Cheapest Monthly Tirzepatide Providers in 2026 — Ranked & 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 clinically reviewed). Not medical advice · How we verify contentLast reviewed

439 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: Top 5

#ProviderScore
1CollectiveVisit
2The Virtual NPVisit
3WeightRxVisit
4RxPepsDirectVisit
5Aurelius Health GroupVisit

Detailed Reviews

1

Collective

Verified partner

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

8.4

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%
6.5
Accessibility10%
5
Support10%
7
2

The Virtual NP

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

6.5

Two ways to pay: 99 dollars once, as you go, or 75 dollars per month for a membership carrying prescription access. Either way the drug is billed on its own, at a cost stated upfront. No compounded GLP-1 is sold. What gets written is branded and FDA-approved, made by Eli Lilly and Novo Nordisk: Zepbound (tirzepatide), Wegovy (semaglutide). HSA/FSA funds are taken and the clinic will help with prior authorization. Sandra Jordan, MSN, APRN, FNP-C founded and runs it, booking most patients inside 24 hours, with medication sent home.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
7.5
Trust & Safety15%
8.5
Accessibility10%
3.1
Support10%
5
3

WeightRx

Best for: bloodwork inside the monthly price rather than billed on top

6.8

Few telehealth sellers charge less per month for compounded semaglutide than WeightRx does.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
8.5
4

RxPepsDirect

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

5.8

Pricing is per vial: semaglutide/B12 from $25/vial and tirzepatide/B12 from $45/vial, after a $39 asynchronous online medical visit, with no subscription required. Optimal Balance Pharmacy, a 503A in Texas, dispenses. Licensed NP/PA prescribers supervised by Medical Director Dr. Jonathan Snipes, MD issue patient-specific compounded prescriptions under the 503A pathway. FedEx overnight delivery, syringes and a travel case are included. Peptide RX LLC operates in 28 states and DC.

Score Breakdown

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

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%
6.6
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
5.5
Accessibility10%
5
Support10%
5.5
6

boostAGErx

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

6.6

Pay 12 months upfront and compounded GLP-1, semaglutide or tirzepatide, starts near $95/mo. Get rejected and the membership fee comes back. Licensed providers work it 100% online, with the clinical evaluation and delivery folded in at no cost. Sermorelin and other peptide therapy sit alongside on a longevity theme. Med Excellence United LLC, incorporated in Delaware, operates boostAGErx.

Score Breakdown

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

PreventiveMD

Best for: oral orforglipron alongside the injectables

7.4

All-in figures start at $83/mo for compounded semaglutide and $97/mo for compounded tirzepatide. Foundayo, Zepbound and Wegovy come as brands under a membership arrangement. Requests reach a US-licensed provider inside 24 hours, and once approved the drug is sent to your door with care continuing through a portal online. Peptide therapy shares the platform with the GLP-1 side, all physician-guided.

Score Breakdown

Value25%
5
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
7.8
Support10%
5.5
8

Noom Med

4.1

Noom Med pairs GLP-1 medication access with Noom's cognitive behavioral therapy curriculum, 1-on-1 dietitian coaching, and a dedicated care team. Noom calls that curriculum proven and bills the combination as the most comprehensive psychology-plus-medication program available.

Score Breakdown

Value25%
3
Effectiveness25%
5
User Experience15%
3
Trust & Safety15%
4
Accessibility10%
5
Support10%
5
9

Southern Vitality and Weight Loss

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

6.6

Prices at Southern Vitality and Weight Loss open as low as $99/mo on compounded semaglutide and tirzepatide, with nothing charged for membership and no fees hidden behind it; vitamin injections and peptides are sold too. The telehealth consult costs nothing, delivery is free, and check-ins land every two weeks under physician supervision. The operation has been running since 2012 out of Georgia. It does something most rivals will not, naming three compounding partners: RX Compound Store, The Pharmacy Hub and PerfectRx. Which states it covers is never published.

Score Breakdown

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

VitaStir

Best for: semaglutide at $99/month, 63% below the typical price

8.2

VitaStir is a GLP-1 telehealth seller that also sells vitamin and B12 products. Its GLP-1 prices and plan details are not shown on its public pages.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
5.5
11

YourEra

Verified partner

Best for: semaglutide at $99/month, 63% below the typical price

8.2

Injections of compounded semaglutide and compounded tirzepatide begin at $99 for the first month; what the price becomes after that is settled once the medical intake is done. Everything, doctor visits and prescriptions alike, happens remotely. YourEra carries LegitScript certification. To its credit the site says outright that what it sells is not Ozempic, Wegovy, Mounjaro or Zepbound, which is candid for this category.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
5
12

Framework

Best for: semaglutide at $100/month, 63% below the typical price

8.1

Cost can go as low as $25/week, which is roughly $100/mo; no membership fee applies. A doctor guides which of the compounded drugs, semaglutide or tirzepatide, a patient takes. The detail that stands out is the pharmacy: Framework names The Pharmacy Hub, which works under the FDA-registered 503B outsourcing pathway instead of the patient-specific 503A route nearly every direct-to-consumer competitor relies on.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
4.5
13

Lavender Sky Health

Best for: coverage in all 50 states, which most sellers will not confirm

5.9

Lavender Sky Health is a telehealth weight loss seller with low entry-tier pricing on injectable GLP-1s.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
3
Trust & Safety15%
5
Accessibility10%
10
Support10%
4.5
14

Lean Meds

Best for: knowing which pharmacy fills the vial: it names Belmar Pharmacy

9.3

Titrating up does not raise the rate, which is flat and monthly: $79 to start on compounded semaglutide, $109 on compounded tirzepatide, the telehealth visit and shipping absorbed into both. Clinicians come from the OpenLoop Health network. Trinity HealthCare Supply, LLC operates the service and puts names to its five dispensing pharmacies as well as to the physicians who prescribe.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7
15

