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TirzepatideReport

Monograph appendix · Prescribing pathways · Updated 2026

Best Tirzepatide Providers (2026): Doctor-Reviewed, Ranked

Tirzepatide is FDA-approved and works, but it is prescription-only and titrated up a dose ladder over months — so what a program charges, and whether that charge climbs with your dose, is the decision. CoreAge Rx is our featured partner at a flat $149/month at every dose.

Advertising disclosure — some, not all, of the providers ranked here are partners, and we may earn a commission at no additional cost to you. The prices and facts we report come from each provider's own published program. Full disclosure.

§ Price position — every program against the median

Plotted against the $258/month median of the 33 compounded prices we can confirm — left of the rule is cheaper, right is dearer.

Tirzepatide telehealth programs with their published monthly price and position relative to the compounded median.
ProgramLink
01CoreAge Rx$149/mo flatCompoundedFlat−$109 vs medianVisit
02Ageless$169/mo injectableCompounded−$89 vs medianVisit
03FoundFrom $99/mo (varies)CompoundedVisit
04Gala Health$179/mo (yearly plan)Compounded−$79 vs medianVisit
05Trimi$125/mo (annual prepay) · $235 monthlyCompoundedFlat−$133 vs medianVisit
06Enhance MD$280/mo compoundedCompoundedFlat+$22 vs medianVisit
07yourEra$299/mo compoundedCompounded+$41 vs medianVisit
08Telos RxFrom $99/mo annualCompounded−$159 vs medianVisit
09Direct Meds~$224/mo sublingualCompoundedVisit
10HealthRX~$189/mo injectable (company-stated)CompoundedVisit
11Sprout HealthFrom $199/mo compoundedCompounded−$59 vs medianVisit
12Bodybuilding Health+$139/mo (12-mo bundle)Compounded−$119 vs medianVisit
13Shed (ShedRx)$299/moCompounded+$41 vs medianVisit
14Sesame CareBrand, varies + subscriptionBrandVisit
15Oak$185/moCompoundedFlat−$73 vs medianVisit
16Strut Health$199/moCompounded−$59 vs medianVisit
17MadeMed$399/mo (quarterly plan)CompoundedFlat+$141 vs medianVisit
18Synergy Rx$349/moCompounded+$91 vs medianVisit
19Care Bare RxFrom $199/mo*CompoundedVisit
20Breeze Meds$399/mo ($299 first month)Compounded+$141 vs medianVisit
21Mochi Health$199/mo + $79/mo membershipCompounded−$59 vs medianVisit
22Eden$199/mo + $99/mo membershipCompounded−$59 vs medianVisit
23Henry MedsFrom $179/mo all-inCompounded−$79 vs medianVisit
24Ro$149/mo membership + RxBrandVisit
25LifeMD$149/mo program + $349/mo RxBrandVisit
26bmiMD$179/mo flat ($139 on 12-mo prepay)CompoundedFlat−$79 vs medianVisit
27RxSpan MD$329/mo injection (month-to-month)Compounded+$71 vs medianVisit
28MyStart Health$299/mo flat (price-locked)CompoundedFlat+$41 vs medianVisit
29TMates$297/mo flat (all doses 2.5–15 mg)CompoundedFlat+$39 vs medianVisit
30TrimRxFrom $259/mo (flat across doses)CompoundedFlat+$1 vs medianVisit
31Brightmeds$289 (1-month plan)CompoundedFlat+$31 vs medianVisit
32Wellorithm$349/mo ($249 first month)Compounded+$91 vs medianVisit
33RNK HealthFrom $297/moCompounded+$39 vs medianVisit
34Maximus$359.99/mo flat (all doses)CompoundedFlat+$101.99 vs medianVisit
35PeterMD$249/mo (billed quarterly)Compounded−$9 vs medianVisit
36DudeMeds$249/mo (3-month commit kit)Compounded−$9 vs medianVisit
37Liv BodyFrom $279/mo (starting tier)Compounded+$21 vs medianVisit
38SkinnyRxFrom $224.25/mo (floor, not flat)Compounded−$33.75 vs medianVisit
39Yucca Health$258/mo new-patient (6-mo plan)Compoundedat median vs medianVisit
40MyDrHank$349/mo ($240 on annual prepay)Compounded+$91 vs medianVisit
41Sunlight$239 first month; ongoing price not publishedCompoundedVisit
42MEDViPricing variesCompoundedVisit
Programs indexed
42
Compounded median
$258 / month
Published range
$99 – $399
Published prices
33 of 42

§ Funding — the links marked Visit → pay us a commission at no extra cost to you. The price figures and the assessment are the same either way. See our disclosure. The median is computed from compounded prices only, so brand-pathway programs are shown but never plotted against it. Prices were verified on each provider's own site in 2026 and can change without notice — the full index, with CSV and JSON downloads.

Our #1 pick

$149/mo flat
1

CoreAge Rx

Our #1 pick

Doctor-reviewed tirzepatide with one flat price and built-in human support.

$149/mo flat

Compounded tirzepatide (503A)

U.S.-licensed clinicians review an online intake; the tirzepatide protocol is filled by a 503A compounding pharmacy. Pricing is a single flat $149/month that does not change as your dose is titrated up, every plan includes 1:1 nurse and registered-dietitian consults, and you are refunded automatically if you are not approved for treatment.

Pros

  • Flat $149/month that stays the same across every dose level — no escalation surcharge as you titrate up
  • Doctor-reviewed protocols filled by a 503A compounding pharmacy
  • Included 1:1 support from nurses and registered dietitians
  • Automatic refund if you are not approved for treatment

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound) — see our evidence guide
  • Single-medication focus rather than a broad telehealth catalog

Price: $149 / month, flat across all dose levels

Start with CoreAge Rx

The rest of the field

Real telehealth providers that verifiably offer tirzepatide or compounded tirzepatide, each checked against their own site. We only state a price where the provider published one we could confirm — otherwise it reads “Pricing varies.”

2

Ageless

Broad compounded storefront pairing $169/month injectable tirzepatide with a rare oral-drop option — plus NAD+, sermorelin, and TRT under one roof.

$169/mo injectable

Compounded tirzepatide (injectable and oral drops)

Full assessment — how the program works, pros and cons

Fully online telehealth storefront (Try Ageless) built around one of the broadest compounded menus in the category: injectable tirzepatide at $169/month, an oral tirzepatide-drops option at $249/month, and compounded semaglutide from $119/month, alongside adjacent longevity and hormone lines (NAD+, sermorelin, low-dose naltrexone, methylene blue, and TRT). A licensed clinician reviews an online intake and, where appropriate, the protocol is filled by 503A/503B partner pharmacies and shipped discreetly; no insurance is taken and Klarna/Affirm financing is offered. The headline prices are floors that can rise after clinical review, and Ageless does not publish which states it serves.

Pros

  • Unusually broad compounded menu under one roof — injectable and oral tirzepatide plus semaglutide, with NAD+, sermorelin, and TRT alongside
  • Transparent, low headline tirzepatide pricing ($169/month injectable) with no insurance required and Klarna/Affirm financing
  • Rare oral tirzepatide-drops pathway for patients who want to avoid injections
  • 100% online with licensed-clinician review, discreet delivery, and clear upfront compounded/not-FDA disclaimers

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound) — quality depends on the partner pharmacies
  • Oral tirzepatide drops lack the robust absorption and efficacy evidence of injectables
  • No published list of states served and no named legal entity or medical group — a transparency gap
  • Advertised prices are floors finalized after clinical review, and the very broad storefront has a thin public track record

Price: Compounded injectable tirzepatide $169/month; oral tirzepatide drops $249/month; compounded semaglutide from $119/month (advertised prices are floors, finalized after clinical review)

Visit Ageless
3

Found

Established, physician-designed weight care with a broad formulary — real brand-name Zepbound/Mounjaro alongside compounded tirzepatide, paired with coaching.

From $99/mo (varies)

Broad formulary: compounded tirzepatide plus brand-name Zepbound/Mounjaro, brand/compounded semaglutide, and oral Rybelsus

Full assessment — how the program works, pros and cons

Founded in 2019, Found is an established weight-care platform with 250k+ members and one of the broadest formularies in telehealth. Obesity-medicine clinicians review an online intake and prescribe from a wide menu — compounded tirzepatide, the FDA-approved brand-name products (Zepbound and Mounjaro), brand and compounded semaglutide, and oral Rybelsus — matched to each patient. Medication is paired with behavioral coaching, an app, a member community, and insurance navigation. Available in all 50 states with HSA/FSA accepted. Pricing is layered rather than flat: a compounded GLP-1 entry point advertised as low as $99/month (the cheapest tiers require a 3–12 month prepay), realistic compounded tirzepatide around $299–$399/month, and a brand-name pathway that stacks a membership of roughly $39/month on top of the medication; cost and coverage vary by state and plan.

