17 Cheapest Tirzepatide Providers (2026)

The cheapest tirzepatide for your situation

Price is almost never one number here. Most programs split the bill into a drug charge and a membership. Others quote a cheap first month that climbs later. The table shows the monthly price you will actually pay. Here is the short answer by situation.

• Lowest price overall: Nu Image Medical, about $90 a month if you prepay six months. On a prepaid year, Arbor costs about $150.
• Our pick for women in midlife: Gala, about $180 a month at every dose, with hormone therapy on the same account.
• No prepay and no membership: Eden, about $130 a month all-in, at every dose.
• Cheapest first month: Mochi Health, about $90. After that, it is about $170 at the lowest dose.
• The FDA-approved brand: Zepbound from LillyDirect, about $300 to $450 a month by dose.
• On Medicare: the GLP-1 Bridge, $50 a month for the Zepbound KwikPen if you qualify.
• With insurance: compounded tirzepatide is cash only. See how insurance covers tirzepatide for the brand-name route.

Compounded still costs less than the brand. The gap is smaller than a year ago, though. The cheapest options also rest on narrower legal ground. Keep that in mind as you read each provider below.

Tirzepatide cost by provider

Nu Image Medical: lowest price on a 6-month prepay

Nu Image Medical, a Tampa clinic online since 2008, has the lowest tirzepatide price we found. You get it by paying for six months at once.

• 6-month plan: about $90/mo, billed every six months
• 3 months: about $200/mo · Month to month: about $300
• Included: shipping, same price at every dose

Its terms name the prescribing medical group and four compounding pharmacies.

Read the billing rules before you prepay. All sales are final, and plans renew on their own until you cancel, at least 48 hours before the renewal date. Most complaints filed with the Better Business Bureau are about those renewals and refunds. Trustpilot rates it 4.4 out of 5, on about 1,000 reviews. It also sells tirzepatide tablets for about three times the price of the shot, so stick with the weekly injection.

Arbor: about $150 a month on a prepaid year

Arbor, formerly called Harbor, has the lowest 12-month tirzepatide price we found. You only get it if you pay for a year at once.

• 12-month plan: about $150/mo, paid upfront as about $1,790
• 6 months: about $170/mo · 3 months: about $190/mo · Month to month: about $250
• Included: visits, check-ins, shipping and a dietitian, same price at every dose

Its partner medical group, MD Integrations, handles the doctor visits. Arbor does not name its pharmacies.

Read the refund rules before you prepay. Once a prescription is written, nothing is refunded. That includes months not yet shipped. Its 12-month money-back guarantee excludes anyone who took a weight-loss drug in the year before. Trustpilot, a public review site, rates it 4.5 out of 5. That score rests on only 51 reviews, under its old Harbor name.

BetterMe Rx: about $160 a month on a prepaid year

BetterMe Rx is close behind Arbor on a prepaid year. Again, the low rate needs a full year paid at once.

• 12-month plan: about $160/mo, paid upfront as about $1,910
• 6 months: about $180/mo · 3 months: about $210/mo · Month to month: about $250
• Included: visits and shipping, same price at every dose

Two named doctor networks write the prescriptions. Its FAQ names its seven US pharmacies.

Weigh the trade-offs before you prepay. Once an order is processed, nothing is refunded, unused months included. Reviews are mixed, at 3.6 out of 5 on Trustpilot. Complaints mention leaking vials and slow support. It also sells tirzepatide tablets. No clinical trial shows they work, so stick with the weekly shot.

Oak: about $185 a month on a 12-month plan

Oak is a small cash-pay telehealth brand run by Oak Longevity Holdings Corp. It sells compounded semaglutide and tirzepatide. It takes no card until a provider reviews your health questions.

On a 12-month plan, compounded tirzepatide costs about $185 a month. Shorter plans exist, but their price only appears at checkout. The terms also say the price may change with your dose.

