Tirzepatide · Cash pay · Updated October 2026
Tirzepatide is the active ingredient in Zepbound and Mounjaro. This board compares the 25 lowest ongoing compounded tirzepatide prices on a monthly budget basis. Each row shows the actual invoice period and whether the advertised cost rises as the dose increases.
The short answer
The lowest monthly budget estimate is Teleios Health at $99/month. The 25 cheapest run to $161.42, and half sit at or under $149. CoreAge Rx is a featured partner, and providers we work with may appear first. Scores are our own.
Monthly figures are budget estimates for ongoing plans. Four-week invoices mean 13 payments per 52 weeks; we divide the annual total by 12 to compare them with calendar-month bills. Each provider row keeps its actual invoice amount and period. Unknown billing periods are excluded.
A low tirzepatide figure is often the 2.5 mg starting dose. Before you pay, price the dose you will stay on — our cost-as-the-dose-climbs guide shows how.
CoreAge Rx is a featured partner, and providers we work with may appear first. Scores are our own — the Editors’ Rating is printed on every row so you can check it.
The one program on this masthead whose number still makes sense at the top of the dose. A flat, all-in monthly price on both molecules, no teaser rate to expire, and a cancel button you can actually find — the closest thing to a family-budget guarantee we've reviewed.
Compounded semaglutide at $99 a month and tirzepatide at $129, flat at every dose with no membership fee — from a company carrying an FDA warning letter issued in June 2026.
Some of the lowest compounded pricing on this masthead, oral or injectable — filed, like Direct Meds, with a caveat we won't bury: a February 2026 FDA warning letter for misbranding. The prices are real; so is the regulatory flag.
Compounded semaglutide at $99 a month and tirzepatide at $149, month to month, one flat price that SnagRx says covers the medication, the supplies, the doctor review and shipping, with no membership fee and cancellation by email or phone. The $69 and $119 the homepage leads with are 12-month plans paid up front with no refund for unused months, shown under a live countdown clock, and the promise to lock that rate for life is marketing rather than a published term. It ships from licensed US pharmacies it never names, and publishes no list of the states it serves.
Compounded semaglutide at $99 a month and tirzepatide at $149 month to month, the same price at every dose, with prepaid plans down to $89 and $139 and a separate microdose line for anyone who wants a gentler metabolic effect rather than maximum weight loss. Lttl covers all 50 states and Washington D.C., says it prescribes and ships within 48 hours, and attributes compounding to U.S.A.-licensed pharmacies it does not name. The catalog runs well past weight loss into NAD+, sermorelin, glutathione and B12, so read the longevity menu as a separate business from the GLP-1 you came for. The struck-through prices and the first-month discount of up to $140 are promotional.
A flat, all-dose compounded price with an easy async on-ramp and no long-term contract — held back for a mother by an ongoing rate the quiz keeps to itself and a pharmacy it never names.
The flattest price on our list — $99/mo for either molecule, medication and consult included, per its own FAQ, in all 50 states — though its search-result description and its FAQ still disagree on the tirzepatide number, and its two named prescribers also review scripts for another provider here.
A low, flat price: $87 a month for compounded semaglutide and $126 for compounded tirzepatide, or $75 and $124 a month on a three-month plan, with no membership fee on top and the rate held fixed as you titrate. That flat promise is worth more than the sticker, because dose-priced plans routinely double between a starting and a maintenance dose. What's missing: no pharmacy or clinician is named behind the contracted Bask Telehealth network, no labs are bundled, refunds are not guaranteed, and nothing on the site speaks to postpartum recovery, breastfeeding or PCOS.
Compounded semaglutide at $79 a month and tirzepatide at $129, month to month, the same at every dose, with a renewal price that matches the joining price. The catch is how the homepage shows it: the only number on the page is "Starting at $49/month — Same Price Every Month", which is the twelve-month plan divided by twelve, not a monthly rate you can start on. All payments are final once made.
Lean Meds does one thing unusually well and one thing unusually badly, and both are visible before you spend anything. The good part: a single all-inclusive membership per molecule — visit, care plan, medication and shipping in one monthly charge — held flat no matter what dose you titrate to, with the entire four-tier price ladder printed on the homepage. Month to month that is $79 for compounded semaglutide and $129 for compounded tirzepatide, falling to $49 and $119 if you commit to a year; the flat-by-dose promise is worth more than either figure, because dose-priced competitors routinely double between a starting and a maintenance dose. The bad part: the $49 the homepage headlines is the twelve-month tier and runs under a live countdown timer, no clinician is named, and every payment is final the moment it is made — a three-, six- or twelve-month plan is not refunded in whole or in part.
A rare price that does not climb with the dose - $99/mo semaglutide, $134/mo tirzepatide, held flat in all fifty states - sold by a company that never names itself anywhere on its own site.
