Compounded Tirzepatide: 19 Providers Compared (2026)

Compounded tirzepatide prices compared: 19 providers

Each price includes the visit, the medicine and shipping unless the line says otherwise. Start with the line that sounds like you.

• Lowest price overall: Nu Image Medical, if you can prepay six months. On a prepaid year, Arbor, BetterMe Rx or Oak.
• One price at every dose plus hormone therapy: Gala, or Joi for a hormone-first clinic.
• No membership and no prepay: Eden, about $130 a month at every dose. Curex also has no membership, from about $250 a month month to month.
• Cheapest first months: Mochi Health, whose price rises with the dose.
• The most support: Fridays, with a dietitian and group coaching.
• Video visits with a clinician: LevelsRx.
• No needle: Henry Meds, Curex and Willow sell a tablet, and Direct Meds sells drops under the tongue. These forms have far less evidence than the weekly shot. See tirzepatide pills and patches for what is real.
• If you have insurance: compounded tirzepatide is cash only. Your plan may cover brand-name Zepbound or Mounjaro instead, so compare Mounjaro and compounded tirzepatide prices. Ads for "compounded Mounjaro" are explained in compounded Mounjaro.

Nu Image Medical: about $90 a month on a 6-month plan, the same at every dose

Nu Image Medical, a Tampa clinic online since 2008, has the lowest tirzepatide price on this page. It needs six months paid at once. The price stays the same at every dose, and shipping is free.

• Month to month: about $300
• 3-month plan: about $200 a month
• 6-month plan: about $90 a month, billed every six months

Its terms name the prescribing medical group and four compounding pharmacies. 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 12-month plan, the same at every dose

Arbor, formerly Harbor, has the lowest 12-month tirzepatide rate on this page. That rate needs a year paid at once, about $1,790 in one payment. Shorter plans cost more. The price stays the same at every dose, with no membership fee.

• 12-month plan: about $150 a month.
• 6-month plan: about $170 a month.
• 3-month plan: about $190 a month.
• Month to month: about $250.

Its partner medical group, MD Integrations, handles the doctor visits, and a dietitian is included. It does not name its pharmacies. Read the refund rules before you prepay. Once a prescription is written, nothing is refunded, including months not yet shipped. Its 12-month money-back guarantee excludes anyone who took a weight-loss drug in the year before. Trustpilot rates it 4.5 out of 5, on only 51 reviews under its old Harbor name.

BetterMe Rx: about $160 a month on a 12-month plan, the same at every dose

BetterMe Rx is a close second, again on a year paid at once, about $1,910 in one payment. The price stays the same at every dose, with visits and shipping included. Its FAQ names the doctor networks that prescribe, TelegraMD and Dr. TelX. It also lists seven U.S. pharmacies with their addresses.

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

Weigh the trade-offs before you prepay. Once an order is processed, nothing is refunded, including the unused months of a prepaid plan. Reviews are mixed, at 3.6 out of 5 on Trustpilot, with complaints about leaking vials and slow support. The site does not publish the company's legal name. It also sells tirzepatide tablets, which have no clinical evidence behind them, so stick with the weekly injection.

Gala: about $180 a month on a yearly plan, every dose included

Gala's price never climbs with your dose. It costs about $180 a month on a yearly plan or about $200 on a 3-month plan. The assessment, dose changes, messaging and shipping are included. Gala is built for women in midlife. Estradiol, progesterone and non-hormonal options for hot flashes sit on the same account, from about $70 a month. A licensed medical group prescribes in all 50 states.

Read the terms before you pay. The plans are prepaid, and the refund policy returns nothing on cancellation. Gala never names its compounding pharmacy, so you cannot check its inspection history first. Its BBB file sits at C-, with recurring billing complaints. The 3-month plan is the sensible way in.

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

Curex: no membership, pill or shot

Curex keeps its billing simple. The medicine, the online visit, shipping and follow-up dose changes are all in one price. There is no separate membership fee, which is rarer than it should be. You can choose a pill or a shot.

The catch is its "from $199" headline. That price needs a year paid upfront, at the lowest dose. Month to month, the pill costs about $250 and the shot about $300 at the starting dose. Both cost about $100 more at higher doses, the ones many women move to over time.

• Pros: simple all-in price; no membership; pill or shot; visit and shipping included.
• Cons: the low price needs a year paid upfront; higher doses cost about $100 more; Trustpilot 4.3 on only about 100 reviews.