The trade-off is transparency. Oak never names its medical group or its pharmacy. Nothing is refunded once an order reaches the pharmacy. Trustpilot rates it 4.4 out of 5, on only 54 reviews.

Gala: same price at every dose, with hormone therapy on the same account

Gala's price does not move as your dose goes up. It is about $180 a month on a yearly plan. The 3-month plan costs about $200 a month. Both cover every dose, the assessment, dose changes, messaging and shipping.

It is also one of the few GLP-1 services built around women in midlife. Estradiol, progesterone and non-hormonal hot-flash treatments sit on the same account, from about $70 a month. So one clinician can weigh the GLP-1 alongside hormone therapy.

The reservations are real. Both plans are prepaid, and the terms refund nothing if you cancel. The pharmacy that fills the drug is never named. The Better Business Bureau, or BBB, gives Gala a C-, with a steady run of billing complaints. Trustpilot is kinder, at 4.6 out of 5 on more than 4,000 reviews. Start with the 3-month plan, once the cancellation terms are clear to you.

• Pros: same price at every dose; visit, dose changes and shipping included; hormone therapy on the same account.
• Cons: prepaid plans with no refunds; pharmacy not named; BBB C- with billing complaints; a young company, founded in 2024.

Curex: an all-in price with no membership

Curex puts the online visit, the drug, free shipping and follow-up dose changes in one price. There is no membership fee on the side. It sells tirzepatide as a weekly shot or as a tablet that dissolves under the tongue.

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.

• Pros: all-in price with no membership; shipping and follow-ups included; shot or tablet; month-to-month plan available.
• Cons: the low price needs a year paid upfront; higher doses cost about $100 more.

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

Joi started as a hormone telehealth company and added compounded GLP-1s later. Bioidentical estradiol, progesterone and testosterone are its core. So a woman in her forties can have weight and perimenopause handled by one clinician and one coach.

Tirzepatide costs about $150 the first month. After that, it is about $250 a month. Unlimited coaching and clinician messaging are included, with no membership fee.

The catch is the contract. You are billed every three months, about $750 each time. There is a three-month minimum, and the terms say nothing is refundable.

• Pros: HRT and GLP-1 with one clinician; coaching included; cheaper first month; pharmacy partners named; Trustpilot 4.6 out of 5 on about 1,400 reviews.
• Cons: billed every 3 months with a 3-month minimum and no refunds; GLP-1s are a side line for a hormone company; prices differ in some states.

TrimRx: price locked as your dose rises, from about $260

TrimRx's real edge is a price that stays locked however high your dose goes. That saves real money against programs that add $100 or more as you move up.

The headline price of about $260 a month needs a prepaid plan of several months. Month to month, the first month costs about $350. After that, it is about $400 a month. So the locked low price only pays off if you commit.

Visits, supplies and shipping are included. Outside reports name its compounding partner, a known sterile pharmacy in Texas. The site itself does not name it. The weak point is billing. TrimRx scores 3.7 out of 5 on Trustpilot. About 30% of its reviews give one star, mostly over auto-renewals and slow refunds. The BBB rates it F.

• Pros: price locked at every dose; visits, supplies and shipping included; sterile compounding pharmacy; approval in 24 to 48 hours with no video call.
• Cons: the low price needs 3 to 12 months prepaid, not refundable once shipped; about $400 month to month; steady billing complaints and a BBB F; light coaching.

ReadyRx: same price at every dose, about $275 to $315 a month

ReadyRx charges one price at every dose, with nothing on top. It costs about $315 a month on a monthly plan. If you prepay three months, it drops to about $275 a month. A code on its site takes $20 off the first month.

The clinician review, messaging and cold shipping are included. It is the best-reviewed of the newer names here, at 4.7 out of 5 on about 1,000 Trustpilot reviews. It also puts a written weight-loss guarantee in its terms.

Check two things first. The compounding pharmacy is not named before you enroll. And the service is not offered in about nine states, including California and North Carolina for tirzepatide. You only learn this at intake.

