Cheapest Monthly Tirzepatide Providers in 2026: Ranked and Reviewed

Sellers are sorted here by the lowest standing monthly cash price on record for tirzepatide, cheapest first. Compounded and brand rows both appear and they live in different price worlds, so read the form column before the number. A promotional opening month does not set a seller's place in this order; the ongoing rate does.

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By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed

598 cheapest tirzepatide compared · independently scored against our six-factor methodology.

Price and states served both move. Read them off the seller's own site before you enroll.How our reviews work →

Methodology & sources

Each provider here carries a score from our published six-factor rubric[1], and the list is then cut down to the criteria named in the page title.

Published Phase 3 efficacy for tirzepatide (~20.9% mean weight loss at the 15 mg dose over 72 weeks) comes from the SURMOUNT-1 trial[2]. The SURMOUNT-5 head-to-head published in 2025 directly compared tirzepatide and semaglutide[3].

Quick Picks

Starting price per provider. Prices in USD per month; checked November 2026.
#ProviderScore
1CollectiveVisit
2EnhancedVisit
3WeightRxVisit
4RxPepsDirectVisit
5Harmon HealthVisit

Detailed Reviews

1

Collective

Verified partner

Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top

9.1

Health For Everyone Inc., trading as CollectiveOS, sells compounded semaglutide at $59/mo and compounded tirzepatide at $69/mo on a membership model, with a mandatory $199 annual membership on top that the headline price does not include. It prices every dose the same, so the cost does not climb as the dose is titrated, and it does not require prepaying for medication. The site is marketed as being from the founder of Thrive Market. Neither its pharmacies nor its medical groups are named.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
9
Support10%
7
2

Enhanced

Best for: people who want compounded GLP-1s and peptides like BPC-157 from one program and can prepay for a lower rate

8.2

Enhanced is the consumer health line of Enhanced Group, the publicly traded company behind the Enhanced Games sports competition. Independent clinicians prescribe compounded semaglutide and tirzepatide through it, plus microdose plans from $59 a month on a 12-month plan, testosterone and peptides including BPC-157, TB-500, MOTS-c, KPV, epitalon and semax. Semaglutide costs $129 a month, or $89 a month on a 12-month plan paid up front; tirzepatide costs $169, or $129 on the same terms.

Score Breakdown

Value25%
8.4
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8
Accessibility10%
5
Support10%
7
3

WeightRx

Best for: the lowest advertised tirzepatide price, if a long plan term suits you

6.6

WeightRx is a New York telehealth platform for compounded tirzepatide and semaglutide, prescribed through MDI Medical Group and other groups. Tirzepatide is advertised from $83 a month and semaglutide from $250, with medication, provider review and cold-chain shipping in one price. The plan length behind $83 is not shown before the quiz, and longer plans of six or twelve months cannot be refunded.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
7
4

RxPepsDirect

Best for: a published list of the 28 states it serves, when most sellers publish none

6.4

Pricing is per vial: semaglutide/B12 from $25 a vial and tirzepatide/B12 from $45, after a $39 asynchronous online medical review, with no subscription required. A licensed 503A pharmacy in Texas compounds and dispenses. Prescriptions are written by licensed nurse practitioners and physician assistants, with Dr. Jonathan Snipes, MD as medical director. FedEx overnight shipping is a $15 flat pharmacy fee. Peptide RX LLC operates the brand in 28 states and DC.