Here is a rare case where the site's own code settles the argument. Every protocol page advertises semaglutide "as low as $83/mo, all-in". The function that produces that number takes each pricing tier, divides its total by the number of months it covers, and prints whichever result is smallest — and the price catalog returns $999 for the twelve-month supply. Pay monthly and it is $119. Which, to be fair to them, is still cheaper than most of our list.
A flat $126/mo semaglutide and $144/mo tirzepatide, itemized line by line, with a named physician (Beluga Health's Dr. Jonah Mink) and a named pharmacy — genuine disclosures many competitors skip — sitting next to a states claim ("44") that doesn't add up against its own 10-state exclusion list (which leaves 40).
$149/mo compounded injections at every dose or $249/mo dissolvable tablets, medication and shipping included, no membership fee, with semaglutide on a countdown promotion at $89 — but no published state list, and its compliance disclosure is thinner than most peers on our list.
altRx lists compounded semaglutide at $89 a month and tirzepatide at $149, with a no-price-hike promise on its product pages. Brand-name Ozempic, Wegovy and Zepbound are priced separately. The earlier October 5 deadline passed without these product prices increasing. Its operator also runs Trinity Meds and LevelsRx; the FDA warning letter is addressed to altRx itself. The semaglutide results section still contains an unfinished drafting instruction.
Telehealth GLP-1 programs in all 50 states from $149 a month, including a dedicated microdose protocol alongside standard semaglutide and tirzepatide. That figure is a floor rather than a rate, it is labeled a limited-time offer, and no treatment page publishes a price for any specific molecule, so the real cost is not knowable until you finish a two-minute eligibility check. Superior Remedies charges nothing if you are not approved, titrates the dose to how you respond rather than shipping a fixed refill, and attributes its compounding to state-licensed pharmacies it does not name.
Low published prices, and the plainest way of showing them: an open storefront carrying six figures with no account and no intake in the way. Microdose semaglutide is $99 a month, standard semaglutide $129, microdose tirzepatide $119 and standard tirzepatide $149, each sold once weekly with vitamin B6, with needle-free oral drops of both molecules at the microdose price. The microdose tiers genuinely cost less than the standard ones here, which catches families out elsewhere. Two things deserve weight against all that. The oral drops carry no published evidence for the route, and milligrams by mouth are not interchangeable with milligrams injected. And an orforglipron tablet now sells at $269 a month with no brand or manufacturer named, so ask whether it is Foundayo itself. It serves all 50 states, but no dispensing pharmacy is named.
Believe's prices are hard to pin down. Its three GLP-1 treatment pages contain no dollar figure at all; only its program catalog lists starting prices — compounded semaglutide from $129 a month, compounded tirzepatide from $149, and a GLP-1 microdose and a daily GLP-1 oral from $149 each — and the plan you'd actually pay appears once you start the intake. Those are competitive floors, and two things complicate them. The microdose starts higher than standard semaglutide, which is the reverse of what families expect from a lower dose. And two of the four plans never name a molecule at all, so you would be choosing between products without being told which drug is in them. It claims fifty-state care without listing the states and names no dispensing pharmacy.
Compounded semaglutide from $99 a month and tirzepatide from $149 on a monthly plan, from the fitness-supplement brand Liv Body, with clinicians from OpenLoop Health and four named pharmacies. The catch: both prices are floors that depend on what is prescribed, and you pay before the clinician visit on fees the Terms of Service call non-refundable in whole or in part.
The lowest flat sticker on our list — $88/mo semaglutide, $157/mo tirzepatide — from a telehealth platform that actually names its medical groups and pharmacies instead of hiding behind 'licensed providers.'
Semaglutide from $95 and tirzepatide from $145 every 28 days, medication and shipping included, with a promise that the price doesn't climb with your dose and a full refund if you aren't approved.
Pepti prices its compounded GLP-1s by dose and publishes every step: semaglutide from $99 a month at the starter dose to $199 at 2.5mg, and tirzepatide (paired with vitamin B12) from $159 at 2.5mg to $319 at 15mg. Each price is all-in — medication, physician review, shipping, supplies and unlimited messaging with your care team, with no consult or membership fee. It now ships to all 50 states. The limits: the price climbs as your dose does, it is cash-pay only with no insurance billing, its compounding pharmacies are never named, and there is no FDA-approved brand option or needle-free form.
One of the lower flat monthly prices for compounded GLP-1s: $139.99 for semaglutide and $159.99 for tirzepatide, the same at every dose, with syringes, alcohol wipes and shipping in the price. Prepaying a quarter brings it to $299.99 and $399.99 every three months, and the site says plainly that "displayed amounts are full subscription charges", so the number you see is the number you pay.
At $99 for semaglutide and $149 for tirzepatide this is one of the lower flat rates on our list, and the promise that it will not rise is one of the few we could actually confirm in the checkout data rather than the marketing. Read the calendar, though: a plan month is four weeks, and the 'twelve-month' plan at $999 buys forty-eight weeks. The bigger caveat is who you are buying from — the same company operates altRx and LevelsRx, so some of the brands you compare it with are one business under another name.