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

Mochi Health: lowest first month, rising with your dose

Mochi shows why you read the whole bill. Since August 15, 2026, it prices tirzepatide by dose.

• Drug: about $90/mo at the lowest dose, up to about $200 at the top dose
• Membership: $79/mo, billed separately, for visits and care coordination · Free the first month for new members, in most states
• All-in: about $170/mo at the lowest dose · About $280 at the top dose · About $90 the first month

That makes Mochi the cheapest place to start on this list. The bill climbs as your dose goes up, though. By the top dose, Gala's flat price costs less. Mochi now works like a pharmacy marketplace, so the drug price can vary by pharmacy. Its doctors are board-certified, and some are certified in obesity medicine. Just price the two parts together, every time. To see how soon you can move up a dose, check our tirzepatide dosage chart.

• Pros: lowest start here, about $90 the first month; about $170 all-in at the lowest dose; some doctors certified in obesity medicine; clear pricing by dose.
• Cons: the price rises with your dose, up to about $280 all-in; the $79 membership is billed apart from the drug; drug prices vary by pharmacy.

Peak Wellness: same price at every dose, lower on a 6-month plan

Peak Wellness charges the same price at every dose. That is a real plus while your dose goes up.

• Month to month: about $350/mo, after a first month of about $280
• 3-month plan: about $280/mo, billed as about $840
• 6-month plan: about $230/mo, billed as about $1,400
• Included: the medication, the doctor review and free shipping

Budget for the ongoing price, not the first month. Peak works with licensed 503A compounding pharmacies, the kind that mix a drug for one named patient. It accepts HSA and FSA cards, the tax-free health accounts many employers offer. Trustpilot rates it 4.8 out of 5, but on only 49 reviews.

• Pros: one price at any dose; 503A pharmacies; HSA and FSA accepted.
• Cons: the best price needs 6 months paid upfront; about $350 month to month; few reviews.

Eden: the lowest price without a prepay

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 makes it 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; no membership and no prepay.
• Cons: June 2026 FDA warning letter; BBB rating F, mostly billing and cancellation complaints.

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

LevelsRx is a new program that bundles what most cheap services strip out. You get unlimited video visits with a clinician and one-on-one nutrition coaching. Auto-refills and shipping are included too. Its partner pharmacies are named in the terms.

Its regular price for compounded tirzepatide is about $350 a month, the same at every dose. That is no longer a budget price, so you are paying for the video care. The plan options only appear once you start the intake. To cancel, its terms ask you to call at least 7 days before the next billing date. It has only a handful of public reviews, so read the commitment before you pay.

• Pros: video visits, nutrition coaching and shipping with no membership fee; one price at every dose; partner pharmacies named; brand-name Wegovy and Zepbound on the same platform.
• Cons: about $350 is mid-pack here; plan options hidden until intake; 3-month minimum on discounted starts; very few public reviews; states served not published.

Henry Meds: a known name, pill only

Henry Meds is one of the best-known names in compounded GLP-1s. It sells tirzepatide only as a pill. It no longer lists a tirzepatide shot.

• Pill: about $350/mo, billed every 3 months
• Included: visits, supplies and shipping

It is not the cheapest tirzepatide here. The simple all-in price and the needle-free option are the draw. Keep in mind that no clinical trial has tested tirzepatide as a pill.

If budget comes first, Henry's semaglutide costs clearly less. Its semaglutide pill runs about $250 a month. If you are open to semaglutide, weigh that saving against tirzepatide's somewhat stronger results.

• Pros: tirzepatide as a pill; visits, supplies and shipping included; a large review base, 4.4 out of 5 on Trustpilot.
• Cons: about $350 a month, billed every 3 months, mid-to-high here; no tirzepatide shot; Henry's cheaper headline prices are for semaglutide, not tirzepatide.

