Best Tirzepatide Providers Compared
Tirzepatide is the dual-action GLP-1/GIP medication sold as brand-name Zepbound and Mounjaro, and it produced the largest average weight loss in clinical trials of any drug currently available. It is also the more expensive of the two major GLP-1s to buy compounded. We compared what each provider actually charges, what happens to that price as you titrate up, and who tells you where the medication is compounded.
The Quick Answer
Trimi Health is our top pick at $125/month all-in — medication, visits, check-ins and overnight shipping in one fee, with named 503A pharmacies and all 50 states. OurView Health publishes the lowest raw price at $135/month, and Aspire Health is the best choice if you want to know exactly what each dose step will cost as you titrate up.
Comparing molecules rather than providers? Read semaglutide vs tirzepatide.
FDA actions affecting a provider on this page
FDA has issued warning letters to telehealth companies over false or misleading claims about compounded GLP-1 products. One provider ranked on this page received one. A warning letter is FDA's stated position that violations occurred — not a court finding, a recall, or a determination that any patient was harmed — and companies often correct the cited material.
- OrderlyMeds — FDA warning letter, June 8, 2026 (MARCS-CMS 728291). Read it on fda.gov →
We keep these providers listed because their published details are still worth comparing, and we disclose the action so you can weigh it yourself. You can search any company in FDA's warning letter database.
Our Picks, Ranked
Compounded tirzepatide at $125/month is the lowest all-inclusive rate we found — that single fee covers medication, clinician visits, ongoing check-ins and free overnight shipping, with no membership on top. Trimi names its 503A pharmacies (VialsRx and GreenwichRx), covers all 50 states, and is FSA/HSA eligible. The rate is quoted on an annual plan, so weigh the commitment.
Pricing: All-in from $99/month on an annual plan
Pros
- One flat fee covers medication, visits, check-ins and shipping
- Names its 503A partner pharmacies (VialsRx and GreenwichRx)
- Compounded semaglutide $99/month, tirzepatide $125/month
- Available in all 50 states
Cons
- Headline pricing is tied to annual plans
- Month-to-month pricing is not published
- Lab requirements are not published
- Cancellation and refund terms are not published
Compounded tirzepatide at $135/month at the starting dose is the lowest raw figure we found, which OurView attributes to its parent company being a licensed nationwide pharmacy. It serves all 50 states with a three-minute intake and a U.S.-licensed physician visit. Factor in the $97 consultation fee unless you take its membership, which OurView does not price publicly.
Pricing: Semaglutide from $75/month; consultation $97 or free with membership
Pros
- Lowest published compounded semaglutide price at $75/month
- Compounded tirzepatide from $135/month
- Parent company is a licensed nationwide pharmacy
- Available in all 50 states
Cons
- $97 consultation fee unless you hold a membership
- Membership cost is not published
- Quoted prices are for starting doses only
- Lab requirements, insurance and HSA/FSA acceptance are not published
Compounded tirzepatide starts at $166/month — the lowest published starting price we found — with visits billed through insurance and monthly dietitian visits, a smart scale and free 2-day shipping included in the membership. Shapely uses state-licensed 503A and 503B pharmacies. Available in California, Florida, New York and Texas only.
Pricing: Membership $99/month (promo $49) + medication from $99/month
Pros
- In network with Medicare and most PPO plans for visits
- Compounded semaglutide starts at $99/month
- Publishes dose-tiered medication pricing openly
- Flat $75 lab rate for uninsured patients
Cons
- Available in only four states
- $99/month membership required on top of medication
- Compounded medications are not reimbursed by insurance
- Cancellation and refund terms are not published
Aspire prices compounded tirzepatide/B3 per vial from $149 at 2.5mg up to $299 at 15mg, so the cost of every titration step is visible before you commit. It also prices brand-name Zepbound by dose — $299 at 2.5mg through $449 at 7.5–15mg — which is well below typical cash rates. Refund terms are strict: medication sales are final once shipped.
