and Gala, Joi, Mochi Health and Henry Meds can manage the two together.

How we picked these programs

We ranked thirteen programs on four points:

• Real monthly cost at the maintenance dose, including any required membership.
• Price clarity at each dose.
• Legal standing of the pharmacy.
• State coverage, meaning how many states are served.

A low headline price that hides a membership, or jumps at higher doses, ranked below a slightly pricier flat rate. LillyDirect is judged separately. It answers a different need: regulatory certainty, not just cost.