What does compounded tirzepatide cost per month?

Across the 23 providers here that print a month-to-month figure, the starting dose costs $85 to $399, and the middle of the pack sits at $239. Those figures fold in any membership a plan requires. Many plans step up in price with the dose, so ask what the higher doses cost before you join.

Is compounded tirzepatide the same drug as Zepbound?

It's the same active ingredient, made a different way. Zepbound and Mounjaro come from Eli Lilly and went through FDA approval; a compounded version is mixed by a pharmacy and did not. Many compounded versions also add vitamin B12 or glycine, which the brand doesn't contain.

Why isn't the lineup sorted by price?

Price is 35 of the 100 points. A provider can charge less and still land lower if it doesn't name its pharmacy, skips a clinician review of your intake, or hides its cancellation terms. If price is all you care about, the price on each row shows it.

Do partners get a better spot?

Not in the list. A partner may pay us when you start care; its row gets a Partner tag and a filled button, its score comes from the same four checks as every other row, and only an exact tie lets it go first. Separately, one or two partners from this lineup take turns in the labeled box above the list.

Compounded tirzepatide providers, scored

Monthly cost at the starting dose, fees folded in.

This lineup lists 24 compounded tirzepatide programs. The 23 with a comparable starting-dose quote run from $85 to $399 per month, including known required fees; unquoted programs have no price to compare.

Compare published program details. Earning links are labeled, and we may receive a commission.

Sorted by Care & cost score, highest first.