Pricing: $49/month care + compounded medication from $129 per vial
Pros
- Publishes per-vial pricing at every dose level
- Free new patient consultation
- Low $49/month medical care fee
- HSA and FSA cards accepted for services and compounded medications
Cons
- Insurance not accepted for visits
- Consultation fees generally non-refundable once a provider has reviewed your case
- All medication sales are final once shipped
- Available in a limited set of states
Compounded tirzepatide runs $299/month monthly, dropping to $249 on the 3-month plan and $229 on the 6-month plan — the clearest long-term discount structure in this group. Microdoses are $199/month, and Lemonaid also lists brand-name Zepbound vials at $299/month for 2.5mg. A $49 membership applies and it is cash-pay only.
Pricing: Membership $49/month + medication from $199/month
Pros
- Publishes medication prices openly instead of requiring a quiz first
- Offers both compounded and brand-name GLP-1 options
- Lower-cost microdose plans at $199/month
- Multi-month plans reduce the monthly medication cost
Cons
- $49/month membership is charged on top of medication
- Cash-pay only — no insurance accepted for any fees
- Not yet available in all 50 states
- Does not publish its pharmacy partners or shipping cadence
OrderlyMeds' compounded GLP-1/GIP tirzepatide starts at $149 for the first month and $299/month thereafter, and it names its compounding pharmacies — SmartPharmaRx, Casa and PerfectionRx/PerfectRx — which is rare in this category. Providers are licensed in all 50 states and brand-name Zepbound is available at $1,498/month. In June 2026 FDA issued OrderlyMeds a warning letter (MARCS-CMS 728291) over claims about compounded GLP-1 products on orderlymeds.com; read it before deciding.
Pricing: From $74 first month, $149/month thereafter
Pros
- Names its partner pharmacies rather than describing them vaguely
- Publishes both intro pricing and the ongoing rate
- Providers licensed in all 50 states
- No separate membership fee disclosed
Cons
- Price roughly doubles after the introductory month
- Lab requirements are not published
- Cancellation and refund terms are not published
- Does not accept insurance
Compounded tirzepatide is $239/month on sale, regularly $339, with a roughly 10-minute intake quiz, same-day provider review and no commitment required. Shipping is free and discreet, and FSA/HSA cards are accepted. 24hrdoc is clear that it is not a pharmacy — prescriptions are sent electronically to licensed pharmacies for fulfilment.
Pricing: From $149/month (sale price; regularly $249)
Pros
- Injectable, oral and microdose GLP-1 formats all available
- Shows sale and regular pricing side by side
- FSA and HSA accepted for most patients
- Fast and free discreet shipping
Cons
- Does not accept insurance for weight-loss treatment
- Not a pharmacy — does not carry or ship medicines itself
- Available in most, but not all, U.S. states
- Lab requirements and refund terms are not published on the program page
Compounded tirzepatide starts at $250/month plus a $74.99 membership that includes unlimited 1:1 provider consults, 24/7 care team access and functional nutritional counseling. Ivím also carries brand-name Zepbound and Mounjaro, works with FDA-inspected, state-regulated compounding pharmacies, and accepts HSA/FSA cards.
Pricing: Membership $74.99/month + compounded semaglutide from $149/month
Pros
- Compounded semaglutide starts at $149/month
- Free initial provider consultation
- Unlimited 1:1 provider consults included in membership
- HSA and FSA cards accepted
Cons
- $74.99/month membership is among the higher fees in this category
- Compounded semaglutide is not covered by insurance
- Lab requirements, shipping details and states served are not published
- Refund terms are behind a policy link rather than stated on the page
Rixa puts a 30-minute pre-visit video ahead of the initial comprehensive provider visit, then builds a customized treatment plan with regular check-ins and a stated 24-hour-or-less response time. It offers tirzepatide in both injectable and oral compounded forms. Two caveats: it serves only eight states and publishes no pricing.
