Tirzepatide Drops: 8 Options Priced, From Real Drops to Approved Pills (2026)

Who actually sells tirzepatide drops, and what do they cost per month?

If a weekly needle is what keeps you from starting tirzepatide, drops sound like the answer. Among the telehealth services we track, only one sells a true liquid drop. Four more sell tablets that melt in your mouth, the closest thing to it.

Direct Meds: the only true tirzepatide drops we found

Direct Meds sells compounded tirzepatide as a liquid you hold under your tongue once a day. Compounded means a pharmacy mixes it for you, so it is not an FDA-approved product.

• Price: about $300 a month, month to month.
• Six-month prepay: about $1,495 upfront, which works out to about $250 a month.
• Included: the doctor review, the medicine and shipping, with no membership fee.
• Where: every state except Mississippi and Louisiana.

Its own tirzepatide shot costs more month to month, about $400. On the six-month prepay, though, the shot comes out cheaper, at about $200 a month against about $250 for the drops.

There are real trade-offs. Direct Meds does not name the pharmacy that makes its drops. It says only that a US 503A compounding pharmacy fills them, meaning a state-licensed pharmacy that mixes medicine for one patient's prescription. Its billing record is mixed too, as the reviews section below shows.

The closest alternatives: tablets that dissolve in your mouth

The next four services sell compounded tirzepatide as a daily tablet instead of a liquid. Like the drops, none is FDA-approved. None has published data on how much of the medicine reaches your blood.

Nu Image Medical: the lowest tablet billed monthly

Nu Image sells a rapid-dissolve tirzepatide tablet for about $350 a month, month to month. A 5-month supply brings it to about $295 a month. The company is a Tampa clinic founded in 2004, and its terms name the four pharmacies that fill its orders.

Read the fine print before you pay. All sales are final, and plans renew on their own. You need to cancel at least 48 hours before the renewal date.

Henry Meds: a tablet billed every three months

Henry Meds sells an orally dissolving tirzepatide tablet that you take daily. It is billed as a 3-month supply for about $1,045, which works out to about $350 a month. Henry's price list shows about $890 if you pay in full.

Visits, the medicine and shipping are included. Henry has no tirzepatide shot, so the tablet is its only tirzepatide option. Henry runs the platform, and clinicians from an independent medical group write the prescriptions. More in our Henry Meds review.

Willow: a tablet made to melt under the tongue

Willow's tirzepatide tablet goes under your tongue once a day and dissolves there, without being swallowed whole. Of the tablets here, it works most like the drops.

It costs about $400 a month at the lower doses and about $460 at the top dose, with no membership fee. Willow serves 36 states. See our Willow review.

Medvi: one price at every dose

Medvi sells a daily dissolving tirzepatide tablet for about $400 a month, after a first month of about $280. The price stays the same as your dose goes up.

In February 2026, the FDA sent Medvi a warning letter over ads implying its compounded drugs matched FDA-approved drugs such as Zepbound and Mounjaro. The letter was about its marketing, not its medical process. See the Medvi review.

BetterMe Rx sells a tirzepatide tablet you swallow rather than one that melts in your mouth. That is further from what drops promise, so it sits on our tirzepatide pills and patches page instead.

Are tirzepatide drops FDA-approved or legal?

No tirzepatide drop is FDA-approved. The only approved tirzepatide products are two weekly shots. Mounjaro treats type 2 diabetes, and Zepbound is approved for weight management.

The drops are legal as a compounded medicine. A state-licensed 503A pharmacy can mix tirzepatide for one patient at a time, on a valid prescription. The FDA does not review compounded products for safety, effectiveness or quality before they are sold.

The FDA declared the tirzepatide shortage over in December 2024. Since then, compounders mostly rely on versions that differ from the approved shot, such as a new route or strength, prescribed for a patient's specific need. Drops and dissolving tablets are sold on that basis.

On April 30, 2026, the FDA proposed not adding tirzepatide to the 503B bulks list. That list covers large outsourcing facilities, not the 503A pharmacies that fill single prescriptions. Comments closed on July 30, 2026, and no final decision has been published.

For the full legal picture, see our guide to compounded tirzepatide.

Do tirzepatide drops work? What is known about absorption under the tongue

The honest answer is that nobody knows yet. We found no published human study that measures how much tirzepatide reaches the blood from drops or dissolving tablets.

That is not proof that they fail. It means the dose you take and the dose your body gets could differ, and no one has measured by how much.

Tirzepatide is a large molecule, a chain of 39 amino acids. The approved semaglutide pill gets through the gut with an absorption enhancer that the FDA reviewed. No absorption enhancer has been approved for tirzepatide, by mouth or under the tongue.

In 2025, a University of Connecticut team surveyed compounding pharmacy websites and found 33 unusual semaglutide and tirzepatide products. Most of the single-ingredient ones were sublingual, meaning taken under the tongue. In their published review, the authors wrote that nobody has shown whether these forms do better than the approved oral tablets.

Direct Meds' own pages say its drops absorb straight into the bloodstream. They cite no study for that claim.

Drops vs dissolving tablet vs the shot: what's the difference for you?

• How often: drops and tablets are daily. The Zepbound shot is once a week.
• How the dose is set: drops are measured with a dropper, and tablets come in fixed strengths. The shot follows dose steps laid out on its FDA label.
• What's proven: the shot has large trials behind it. Drops and dissolving tablets have none published.
• Cost at Direct Meds: month to month, the drops cost about $100 less than its shot. On a six-month prepay, the shot costs less.

Our GLP-1 pill vs injection comparison weighs the approved forms side by side. The tirzepatide dosage guide explains the shot's dose steps. For nausea and other effects, see the tirzepatide side effects guide.