LevelsRx: about $350 at every dose, with video visits

LevelsRx gives you a clinician on camera rather than a questionnaire. Unlimited video visits, one-on-one nutrition coaching and shipping are included. Its terms name its partner pharmacies, including a known 503A compounder. Its regular tirzepatide price is about $350 a month, and the site says it stays the same at every dose. That puts it mid-pack here. The plan options only appear once you start the intake. Its terms ask for a phone call at least 7 days before renewal to cancel. With only a handful of public reviews, get the commitment in writing.

• Pros: video visits and coaching included, no membership; one price at every dose; pharmacies named; brand-name Zepbound on the same platform.
• Cons: mid-pack price; plan options hidden until intake; cancel by phone 7 days before renewal; almost no review history; served states not published.

Joi: about $250 a month from a hormone-first clinic

Joi starts from hormones. It is a women's hormone clinic that added compounded GLP-1s. It prescribes bioidentical estradiol, progesterone and testosterone, meaning hormones built like the ones your body makes. That makes it a natural fit if you want one team handling weight and perimenopause. Tirzepatide costs about $150 for the first month, then about $250 a month. Unlimited coaching and clinician messaging are included, and its terms name the pharmacy partners. The trade-off is billing every three months, about $750 per block, with a three-month minimum. All products are non-refundable.

• Pros: hormone therapy and GLP-1 under one clinician; coaching included; cheaper first month; named pharmacies; Trustpilot 4.6 on about 1,400 reviews.
• Cons: billed every 3 months with a 3-month minimum, non-refundable; GLP-1 is a secondary line; New York and New Jersey priced differently.

TrimRx: from about $260, the same through every dose

TrimRx's pitch is a price that never changes as your dose rises. Whatever plan rate you start at is the rate at 15 mg. But the low price of about $260 needs a prepaid plan of several months. Month to month, its terms list about $350 for the first month and about $400 after that. Prepaid months are not refunded once medicine has shipped. Visits, supplies and shipping are included. Third-party reviews name its compounding partner as a 503A sterile pharmacy in Texas, though TrimRx's own site does not. Its Trustpilot score is 3.7 out of 5. About 30% of reviews are one-star, mostly about auto-renewals and refund delays.

• Pros: the price holds at every dose; everything bundled; a 503A sterile compounder, named by third parties; approval within a day or two.
• Cons: the low price needs a 3- to 12-month prepay; about $400 month to month after the first month; billing complaints; little coaching and no labs.

ReadyRx: about $275 on a 3-month plan or $315 monthly, the same at every dose

ReadyRx has the cleanest billing of the newer programs. It charges one price at every dose: about $315 a month, or about $275 a month on a prepaid 3-month plan. The clinician review, messaging and cold shipping are included, with no membership fee. Its terms add a written weight-loss guarantee. Its reviews are the strongest in this group, 4.7 out of 5 on about 1,050 Trustpilot reviews. The gaps: it does not name its pharmacy before you enroll, and tirzepatide is not offered in about nine states, California and North Carolina among them.

• Pros: one price at every dose, no membership; a real month-to-month option; written guarantee; well reviewed.
• Cons: about 9 states excluded; pharmacy not named; text-only care; cancel four business days before renewal.

Mochi Health: cheapest first month, rising with your dose

Since August 15, 2026, Mochi prices its tirzepatide by dose. The medicine costs about $90 a month at the lowest dose and rises to about $200 at the top dose. The piece the homepage shows quietly is the membership: $79 a month, billed separately, for care coordination and clinician access. Add both and the real cost runs from about $170 to about $280 a month.

That makes Mochi the cheapest first month on this page. New members currently get the membership free in month one, so the first month at the starting dose costs about $90 all-in. The bill climbs as your dose rises, though. By the top dose, flat-price programs like Gala cost less. Mochi also lets you choose among partner pharmacies, and the medicine price can vary by pharmacy. Price the two lines together every time.

• Pros: cheapest first month here, about $90 all-in; about $170 a month at the lowest dose after that; over 400 board-certified providers, some certified in obesity medicine; you pick the pharmacy; Trustpilot 4.5 on about 19,500 reviews.
• Cons: the price rises with your dose, up to about $280 a month all-in; the $79 monthly membership is billed apart from the medicine; no labs included.

Eden: the lowest month-to-month price, the same at every dose

Eden charges about $130 a month, all in, at every dose. There is no membership and no prepay. In June 2026, the FDA sent Eden a warning letter over how it described its compounded products. Its BBB rating is F. See our Eden review.

• Pros: one price at every dose; no membership and no prepay; Trustpilot 4.5 on about 4,800 reviews.
• Cons: an FDA warning letter in June 2026 over how it labeled its compounded products; BBB rating F, mostly billing complaints.