Pros

  • Established since 2019 and sizable (250k+ members), with obesity-medicine clinicians — a longer track record than most compounded-only startups
  • Broad formulary including the real FDA-approved brand-name products (Zepbound and Mounjaro), not only compounded tirzepatide
  • Behavioral coaching, app, and member community paired with the medication
  • Insurance navigation plus HSA/FSA accepted, available in all 50 states

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Layered pricing — the cheapest compounded rate requires a 3–12 month prepay
  • The brand-name pathway stacks a separate membership fee (about $39/month) on top of the medication
  • Cost and coverage vary by state and plan, so there is no single flat monthly figure

Price: Pricing varies by path and state: compounded GLP-1 entry as low as $99/month (realistic compounded tirzepatide roughly $299–$399/month); brand-name pathway adds a membership of about $39/month

Visit Found
4

Gala Health

Low-cost compounded tirzepatide shipped to all 50 states, with a brand-name path if you want it.

$179/mo (yearly plan)

Compounded GLP-1/GIP incl. tirzepatide (brand Ozempic available separately)

Full assessment — how the program works, pros and cons

Telehealth weight program from Gala (AI Coaching Inc), pitched specifically at women — its product pages read "for Women" and it sells HRT and menopause care alongside GLP-1. A licensed prescriber reviews an online intake and, where appropriate, compounded GLP-1/GIP including tirzepatide ships at $179/month — but that figure is calculated on a yearly subscription, which the storefront footnotes and which we state here because the headline does not. The cheapest term Gala actually quotes in prose is $199/month on a 3-month plan, and no month-to-month rate is published at all. A separate $149/month microdose tier (also yearly) is sub-therapeutic by design — a longevity protocol, not a weight-loss dose — so it is not the comparable tirzepatide price. Gala is licensed in all 50 states and keeps a brand-name pathway open at $1,299/month cash for Ozempic.

Pros

  • Low compounded entry at $179/month with all doses included, so titrating up costs nothing extra
  • Available in all 50 states — broader coverage than most compounded-only startups
  • Offers a brand-name pathway (Ozempic) alongside compounded options
  • LegitScript-certified, with HRT and menopause care under the same roof

Cons

  • The $179 headline requires a YEARLY subscription — no month-to-month price is published anywhere on the site
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • The $149 microdose tier is sub-therapeutic and should not be read as a cheap tirzepatide dose
  • The brand-name Ozempic option is very expensive at $1,299, and the dispensing pharmacy is never named

Price: Compounded GLP-1/GIP (incl. tirzepatide) $179/month on a YEARLY subscription, all doses included — no month-to-month price is published; the site's own FAQ quotes $199/month on a 3-month plan. Microdose tier $149/month, also yearly. Brand Ozempic $1,299/month cash

Visit Gala Health
5

Trimi

One of the lowest compounded rates on this board — but only if you prepay a year up front.

$125/mo (annual prepay) · $235 monthly

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

Direct-to-patient telehealth on one membership covering the visit, the medication and free overnight shipping, rather than a medication fee bolted onto a second subscription. A U.S.-licensed prescriber reviews an online intake and, if appropriate, compounded tirzepatide ships to all 50 states. The advertised $125/month is the annual tier and requires $1,500 paid up front — the true no-commitment price is $235/month, and Trimi publishes the whole ladder openly rather than hiding it behind an intake. Compounded semaglutide runs on the same plan structure from $99/month annual. Price is flat at every dose, so titrating up costs nothing extra.

Pros

  • Publishes its full four-tier price ladder openly, with the billed total next to each per-month figure — rare candour in this category
  • Flat price at every dose, so titration never raises the bill
  • One membership covers the visit, medication and free overnight shipping to all 50 states
  • Buy-now-pay-later (Affirm / Klarna / Afterpay) available on the prepaid terms

Cons

  • The $125 headline needs $1,500 paid up front; month-to-month is $235, more than CoreAge's flat $149
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Prepaying a year for a medication you may not tolerate carries real refund risk
  • Injectable only — no oral or brand-name pathway

Price: Compounded tirzepatide $125/month ONLY on the annual plan, billed $1,500 up front. Billed monthly it is $235/month; $199/month on a 3-month term ($597); $175/month on a 6-month term ($1,050). Trimi's own page states the range as "$125-235 per month depending on billing plan"

Visit Trimi
6

Enhance MD

Transparent tiered compounded tirzepatide — microdose, standard, and combination options with included labs.

$280/mo compounded

Compounded tirzepatide (microdose and sema+tirz combination options)

Full assessment — how the program works, pros and cons

Compounded-only telehealth program with an unusually transparent, published price ladder: standard compounded tirzepatide at $280/month, a lower $169/month microdose tirzepatide tier, a semaglutide-plus-tirzepatide combination at $322/month, and compounded semaglutide at $212/month ($112 the first month). Pricing is dose-flat within each tier, provider care and 6-month lab testing are included, and NAD+ is offered as an adjacent longevity option.

Pros

  • Transparent, published tiered pricing including microdose and a sema+tirz combination
  • Dose-flat within each tier — no surcharge as you titrate up
  • Included provider care and 6-month lab testing
  • NAD+ available as an adjacent longevity offering

Cons

  • Compounded only — no FDA-approved brand or oral tirzepatide pathway
  • Higher entry price ($280/month standard tirzepatide) than CoreAge's flat $149
  • States served are not published on the site
  • The standard tier costs more than several rivals for the same molecule

Price: Compounded tirzepatide $280/month (microdose tirzepatide $169/month; sema+tirz combo $322/month; compounded semaglutide $212/month, first month $112)

Visit Enhance MD
7

yourEra

Transparent compounded tirzepatide with both molecules and a broad longevity menu, shipped nationwide — priced in the mid-market.

$299/mo compounded

Compounded injectable tirzepatide (compounded semaglutide also available)

Full assessment — how the program works, pros and cons

"A New Era of Personalized Health" — yourEra is a compounded-only telehealth brand that publishes its prices openly, a genuine plus in a category where many competitors hide cost behind a quiz. A licensed clinician reviews an online intake and, where appropriate, compounded tirzepatide ships as a weekly injectable at $299/month, with compounded semaglutide from $199/month on the same platform. The broader menu adds NAD+ from $249/month and microdosing protocols from $179/month, plus an optional yourEra Optimum membership (+$149/month) that bundles 1:1 coaching, a nutritionist, at-home lab draws, and wearables. yourEra markets a 50-state licensed-clinician network with no insurance required and HSA/FSA accepted; the 50-state reach and efficacy claims are self-reported.

Pros

  • Transparent, publicly listed pricing on the site — many compounded competitors hide the price behind a quiz
  • Both semaglutide and tirzepatide (not single-drug), plus a broad menu — NAD+, microdosing, and an optional coaching/nutritionist/labs bundle
  • Markets 50-state clinician access with no insurance required and HSA/FSA accepted

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound), and compounding availability can tighten as brand shortages resolve
  • Mid-market pricing at $299/month — above the cheapest compounders (~$99–$150)
  • No brand-name and no oral pathway — injectable only
  • Thin independent footprint with few third-party reviews; the 50-state and efficacy claims are self-reported

Price: Compounded tirzepatide $299/month (weekly injectable); compounded semaglutide from $199/month; NAD+ from $249/month; optional yourEra Optimum coaching membership +$149/month

Visit yourEra
8

Telos Rx

Compounded injectable, oral, and microdosed tirzepatide from a LegitScript-certified telehealth, with a low annual entry price.

From $99/mo annual

Compounded tirzepatide (injectable, oral, and microdosed)

Full assessment — how the program works, pros and cons

LegitScript-certified, HIPAA-compliant compounded telehealth with an unusually broad tirzepatide menu: compounded injectable, oral, and microdosed tirzepatide, plus compounded semaglutide. U.S. providers and licensed pharmacies review an online intake; published GLP-1 pricing starts at $49/month for microdosed tirzepatide on a 12-month plan and $99/month for tirzepatide on an annual plan, with shorter first-month plans at $145/$199/$399. HSA/FSA is accepted with free 48-hour shipping. The broader catalog also spans semaglutide, PT-141, intranasal NAD+, recovery peptides, and HRT, though pricing outside the GLP-1 menu is not published and the states served are not listed.

Pros

  • Multiple tirzepatide formats — compounded injectable, oral, and microdosed — a rare combination in one program
  • LegitScript-certified and HIPAA-compliant, with U.S. providers and licensed pharmacies
  • Low published entry price on annual plans (from $99/month tirzepatide; from $49/month microdosed), with HSA/FSA accepted and free 48-hour shipping
  • Broad catalog beyond GLP-1 (semaglutide, PT-141, intranasal NAD+, recovery peptides, HRT)

Cons

  • Every formulation is compounded — not the FDA-approved branded product (Mounjaro / Zepbound)
  • The lowest headline prices require a 6- to 12-month commitment; short plans run $145/$199/$399 for the first month
  • Pricing is opaque outside the GLP-1 menu, and the list of states served is not published
  • No named clinicians and thin third-party reviews

Price: Compounded tirzepatide from $99/month on an annual plan (microdose from $49/month on a 12-month plan); short plans $145/$199/$399 first month

Visit Telos Rx
9

Direct Meds

One of the few programs offering oral/sublingual tirzepatide alongside injectable, on an all-inclusive fee.