Score Breakdown

Value25%
6
Effectiveness25%
10
User Experience15%
3
Trust & Safety15%
5
Accessibility10%
6.3
Support10%
5.5
5

Harmon Health

Best for: people who want posted prices for compounded GLP-1 shots, tablets or starter doses, or the Wegovy pill

8.1

Harmon Health is a new online clinic run by Harmon DTC Inc., formed in January 2026, which licenses the Harmon name from its parent company, owner of the former Harmon health and beauty store chain. It prescribes compounded semaglutide and tirzepatide as weekly shots, low-dose starter plans and dissolving tablets, plus the Wegovy pill, sermorelin, NAD+ and glutathione. Shots are $149 a month for semaglutide and $225 for tirzepatide at every dose, with a Black Friday first month of $99. Tablets start at $52 a month.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
4.5
6

VevaRx

Best for: published plan prices from month-to-month to 12 months, in the 36 states it lists

8.5

VevaRx LLC sells compounded semaglutide at $120 a month and compounded tirzepatide at $189 a month, with 3-, 6- and 12-month plans that cut the monthly rate to as little as $47 and $87, billed up front. Clinical care runs through TelegraMD, and its FAQ lists 36 states. It also sells sermorelin, glutathione, NAD+ and PT-141. The terms describe only an unnamed independent compounding pharmacy.

Score Breakdown

Value25%
8.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
7.8
Support10%
7
7

Aurelius Health Group

Best for: starting below a standard dose, with microdose tiers

7.2

Month one costs $89; every month after that is $199, a figure taking in consultations, the protocol itself, shipping and monitoring. Rather than standard full-dose therapy, the whole platform is built on microdosed compounded tirzepatide, a dual GIP/GLP-1 approach given at low dose. Add-ons are optional: NAD+, L-carnitine, B12, inositol. Worth noting, the site does not hide that trial data behind microdosing is thin.

Score Breakdown

Value25%
6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
5.5
8

Nu Image Medical

Best for: injection or rapid-dissolve tablet versions of both GLP-1 drugs from one seller

7.1

Nu Image Medical is a telehealth seller online since 2008 that offers compounded semaglutide and tirzepatide as weekly injections or rapid-dissolve tablets in all 50 states, alongside hormone and ED lines. Every GLP-1 option is advertised at as low as $89 a month on a five- or six-month supply. No monthly price or plan total is shown before enrollment.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
5
9

Vita Stack Health

Best for: people who want low-cost compounded semaglutide or tirzepatide at one price for every dose

9.3

Vita Stack Health is an online clinic run by VitaStack LLC that offers compounded semaglutide and tirzepatide, plus NAD+ and sermorelin injections, through the DrTelx medical group and three named pharmacies. Semaglutide is $99 a month and tirzepatide $119, the same at every dose, with lower monthly rates on 3-, 6- and 12-month plans paid up front, down to $69 and $89. The visit, medication and shipping are included.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7
10

WellMedRx

Verified partner

Best for: comparing compounded and brand GLP-1 plans with a published state list

6.3

WellMedr, now styled welludr., advertises compounded semaglutide from $49 a month and tirzepatide from $89, but its own billing policy says a per-month figure on a prepaid plan is the total divided by the months, and the real plan terms appear only at checkout. Brand Ozempic and Zepbound are offered month to month. Three Florida pharmacies are named, and service covers all 50 states plus DC, Puerto Rico and Guam.

Score Breakdown

Value25%
4.5
Effectiveness25%
10
User Experience15%
3
Trust & Safety15%
5
Accessibility10%
10
Support10%
5
11

PreventiveMD

Best for: oral orforglipron alongside the injectables

9.1

PreventiveMD sells compounded semaglutide and tirzepatide at one price per plan length, whatever the dose, with shipping and provider review included. Month to month, semaglutide is $119 and tirzepatide $139; the advertised $83 and $97 are 12-month plans paid up front. Brand Wegovy, Zepbound and Foundayo carry a $49 monthly membership, with the drug bought from the maker. A US-licensed provider reviews each request in writing within 24 to 48 hours, and it names its four compounding pharmacies.

Score Breakdown

Value25%
9.8
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
8.9
Support10%
7
12

Bloom MD

Best for: starting below a standard dose, with microdose tiers

7.8

Bloom MD is a Utah wellness clinic that sells weight-loss, hormone and longevity care through an online store. Compounded semaglutide runs $270 a month on subscription at any dose, and compounded tirzepatide starts at $244 and climbs by dose to $459. Brand Wegovy, Zepbound and pill programs are sold as a $75 membership with the drug bought separately. It ships prescriptions to 39 states and DC.