Fridays: coaching and a dietitian included

Fridays sells itself as a program, not just a prescription. Compounded tirzepatide costs about $240 a month on a 12-month plan. Month to month, it is about $390. The price includes coaching, a dietitian and messaging at any hour. Fridays also runs a separate microdose track, priced on its own.

A fall sale code on its pricing page brings the 12-month plan to about $200 a month. If you value the support and would otherwise pay for coaching, the bundle is better than the bare drug price suggests.

• Pros: coaching, dietitian and app included; lower monthly price on a 12-month plan; microdose option.
• Cons: costs more than the cheapest no-frills rivals; the best price needs a long commitment.

Remedy Meds: one flat price as your dose rises

Remedy Meds keeps it simple. It costs about $400 at every dose, with unlimited telehealth and shipping included. The first month is about $280.

It bills every four weeks, not every calendar month. That makes 13 charges a year instead of 12. It is not the cheapest start. But a price that holds while your dose rises is worth real money. Many programs raise the fee at each step. So a flat rate can end up cheaper by your maintenance dose, the one you stay on.

Like the rest of the compounded field, it is cash pay only. It does accept HSA and FSA cards. Trustpilot rates it 4.6 out of 5 on more than 13,000 reviews.

• Pros: one flat price at all doses; telehealth and shipping included; HSA and FSA accepted.
• Cons: higher than Mochi or Peak, and than Curex at the starting dose; billed every 4 weeks, so 13 charges a year; cash pay only, no insurance.

LillyDirect Zepbound: the FDA-approved brand

This is the only option here that is FDA-approved as a finished drug. It also costs far less than it used to. Eli Lilly sells Zepbound straight to people paying cash through LillyDirect. The KwikPen, a multi-dose pen, and the vial cost the same.

• 2.5 mg: about $300/mo
• 5 mg: about $400/mo
• 7.5 mg to 15 mg: about $450/mo if you refill within 45 days

Since March 2026, many local pharmacies also fill the KwikPen at the same self-pay price, with Lilly's savings card. That brings the approved brand within reach of compounded prices, without the legal question mark.

The fine print is a clock. To keep the price from 7.5 mg up, you must refill within 45 days of your last delivery. Miss it, and a fill costs about $500 at 7.5 mg. At 10 mg and above, it costs about $700. If you want certainty over the lowest price, the premium buys an approved drug and a known supply chain.

On Medicare, there is a cheaper route. Medicare's GLP-1 Bridge runs from July 1, 2026, through the end of 2027. Eligible members of Part D, Medicare's drug coverage, pay $50 a month for the Zepbound KwikPen. Vials are not included.

• Pros: the only FDA-approved option here; straight from the maker or your local pharmacy; close to compounded prices at lower doses.
• Cons: strict 45-day refill rule to keep the price, with steep late-refill prices; higher doses cost more than the cheapest compounded programs.

Yearly cost: what cheapest really saves you

Monthly numbers hide the stakes. Here is what a first year costs on the main options. Where the price depends on the dose, we follow the normal dose steps.

• Nu Image Medical, two 6-month plans: about $1,070, paid six months at a time.
• Arbor, 12-month plan: about $1,790, paid upfront.
• BetterMe Rx, 12-month plan: about $1,910, paid upfront.
• Gala, yearly plan: about $2,150, if you stay all twelve months.
• Curex, 12-month plan: about $2,390 paid upfront at the lowest dose, about $3,590 at higher doses.
• Mochi Health: about $1,950 if you stayed at the lowest dose all year, counting the free first month of membership. The total rises with each dose step.
• LillyDirect Zepbound: about $4,690 if you stay at 5 mg. About $5,190 if you move up to 7.5 mg in month three and refill on time.

Set those against the FDA-approved brand. On LillyDirect, a first year of Zepbound runs about $4,700 to $5,200. Nu Image Medical's two 6-month plans save about $3,600 or more against that. The priciest compounded programs here, like the Henry Meds shot or Remedy Meds, cost about as much as the brand. So the saving depends on which compounded program you pick.