~$224/mo sublingual

Compounded tirzepatide (oral/sublingual and injectable) and semaglutide

Full assessment — how the program works, pros and cons

Compounded-only telehealth pharmacy (launched 2024) that is unusual in offering an oral/sublingual tirzepatide route in addition to standard injectable, plus compounded semaglutide. Fees are described as all-inclusive with no separate membership. The figures here are stated by the company rather than confirmed on a live public price page, and the brand operates across multiple domains, so we present the numbers with that caveat rather than as independently verified.

Pros

  • Rare oral/sublingual tirzepatide option in addition to injectable
  • All-inclusive pricing with no separate membership fee
  • Offers both tirzepatide and semaglutide molecules

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Pricing is company-stated and could not be independently verified on a live page
  • Newer operator (2024) with an ambiguous footprint across multiple domains
  • States served are not disclosed

Price: Compounded tirzepatide ~$224/month sublingual or ~$399/month injectable; semaglutide ~$179–$297/month (intro promo ~$147) — company-stated, not independently verified

Visit Direct Meds
10

HealthRX

LegitScript-certified physician-supervised telehealth with a rare oral tirzepatide tablet alongside injectable.

~$189/mo injectable (company-stated)

Compounded tirzepatide and semaglutide (injectable and oral tablet)

Full assessment — how the program works, pros and cons

Physician-supervised telehealth for medical weight loss that is LegitScript-certified (#50087439) — a genuine third-party trust signal that most compounded startups lack. A U.S. board-certified physician reviews an online intake and, where appropriate, compounded tirzepatide (and semaglutide) is filled by a licensed U.S. 503A pharmacy with transparent monthly pricing and no insurance required. HealthRX is unusual in offering an oral GLP tablet in addition to the standard injectable. Company-stated tiers run about $189/month for the compounded GLP injectable, ~$239/month for the oral tablet, and ~$349/month for a GLP+GIP option, with a brand pass-through option quoted around $1,299; those figures are stated by the company rather than confirmed on a live public price page, so we present them with that caveat.

Pros

  • LegitScript-certified (#50087439) — a genuine third-party trust signal most compounded providers lack
  • Physician-supervised, with a licensed U.S. 503A compounding pharmacy
  • Offers tirzepatide, semaglutide, and a rare oral GLP tablet alongside injectable
  • Transparent monthly pricing with no insurance required

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Several tiers are company-stated and could not be independently verified on a live public page
  • Brand tiers are an expensive pass-through (~$1,299)
  • Number of states served is not published

Price: Company-stated: compounded GLP injectable ~$189/month, oral GLP tablet ~$239/month, GLP+GIP ~$349/month; brand pass-through ~$1,299 — not independently verified

Visit HealthRX
11

Sprout Health

LegitScript-certified compounded tirzepatide from $199/month with a real brand-name Wegovy/Zepbound path and a low-friction, no-labs signup.

From $199/mo compounded

Compounded injectable tirzepatide (brand-name Wegovy/Zepbound path also offered)

Full assessment — how the program works, pros and cons

Sprout Health is a LegitScript-certified telehealth weight program. A licensed prescriber reviews an online intake and, where appropriate, compounded tirzepatide ships from $199/month as a weekly injectable, with compounded semaglutide from $149/month on the same platform. Unusually for a low-cost compounder, Sprout also offers a genuine brand-name Wegovy/Zepbound pathway for patients who specifically want an FDA-approved product. The signup is deliberately low-friction — often no labs and no separate video visit are required. The trade-offs are real: the program does not name a medical director, that low-friction model means thinner clinical oversight, state availability is gated behind a quiz rather than published upfront, and the tirzepatide itself is compounded (503A) and not FDA-approved.

Pros

  • LegitScript-certified — a genuine third-party trust signal many compounded startups lack
  • Offers a real brand-name Wegovy/Zepbound pathway alongside compounded tirzepatide, uncommon for a low-cost compounder
  • Transparent compounded pricing from $199/month tirzepatide (compounded semaglutide from $149/month)
  • Low-friction signup — often no labs and no separate video visit required

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • No named medical director, and the low-friction model (often no labs or visit) means thinner clinical oversight
  • Injectable only — no oral tirzepatide pathway
  • State availability is quiz-gated rather than published, and $199/month is above the cheapest flat compounders

Price: Compounded tirzepatide from $199/month; compounded semaglutide from $149/month; a brand-name Wegovy/Zepbound pathway is also offered

Visit Sprout Health
12

Bodybuilding Health+

The Bodybuilding.com fitness brand's new compounded arm — value-priced tirzepatide bundles down to $139/month, alongside semaglutide, NAD+, sermorelin, and peptides.

$139/mo (12-mo bundle)

Compounded tirzepatide (compounded semaglutide also available)

Full assessment — how the program works, pros and cons

Bodybuilding Health+ is the compounded-telehealth arm of the Bodybuilding.com brand, operated by Dynamo Group LLC (Boca Raton, FL) and launched around April 2026. An online medical evaluation is reviewed by an independent licensed provider, and where appropriate a U.S.-registered compounding pharmacy fills the prescription. Its tirzepatide line is the on-thesis draw: publicly listed at $209 for the first month (reg. $319), then $179/month on the 3-month plan and $139/month on the 12-month plan, with compounded semaglutide from $139/month on the same platform — genuinely competitive pricing carried by a recognizable fitness brand. The broader menu adds NAD+, sermorelin, ED treatment, and a deep peptide catalog under one login. The tradeoffs are real: every GLP-1 here is compounded and not FDA-approved, the operator is brand-new with a thin, mixed third-party review record, bundle pricing is paid upfront, and prescription products are final sale.

Pros

  • Value-priced compounded tirzepatide bundles — $139/month on the 12-month plan (from $209 the first month), undercutting most mid-market compounders
  • Transparent GLP-1 pricing shown publicly on the site, with compounded semaglutide also from $139/month
  • Backed by the recognizable Bodybuilding.com brand and a broad menu (NAD+, sermorelin, ED, peptides) under one login
  • Standard telehealth flow: online intake reviewed by an independent licensed provider, free until you are approved

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Brand-new operator (Dynamo Group LLC, launched ~April 2026) with a thin, mixed third-party review record
  • Lowest prices require a large upfront prepay, and prescription products are final sale — no refunds for change of mind or results
  • Pharmacy and provider network are not named on the consumer pages, and we could not verify a LegitScript certification

Price: Compounded tirzepatide $209 first month (reg. $319), dropping to $179/mo on the 3-month plan and $139/mo on the 12-month plan; compounded semaglutide from $139/mo; all bundles paid upfront

Visit Bodybuilding Health+
13

Shed (ShedRx)

Compounded tirzepatide from $239 with the widest set of formats here — injections, liquid drops, lozenges, and a real brand Zepbound pathway.

$299/mo

Compounded injectable tirzepatide, plus GLP-1 liquid drops and lozenges, with brand Zepbound and Wegovy available

Full assessment — how the program works, pros and cons

A weight-loss platform rather than a single-molecule prescriber: compounded tirzepatide and semaglutide injections sit alongside GLP-1 liquid drops and lozenges for people who will not inject, and alongside genuine brand Zepbound and Wegovy for anyone who wants the FDA-approved product. Unlimited follow-up appointments and health coaching come with the membership rather than being sold separately, and the company advertises a 120-day weight-loss guarantee — an unusual commitment in a category that mostly sells month to month. GLP-1s are available in all 50 states.

Pros

  • Four routes to the same molecule — injection, liquid drops and lozenges compounded, plus brand Zepbound if you want the FDA-approved product
  • Unlimited follow-up appointments and health coaching included with membership
  • A published 120-day weight-loss guarantee, which almost nothing else in this ranking offers
  • GLP-1 treatment available in all 50 states

Cons

  • At $299/month month-to-month it costs twice CoreAge's flat $149 for the same molecule; reaching $239 means committing to twelve months up front
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • The advertised "as low as $239" is a twelve-month commitment rate — the month-to-month price is $299
  • The dispensing compounding pharmacy is not publicly named

Price: Compounded tirzepatide $299/month month-to-month, falling to $269 on a six-month plan and $239 on twelve — the widely advertised $239 is the twelve-month rate, not the entry price

Visit Shed (ShedRx)
14

Sesame Care

Established national telehealth marketplace with the widest real brand-name access — Zepbound, Mounjaro, Wegovy, Ozempic, and oral Rybelsus — though brand meds carry a separate platform subscription.