Score Breakdown

Value25%
5.7
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
8.2
Support10%
7
13

Vitalex Health

Best for: seeing what it charges before you answer any medical questions

7.1

Vitalex Health is an Atlanta telehealth platform for compounded semaglutide, tirzepatide and a lower-dose GLP-1 microdose program. Its new-patient offer starts at $98.99 a month, with the final plan price set after a provider reviews the intake. It calls itself physician-led but names no clinician, and no pharmacy partner is named.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
5.5
14

Alternate Health Club

Best for: flat-rate compounded GLP-1 shots, ordered by intake form alone

8.6

Alternate Health Club charges $129/month for compounded semaglutide and $169/month for compounded tirzepatide, the same at every dose, and is LegitScript-verified. Microdose plans of either drug cost $99 a month. Alternate Health Club, LLC, a New York company, uses independently contracted U.S.-licensed clinicians who review an intake form; no video visit is required. Complimentary workout and dietary plans are included, and there is no membership fee.

Score Breakdown

Value25%
8.4
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
15

Optimize HP

Best for: people who want posted, dose-by-dose compounded tirzepatide prices and a full refund if not approved

8.8

Optimize HP is a telehealth brand, run by a Texas management company, that sells a lab-based wellness membership and, separately, single prescription therapies, including compounded tirzepatide with B12. Tirzepatide is priced by dose on the page, from $99 every 4 weeks on a 3-month plan at up to 5 mg a week to $199 at 15 mg, with shipping, supplies and the service fee included. Month-to-month costs half again as much. If a provider does not approve, you are refunded in full or never charged.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
4.5
16

PlexusDx

Verified partner

Best for: one compounded GLP-1 price at every dose, as an injection or a tablet, from a named pharmacy

8.0

PlexusDx sells compounded semaglutide at $149 a month and compounded tirzepatide at $189, as weekly injections or daily tablets, plus a microdose GLP-1 plan at $99. One price covers the visit, drug and shipping, and it does not rise with the dose; prepaying a year cuts the rate to $99 and $129. Lone Star Virtual Health prescribes and Vials RX in Texas fills. An optional genetic test is $99 after the first month.

Score Breakdown

Value25%
7.5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
8
Accessibility10%
5
Support10%
7
17

Remedy Well

Best for: people who want low posted prices on compounded or oral tirzepatide, with peptides from the same clinic

9.0

Remedy Well is an online clinic that prescribes compounded semaglutide and tirzepatide, mixed with vitamin B12 or glycine, plus tirzepatide tablets, a microdose plan and $59-a-month access memberships for Zepbound and Wegovy. It also sells sermorelin, NAD+, glutathione and GHK-Cu. Semaglutide is $149 a month and tirzepatide $169, each with a discounted first month, or tirzepatide is $399 for a 3-month bundle.

Score Breakdown

Value25%
9.2
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
9.7
Support10%
7
18

Science & Co

Best for: flat any-dose compounded semaglutide or tirzepatide, if you commit to a 12-month plan

8.0

Science & Co is a telehealth platform run by Science and Co, Inc., a Delaware corporation with a Miami mailing address, selling compounded semaglutide and tirzepatide prescribed by an affiliated provider group, plus brand Zepbound and Wegovy at unpublished prices. The compounded price stays the same at every dose. Plans are advertised from $59 a month for semaglutide and $99 for tirzepatide, both on the 12-month plan; the month-to-month price is not shown on its public pages.

Score Breakdown

Value25%
6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
19

SkinnyRx

Verified partner

Best for: starting below a standard dose, with microdose tiers

6.3

SkinnyRx sells compounded semaglutide and tirzepatide as weekly injections and daily tablets, with a microdose option, plus brand-name Ozempic, Wegovy, Mounjaro and Zepbound. Compounded injections are advertised at $99 for the first month; the rate from month two is not published before intake. Brand pens are listed at $1,400 a month, and the Wegovy and Foundayo pills from $248 a month through its membership. The company received an FDA warning letter in February 2026.

