Compounded Tirzepatide Providers in 2026 — Ranked & Reviewed
The active ingredient is the same one inside Mounjaro and Zepbound. The retail price is not: compounded tirzepatide costs a fraction of it. Ranked below are the most trusted telehealth providers shipping it in 2026, measured on clinical oversight, pharmacy reputation, user experience and monthly cost.
Lowest verified price: $69/mo387 providers compared
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387 compounded tirzepatide providers compared · independently scored against our six-factor methodology.
Compare the top providers at a glance
Every row carries a logo, our editorial rating, price, the medications prescribed, and where the seller ships. Scan down a column and the list shortens fast.
- ★ Editor's Pick
knowing which pharmacy fills the vial: it names VialsRx
From /mo$125Flat at every doseCoverage50 statesMedicationsSemaglutideTirzepatide - Nationwide Coverage
knowing which pharmacy fills the vial: it names RedRock Pharmacy
From /mo$129Coverage50 statesMedicationsSemaglutideTirzepatide semaglutide at $99/month, 48% below the typical price
From /mo$149Flat at every doseCoverage50 statesMedicationsSemaglutideTirzepatide
Show 5 moreShow fewer
starting below a standard dose, with microdose tiers
From /mo$139Flat at every doseCoverage50 statesMedicationsSemaglutideTirzepatidesemaglutide at $99/month, 48% below the typical price
From /mo$183Coverage50 statesMedicationsSemaglutideTirzepatidemoving between compounded and brand without changing seller
From /mo$149Flat at every doseCoverage50 statesMedicationsSemaglutideTirzepatidetirzepatide at $169/month, 37% below the typical price
From /mo$99Coverage50 statesMedicationsSemaglutideTirzepatide- Best Budget
flat any-dose pricing, if you can absorb a $199 annual membership on top
From /mo$69Flat at every doseCoverageCheck intakeMedicationsSemaglutideTirzepatide
| Provider | Rating | From /mo | Medications | Coverage | |
|---|---|---|---|---|---|
★ Editor's Pick knowing which pharmacy fills the vial: it names VialsRx | $125 Flat pricing | SemaglutideTirzepatide | 50 states | Visit → | |
Nationwide Coverage knowing which pharmacy fills the vial: it names RedRock Pharmacy | $129 | SemaglutideTirzepatide | 50 states | Visit → | |
 semaglutide at $99/month, 48% below the typical price | $149 Flat pricing | SemaglutideTirzepatide | 50 states | Visit → | |
 starting below a standard dose, with microdose tiers | $139 Flat pricing | SemaglutideTirzepatide | 50 states | Visit → | |
 semaglutide at $99/month, 48% below the typical price | $183 | SemaglutideTirzepatide | 50 states | Visit → | |
 moving between compounded and brand without changing seller | $149 Flat pricing | SemaglutideTirzepatide | 50 states | Visit → | |
 tirzepatide at $169/month, 37% below the typical price | $99 | SemaglutideTirzepatide | 50 states | Visit → | |
| Best Budget CO Collectiveflat any-dose pricing, if you can absorb a $199 annual membership on top | $69 Flat pricing | SemaglutideTirzepatide | Check intake | Visit → |
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
Detailed Reviews
Trimi Health
Verified partnerBest for: knowing which pharmacy fills the vial: it names VialsRx
Trimi Health is a telehealth seller whose compounded GLP-1 pricing is among the lowest available.
Score Breakdown
Pros
- ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $125 a month, 50% below the $250 median for compounded tirzepatide across the sellers we compare
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓The monthly price stays the same as your dose goes up
- ✓The monthly price includes the medication, clinician visits and shipping
- ✓Serves all 50 states
- ✓Names 2 pharmacies that fill its prescriptions, which most sellers do not
- ✓We found no FDA warning letters issued to Trimi Health
Cons
- ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Embody
Verified partnerBest for: knowing which pharmacy fills the vial: it names RedRock Pharmacy
Embody sells compounded semaglutide and tirzepatide by injection, plus a compounded oral tirzepatide gum that is unique in the category. Flat-rate pricing is aggressive, coverage runs to all 50 states, and clinician messaging is available 24/7 under a board-certified internal medicine CMO.
Score Breakdown
Pros
- ✓Semaglutide costs $79 a month, 57% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $129 a month, 48% below the $250 median for compounded tirzepatide across the sellers we compare
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓The monthly price includes the medication, clinician visits and shipping
- ✓Serves all 50 states
- ✓Names 4 pharmacies that fill its prescriptions, which most sellers do not
- ✓We found no FDA warning letters issued to Embody
- ✓Offers both oral and injectable options, so the format is your choice
Cons
- ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
CoreAge Rx
Verified partnerBest for: semaglutide at $99/month, 48% below the typical price
Score breakdown, pros and cons
Shipping is free, 2-day, and reaches all 50 states. CoreAge Rx sells LegitScript-verified compounded semaglutide plus tirzepatide, with licensed physicians behind it and 24/7 support. Its own claim: nobody in the compounded GLP-1 space prices more competitively.