Brand, varies + subscription

Marketplace access to brand-name tirzepatide (Zepbound, Mounjaro) plus Wegovy, Ozempic, and oral Rybelsus

Full assessment — how the program works, pros and cons

Sesame is one of the most established national telehealth marketplaces (operating since 2018), LegitScript-certified and BBB-listed with a large volume of public reviews. Rather than a single dedicated weight program, it is a marketplace that connects patients to independent clinicians and pharmacies. For tirzepatide it routes the FDA-approved brand-name products (Zepbound and Mounjaro), with pricing that varies by listing, and it also lists Wegovy (pen and pill), Ozempic, and oral Rybelsus — the widest brand-name access in this ranking. Brand medication is billed separately from a Sesame platform subscription, so the true cost is two-part rather than a single flat monthly figure. It is a generalist marketplace, not a weight-loss-specialized program with built-in coaching.

Pros

  • One of the most established telehealth marketplaces (operating since 2018), LegitScript-certified and BBB-listed with a large volume of public reviews
  • The widest real brand-name access in this ranking — brand Zepbound and Mounjaro plus Wegovy, Ozempic, and oral Rybelsus
  • Dispenses FDA-approved branded products, not a compounded copy
  • Marketplace model lets you compare independent clinicians and prices

Cons

  • Two-part cost: brand medication is billed separately from a Sesame platform subscription, so there is no single flat monthly figure
  • Brand tirzepatide pricing varies by listing and is typically far higher than compounded options
  • A generalist marketplace, not a weight-loss-specialized program with coaching or a flat all-in price
  • Because it routes to independent clinicians and pharmacies, care continuity and exactly what you are dispensed can vary

Price: Brand-name tirzepatide (Zepbound/Mounjaro) priced by the marketplace listing (varies) plus a separate Sesame platform subscription — a two-part cost; oral Rybelsus also available

Visit Sesame Care
15

Oak

A low flat price with no membership fee, sold as a package rather than a subscription.

$185/mo

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

A deliberately stripped-back model: you buy a one-month or three-month package rather than joining a subscription, there is no membership fee layered on top of the medication, and the price does not change as your dose goes up. Approval is same-day and no video call is required. Available in all 50 states, and the intake is offered in Spanish as well as English — rare in this category.

Pros

  • A low flat $185/month at every dose
  • One price across every dose, so titrating up does not raise the monthly cost
  • No membership or subscription fee, and free shipping
  • All 50 states, with the process available in Spanish as well as English

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Same-day approval with no video call means very little clinical contact before a prescription
  • Sold as packages, so continuity is on you to re-order rather than arriving automatically
  • No brand-name pathway and no oral or sublingual route

Price: Compounded tirzepatide from $185/month at one price across all dosages, with no membership fee

Visit Oak
16

Strut Health

Injectable or sublingual tirzepatide at the same $199, for anyone who would rather not inject at all.

$199/mo

Compounded injectable tirzepatide and compounded sublingual tirzepatide lozenges

Full assessment — how the program works, pros and cons

An asynchronous prescriber: a U.S.-licensed physician reviews the intake online, typically within a business day, and in many states no phone consultation is required at all. What sets it apart in this ranking is route — the same tirzepatide is offered as a weekly injection or as a sublingual lozenge at the same $199, so the needle is genuinely optional rather than a compromise on molecule. Free shipping, free follow-up care and the online physician visit are included rather than added at checkout.

Pros

  • Sublingual tirzepatide lozenges at the same price as the injection, so the needle is optional without paying a premium for it
  • Free physician visit, free shipping and free follow-up care included in the price
  • Subscriptions can be cancelled, paused or delayed yourself with 48 hours' notice
  • Every route and price is published on the product page rather than hidden behind an intake

Cons

  • At $199/month it costs more than CoreAge's flat $149 for the same molecule
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Asynchronous by design — in many states you will never speak to the prescriber
  • Not available in Arkansas

Price: Compounded tirzepatide from $199/month on auto-refill, injectable or as a sublingual lozenge at the same price

Visit Strut Health
17

MadeMed

One flat tirzepatide price published dose by dose, from 2.5mg all the way to 15mg.

$399/mo (quarterly plan)

Compounded injectable tirzepatide, with an oral tirzepatide route also offered

Full assessment — how the program works, pros and cons

LegitScript-verified compounded telehealth whose distinguishing feature is that it publishes the price at every single dose — 2.5mg through 15mg all cost the same — so the cost of the dose you eventually titrate to is knowable on day one rather than a surprise at month four. A board-certified physician reviews the intake, medication ships overnight with injection supplies included, and if you are not prescribed you are refunded everything except a $39 physician-visit fee, stated before checkout.

Pros

  • One flat price at every dose, published dose by dose from 2.5mg to 15mg
  • LegitScript verified, with board-certified physician review and U.S. compounding pharmacies
  • Refund of everything but a $39 visit fee if you are not prescribed — stated up front, not buried
  • Free overnight shipping with injection supplies included, and an oral tirzepatide route if you want it

Cons

  • The most expensive tirzepatide in this ranking at $399/month quarterly — well above CoreAge's flat $149
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Available in 40 states rather than nationwide, so check yours before starting
  • Ships one vial every two months, a less flexible cadence than a monthly refill

Price: Compounded tirzepatide $399/month on the quarterly plan, or from $369/month on six months — the same price at every dose from 2.5mg to 15mg

Visit MadeMed
18

Synergy Rx

Brand Mounjaro when clinically appropriate, with unlimited round-the-clock clinical contact — at the top of this ranking's price range.

$349/mo

Compounded tirzepatide, with FDA-approved brand Mounjaro available when clinically appropriate

Full assessment — how the program works, pros and cons

Positioned on access to clinicians rather than on price: unlimited appointments, unlimited messaging and 24/7 contact with a dedicated team are the headline, and its providers will prescribe FDA-approved brand medications — including Mounjaro — where clinically appropriate rather than defaulting to compounded. The catch is transparency: the site prices its longevity line publicly but publishes nothing at all for tirzepatide, so the monthly cost is unknowable until you are inside the intake.

Pros

  • Will prescribe brand-name Mounjaro when clinically appropriate — genuine FDA-approved tirzepatide, not only compounded
  • Unlimited appointments, messaging and 24/7 access to a dedicated clinical team
  • FSA and HSA eligible

Cons

  • No GLP-1 price anywhere on the public site — it prices its longevity line openly but not the medication this page is about
  • At $349/month it sits near the top of this ranking, roughly $100 above the compounded tirzepatide median
  • Does not publish which states it serves
  • No published cancellation or refund terms
  • The weakest conversion record of any programme in this ranking, which usually tracks with a rough purchase experience

Price: Compounded tirzepatide from $349/month, with a $100 welcome credit applied at checkout — though no GLP-1 price appears anywhere on the public site

Visit Synergy Rx
19

Care Bare Rx

LegitScript-certified, with oral as well as injectable tirzepatide and a real brand Ozempic pathway — but per-dose pricing is quiz-gated.

From $199/mo*

Compounded injectable and oral tirzepatide, plus oral Rybelsus and brand Ozempic

Full assessment — how the program works, pros and cons

A LegitScript-certified, HIPAA-compliant multi-service platform that bundles weight loss with hair, TRT, sexual health and NAD+, so it suits someone consolidating several telehealth needs rather than buying tirzepatide alone. Both routes to the molecule are offered — compounded injectable and oral tirzepatide — alongside oral Rybelsus and a genuine brand Ozempic pathway. The weakness is disclosure: a single "from $199/mo" covers all weight-loss treatments, no tirzepatide-specific price is published, and the per-dose figures only appear once you are through the quiz.

Pros

  • Oral tirzepatide as well as injectable — one of very few programmes here offering the molecule without a needle
  • LegitScript certified and HIPAA compliant, with a real brand pathway (Ozempic, Rybelsus) beside the compounded line
  • One platform if you also want hair, TRT, sexual health or NAD+ handled in the same place

Cons

  • No tirzepatide-specific price at all — the advertised $199 is a shared weight-loss starting figure across molecules
  • Per-dose pricing is quiz-gated, so you cannot model a titrated monthly cost before entering the intake
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • No named clinicians, founding year or parent company disclosed, so transparency on who is behind it is thin

Price: Advertised from $199/month across weight-loss treatments, but that figure is shared across molecules and per-dose pricing only appears inside the intake quiz — brand Ozempic is listed separately from $705/month

Visit Care Bare Rx
20

Breeze Meds

LegitScript-certified compounded tirzepatide from $299, with nothing charged until a provider approves you.

$399/mo ($299 first month)

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

A LegitScript-certified nationwide programme whose pricing only appears once you are inside the intake: the public site advertises weight-loss injections "starting at $199" without naming a molecule, and tirzepatide is quoted at $299 for a first month once you reach the plan selector. What you buy is genuinely all-in — consult, medication, supplies, shipping and support in one figure — and nothing is charged until a provider has approved you. The catch is dose: every figure quoted is for the lowest dosage, and the funnel says outright that higher doses may cost more, so the number you see at signup is a floor rather than the price of a therapeutic dose.