Score Breakdown

Value25%
5.6
Effectiveness25%
10
User Experience15%
3
Trust & Safety15%
2
Accessibility10%
9.5
Support10%
7
20

Teleios Health

Best for: seeing what it charges before you answer any medical questions

7.3

Teleios Health, LLC, a Texas-law platform, sells compounded semaglutide and tirzepatide at $99 a month each, with medication, provider consultations and shipping included and no membership fee. Prescribing runs through Lion MD, whose two lead physicians it names with NPI numbers, and it lists five partner pharmacies. It serves all 50 states.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
21

Vivanta Care

Best for: new GLP-1 starters who want a low first-month price and month-to-month billing

8.3

Vivanta Care is a Ventura, California telehealth platform that books compounded semaglutide and tirzepatide through the MD Integrations clinician network, filled by the Florida pharmacy DiRx, alongside hormone and longevity programs. Pricing climbs with your dose stage: semaglutide runs $79 to $299 a month and tirzepatide $99 to $329, billed monthly with the clinician review and shipping included. You see your stage price before the health questions.

Score Breakdown

Value25%
9.8
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
7
22

YourEra

Verified partner

Best for: semaglutide at $99/month, well below the typical price

9.0

YourEra sells compounded semaglutide and compounded tirzepatide injections through an online visit with a licensed clinician, at one price for every dose. It is run by Your Era Management, L.L.C. in Louisiana, and it names its medical group and its three pharmacies. Semaglutide is $99 a month month-to-month. Tirzepatide is published only as a 12-month prepaid plan averaging $99 a month.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
7
23

Maximus

Best for: brand-name GLP-1 pills and pens sold next to compounded tirzepatide and men's health care

7.2

Maximus is a men's health platform that also sells GLP-1 weight-loss care to men and women in 47 states. Compounded tirzepatide is one flat rate at every dose, billed up front: $199.99 a month on a 2-month plan down to $99.99 on a 12-month plan. Six brand-name drugs start at $199.99 a month for Foundayo. Its compounded GLP-1 marketing drew an FDA warning letter dated June 8, 2026.

Score Breakdown

Value25%
6
Effectiveness25%
10
User Experience15%
7.5
Trust & Safety15%
4.5
Accessibility10%
9.5
Support10%
4.5
24

Framework

Best for: a low advertised GLP-1 floor with dietitian support, if you will finish the intake to see the real price

8.8

Framework is a cash-pay telehealth seller of compounded semaglutide and tirzepatide, run by Framework LLC, with dietitian support included. It advertises GLP-1s from $25 a week with no membership fee. No plan, drug or dose is priced before the health questions, so that figure is a floor we could not tie to a product.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
4.5
25

Zoya

Best for: people who want to pick their own compounded tirzepatide pharmacy and price, with no membership fee

8.7

Zoya is an online clinic run by Zoya Health LLC of Sacramento that prescribes compounded semaglutide and tirzepatide, plus NAD+, glutathione and sermorelin, with no membership fee. For tirzepatide you choose among six named pharmacies, each with its own price and state list. Semaglutide is $159 a month at any dose; tirzepatide is $179 to $249 a month depending on the pharmacy, or $299 for 12 weeks paid up front through one pharmacy.

Score Breakdown

Value25%
7.9
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7

573 more sellers we track for this

Ranked below the 25 above on the same rubric. Each links to its full review with current pricing.

Frequently Asked Questions

It is the top row of the table, as of the date beside it. We keep the number in the data layer instead of in this answer so that it cannot quietly go stale on a page nobody revisits. Check what a price includes before you set two sellers against each other on it.
Sources & methodology — as of November 2026
  1. 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
  2. 2.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  3. 3.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.