Pricing: Pricing not published — request a quote directly
Pros
- Structured 30-minute pre-visit video before the first appointment
- Injectable and oral versions of both semaglutide and tirzepatide
- 24/7 access with a stated 24-hour-or-less response time
- Discreet home delivery from US pharmacies
Cons
- Serves only eight states
- No pricing published for its own program
- Lab requirements are not published
- Insurance, HSA/FSA, cancellation and refund terms are not published
Medi-Weightloss
In-person clinics with labs, body composition and GLP-1 options
If you would rather be examined in person than fill out a form, Medi-Weightloss runs 130+ US clinics where the new patient visit includes a medical history review, actual lab work and a body composition analysis before any plan is built. It offers compounded tirzepatide alongside brand-name Zepbound. The initial assessment is free, but program fees are not published.
Pricing: Program fees vary by individual — free initial assessment
Pros
- In-person labs and body composition analysis at the new patient visit
- Free initial assessment
- Physician-supervised care with an in-person medical team
- Both brand-name and compounded GLP-1 options
Cons
- Requires travelling to a physical clinic
- Program fees are not published and vary by individual and location
- No home delivery — this is an in-clinic model
- Availability depends entirely on having a location nearby
Side-by-Side Comparison
| Provider | Rating | Pricing | Best for |
|---|---|---|---|
| Trimi Health | 8.5/10 | All-in from $99/month on an annual plan | Patients who want a single all-inclusive price and are comfortable committing to an annual plan |
| OurView Health | 8.2/10 | Semaglutide from $75/month; consultation $97 or free with membership | Price-driven patients who want pharmacy-direct rates and will confirm the membership cost first |
| Shapely | 8.6/10 | Membership $99/month (promo $49) + medication from $99/month | Patients in CA, FL, NY or TX who want insurance-billed visits, real dietitian support, and published prices |
| Aspire Health | 8.1/10 | $49/month care + compounded medication from $129 per vial | Cost-conscious patients who want to know what every dose step will cost before they titrate up |
| Lemonaid Health | 8.7/10 | Membership $49/month + medication from $199/month | Shoppers who want to compare compounded and brand-name GLP-1 pricing openly before starting |
| OrderlyMeds | 8.3/10 | From $74 first month, $149/month thereafter | Patients who want to know exactly which pharmacy compounds their medication before ordering |
| 24hrdoc | 8/10 | From $149/month (sale price; regularly $249) | Patients who want an oral or microdose GLP-1 option and plan to pay with an FSA or HSA card |
| Ivím Health | 8.4/10 | Membership $74.99/month + compounded semaglutide from $149/month | Patients who want heavy clinician contact and nutrition support alongside affordable compounded medication |
| Rixa Health | 7.4/10 | Pricing not published — request a quote directly | Patients in Rixa's eight states who want a thorough, structured onboarding before starting medication |
| Medi-Weightloss | 7.7/10 | Program fees vary by individual — free initial assessment | Patients who want hands-on, in-person medical supervision and baseline testing rather than an app-based program |
Pricing in this category changes frequently and promotional rates often differ from renewal rates. Confirm current costs directly with each provider before enrolling.
Tirzepatide Prices at a Glance
Published monthly costs for compounded tirzepatide, as stated on each provider's own site:
- Trimi Health — $125/month all-in on an annual plan, no separate membership
- OurView Health — $135/month at the starting dose, plus a $97 consultation without membership
- Citizen Meds — $145/month advertised, marked down from $399
- Aspire Health — $149–$299 per vial by dose (2.5–15mg), plus $49/month care
- OrderlyMeds — $149 first month, then $299/month
- Shapely — from $166/month
- 24hrdoc — $239/month on sale, regularly $339
- Ivím Health — from $250/month plus $74.99 membership
- Heally — from $299/month on a new patient offer
- Lemonaid Health — $299/month, $249 (3-month), $229 (6-month); microdoses $199
Brand-name Zepbound varies more than you might expect between providers. Aspire publishes $299 at 2.5mg rising to $449 at 7.5–15mg, and Lemonaid lists Zepbound vials at $299/month for 2.5mg and $449 for higher doses — while OrderlyMeds lists Zepbound at $1,498/month. Comparing the specific dose you will be taking matters.