1
SnagRx
Tirzepatide at one flat price for every dose, from four named 503A pharmacies.
Flat pricing
Price34Care20Pharmacy25Clarity15
94Care & cost score
from$149/mo
See SnagRx pricing
2
altRx
One tirzepatide price every month at every dose; all payments are final.
Same price every dose
Price34Care15Pharmacy25Clarity15
89Care & cost score
from$149/mo
See altRx pricing
3
Bionomy Health
Pay per refill, two named 503A pharmacies, 48 states.
No subscription
Price20Care25Pharmacy25Clarity15
85Care & cost score
from$249/mo
See Bionomy Health pricing
4
Bayan Health
One tirzepatide price at every dose; three months ship at once, few refunds.
Same price every dose
Price34Care20Pharmacy15Clarity15
84Care & cost score
from$149/mo
See Bayan Health pricing
5
Collective
Flat tirzepatide price at any dose; the yearly membership isn't refundable.
Yearly membership
Price35Care20Pharmacy10Clarity15
80Care & cost score
from$86/mo
See Collective pricing
6
Belle
One tirzepatide price at every dose, no membership, named 503A pharmacy.
Same price every dose
Price20Care15Pharmacy25Clarity15
75Care & cost score
from$249/mo
See Belle pricing
7
Brightmeds
Flat tirzepatide price at any dose with visits included; 47 states served.
Same price every dose
Price34Care15Pharmacy10Clarity15
74Care & cost score
from$149/mo
See Brightmeds pricing
8
ARSYNL Rx
Injection or skin spray, flat monthly price, no membership fee.
Same price every dose
Price18Care20Pharmacy25Clarity10
73Care & cost score
from$269/mo
See ARSYNL Rx pricing
9
EdgeRx
Tirzepatide for men, no membership, filled by a named 503A pharmacy.
Built for men
Price24Care5Pharmacy25Clarity15
69Care & cost score
from$225/mo
See EdgeRx pricing
10
PlexusDx
Same price at every dose on every plan length, with no membership fee.
Flat price by dose
Price28Care15Pharmacy15Clarity10
68Care & cost score
from$189/mo
See PlexusDx pricing
11
Nex Gen Health Rx
One tirzepatide price at every dose; longer supplies are paid up front.
Same price every dose
Price22Care10Pharmacy25Clarity10
67Care & cost score
from$239/mo
See Nex Gen Health Rx pricing
12
Luvo Health
Four-week deliveries, half-price first cycle, no membership fee.
Price17Care10Pharmacy25Clarity15
67Care & cost score
from$270/mo
See Luvo Health pricing
13
Enhance MD
Tirzepatide with labs and video visits included; billing renews every 28 days.
Labs included
Price6Care20Pharmacy25Clarity15
66Care & cost score
from$357/mo
See Enhance MD pricing
14
HealthRX
Intro first month, then a steady monthly tirzepatide price, no membership.
No membership
Price25Care10Pharmacy15Clarity15
65Care & cost score
from$214/mo
See HealthRX pricing
15
Goldspan Health
Billed every 28 days, monthly dose check-ins, a lab panel due by day 90.
Price10Care25Pharmacy15Clarity15
65Care & cost score
from$325/mo
See Goldspan Health pricing
16
Shed
Month-to-month price on the page, a two-month minimum, six pharmacies named in its terms.
Price14Care10Pharmacy25Clarity15
64Care & cost score
from$299/mo
See Shed pricing
17
Live Vital
Tirzepatide as a 10-week protocol; per-month cost runs above the headline.
Free phone consult
Price22Care15Pharmacy15Clarity10
62Care & cost score
from$239/mo
See Live Vital pricing
18
YourHealthRx
Tirzepatide with B12 at one monthly price for every dose, no membership.
Same price every dose
Price26Care10Pharmacy15Clarity10
61Care & cost score
from$210/mo
See YourHealthRx pricing
19
Prime Doctor RX
Tirzepatide with B12 or glycine at one price, billed every four weeks.
Glycine option
Price4Care15Pharmacy20Clarity15
54Care & cost score
from$368/mo
See Prime Doctor RX pricing
20
Found
28-day billing, flat price across doses, monthly care-team check-ins.
Same price every dose
Price1Care25Pharmacy15Clarity10
51Care & cost score
from$390/mo
See Found pricing
21
Arc-1
Tirzepatide with glycine and B12, priced by dose in the cart.
Price27Care5Pharmacy5Clarity10
47Care & cost score
from$200/mo
See Arc-1 pricing
22
Chia
Injection or tablet offers; early renewal and refund conditions need review.
Price0Care10Pharmacy15Clarity10
35Care & cost score
from$399/mo
See Chia pricing
23
Willow
One flat monthly price for a shot or a tablet, with physician care by message.
Shot or tablet
Price0Care10Pharmacy10Clarity10
30Care & cost score
from$399/mo
See Willow pricing
24
Oak
Tirzepatide shown on 12-month plans; shorter-plan quote confirmed before payment.
12-month pricing
Price0Care5Pharmacy10Clarity10
25Care & cost score
No monthly price to compare
See Oak pricing

Each monthly figure comes from the provider's own pricing page.How the Care & cost score works

The whole lineup at a glance

Compounded tirzepatide providers, scored: score, parts and starting-dose monthly price (injection, compounded unless shown under the name). Each price is taken from the provider's own site.
Provider	Score	Per month	Price · Care · Pharmacy · Clarity
SnagRx, position 1	94	$149/mo	34 · 20 · 25 · 15
altRx, position 2	89	$149/mo	34 · 15 · 25 · 15
Bionomy Health, position 3	85	$249/mo	20 · 25 · 25 · 15
Bayan Health, position 4	84	$149/mo	34 · 20 · 15 · 15
Collective, position 5	80	$86/mo	35 · 20 · 10 · 15
Belle, position 6	75	$249/mo	20 · 15 · 25 · 15
Brightmeds, position 7	74	$149/mo	34 · 15 · 10 · 15
ARSYNL Rx, position 8	73	$269/mo	18 · 20 · 25 · 10
EdgeRx, position 9	69	$225/mo	24 · 5 · 25 · 15
PlexusDx, position 10	68	$189/mo	28 · 15 · 15 · 10
Nex Gen Health Rx, position 11	67	$239/mo	22 · 10 · 25 · 10
Luvo Health, position 12	67	$270/mo	17 · 10 · 25 · 15
Enhance MD, position 13	66	$357/mo	6 · 20 · 25 · 15
HealthRX, position 14	65	$214/mo	25 · 10 · 15 · 15
Goldspan Health, position 15	65	$325/mo	10 · 25 · 15 · 15
Shed, position 16	64	$299/mo	14 · 10 · 25 · 15
Live Vital, position 17	62	$239/mo	22 · 15 · 15 · 10
YourHealthRx, position 18	61	$210/mo	26 · 10 · 15 · 10
Prime Doctor RX, position 19	54	$368/mo	4 · 15 · 20 · 15
Found, position 20	51	$390/mo	1 · 25 · 15 · 10
Arc-1, position 21	47	$200/mo	27 · 5 · 5 · 10
Chia, position 22	35	$399/mo	0 · 10 · 15 · 10
Willow, position 23	30	$399/mo	0 · 10 · 10 · 10
Oak—, position 24	25	No monthly price to compare	0 · 5 · 10 · 10