Compounded vs brand-name: why the cheap price exists

Compounded tirzepatide is mixed by a pharmacy. It is not made and FDA-approved as a finished drug. Through most of 2023 and 2024 it was everywhere, because tirzepatide was on the FDA's drug shortage list. A shortage lets compounding pharmacies legally fill the gap. That is what made the low prices possible.

The shortage is over. The FDA declared it resolved in December 2024 and then set end dates for compounding. State-licensed pharmacies, called 503A pharmacies, had until February 18, 2025. Larger outsourcing facilities, called 503B, had until March 19, 2025. A federal court let those dates stand. Mass compounding of tirzepatide just because it is cheaper is no longer allowed.

What remains is narrow. A 503A pharmacy may still compound tirzepatide for one patient with a documented medical reason the approved version won't do. An allergy to an inactive ingredient is one example. Saving money is not a valid reason. Several telehealth brands still sell compounded tirzepatide on that basis. In 2026, the FDA kept sending warning letters to telehealth brands over how they market these drugs. That shifting ground is the honest context behind every low price here. Our guide to compounded tirzepatide covers the legal side in more depth.

• Compounded means pharmacy-mixed: it is not FDA-approved as a finished drug, and its quality checks differ from the brand's.
• FDA-approved compounded does not exist: compounded drugs are not FDA-approved by definition. A provider that claims otherwise is misstating the facts.
• Only the 503A one-patient route remains: the 503B grace period ended on March 19, 2025. Shortage-era mass compounding is gone.
• Zepbound and Mounjaro are the FDA-approved versions: on self-pay, the brand now sits much closer to compounded prices than before.

How to choose a provider, and the red flags

A drug price is not a monthly bill. Check every program for the same few things, and the ranking can flip.

• A membership on top of the drug: Ro and Mochi both charge a separate monthly fee. A low drug price with a high membership can cost more than a flat-rate rival.
• Intro versus ongoing: a cheap first month is bait, not your real cost. Peak Wellness, Joi and Remedy Meds all step up after month one. Price the month you will pay all year.
• Price rises with each dose: some programs raise the fee each time your dose goes up. A flat price at every dose can beat a lower starter price that climbs. Gala, ReadyRx, TrimRx, Remedy and Peak are flat. Mochi climbs.
• Billing every 4 weeks: some providers bill every 28 days, Remedy Meds among them. That is 13 charges a year, not 12. It adds about 8 percent to the monthly price you were quoted.
• Locked-in plans with no refunds: Arbor, BetterMe Rx, Gala, Joi, Nu Image Medical and TrimRx write this into their terms. You are locked into a drug you haven't tried yet, so read the refund terms first.

One blunt rule cuts through most of it. Compounded tirzepatide under about $100 a month, from a seller that won't name its pharmacy and its prescribers, is a red flag, not a deal. Nu Image Medical's rate of about $90 passes that test: it names both and has been online since 2008, but it needs six months paid at once. A one-time first-month promo, like Mochi's free membership month, is a different thing. The cheapest headline names are where you should ask the most about how the drug is made and who prescribes it.

The cheapest option that fits a woman in perimenopause

The lowest price that suits your body beats the lowest price overall. Weight that climbs in your forties often follows shifting hormones, not willpower. A GLP-1 is one tool among several, not the whole answer.

Gala, Joi, Mochi Health and Henry Meds also prescribe menopause hormone therapy, such as estradiol, on the same account as the GLP-1. That matters if you want one clinician looking at both. For the wider picture before you commit, our guide to GLP-1 medications and menopause weight gain shows where these drugs help and where they don't.

There is also a real case for the brand now. With LillyDirect Zepbound from about $300 a month, an FDA-approved option is within reach of compounded prices. For some women, that certainty is worth paying more. For others, the flat-rate compounded programs still win on cost. And if you are not set on tirzepatide, semaglutide costs less. We track the cheapest verified semaglutide the same way.