Why Tirzepatide Pricing Rises With Dose
Tirzepatide is titrated upward over months — typically starting at 2.5mg and moving through 5mg, 7.5mg, 10mg and beyond as tolerated. Because compounded pricing is usually tied to the quantity of active ingredient, the monthly cost at a maintenance dose can be materially higher than the starter price that drew you in.
This is the single most common source of bill shock in this category. Two providers handle it well: Aspire Health publishes a price for every vial strength from 2.5mg to 15mg, and Shapely publishes distinct low-mid and high-dose tiers. Most others quote only a starting price.
Before enrolling anywhere, ask what you will pay at 10mg or 15mg — not just at 2.5mg. Our GLP-1 dose titration guide explains the typical schedule.
Compounded Tirzepatide vs Zepbound
Zepbound is FDA-approved for chronic weight management and manufactured to a consistent standard. Compounded tirzepatide is prepared by a compounding pharmacy, is not FDA-approved, and the FDA does not evaluate its safety, effectiveness or quality — Aspire Health states this explicitly on its own site.
Some compounded formulations also include additives. Aspire compounds tirzepatide with B3, and Brello Health compounds with B6. These additions are not part of the FDA-approved product, and their clinical rationale is something to discuss with the prescribing clinician rather than assume.
If insurance will cover Zepbound for you, that is generally the more predictable route. PlushCare and Nurx are both built around pursuing that coverage. See our compounded vs brand-name guide for the full comparison.
Frequently Asked Questions
Who has the cheapest compounded tirzepatide?
Trimi Health at $125/month is the lowest all-inclusive rate, covering medication, visits, check-ins and shipping with no separate membership. OurView Health publishes $135/month at the starting dose and Citizen Meds advertises $145. Confirm what your maintenance dose will cost, not just the starter dose.
Is compounded tirzepatide the same as Zepbound?
No. Zepbound is FDA-approved for chronic weight management. Compounded tirzepatide is prepared by a compounding pharmacy, is not FDA-approved, and the FDA does not evaluate its safety, effectiveness or quality. Some providers also compound it with additives such as B3 or B6 that are not part of the approved product.
Does tirzepatide cost more than semaglutide?
Generally yes when compounded, though the gap has narrowed. Across the providers we reviewed, compounded semaglutide starts around $74–$149/month while compounded tirzepatide starts around $125–$250/month. The gap widens at higher doses and varies by provider and plan length.
Which tirzepatide providers offer an oral version?
Rixa Health lists oral tirzepatide alongside its injectable compounded option. Note that Klinic states directly that no FDA-approved oral tirzepatide pill exists — it prescribes Zepbound injections, Oral Wegovy or Foundayo instead. Verify exactly what formulation you are being offered.
Can I get tirzepatide without insurance?
Yes. Most compounded tirzepatide programs are cash-pay and do not require insurance — OrderlyMeds states it does not require insurance at all. Several providers including Ivím Health, Aspire Health and 24hrdoc accept HSA or FSA cards even though insurance will not reimburse compounded medication.
How quickly can I start tirzepatide online?
24hrdoc advertises same-day review after a roughly 10-minute quiz. Others are slower by design: Rixa Health requires a 30-minute pre-visit video before the initial comprehensive provider visit, and PlushCare orders labs and holds a second visit once results return. Faster is not always better clinically.
Medical Disclaimer: This guide is for educational and comparison purposes only and is not medical advice. Rx Saver Hub is not a medical provider and does not prescribe medication. Compounded medications are not FDA-approved, and the FDA does not evaluate their safety, effectiveness or quality. Rankings reflect our editorial assessment of publicly available information, including how much each provider discloses about pricing, pharmacies and clinical process. Always consult a qualified healthcare provider before starting, stopping or changing any weight-loss treatment. Individual results vary.