Pros

  • Nothing is charged until a provider approves you, and the consult is free if you go ahead
  • One inclusive price covering consult, medication, supplies, shipping and support
  • LegitScript certified, and available in all 50 states
  • Cancel or change plan at any time, stated in the funnel rather than buried in terms
  • NAD+ injections offered alongside the GLP-1 line if you want both from one provider

Cons

  • Every quoted figure is for the LOWEST dose — the funnel states higher doses may cost more, so $299 is a floor, not the price of a titrated dose
  • No tirzepatide price is published anywhere on the public site; you must complete an intake to see it
  • At $299–$399/month it is well above CoreAge's flat $149 for the same molecule
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • An $80 consultation fee applies if you are approved and then decide not to proceed

Price: Compounded tirzepatide from $299 for a first month ($399 month-to-month thereafter), or $1,068 for three months — inclusive of consult, medication, supplies and shipping, but priced at the lowest dose

Visit Breeze Meds
21

Mochi Health

Compounded tirzepatide with dietitian-led coaching, priced on top of a membership.

$199/mo + $79/mo membership

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

Membership-based telehealth weight-care program. The compounded tirzepatide medication is billed at $199/month on top of a separate membership that buys unlimited access to a physician and dietitian, nutrition-coaching sessions, and 24/7 support.

Pros

  • Unlimited access to a physician and registered dietitian, plus nutrition coaching
  • Compounded injectable tirzepatide available with flexible 1-, 3-, 6-, and 12-month terms

Cons

  • Stacked cost: the $79/month membership is charged on top of the $199/month medication
  • The membership renews after the promotional first month, raising the true monthly total
  • Total monthly outlay runs well above CoreAge's flat $149 once the membership renews

Price: Compounded tirzepatide +$199/mo, plus membership ($39 first month, then $79/mo)

Visit Mochi Health
22

Eden

Compounded tirzepatide at a low headline price, billed on top of a recurring membership.

$199/mo + $99/mo membership

Compounded tirzepatide

Full assessment — how the program works, pros and cons

Fully online intake with a licensed provider; compounded tirzepatide is shipped to your door for $199/month. The advertised price covers medication only — an active Eden Membership is required and billed separately, and renews at $99/month after the first month.

Pros

  • Entirely online with free shipping and a broad telehealth catalog
  • Low promotional membership price for the first month

Cons

  • Stacked cost: the membership ($99/month after the first month) is charged on top of the $199/month medication
  • Membership is required to access a prescription and does not guarantee one
  • Total monthly outlay can exceed CoreAge once the membership renews

Price: Compounded tirzepatide $199/mo medication, plus Eden Membership ($39 first month, then $99/mo)

Visit Eden
23

Henry Meds

Compounded tirzepatide bundled into one all-in monthly fee — no separate membership.

From $179/mo all-in

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

Telehealth weight-management program that bundles the provider visit, medication, supplies, ongoing care, and shipping into a single monthly fee — there is no separate membership charge. The price varies by treatment plan and dose; the program's GLP-1 medication starts at $179/month. Injectable refills typically ship every 45 days.

Pros

  • Single all-in monthly fee with no separate membership stacked on top
  • Provider visit, medication, supplies, ongoing care, and shipping included in the quoted price

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Quoted price is a starting figure that rises with higher doses and certain plans
  • Compounded GLP-1 programs operate in a contracting, enforcement-heavy regulatory space post-shortage

Price: Compounded GLP-1 medication starts at $179/month, all-in (provider visit, medication, supplies, and shipping included)

Visit Henry Meds
24

Ro

Branded, FDA-approved Zepbound via a large telehealth platform — medication priced separately.

$149/mo membership + Rx

Zepbound (FDA-approved tirzepatide)

Full assessment — how the program works, pros and cons

Large telehealth platform offering the branded, FDA-approved tirzepatide product (Zepbound pen and KwikPen) with cash-pay and insurance options. Care runs through the Ro Body membership; the medication cost is not included in the membership and depends on your treatment and insurance.

Pros

  • Dispenses the FDA-approved branded product (Zepbound), not a compounded preparation
  • Cash-pay and insurance pathways on an established, large-scale platform

Cons

  • Two separate costs: the Ro Body membership plus medication billed on top
  • Branded Zepbound cash-pay pricing is typically far higher than compounded options
  • No single flat all-in figure — total depends on formulation and insurance

Price: Ro Body membership $39 first month, then $149/mo; Zepbound medication billed separately

Visit Ro
25

LifeMD

Brand-name Zepbound (with compounded options) via board-certified providers — medication priced separately.

$149/mo program + $349/mo Rx

Zepbound (FDA-approved tirzepatide); compounded where clinically appropriate

Full assessment — how the program works, pros and cons

Telehealth weight-management program with board-certified providers, metabolic testing, and ongoing support. The program fee starts at $75 the first month and is $149/month thereafter; the medication is billed separately. LifeMD offers brand-name Zepbound (the FDA-approved tirzepatide), with compounded medication prescribed only where clinically appropriate through a state-licensed sterile compounding pharmacy partner.

Pros

  • Access to the FDA-approved branded product (Zepbound), not only a compounded preparation
  • Board-certified providers, metabolic testing, and insurance/self-pay navigation included

Cons

  • Two separate costs: the $149/month program fee plus medication billed on top
  • Brand Zepbound cash-pay (vial from $349/month) runs well above CoreAge's flat $149
  • No single flat all-in figure — total depends on formulation and insurance

Price: Program $75 first month, then $149/mo; medication billed separately (brand Zepbound vial from $349/mo)

Visit LifeMD
26

bmiMD

Flat-priced compounded tirzepatide at every dose — but the advertised rate is a twelve-month prepay, not a monthly one.

$179/mo flat ($139 on 12-mo prepay)

Compounded tirzepatide (a separate microdose line is also sold)

Full assessment — how the program works, pros and cons

A telehealth medical weight-loss clinic prescribing compounded tirzepatide and semaglutide across all 50 states. The pricing model is genuinely flat by dose — you pay the same whether you are at 2.5 mg or 15 mg — with the variable being how long you commit for rather than how much drug you take. The headline $139 is the twelve-month rate; month to month the same product is $179. A separate 'GLP-1/GIP microdose' line is sold at the same ladder, marketed with strike-through pricing and a 'limited time offer' label that has been standing long enough to treat as the regular price.

Pros

  • Flat pricing across every dose — titrating up to a therapeutic dose does not raise the bill
  • Both compounded tirzepatide and compounded semaglutide on one account
  • Available in all 50 states
  • A published price ladder you can read before starting an intake, which is rarer in this category than it should be

Cons

  • The advertised $139 requires paying $1,668 for twelve months up front; month-to-month is $179
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • The microdose line's 'limited time' strike-through pricing has persisted long enough that it reads as regular pricing
  • Very little published detail about the clinicians or the compounding pharmacy behind the prescription

Price: Compounded tirzepatide $179/month month-to-month, stepping down to $159 on three months, $149 on six, and $139/month only on a twelve-month plan billed $1,668 up front — flat across all doses at every tier

Visit bmiMD
27

RxSpan MD

Physician-founded, LegitScript-certified, and one of the few programs that names every 503A pharmacy it uses.

$329/mo injection (month-to-month)

Compounded tirzepatide (injection and oral capsules) plus brand-name Zepbound, Wegovy and Ozempic

Full assessment — how the program works, pros and cons

A physician-led telehealth practice founded by Dr John Diaz, a board-certified plastic surgeon, running compounded semaglutide and tirzepatide alongside a genuine brand-name path. What distinguishes it from most of this board is disclosure: it publishes its LegitScript certification number, names its 503A compounding partners (Belmar, Strive, Epiq Scripts and Casa Pharma) and names the medical group, where the majority of compounded sellers name none of the three. Free expedited shipping and 24/7 support are included, and it ships to all 50 states after a short assessment. The trade is price — the compounded tiers sit mid-to-high, and the brand-name figures are steep.

Pros

  • Names its 503A compounding pharmacies — Belmar, Strive, Epiq Scripts and Casa Pharma — rather than referring vaguely to 'US-licensed pharmacies'
  • LegitScript certified, with the certificate number published (#50405601)
  • Physician-founded and openly attributed, which is unusual in compounded telehealth
  • A real brand-name pathway (Zepbound, Wegovy, Ozempic) alongside the compounded tiers, so you are not forced into a copy
  • Ships to all 50 states, with expedited shipping and 24/7 support included in the price

Cons

  • At $329/month month-to-month the compounded injection is well above the cheapest programs on this board
  • Brand-name pricing is high even by brand standards — Zepbound $1,069, Ozempic $1,299, Wegovy $1,349
  • The oral capsule tier costs more than the injection while having no published evidence that it absorbs
  • A multi-vertical practice (hair, sexual health, longevity) rather than a weight-management specialist
  • The operating legal entity is not published on the site

Price: Compounded tirzepatide injections $329/month month-to-month, stepping to $309, $289 and $269 on three-, six- and twelve-month plans; oral capsules $349 month-to-month on the same ladder; brand Zepbound listed separately at $1,069/month

Visit RxSpan MD
28

MyStart Health

One all-inclusive $299 that is price-locked against dose escalation — the whole proposition is that it does not move.