Clyr prints its whole dose ladder before you answer a single question. Compounded semaglutide with B12 is $169 for a 28-day vial at the starting dose, $199 and $229 at the two higher tiers. Compounded tirzepatide with B6 starts at $149 for a 2.5mg month, then runs $249, $299 and $329 as the dose climbs. Every box is billed once and nothing renews, so you reorder when you are ready instead of canceling a subscription. The price does rise with your dose, though, and the catalog runs well past weight loss into ivermectin, sexual health and longevity products.
Every provider we score that publishes a compounded tirzepatide price was sorted by its comparable monthly budget estimate for an ongoing plan, and the 25 lowest are shown. Brand-name Zepbound and Mounjaro rows are left out, and so are prepaid, annual and multi-month plans, because none of those is a price you can pay one month at a time. Where a provider sells both an injection and an oral form, the injection price is used.
Each price comes from the provider's own public site, not an affiliate page, and is dated on its review. Some providers publish only a “from” figure; the review says how it climbs.
Several programs sell tirzepatide with an added ingredient, such as B6, B12 or glycine, or as a personalized dose. That reflects how compounding works now that the shortage is over; it does not make one vial better than another. Compounded tirzepatide is not an FDA-approved product, so ask which pharmacy makes yours and whether it is a licensed U.S. pharmacy.
| # | Provider | Tirz from | States | Rating |
|---|---|---|---|---|
| 1 | CoreAge Rx | $149/mo | All 50 states | 94 · A |
| 2 | Eden | $129/mo | All 50 states | 70 · C |
| 3 | Strut Health | $149/mo | See review | 73 · C |
| 4 | SnagRx | $149/mo | See review | 69 · C |
| 5 | Lttl | $149/mo | All 50 states | 66 · C |
| 6 | yourEra | $159/mo | See review | 74 · C |
| 7 | Teleios Health | $99/mo | All 50 states | 68 · C |
| 8 | Mondae | $126/mo | All 50 states | 64 · C |
| 9 | NextMeds | $129/mo | All 50 states | 48 · C |
| 10 | Lean Meds | $129/mo | All 50 states | 47 · C |
| 11 | FitFlow | $134/mo | All 50 states | 58 · C |
| 12 | PreventiveMD | $139/mo | See review | 52 · C |
| 13 | Healthicare | $144/mo | 44 states | 58 · C |
| 14 | FeelGood | $149/mo | See review | 65 · C |
| 15 | altRx | $149/mo | All 50 states | 61 · C |
| 16 | Superior Remedies | $149/mo | All 50 states | 60 · C |
| 17 | Bayan Health | $149/mo | All 50 states | 52 · C |
| 18 | Believe Health | $149/mo | All 50 states | 44 · C |
| 19 | Liv Body | $149/mo | See review | 42 · C |
| 20 | Sunlight | $157/mo | All 50 states | 63 · C |
| 21 | FMmeds | $145/4 wk | All 50 states | 69 · C |
| 22 | Pepti | $159/mo | All 50 states | 72 · C |
| 23 | Somira Health | $159.99/mo | All 50 states | 56 · C |
| 24 | Trinity Meds | $149/4 wk | All 50 states | 56 · C |
| 25 | Clyr Health | $149/4 wk | See review | 52 · C |
Among the 224 providers that publish a month-to-month compounded tirzepatide price, the lowest calendar-month budget estimate is Teleios Health at $99. Four-week bills are annualized over 52 weeks and divided by 12; rows show actual invoice periods. The 25 lowest run from $99 to $161.42, with a middle figure of $149. CoreAge Rx is a featured partner, and providers we work with may appear first. Scores are our own.
Zepbound and Mounjaro are Lilly's FDA-approved brand products. Compounded tirzepatide is made by a pharmacy and is not FDA-approved, which is why it sells for a fraction of the brand price. Tirzepatide left the FDA shortage list in late 2024, and since then compounders generally need a patient-specific reason to prepare it — one reason many programs describe a personalized dose or an added ingredient.
Only at some providers. Of the 25 here, 21 say their price is the same at every dose and 2 say it rises as the dose climbs; the rest do not say. Tirzepatide usually starts at 2.5 mg a week and steps up every four weeks, so a starter price can be months away from what you pay at maintenance. Each row says which kind of price it is.
A four-week cycle bills 13 times a year, not 12. A price quoted per four weeks therefore costs about 8% more over a year than the same figure billed monthly. We mark those rows so the comparison is fair.
Not always. The lowest figure is sometimes a starting dose or a 'from' price, and the cheapest program may have less clinical follow-up. Check the price at your expected maintenance dose, what is included, and how cancellation works, then read the full review before you pay.
Comparing molecules? See the cheapest semaglutide board and Zepbound vs. Wegovy. If you might have coverage, the insurance board may beat any cash price. Prices reflect each provider's public site at last review — confirm before you pay. Not medical advice.
Keep exploring
Each board answers a different mother's situation. CoreAge Rx is a featured partner, and providers we work with may appear first.