Score Breakdown
Pros
- ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $149 a month, 40% below the $250 median for compounded tirzepatide across the sellers we compare
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓The monthly price stays the same as your dose goes up
- ✓The monthly price includes the medication, clinician visits and shipping
- ✓Serves all 50 states
- ✓We found no FDA warning letters issued to CoreAge Rx
Cons
- ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
- ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
bmiMD
Verified partnerBest for: starting below a standard dose, with microdose tiers
Score breakdown, pros and cons
bmiMD is a medical weight loss clinic that prescribes GLP-1 medications through telehealth.
Score Breakdown
Pros
- ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $139 a month, 44% below the $250 median for compounded tirzepatide across the sellers we compare
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓The monthly price stays the same as your dose goes up
- ✓The monthly price includes the medication, clinician visits and shipping
- ✓Serves all 50 states
- ✓We found no FDA warning letters issued to bmiMD
Cons
- ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
- ✗Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Live Vital
Verified partnerBest for: semaglutide at $99/month, 48% below the typical price
Score breakdown, pros and cons
Billed in 3-month blocks, the compounded GLP-1 semaglutide starts at $99/mo and compounded tirzepatide at $183/mo. Dr. Patrick Taylor, MD founded the practice and every plan is written by a doctor, filled at a licensed US pharmacy and delivered to the door. Messaging the care team has no cap and nothing locks you in. Peptide and hormone therapy round out the menu. Telehealth reaches all 50 states.
Score Breakdown
Pros
- ✓Semaglutide costs $99 a month, 46% below the $185 median for compounded semaglutide across the sellers we compare
- ✓Tirzepatide costs $183 a month, 27% below the $250 median for compounded tirzepatide across the sellers we compare
- ✓Shows its price before the medical questionnaire, so you can compare it without handing over health information
- ✓The monthly price includes the medication, clinician visits and shipping
- ✓Serves all 50 states
- ✓We found no FDA warning letters issued to Live Vital
Cons
- ✗Ask which pharmacy fills the prescription before you pay, so you can check its license
- ✗Its retatrutide, semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
- ✗Its menu lists retatrutide, which FDA says cannot be used in compounding under federal law and has not been found safe and effective for any condition
Reading a compounded tirzepatide offer
A compounded tirzepatide vial carries the active ingredient found in Zepbound and Mounjaro, priced at a fraction of what either brand costs in cash. FDA approval does not extend to the compounded product. Pharmacy accreditation, and a price that holds past month one, are what the entries here separate on.
What to check
- Accreditation you can look up yourself. A 503A or 503B pharmacy named on the page, plus LegitScript certification, gives two things to check. The certification can be checked on legitscript.com, which is the point of holding it.
- The per-month total, term included. Quotes in this category run roughly $150 to $350 a month. The bottom of that range usually belongs to a prepaid term, not a standing rate. Month to month costs more and stops when you stop.
- A prescriber, or a storefront. Dose decisions belong to a prescriber. Several sellers here are order routers, passing an intake to a pharmacy with no clinician reachable afterward. That is a structural difference, not a service one.
Red flags
- Pharmacy unnamed and no LegitScript listing. Two disclosures are checkable on any compounded-GLP-1 seller: the 503A or 503B pharmacy filling the vial, and a LegitScript certification. When a site publishes neither, nothing about the contents of that vial can be confirmed from outside.
- Instant approval with no clinician you can reach. A prescriber is supposed to read the intake and stay available once dose questions start. Approval issued automatically, with nobody reachable afterward, means the medical layer was removed rather than streamlined.
- The advertised number is a first month. Headline figures here are usually qualified somewhere. Common forms are an opening rate that steps up with each dose increase, and a membership fee billed separately from the drug itself. Either one can double what leaves your account in month two.
- B12, MIC, or HCG sold for weight loss. Trial evidence for weight loss sits with the GLP-1 injections and nowhere else on this aisle. A clinic that lists lipotropic, B12, or HCG shots under weight loss is selling past the record, whatever its own site says.
Every seller listed above is scored on these criteria under our six-dimension methodology, with prices re-checked against the seller’s own live site.
How we rank, and what counts as “legit”
Scoring for every provider on this page runs against our published six-factor rubric[1]: value, effectiveness, user experience, trust & safety, accessibility and support. Federal compounding law permits compounded GLP-1s where a licensed 503A or 503B pharmacy prepares them[2], and further tolerances applied historically during the period when semaglutide and tirzepatide sat on the FDA Drug Shortage List[3].
Each of Wegovy, Zepbound, Ozempic and Mounjaro holds its own separate FDA approval under its own NDA number[4][5]. Published Phase 3 efficacy for semaglutide at 2.4 mg (~14.9% mean weight loss across 68 weeks) comes from STEP 1[6]; those for tirzepatide (~20.9% at the 15 mg dose over 72 weeks) come from SURMOUNT-1[7]. In 2025 the SURMOUNT-5 head-to-head set the two against each other[8].
How much of an anti-obesity medication is covered varies widely between state Medicaid programs and between commercial plans[9][10]. Under IRS Publication 502, compounded GLP-1s and brand-name ones alike are generally FSA/HSA eligible where a prescription exists[11].
Frequently Asked Questions
Glossary
The words sellers use, defined. Tap any term.
- Tirzepatide · Drugs and brands
- Zepbound · Drugs and brands
- Mounjaro · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- 503B outsourcing facility · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- FDA Drug Shortage List · Insurance and regulatory
Sources & methodology — as of September 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 8.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
- 9.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 10.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.
- 11.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.