$299/mo flat (price-locked)

Compounded tirzepatide

Full assessment — how the program works, pros and cons

A Delaware management-services organisation partnering with licensed US clinicians, selling one number: $299 a month covering medication, clinician access and unlimited messaging, with an explicit price-lock so titrating from 2.5 mg to 15 mg does not change the bill. Onboarding is fast — roughly a five-minute intake, a prescription inside 24 hours, and two-to-four-day shipping — and the site carries a clear Section 503A compounding disclosure on every landing page plus a LegitScript certification. The weaknesses are the ones that come with a company incorporated in May 2024: a thin track record, an unaccredited BBB file, and compounding partners it will not name.

Pros

  • A genuine price lock — the $299 base rate is contractually held as your dose escalates, not just advertised as flat
  • LegitScript certified, with a clear Section 503A compounding disclosure on every landing page
  • Unlimited clinician messaging and 24/7 care-team access folded into the single price
  • Fast path from intake to delivery — roughly five minutes to apply, 24 hours to a prescription, two to four days to the door

Cons

  • Incorporated in May 2024, so there is very little operating history to judge it on
  • Not BBB accredited, carrying a C+ rating with complaints concentrated on shipping delays and support access
  • Compounding pharmacy partners are not named, so the 503A claim cannot be independently checked
  • Compounded only — no path to FDA-approved Zepbound or Mounjaro if you decide you want the brand
  • Per-drug tier pricing sits behind the intake quiz

Price: $299/month all-inclusive, price-locked so the rate does not rise as the dose escalates

Visit MyStart Health
29

TMates

Flat $297 at every dose from 2.5 to 15 mg — with the significant catch that you pay before a clinician reviews you.

$297/mo flat (all doses 2.5–15 mg)

Compounded tirzepatide (injectable or oral, same price)

Full assessment — how the program works, pros and cons

A Miami-based, messaging-first platform serving all 50 states plus Puerto Rico, using independent licensed prescribers and third-party compounding pharmacies it does not name. The pricing is honestly flat — $297 covers medication, consults, nutrition coaching and support at any dose, with no separate membership fee — and the multi-month ladder is steep enough to be worth reading. The structural issue is ordering: the funnel takes payment before the medical review, and its own refund terms spell out the consequence, a full refund only while you are still ahead of that review and none once a prescription reaches a pharmacy.

Pros

  • Genuinely flat across the whole dose range, 2.5 mg through 15 mg, with medication, consults, nutrition coaching and 24/7 support in one figure
  • Injectable and oral formats are priced the same rather than the oral carrying a premium
  • Available in all 50 states plus Puerto Rico
  • A full refund is available if you are disqualified at medical review, stated in the terms rather than implied

Cons

  • You pay before a clinician reviews you — the refund tiers in its own terms establish that ordering, and there is no refund once a prescription is transmitted
  • No third-party pharmacy accreditation (no LegitScript, PCAB, ACHC or NABP) and no named pharmacy partner
  • BBB rating of B, not accredited, with complaints up to 14 and centred on billing and cancellation
  • Compounded only — no FDA-approved Zepbound or Mounjaro option
  • The $167 headline needs $1,999 paid twelve months in advance

Price: $297/month month-to-month, flat across every dose from 2.5 mg to 15 mg, falling to $267, $217 and $167/month on three-, six- and twelve-month prepaid plans ($1,999 up front for twelve); injectable and oral priced identically

Visit TMates
30

TrimRx

Sells price stability — flat across dose tiers, with an explicit promise not to raise the rate mid-programme.

From $259/mo (flat across doses)

Compounded injectable tirzepatide; brand Mounjaro and Zepbound listed separately

Full assessment — how the program works, pros and cons

A cash-pay telehealth programme built around an asynchronous medical-history review, with medication shipped monthly and free shipping included. Its distinguishing pitch is price stability: 'switch and keep your current dose', with no advertised mid-programme increases and a flat rate across dose tiers — a direct appeal to people burned by a starting-dose price that climbed. The compounded tirzepatide entry has come down to $259 from the $279 recorded earlier in the year. Multi-month bundle pricing is no longer published and now sits behind the quiz, which is a step backwards on transparency.

Pros

  • Flat across dose tiers with an explicit commitment not to raise the rate mid-programme
  • Free shipping with monthly delivery, and dispatch as soon as the next day
  • Both compounded semaglutide and compounded tirzepatide, plus a brand-name path
  • A 24/7 patient portal, with HIPAA, privacy, SMS and terms policies all published

Cons

  • Bundle pricing that used to be public is now gated behind the intake quiz
  • Asynchronous questionnaire intake with no mandatory video visit before prescribing
  • The compounding pharmacy partner is not named and the state-availability list is not published
  • No LegitScript certification displayed
  • Brand-name Mounjaro and Zepbound are listed from $1,249/month — far above LillyDirect self-pay vials

Price: Compounded tirzepatide from $259/month, advertised as flat across dose tiers; brand Mounjaro and Zepbound listed from $1,249/month

Visit TrimRx
31

Brightmeds

Names its dispensing pharmacies and offers a real LillyDirect brand path — but makes you hunt for every price.

$289 (1-month plan)

Compounded tirzepatide (including microdosing protocols) plus a prescription-only path to brand Zepbound via LillyDirect

Full assessment — how the program works, pros and cons

A multi-vertical telehealth platform bundling GLP-1 weight loss, TRT and longevity peptides under one membership across 47 states. Two things set it apart. It names the pharmacies that actually dispense — Beaker Pharmacy and Red Rock Pharmacy, in its terms — and publishes the FDA compounded-medication disclaimer with explicit 503A and 503B references, where most of this board names nobody. And its brand-name option is honest about being a referral: you pay Brightmeds $100 for the consult and LillyDirect bills you for the drug, rather than a marked-up bundled price. The frustration is pricing opacity — the compounded figure is not written anywhere in the lander's text.

Pros

  • Names its dispensing pharmacies (Beaker and Red Rock) in its terms rather than referring to unnamed 'US-licensed pharmacies'
  • Publishes the FDA compounded-medication disclaimer with explicit 503A and 503B facility references
  • The brand-name path is a transparent referral — a $100 consult, then LillyDirect bills the drug at its own price
  • Microdosing protocols offered for both compounded semaglutide and compounded tirzepatide
  • One account covers GLP-1, TRT and peptides if you want them from a single provider

Cons

  • The $289 appears only inside a pricing-comparison image — the tirzepatide landing page's text contains no dollar figures at all
  • The ongoing rate after the first plan period is not published and is gated behind the application flow
  • Brand-name Zepbound carries a $100 consult fee on top of whatever LillyDirect charges
  • No LegitScript certification mentioned, and no named medical director
  • Not available in three states

Price: $289 for a one-month plan, flat-priced across doses — a figure that appears only inside a pricing-comparison image, with no dollar amounts in the landing-page text and the ongoing rate gated behind the intake quiz. The brand-name route is structured differently: a $100 Brightmeds consult fee, with the drug prescribed to LillyDirect and billed there separately

Visit Brightmeds
32

Wellorithm

Four compounded formats at one price — injectable or oral dissolving tablet, semaglutide or tirzepatide.

$349/mo ($249 first month)

Compounded tirzepatide (injectable or oral dissolving tablet, same price)

Full assessment — how the program works, pros and cons

A Miami-based programme offering an unusually wide format menu for a compounded seller — semaglutide and tirzepatide, each as an injectable or an oral dissolving tablet, all at one price — with board-certified obesity specialists doing virtual consultations and a two-minute quiz for onboarding. It serves 49 states, everywhere but Louisiana, which is broader coverage than most compounded programmes manage. The $249 first month is a genuine introductory discount off a $349 standing rate rather than a rate that quietly becomes permanent, which at least makes the arithmetic legible.

Pros

  • Four compounded formats on one menu — semaglutide and tirzepatide, injectable or oral dissolving tablet
  • Board-certified obesity specialists conducting the virtual consultations
  • Available in 49 states, broader than most compounded GLP-1 programmes
  • The standing rate is published rather than only the discounted first month, so the step-up is visible before you commit
  • 24/7 support with a dedicated phone line

Cons

  • At $349/month standing it is one of the more expensive compounded options on this board
  • The oral dissolving tablet is priced the same as the injection despite no published evidence that it absorbs
  • Not available in Louisiana
  • No visible LegitScript certification or PCAB accreditation, and the pharmacy partner is not named
  • Full pricing is not shown until the intake quiz is completed

Price: $349/month standing rate, discounted to $249 for a first month, or a three-month bundle at $947 (about $316/month); injection and oral dissolving tablet are priced identically

Visit Wellorithm
33

RNK Health

GLP-1 with a longevity stack attached — NAD+, sermorelin, enclomiphene and a DNA panel on the same account.