Approved needle-free alternatives: are Foundayo and the Wegovy pill cheaper?

Two FDA-approved GLP-1 pills now exist, and neither contains tirzepatide. Foundayo holds orforglipron, a small molecule made by Lilly. The Wegovy pill holds semaglutide, the medicine in the Ozempic and Wegovy shots.

Foundayo: a daily pill with no food rules

Bought from Lilly without insurance, Foundayo costs about $150 a month at the starting dose. At the higher doses it costs about $300. At the two top doses, it rises to about $350 if you refill more than 45 days after your last order.

You can take it at any time of day, with or without food. In the ATTAIN-1 trial, people on the highest dose tested lost 11.2% of their body weight on average at 72 weeks. People on placebo lost 2.1%.

Every Foundayo price path is on our Foundayo cost page.

Wegovy pill: semaglutide in a daily tablet

NovoCare, Novo Nordisk's own pharmacy, sells the Wegovy pill for about $150 a month at the starting dose. It costs about $200 at 4 mg and about $300 at the 9 and 25 mg doses.

You take it on an empty stomach with a small sip of water, then wait 30 minutes before eating. In the OASIS 4 trial, people on the 25 mg pill lost 13.6% of their weight at 64 weeks, against 2.2% on placebo. Each trial had its own placebo group, so these figures cannot rank the two pills.

How their prices compare with the drops

At the starting dose, both pills cost about $150 a month less than the drops. At maintenance doses, both sit near $300, about the same as Direct Meds' drops month to month. Only the drops' six-month prepay, about $250 a month, comes in lower.

On Medicare, the approved options win by far. Since July 1, 2026, the Medicare GLP-1 Bridge charges $50 a month for Foundayo, the Wegovy pill or the Zepbound KwikPen. It runs through December 31, 2027. You need Part D, Medicare's drug coverage, plus a qualifying BMI and health condition. Compounded drops are not part of it.

If your commercial plan covers Foundayo, Lilly's savings card can bring a fill down to as little as $25, within its monthly cap.

What do tirzepatide drops reviews say?

Reviews of the drops are mostly reviews of Direct Meds as a company. We found few first-hand posts that set the drops apart from the shots.

• Trustpilot: 4.6 out of 5 from about 15,800 reviews.
• Better Business Bureau: not accredited, with nearly 280 complaints in three years, mostly about billing, cancellations and missing orders. See the BBB complaint file.
• Refunds: you get a full refund if the doctor does not approve you. Once medicine has shipped, that money does not come back.
• Its own pages: the tirzepatide product page calls the medicine FDA approved, while the site footer says compounded drugs are not. The footer is the accurate one.

None of this tells you whether the drops work. Stories online cannot separate the drops from diet changes, and no published trial has done it either.

What does a year of tirzepatide drops cost vs the shot or an approved pill?

The totals below use each seller's current prices. For the brand-name drugs, they follow the label's dose steps for a start this fall.

• Medicare GLP-1 Bridge: about $600 to $650 a year at $50 a fill, if you qualify.
• Direct Meds drops, two 6-month prepays: about $2,990.
• Foundayo from Lilly, on-time refills: about $3,190 in the first year. Up to about $3,590 if top-dose refills run late.
• Wegovy pill from NovoCare, stepping up to 25 mg: about $3,340.
• Direct Meds drops, month to month: about $3,590.
• Henry Meds tablet: about $4,190, billed every 3 months. About $3,565 if each supply is paid in full.
• Nu Image tablet: about $4,190 month to month, or about $3,550 on 5-month supplies.
• Medvi tablet: about $4,670, counting the cheaper first month.
• Willow tablet: about $4,790 at the lower doses, up to about $5,510 at the top dose.
• Zepbound from Lilly, 13 four-week fills: about $5,640 moving up to 7.5 mg with on-time refills. About $5,090 if you stay at 5 mg all year.

Two Direct Meds prepays cost about $2,650 less than a year of Zepbound. Month to month, though, a year of drops costs about $400 more than a year of Foundayo.

Red flags: tirzepatide drops on TikTok, Amazon and research peptide sites

Real compounded drops come with a prescription. Bottles sold without one are a different thing entirely.

• No prescription step. A real seller has a licensed clinician review your health history before anything ships.
• Research use only labels. A bottle marked not for human use, sold with dosing tips, is not a medicine.
• Sold in a marketplace. Amazon listings, TikTok Shop and social media ads are not pharmacies.
• Fees after you pay. In a 2024 test-purchase study, three sellers demanded extra customs fees and never delivered.
• A price that seems to prove something. In the same study, illegal sellers charged $113 to $360 for their smallest semaglutide order. Fakes are not always cheap.

That JAMA Network Open study bought semaglutide, not tirzepatide, from websites that required no prescription. The products that arrived were far less pure than advertised, and one showed signs of contamination. If you already used one and feel unwell, stop and call your doctor. You can also report it to the FDA through MedWatch.

Which option fits you in perimenopause or menopause?

• You want true drops: Direct Meds, about $300 a month, or about $250 on a six-month prepay.
• You want approved and proven, with no needle: Foundayo or the Wegovy pill, about $150 to start and about $300 later.
• You want tirzepatide itself, with full FDA review: the Zepbound shot, about $300 to $450 a month.
• You are on Medicare: the GLP-1 Bridge, $50 a month for Foundayo, the Wegovy pill or the Zepbound KwikPen, if you qualify.
• You are on HRT or want it: Direct Meds sells a compounded hormone kit on the same account, about $195 a month. Henry Meds also offers menopause hormone therapy, about $150 a month.

One detail matters if you still use birth control pills in perimenopause. The Zepbound and Foundayo labels warn that these drugs can make the pill less reliable after you start and after each dose increase. Both labels advise a backup or non-pill method during those weeks.