How this lineup is built

SnagRx sits first with a Care & cost score of 94 out of 100. That score has four parts. Price carries 35 points, care 25, the named pharmacy 25 and clarity 15, and how we score lists every sub-check. Price points come from a fixed band, which for tirzepatide runs from $140 to $400 a month. A plan at $140 or less earns all 35. A plan at $400 or more earns none, and one near $270 earns about half. Because the band doesn't move, a provider's price points change only when its own price does.

Tirzepatide doses climb in steps, and some plans charge more at each one. Treat these figures as month one, and open a review before you judge month four. The compounded tirzepatide cost guide walks through the later doses.

Compare tirzepatide plans on month four, not month one

Many compounded tirzepatide plans are priced by dose, and the dose usually steps up during the first months. So the price on each card is a fair way to line providers up at the start, and a poor guess at what you'll pay by summer.

Start with three things on each card: the score, the price and the Price chip. A high score with a modest Price chip usually means a provider that publishes more of the scored care and pharmacy information while charging more. A big Price chip next to weak Care or Pharmacy chips means the opposite: a low figure from a provider that tells you less.

Then open two or three reviews. Each one lists every plan by dose, with the billing cycle and what's included, so you can see whether month four costs what month one did.

Switching from brand Zepbound or Mounjaro? Ask the new provider how it will set your starting dose and price, rather than assuming the price applies to you. A price is the price for someone starting fresh.

What each part of the score means for tirzepatide

Price (35). The starting-dose month, with required membership fees added and four-week billing turned into calendar months. A first-month promo doesn't count; the price after it does.
Care (25). Five checks worth 5 each: who prescribes, whether a clinician reviews your intake, labs and who pays for them, a stated follow-up rhythm, and whether moving up a dose needs a new consult fee. That last one matters with tirzepatide, because the dose moves often early on.
Pharmacy (25). Naming the pharmacy that fills your vial is worth 10 on its own. Its state or its 503A/503B status adds 5, a clear brand-versus-compounded label adds 5, and never calling a compounded vial FDA-approved adds the last 5.
Clarity (15). Can you see a price before the intake questions, read the cancellation and refund terms, and find the states served? Each yes is worth 5.

The cost math behind the prices

Prices on this lineup run $85 to $399 a month. Over a year that gap is about $3,768 by our math, before any dose increase. The middle price, $239, comes to about $2,868 over twelve months. These are annualized comparisons at unchanged starting prices, not the actual payments due in the first 365 days; dose changes, introductory offers and separate tests can change the budget.

Counting every program we track, not just the 24 scored here, 23 offer compounded tirzepatide, with month-to-month prices spanning $85–$399. Brand Zepbound through telehealth programs runs $364–$550 a month.

Inside tirzepatide's band, each ten dollars off the monthly price is worth about 1.3 price points. That's why a provider charging a little less can still sit below one that names its pharmacy.