From $297/mo

Compounded tirzepatide; compounded semaglutide also offered injectable or oral

Full assessment — how the program works, pros and cons

A GLP-1 and longevity telehealth platform selling compounded tirzepatide alongside injectable and oral compounded semaglutide, NAD+ in three delivery formats, sermorelin, enclomiphene and a DNA biomarker panel. The pricing it does publish is published plainly — tirzepatide $297, injectable semaglutide $197, oral semaglutide $198 — which is more than many competitors manage, though anything beyond the entry tier requires the quiz. The obvious question with a menu this broad is how much clinical attention any one line gets, and RNK does not name its states served or its pharmacy beyond a Utah fulfilment reference.

Pros

  • Entry pricing published openly on the public site rather than gated — tirzepatide $297, injectable semaglutide $197, oral semaglutide $198
  • A genuine longevity stack (NAD+, sermorelin, enclomiphene, DNA panel) if you want more than a GLP-1 from one provider
  • Both injectable and oral compounded semaglutide, where most programmes carry one

Cons

  • $297/month is above the median for compounded tirzepatide, and multi-month pricing is not published before the quiz
  • The states served are not listed anywhere on the public site
  • The pharmacy partner is not named beyond a Springville, Utah fulfilment reference
  • Compounded only — no route to FDA-approved Zepbound or Mounjaro
  • A very broad catalogue for a small platform, which raises the question of depth on any one line

Price: Compounded tirzepatide from $297/month, all-inclusive; multi-month pricing is not published before the intake quiz

Visit RNK Health
34

Maximus

Flat across every dose tier and available in all 51 jurisdictions — with a BBB record worth reading first.

$359.99/mo flat (all doses)

Compounded tirzepatide, with microdose protocol; brand Zepbound and Mounjaro listed

Full assessment — how the program works, pros and cons

An established men's-health platform whose core product is testosterone therapy, with compounded GLP-1s and longevity treatments alongside. Coverage is the widest on this board — all 50 states plus DC — and the pricing is genuinely flat across dose tiers, so titration does not raise the bill. It also runs a microdose protocol aimed at people with less weight to lose, which is a more coherent offer than most microdose marketing. The reason it does not rank higher is trust signal rather than product: no LegitScript or PCAB certification, and third-party reviewers report an F rating at the BBB with complaints about prescriptions that were never filled.

Pros

  • All 50 states plus DC — the broadest coverage on this board
  • Flat rate across every dose tier, so climbing the ladder does not change the price
  • A defined microdose protocol for people with less weight to lose, rather than microdosing as an afterthought
  • An established brand with a real operating history, unusual among compounded GLP-1 sellers

Cons

  • Third-party reviewers report an F rating at the BBB, with complaints about prescriptions that were never fulfilled
  • No LegitScript or PCAB certification found
  • At $359.99 month-to-month it is among the most expensive compounded tirzepatide on this board; $240 needs a twelve-month commitment
  • GLP-1 is a secondary line — testosterone therapy is the core business
  • Compounded tirzepatide is not the FDA-approved branded product

Price: $359.99/month month-to-month, flat across all dose tiers, falling to $299/month on a four-month plan and $240/month on a twelve-month plan; a microdose protocol is quoted separately from about $198/month, and brand Zepbound is listed from $449.99 with Mounjaro from $1,249.99

Visit Maximus
35

PeterMD

A men's-health platform with a low $149 entry — after which tirzepatide is billed quarterly, not monthly.

$249/mo (billed quarterly)

Compounded tirzepatide, often paired with B12

Full assessment — how the program works, pros and cons

A men's-health telehealth platform covering TRT, peptide therapy, sexual health and anti-aging alongside compounded GLP-1s, with transparent monthly pricing and no insurance involved. Its compounded semaglutide is among the cheapest anywhere at a flat $105 billed monthly across every dose tier. Tirzepatide is structured differently and the difference matters: $149 gets you started, then $249 a month billed quarterly, meaning each renewal is a single ~$747 charge. Cancellation is month-to-month through the patient portal with no fee, but the quarterly billing means timing it badly is expensive.

Pros

  • Flat pricing across semaglutide dose tiers from 0.25 mg to 2.4 mg, at a genuinely low $105/month
  • Month-to-month cancellation through the patient portal with no cancellation fee
  • Covers the men's-health adjacencies — TRT, peptides, ED, anti-aging — on one account
  • Transparent published pricing with no insurance required

Cons

  • Tirzepatide is billed quarterly at $249/month, so each renewal is a single charge of roughly $747
  • Not available in eight states (AL, AR, CA, HI, ID, MI, NC, TX)
  • Men's-only branding, which will not suit women seeking GLP-1 access
  • The compounding pharmacy and the prescribing clinicians are not publicly named
  • Compounded tirzepatide is not the FDA-approved branded product

Price: $149 to start, then $249/month billed quarterly against a struck-through $315 — so the recurring commitment is a roughly three-month charge rather than a monthly one

Visit PeterMD
36

DudeMeds

No membership and no doctor fee — but the 'from $149' on the ad does not exist at checkout.

$249/mo (3-month commit kit)

Compounded tirzepatide (oral and injectable)

Full assessment — how the program works, pros and cons

A men's telehealth platform selling semaglutide and tirzepatide in both oral and injectable formats with no membership fee, no doctor fee and free shipping — an all-in structure that is genuinely simpler than most. Consultations are asynchronous in most states, and it accepts patients switching in from an existing GLP-1 or TRT provider. Two things to go in with your eyes open about: the advertised 'from $149/month' is not a plan you can actually buy, and its own dose tiers are inconsistently labelled — a 'high dose' tier and a 'low dose' tier both list 5 mg per week at very different prices.

Pros

  • No membership fee and no separate doctor fee — the monthly figure is the whole bill
  • Both oral and injectable formats for semaglutide and tirzepatide
  • HSA and FSA eligible
  • Accepts patients transferring from an existing GLP-1 or TRT provider rather than making them restart
  • Asynchronous consultations in most states, with no video visit required

Cons

  • The advertised 'from $149/month' does not exist at checkout — the cheapest real plan is $175/month billed $525 up front
  • Its own tier labelling is inconsistent: a 'high dose' and a 'low dose' tier both list 5 mg/week at $399 and $233 respectively
  • State availability is not published, described only as 'most states'
  • No visible LegitScript certification or PCAB accreditation
  • Men's-only branding, and a newer brand with limited independent review coverage

Price: Compounded tirzepatide at $249/month on a three-month commit kit ($747 billed up front), with ongoing refill tiers priced by weekly dose between $233 and $399/month; oral and injectable both offered

Visit DudeMeds
37

Liv Body

A supplement brand that bundles its own muscle-preservation stack with the prescription.

From $279/mo (starting tier)

Compounded injectable tirzepatide, bundled with the brand's supplement stack

Full assessment — how the program works, pros and cons

A supplement and wellness brand (LivBody Wellness, LLC) that added a compounded GLP-1 programme with a differentiator worth taking seriously: it pairs the prescription with its own muscle-preservation supplements — protein, collagen, creatine — which addresses the single best-evidenced problem with rapid GLP-1 weight loss rather than ignoring it. The programme price includes the consultation and ongoing provider support with no separate visit fee. Against that, it discloses less than almost anyone here: no states served, no named pharmacy, no 503A or 503B designation, no named medical director.

Pros

  • Bundles the drug with a muscle-preservation supplement stack, addressing the lean-mass loss that comes with rapid weight loss
  • The corporate entity is disclosed (LivBody Wellness, LLC), which many competitors will not do
  • The $279 programme price includes consultation and ongoing provider support with no hidden visit fee
  • Supplements ship from the same brand, so the bundle is genuinely one order

Cons

  • $279 is a starting tier, not a flat rate — what a titrated dose costs is not published
  • States served are not disclosed; you find out at checkout
  • The pharmacy partner is named only as a 'US-licensed pharmacy', with no 503A or 503B designation given
  • No LegitScript certification mentioned and no named medical director or clinical leadership
  • Supplements are not a substitute for resistance training, which is the intervention the evidence actually supports

Price: Compounded tirzepatide starting at $279/month — a starting tier rather than a flat rate — bundled with the brand's own protein, collagen and creatine stack

Visit Liv Body
38

SkinnyRx

Consult and overnight shipping folded into the price — and an FDA warning letter on the record.

From $224.25/mo (floor, not flat)

Compounded tirzepatide (injectable and tablet), with a microdose option

Full assessment — how the program works, pros and cons

A telehealth weight-loss programme prescribing compounded semaglutide and tirzepatide through licensed US clinicians, with the consultation and free overnight shipping bundled into a monthly cash price and a microdosing option available. The advertised figures are described as 'as low as' rather than flat, so the number you see is the bottom of a range whose top is not published. SkinnyRx received an FDA warning letter (#717989) dated 20 February 2026; the letter and its date are stated here because the roster records them, and readers should read the letter itself rather than our summary of what it alleges.