NextMeds

Best for: semaglutide at $79/month, 59% below the typical price

9.2

Membership is a single flat monthly charge, and inside it sit free shipping, a registered dietitian holding a license, a care coach working 1:1, telehealth visits and the drug itself where one is prescribed. Insurance is not billed. A free assessment online goes to a licensed provider, who adds a phone or video consult in states that demand one, then prescribes if it fits. Compounding pharmacies within the Next Meds network, all licensed, ship. Auto-renewal does not exist, cancellation is open, and all 50 states can order compounded tirzepatide and semaglutide.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
10
Support10%
8.5
16

VitaFusions IV

Best for: compounded semaglutide at $92.55/month

8.2

VitaFusions IV sells semaglutide and medical weight loss services in Dallas, TX.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
5
17

Bayan Health

Best for: a priced catalog across microdose, standard, oral drop and tablet routes

8.2

Bayan Health publishes a full shop-style catalog rather than a plan card: microdose semaglutide and tirzepatide with B6 at $99 and $119, standard doses at $129 and $149, oral drops at $99 and $119, and Orforglipron Oral Tablets at $269. It states no memberships, no dose-based price increases and no hidden fees, and says its medications come from US 503A pharmacy partners without naming them. Its Terms name no operating entity.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
5.5
Accessibility10%
5
Support10%
7
18

Fitness RX

Best for: semaglutide at $119/month, 55% below the typical price

8.4

Fitness RX charges $119/mo, and that figure carries the medication, 1:1 physician consults and messaging without limit; an intro promo takes $100 off for life. Its plan runs three phases and welds fitness and nutrition coaching onto the drug. Both GLP-1 routes are sold, compounded injectable and sublingual semaglutide or tirzepatide, and brand-name Wegovy and Zepbound. Terms, Privacy and data-privacy pages are up, with a link out to LegitScript verification. Neither the compounder nor the legal entity is identified.

Score Breakdown

Value25%
10
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
6.5
Accessibility10%
5
Support10%
7
19

Green Cap Health

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

6.3

The GLP-1 weight-loss injection opens at $79 for month one. Green Cap Health works only in Texas and owns both ends of the transaction: it is the clinical practice writing the prescription and the compounding pharmacy filling it, so no outside partner touches the order. Hair, skincare and sexual-wellness products share the shelf with compounded semaglutide.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
7.5
Accessibility10%
2.2
Support10%
5.5
20

Mixx Health & Wellness

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

5.4

Compounded semaglutide and tirzepatide begin at $120/month, and consultations and follow-ups cost $0. The named pharmacy partner is Promise Pharmacy, of Palm Harbor, FL. Dr. James David Lawrence III, M.D. started Mixx Health & Wellness in 2022 following his own 100-pound weight-loss journey. Payment is self-pay only, and the platform states service across 44 jurisdictions: 43 states plus DC.

Score Breakdown

Value25%
3
Effectiveness25%
5
User Experience15%
8
Trust & Safety15%
5.5
Accessibility10%
9
Support10%
5
21

Science & Co

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

8.4

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. The price stays the same at every dose. Plans are advertised from $79/mo for semaglutide and $125/mo for tirzepatide, both on the 12-month plan, which the site says is paid upfront; the month-to-month price is not shown on its public pages.

Score Breakdown

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

Trimi Health

Verified partner

Best for: knowing which pharmacy fills the vial: it names VialsRx

9.4

Trimi Health is a telehealth seller whose compounded GLP-1 pricing is among the lowest available.

Score Breakdown

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

TRYM Health

Best for: semaglutide at $96/month, 53% below the typical price

7.9

TRYM quotes its compounded GLP-1 by the day as well as the month: roughly $96/mo for compounded semaglutide, which it puts at $3.20/day, and roughly $126/mo for compounded tirzepatide, at $4.20/day. The vials are multi-dose and additive-free, covering every dose, and arrive with a starter kit under temperature-controlled shipping. FSA/HSA money qualifies and canceling is flexible. Coverage extends to all 50 states. TRYM Health, Inc. operates it. Partner pharmacies compound but are not named, and no LegitScript certification is displayed.

Score Breakdown

Value25%
9.9
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
3.5
Accessibility10%
5
Support10%
7
24

Auren Rx

Best for: knowing which pharmacy fills the vial: it names VialsRX

7.5

The standing rate is $259 a month on auto-refill for compounded semaglutide and tirzepatide, with a low-dose microdose GLP-1 track at $129, plus NAD+, sermorelin, glutathione, GHK-Cu, tretinoin and oral minoxidil. Auren Rx identifies who provides the care in unusual detail: the physician group Wasef Health PC under Michael Wasef MD, and the Houston compounding pharmacy VialsRX, each listed with an address and phone number. The first online visit costs nothing, and no membership fee is charged until a physician has reviewed you and you decide to proceed. The brand is registered in New York.

Score Breakdown

Value25%
3
Effectiveness25%
10
User Experience15%
8
Trust & Safety15%
9
Accessibility10%
10
Support10%
7
25

BiltRx

Best for: moving between compounded and brand without changing seller

8.3

Among the lowest published prices: 125 dollars per month to start for compounded semaglutide, 129 dollars for compounded tirzepatide. Brands run far higher, at 1,449 dollars for Ozempic, 1,849 dollars for Wegovy, and from 1,499 dollars for Mounjaro or Zepbound. Southend Pharmacy and Boothwyn are the 503A compounders the site names, both US-licensed. This platform covers weight loss, aesthetics, and health for women and men, and holds LegitScript verification and HIPAA compliance.

Score Breakdown

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

414 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 September 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 (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.