Compounded tirzepatide under $250 a month, scored

Every program here clears one test on top of its score: its month-to-month price at the starting dose, with any required membership added in, comes to less than $250. The order below that line is the same Care & cost score order as the full tirzepatide lineup, so a program sits in the same place relative to its neighbors on both pages.

Price is one of four parts of that score, worth 35 of 100 points (how we score). On tirzepatide's band, a price at $140 or less earns all 35, which is why so many prices here carry a full or nearly full Price chip. The other 65 points decide the order among plans that all cost about the same.

Compounded tirzepatide isn't FDA-approved, and compounded preparations do not receive FDA premarket safety, effectiveness or quality review. A low price doesn't change that, so the Pharmacy chip matters as much here as anywhere.

Once every plan clears the same price line, the price stops telling programs apart. Two plans a few dollars apart can differ a lot in who prescribes, who fills the vial and what happens when your dose goes up.

So read the chips before the price. A full Price chip next to a Care chip of 5 or 10 usually means a lean plan: an intake, a prescription and little stated follow-up. A program a little higher on the price with stronger Care and Pharmacy chips may cost you less trouble by month three.

The chip line under each name is a shortcut, too. Phrases like “Same price every dose”, “Pay as you go” or “Yearly membership” describe how that program bills, and each one changes what the price means for you later.

Look at the state line on each review before anything else if you live outside the big states. A few programs that clear the price line serve only a couple of states or publish no state list at all.

• Required membership, spread by the month. A plan that charges a yearly membership has that fee divided by twelve and added to its monthly price. So the price can read above the drug price the program advertises, and that's on purpose.
• Four-week billing, restated. The comparison annualizes a verified 28-day charge over 365 days, then divides by twelve. Check the cash schedule separately: with an enrollment payment, 14 charges fall within the first 365 days.
• The month-to-month price only. Many programs here advertise a lower “starting at” figure that turns out to be the rate on a 6- or 12-month plan paid up front. The price ignores those rates, so a plan doesn't slip under the line just by asking you to prepay.
• No first-month promos. A discounted first order or a struck-through intro price doesn't count. The price is what month two costs at the starting dose.

Prices on this page run $85 to $249 a month, and the middle one is $205. At that middle price, a year of the starting dose comes to about $2,460 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.

The catch is the word “starting.” Zepbound's label starts at 2.5 mg a week for four weeks and calls that dose a starting dose only, so most people move up. A plan that prices by dose can clear the line in month one and cross it once the dose climbs, and at least one program here lists a higher price at every milligram step.

Programs that charge the same at every dose avoid that jump. If you expect to stay on tirzepatide for a year, a flat plan near the top of this price range can cost less over twelve months than a dose-priced plan near the bottom.

For scale, brand Zepbound through the telehealth programs we track runs $364–$550 a month, and the Zepbound guide lists LillyDirect's own self-pay vial prices by dose. Across those programs, while 23 programs list compounded tirzepatide at $85–$399. The compounded tirzepatide cost guide walks through the later doses.

Prepaying is the other way programs get lower. Some plans here cost noticeably less per month on a 6- or 12-month term, charged at once. That only saves money if you stay, so ask what you get back if you stop early before you take the long plan.

1. What will I pay at the second and third dose steps, not just the first?
2. Are labs required, and are they inside this price or billed on top?
3. Does the vial contain anything besides tirzepatide, such as B12 or glycine, and is that in the price?
4. If my medication ships three months at a time, do I owe for the whole shipment if I cancel after one month?
5. Is the membership refundable, and is it charged up front or spread over the year?