Charge intervals deserve their own line. For a verified 28-day charge, the annualized monthly comparison uses the charge times 365, divided by 28 and then 12. Day-zero payment with uninterrupted renewals means 14 payments during the first 365 days. That's why a price can read a few dollars above the figure on the provider's own page.

How to read this lineup

The large number on each row is the Care & cost score. The dark price beside it is what a new patient pays per month at the starting dose.
Verified four-week charges are annualized for comparison; check the actual payment dates separately from the displayed monthly equivalent.
A Partner tag means that provider may pay us when you start care through our link. Partners can also turn up in the labeled box above the list, but inside the list a tag earns a filled button, not a higher place.
Ties go to the provider with more price points. Only an exact tie on both numbers lets a partner go first, and after that alphabetical order decides. Nobody is moved by hand.
Rows marked “No monthly price to compare” (1 here) earn zero price points: that provider's own pages don't settle on one month-to-month figure at the starting dose.

US regulatory status right now

Compounded tirzepatide and the FDA

Compounded tirzepatide is not FDA-approved. Compounded preparations do not receive FDA premarket review for safety, effectiveness or quality. This does not mean pharmacies have no oversight or never perform testing.

The shortage that opened the door is over. The FDA's final decision came on December 19, 2024, and the wind-down periods for pharmacies ended in March 2025.

A patient-specific prescription alone does not establish a lawful compounding pathway. A 503A preparation must satisfy all applicable conditions, including the rule against making essentially a copy of a commercially available drug regularly or in inordinate amounts. A documented significant difference can affect the copy assessment but does not waive the other requirements.

The current 503B bulk-ingredient pathway is limited by shortage status and the bulks-list requirements. FDA proposed excluding tirzepatide from the clinical-need bulks list in June 2026; a proposal is not a final rule or a conclusion about every possible preparation pathway. More in is compounded tirzepatide still available and the compounded tirzepatide guide.

Sources: FDA: policies for compounders as GLP-1 supply stabilizes · FDA: proposal to keep tirzepatide off the 503B bulks list

Questions to put to a tirzepatide provider

What does the plan cost at each dose, and does the price change the month the dose goes up?
Which pharmacy fills the vial, and is it a 503A pharmacy licensed in your state?
Is there a fee to change your dose, or is that inside the plan?
Are labs required, and who pays for them?
How much notice do you need to give to cancel, and is a month already billed refunded?

Questions about this lineup

What does compounded tirzepatide cost per month?: Across the 23 providers here that print a month-to-month figure, the starting dose costs $85 to $399, and the middle of the pack sits at $239. Those figures fold in any membership a plan requires. Many plans step up in price with the dose, so ask what the higher doses cost before you join.
Is compounded tirzepatide the same drug as Zepbound?: It's the same active ingredient, made a different way. Zepbound and Mounjaro come from Eli Lilly and went through FDA approval; a compounded version is mixed by a pharmacy and did not. Many compounded versions also add vitamin B12 or glycine, which the brand doesn't contain.
Why isn't the lineup sorted by price?: Price is 35 of the 100 points. A provider can charge less and still land lower if it doesn't name its pharmacy, skips a clinician review of your intake, or hides its cancellation terms. If price is all you care about, the price on each row shows it.
Do partners get a better spot?: Not in the list. A partner may pay us when you start care; its row gets a Partner tag and a filled button, its score comes from the same four checks as every other row, and only an exact tie lets it go first. Separately, one or two partners from this lineup take turns in the labeled box above the list.

The Care & cost score

Every provider gets a 0 to 100 Care & cost score for each drug it prescribes, built from four checks: what a new patient pays per month at the starting dose (35), how care works (25), whether the pharmacy is named (25) and how clearly prices and terms are shown (15).

How the Care & cost score works · Compounded tirzepatide · By Weight Care Edit, Publisher · Updated October 2026