Peak Wellness: cheaper the longer you commit

Peak Wellness keeps one price at every dose, with no membership fee. What changes the price is how many months you pay ahead. Month to month, tirzepatide costs about $350. A 6-month plan brings it to about $230 a month. The first month costs about $280. The low prices in its ads are the prepaid rates, so check which rate your plan locks in.

• Pros: one price at every dose; no membership fee; Trustpilot 4.8, though on only about 50 reviews.
• Cons: the low rate needs a 6-month prepay; about $350 a month month to month.

Fridays: a dietitian and coaching in the price

Fridays sells a program, not just a prescription. Compounded tirzepatide costs about $240 a month on the yearly plan and about $390 month to month. Dietitian visits, group coaching and messaging are included, with no separate membership fee. A fall-sale code on its pricing page lowers the yearly plan to about $200, with no end date shown. If you would otherwise pay for coaching, the bundle reads better than the bare medicine price. Fridays also sells a separate microdose product, covered in our tirzepatide microdosing guide.

• Pros: dietitian and coaching included; a low monthly rate on a yearly plan.
• Cons: the low rate needs a year paid upfront; the Better Business Bureau rates Fridays F, with complaints about refunds on prepayments; Trustpilot 4.1.

Willow: from about $400 a month in 36 states

Willow keeps its bill simple: one monthly charge with telehealth and shipping included, and no separate membership. The shot costs about $400 a month at the starting doses. Its help center lists about $500 at the middle doses and about $550 at the top dose. A daily tablet that dissolves under the tongue costs about $400, or about $460 at its highest dose. The other limit is geography, since Willow serves only 36 states. Our Willow review has the details.

• Pros: a single all-in bill; no membership fee; shot or tablet; HSA and FSA accepted.
• Cons: only 36 states; the price climbs with the dose, to about $550 at the top, the highest on this page.

Henry Meds: a pill or a shot, fully bundled

Henry Meds sells tirzepatide only as a pill. It no longer lists a tirzepatide shot. That matters if needles keep you from starting. Tirzepatide pills have far less evidence than the weekly shot, though. The pill costs about $350 a month, billed as a 3-month supply. Visits, supplies and shipping are bundled, with no membership fee. The price varies with your dose, and Henry does not publish its higher-dose prices. Ask for the price at your long-term dose.

• Pros: pill or shot; visits, supplies and shipping all bundled; no membership fee; Trustpilot 4.4 on about 12,500 reviews.
• Cons: among the highest starting prices on this page; higher-dose prices not published; not offered in about 10 states; the cheaper Henry Meds prices you'll see elsewhere are for other medicines, not tirzepatide.

Pallas Health: about $300 every 4 weeks, the same at every dose

Pallas Health is a new platform, launched in mid-2026. It is unusually open about how it works. It names its medical group, Lion MD, and six partner pharmacies. You pay nothing until a clinician actually prescribes.

Compounded tirzepatide costs about $180 for the first 4 weeks, then about $300 every 4 weeks at every dose. A 48-week prepaid plan brings it to about $240 per 4 weeks. The catch is the track record: we found no independent reviews yet. Billing runs every 4 weeks, so that is 13 charges a year.

MEDGm: labs included, cheapest only if you prepay a year

MEDGm is a very new online clinic run by MEDGm, LLC, a Delaware company. Clinicians in the OpenLoop network prescribe, and its terms name four partner pharmacies. Visits, lab work and shipping are included, and the price stays the same at every dose.

Month to month, compounded tirzepatide costs about $400. The rate of about $270 a month needs a 12-month plan paid upfront, about $3,230. You pay when you submit the intake, before a clinician reviews you. The website dates from April 2026, and we found no customer reviews yet.

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. No card is taken until a provider reviews your intake.

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

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

Direct Meds: about $400 a month, or about $200 on a 6-month prepay

Direct Meds sells compounded semaglutide and tirzepatide as injections or under-the-tongue drops. The visit, supplies and shipping are in one price, the same at every dose. It serves every state except Mississippi and Louisiana.

The regular price is high, about $400 a month for tirzepatide. Two ways bring it down. The current promo makes the first month about $200. A 6-month prepay works out to about $200 a month.

Trustpilot rates it 4.6 out of 5 on thousands of reviews. The Better Business Bureau, a consumer complaints service, lists 278 complaints in three years, mostly about billing and cancellations. It names neither its pharmacy nor its medical group.

Is compounded tirzepatide still legal in 2026?

