Tirzepatide programs that also treat menopause, scored

This is the compounded tirzepatide lineup filtered down to programs whose own pages list menopause hormone therapy. Scores, prices and order carry over unchanged, so a program ranks here exactly where it ranks on the full list, minus the rows that dropped out.

Bayan Health leads at 84. Keep in mind what that number grades: the tirzepatide plan, on price, care, pharmacy and clarity. The hormone offer is the entry ticket to this page, and it earns no points.

Women in their 40s and early 50s often land between two kinds of care: weight treatment on one side, hot flashes and sleep on the other. A program listing both may coordinate care, but a second clinician, intake or fee may still be required.

Perimenopause brings a detail the Zepbound label spells out. Tirzepatide may make birth-control pills less reliable, because it slows stomach emptying. The label advises switching to a non-oral method, or adding a barrier method, for 4 weeks after starting and after each dose increase.

That matters if you're still having periods, even irregular ones, and still use a pill for contraception. Ask the program how it handles it before your first shipment.

Then compare the actual hormone products. Approved patches, tablets and vaginal products have different uses from a compounded cream. A broader menu does not establish clinical suitability; ask which formulation the clinician would consider and why.

• Price (35). Scored on the starting tirzepatide month alone. Your hormone prescription is a second line on the bill that this part ignores.
• Care (25). Points for a named prescriber, intake review, labs, follow-up and dose-change fees on the tirzepatide plan. Whether those cover the hormone visit is something to read on the review.
• Pharmacy (25). Earned by naming the pharmacy behind the tirzepatide. A program can score full marks here and still send your estradiol cream to another compounder.
• Clarity (15). Price before intake, cancellation terms, states served. The scoring method has each check.

Starting tirzepatide prices on this list run $149 to $368 a month, required fees included, and the middle one is $325. Over a year that middle price is about $3,900 by our math. 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.

Hormone charges need a separate current itemized quote. Confirm the exact formulation, quantity, clinical-service fee and follow-up requirements before treating a menu amount as a standing prescription price.

A combined budget also needs to count shared fees correctly. Adding two advertised prices can duplicate a membership or omit a separate appointment. Estrogen with a progestogen may involve more than one product, while a combined approved formulation has its own charge. Ask for the actual selected arrangement.

Ask whether hormones sit inside a membership. Some programs fold several prescriptions into one monthly fee, which can make the combined bill lower than our sum suggests.

1. Do you see me for both prescriptions in one visit, or two?
2. If I use a birth-control pill, what do you advise while my tirzepatide dose is going up?
3. Which estradiol forms do you prescribe, and are any of them FDA-approved products?
4. Is the hormone price fixed, or does it change with the dose or form?
5. Do you want baseline labs before hormones, and are they in the price?