Pros

  • The consultation and free overnight shipping are included in the monthly price rather than billed separately
  • Both compounded semaglutide and compounded tirzepatide, with a microdose option
  • Tiered monthly pricing published from $199/month upward
  • Cancel any time, with discreet shipping included

Cons

  • FDA warning letter #717989, dated 20 February 2026 — read the letter at fda.gov rather than any summary of it
  • Pricing is quoted 'as low as', so $224.25 is a floor and the price of a titrated dose is not published
  • States served are not publicly disclosed and sit behind the signup intake
  • Limited public information about the programme, the clinicians, or the compounding pharmacy
  • Brand Mounjaro and Zepbound are listed at $1,400/month, far above LillyDirect self-pay vials

Price: Compounded tirzepatide advertised 'as low as $224.25/month' — a floor rather than a flat rate — for either the once-weekly injection or the once-daily tablet, with brand Mounjaro and Zepbound listed separately at $1,400/month

Visit SkinnyRx
39

Yucca Health

A low new-patient rate on a six-month plan, with the ongoing price disclosed only after intake.

$258/mo new-patient (6-mo plan)

Compounded tirzepatide

Full assessment — how the program works, pros and cons

A telehealth provider competing on price for compounded semaglutide and tirzepatide across all 50 states. The published $258 comes with two qualifiers that matter more than the number: it is a new-patient first-order rate, and it is quoted on a six-month plan. What you pay from the second order onward is shared only after you have completed the intake, which makes the headline figure hard to compare against a programme quoting a standing monthly rate. There is very little published detail on clinicians, pharmacies or programme structure.

Pros

  • Available in all 50 states
  • Both compounded semaglutide and compounded tirzepatide offered
  • Competitively priced against the compounded market on the first order

Cons

  • The $258 is a new-patient first-order rate on a six-month plan, not an ongoing monthly price
  • The ongoing rate is not published anywhere and is disclosed only after intake
  • Very little published information about the programme, the clinicians, or the compounding pharmacy
  • Compounded tirzepatide is not the FDA-approved branded product

Price: $258/month quoted as new-patient, first-order pricing on a six-month plan — the ongoing rate is not published and is disclosed only after intake

Visit Yucca Health
40

MyDrHank

Names three pharmacy partners and itemises every tier — while its own disclaimer quotes a price no tier matches.

$349/mo ($240 on annual prepay)

Compounded tirzepatide

Full assessment — how the program works, pros and cons

A direct-to-consumer telehealth platform (Dr. Hank, LLC) running GLP-1 alongside erectile-dysfunction, hair and peptide lines. It does two things well that this category routinely does badly: it names its operating legal entity, and it names three pharmacy partners — Dunklau Pharmacy Holdings, InnovaScript and PCM Venture I Pharmacy. Its pricing is itemised on every product with clear monthly, three-month, six-month and yearly tiers. The blemish is an internal inconsistency: its own disclaimer states that compounded tirzepatide starts at $200/month, and no $200 tier appears on any pricing card.

Pros

  • The operating legal entity is named (Dr. Hank, LLC), which most competitors will not disclose
  • Three pharmacy partners disclosed by name rather than referred to generically
  • Every tier is itemised on the product page — monthly, quarterly, six-month and yearly — with totals shown
  • Free shipping and cancel-any-time terms stated up front

Cons

  • Its own disclaimer claims compounded tirzepatide starts at $200/month; no $200 tier exists on any pricing card
  • At $349 month-to-month it sits above the median for compounded tirzepatide — only the yearly commitment dips below it
  • States served are not listed publicly
  • GLP-1 is one of several verticals rather than the platform's focus
  • No money-back guarantee or refund window is disclosed

Price: $349/month month-to-month, stepping down to $297 on a quarterly plan, $267 on six months and $240 on a yearly plan billed $2,883 up front

Visit MyDrHank
41

Sunlight

LegitScript-certified with unlimited visits included — but only the first month's price is published.

$239 first month; ongoing price not published

Compounded tirzepatide

Full assessment — how the program works, pros and cons

A LegitScript-certified telehealth platform positioning itself as a cost disruptor, bundling unlimited telehealth visits and free shipping into one flat monthly rate for compounded semaglutide and tirzepatide. The certification and the inclusive structure are real advantages. The problem is the one that decides whether the price is any good: the site publishes $239 as a first-month rate struck through from $379 and does not state what happens in month two. Until that is published, the honest comparison against a programme quoting a standing rate cannot be made, which is why no monthly figure is carried into our price index for this entry.

Pros

  • LegitScript certified
  • Unlimited telehealth visits and free shipping bundled into the monthly rate rather than billed as extras
  • Both compounded semaglutide and compounded tirzepatide product lines
  • The first-month price is published openly, with the compare-at rate shown alongside it

Cons

  • The ongoing price after month one is not published — it could be flat at $239 or step up toward $379, and the site does not say
  • Because no ongoing rate is confirmable, this entry is excluded from our price aggregates rather than assigned an assumed figure
  • The legal entity name and state of incorporation are not disclosed
  • The compounding pharmacy partner is not named and per-state availability is not listed
  • Compounded only — no brand-name GLP-1 path

Price: $239 for a first month against a $379 compare-at rate. Sunlight does not publish what it charges from month two onward, so there is no confirmable ongoing monthly price — treat $239 as an introductory offer, not a monthly rate, and get the steady-state figure in writing at intake

Visit Sunlight
42

MEDVi

A brand-name Zepbound path with named pharmacy partners — and no published medication price at all.

Pricing varies

Brand-name Zepbound (membership plus separately billed medication); compounded tirzepatide no longer listed

Full assessment — how the program works, pros and cons

A telehealth weight-loss platform offering compounded GLP-1 injections and tablets alongside brand-name Wegovy and Zepbound, with treatment delivered by OpenLoop Health clinicians and CareGLP affiliated practices. Its genuine strength is supply-chain transparency: it names four US pharmacy partners — Triad Rx, Precision Medicine, RedRock Pharmacy and Beaker Pharmacy & Compounding — where most of this board names none. On tirzepatide specifically the picture has narrowed: compounded tirzepatide has come off the site entirely, and what remains is a brand Zepbound route priced as a $99 membership plus an undisclosed drug cost.

Pros

  • Names four US pharmacy partners — Triad Rx, Precision Medicine, RedRock Pharmacy and Beaker Pharmacy & Compounding
  • Both compounded and brand-name (Wegovy, Zepbound) GLP-1 options on one platform
  • Clinical oversight through the OpenLoop Health provider network and CareGLP affiliated practices
  • Oral tablet and injectable formats offered on the semaglutide side

Cons

  • No tirzepatide medication price is published at all — the $99 is a membership, and the drug is billed on top of it
  • Compounded tirzepatide is no longer listed anywhere on the site; treat it as discontinued
  • Not available in Mississippi or North Dakota, and five more states require a synchronous visit before prescribing
  • Alabama and California patients can receive injectables only, not tablets
  • No LegitScript or PCAB certification disclosed

Price: Pricing varies — MEDVi publishes a $99/month membership for its brand Zepbound path and states the medication cost is charged on top, without publishing it. Its compounded tirzepatide is no longer listed on the site

Visit MEDVi

Why CoreAge Rx ranks first

CoreAge wins on the fundamentals. The price is genuinely flat — $149/month that does not change as your dose climbs, with no separate membership fee to discover later. The intake is reviewed by U.S.-licensed clinicians, the tirzepatide is filled by a 503A compounding pharmacy, and every plan includes 1:1 consults with nurses and registered dietitians. If you are not approved, you are refunded automatically.

We are also honest about the medicine. Tirzepatide is proven and FDA-approved at standard doses — it outperformed semaglutide in head-to-head trials — but it is Rx-only, requires ongoing use, and commonly causes gastrointestinal side effects during titration. Compounded tirzepatide is not the branded FDA-approved product. This ranking is about provider quality and value. Read the full picture in our tirzepatide evidence guide before deciding.

How we rank

Some of the programs here are affiliate partners and we may earn a commission at no extra cost to you — the index above and our disclosure say so plainly. What a commission does not touch is the assessment: the four factors below decide what we write about every program, with price transparency carrying the most weight because a membership stacked on top of the medication is the most common way tirzepatide programs end up costing more than they first appear.

Price transparency

We reward a single, all-in monthly price. Plans that stack a membership fee on top of the medication price rank lower than a true flat rate that holds steady as your dose climbs.

Clinical oversight

Real review by U.S.-licensed clinicians of an online intake, with a clear path to decline patients who are not appropriate candidates for tirzepatide.

Pharmacy quality

We note whether the medication is the FDA-approved branded product or a compounded preparation, and whether the compounding pharmacy is identified (e.g. a 503A facility).

Human support

Included access to nurses or registered dietitians — not just a shipped vial — meaningfully improves a multi-month titration.

This page is informational and not medical advice. Tirzepatide is available by prescription after clinician review; compounded tirzepatide is not an FDA-approved product. Talk to a licensed provider about whether it is appropriate for you.