Yes, but the legal basis is narrower than in 2024. The FDA declared the tirzepatide shortage over in December 2024. That ended the shortage exemption that let pharmacies make copies of the brand-name drug. Smaller 503A pharmacies, which fill one prescription at a time, had until February 18, 2025 to stop. Large 503B outsourcing facilities, which make medicines in bulk, had until March 19, 2025. A federal court declined to block these deadlines.

What remains is the 503A path for one patient at a time. A state-licensed 503A pharmacy may still make tirzepatide for a named patient. The prescriber must document a clinical reason the brand-name version will not work for that person. A common example is an allergy to an inactive ingredient in Zepbound or Mounjaro. A lower price alone does not count as a clinical reason.

One FDA proposal is still open. On April 30, 2026, the FDA proposed not to add tirzepatide to the 503B bulks list. That list names the raw ingredients outsourcing facilities may compound from when there is no shortage. The comment period was extended and closed July 30, 2026. The proposal does not change the 503A rules. As of October 2026, the FDA has not made a final decision.

• 503B bulk compounding: ended March 19, 2025.
• 503A compounding for one patient: still legal with a documented clinical reason.
• A lower price alone: not a clinical reason under FDA guidance.
• The April 2026 proposal: would keep tirzepatide off the 503B list for good, with no final decision yet.

503A vs 503B: why the distinction matters for your program

Under the law, only the 503A track is still open for tirzepatide. Even so, Henry Meds, Pallas Health, MEDGm and Mochi Health say their medicines may come from a 503A pharmacy or a 503B outsourcing facility. Ask which kind fills your prescription. Knowing the difference helps you judge what you are actually buying.

A 503A pharmacy compounds a medicine after it receives a valid prescription for a named patient. A licensed prescriber must have decided there is a real clinical need the brand-name drug cannot meet. The compounded product is not FDA-approved as a finished drug. It has not gone through the manufacturing, sterility and consistency testing that Zepbound and Mounjaro have. That is a meaningful difference, not a technicality.

A 503B outsourcing facility makes large batches without a prescription for each patient. For tirzepatide, it could only do that during the shortage. That route closed in March 2025. If a provider hints at another exemption for tirzepatide in 2026, ask for specifics.

• Ask your provider which licensed pharmacy fills your prescription, and whether it is a 503A pharmacy. Ask too whether PCAB, a pharmacy quality body, or a state board accredits it.
• Compounded tirzepatide is not FDA-approved. "Compounded" and "FDA-approved" cannot describe the same product.
• Your prescriber should review labs, document your clinical need, and be reachable if you have side effects, not just click a box.
• Some compounded versions add B12 or L-carnitine. The brand-name drug has neither, and these combinations have not been independently tested for safety with tirzepatide. Our guide to tirzepatide and B12 covers what the add-ins do and what Lilly's tests found.

What to check before you enroll in any compounded tirzepatide program

The monthly price is where most comparisons start and stop, but it is not the whole picture. A few minutes of checking before you pay can save you a rude surprise on the second bill.

• Read the all-in number, not the sticker. Ask whether the price includes shipping, the visit, supplies and follow-up messages, or whether any are billed separately.
• Separate intro from ongoing. A discounted first month is bait, not your standing cost. Ask what month two and month six will cost.
• Ask for the dose ladder in writing. Programs that quote only a starting-dose price may charge much more as your dose rises.
• Confirm the pharmacy. A legitimate 503A program can name the pharmacy that fills your prescription. PCAB or state-board accreditation is a good sign.
• Check the billing cycle. Programs that bill every 28 days or every 4 weeks charge you 13 times a year, not 12. That alone adds about 8% to the monthly price you were quoted.
• Understand cancellation. Many prepaid plans are non-refundable. Arbor, BetterMe Rx, Gala, Joi, Nu Image Medical and TrimRx all say so in their terms. Know the rules before you commit to a three-month block.

Compounded tirzepatide and perimenopause: what to know

In your forties and fifties, falling estrogen shifts where your body stores fat, toward the belly. Your body often handles insulin less well in these years too. Together, these changes can make weight harder to manage. Tirzepatide acts on two gut hormones, GLP-1 and GIP. In the SURMOUNT-5 trial, people on tirzepatide lost more weight than people on semaglutide, the ingredient in Wegovy.

Still, a GLP-1 prescription is one tool, not a complete plan. Programs with coaching or a dietitian, Fridays in particular, can help women who want support through the hormonal changes. Gala and Joi go further and prescribe estradiol and progesterone on the same account as the GLP-1. If the hormonal side matters as much to you as the weight, ask any provider whether its clinicians have real perimenopause experience.