Pomegranate Health vs TotalRx

Neither Pomegranate Health nor TotalRx has an FDA warning letter on record. On compounded tirzepatide injection, Pomegranate Health costs $300 less a year at standing rates: $149 a month against $174 a month at TotalRx.

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

The record

Pomegranate Health / TotalRx

Pomegranate Health logo

Pomegranate Health

6.7/10

TotalRx logo

TotalRx

6.2/10

FDA warning letters
None on record
None on record
Pharmacy
None named in our record
None named in our record
Lowest standing price
$129/moCompounded semaglutide injection
$174/moCompounded tirzepatide injection
States
No state list published
All 50 states and DC
Checked
Prices captured Record checked October 2026
Prices captured Record checked October 2026

Neither Pomegranate Health nor TotalRx pays us. Links to them earn nothing. Scores: Pomegranate Health 6.7, TotalRx 6.2. How we are paid

What the record shows

  1. 01

    Neither Pomegranate Health nor TotalRx has an FDA warning letter on record.

  2. 02

    Neither names the pharmacy that compounds its medication.

  3. 03

    On compounded tirzepatide injection, Pomegranate Health costs $300 less a year at standing rates: $149 a month against $174 a month at TotalRx.

  4. 04

    TotalRx lists all 50 states and DC. Pomegranate Health publishes no state list.

  5. 05

    Pomegranate Health does not state its cancellation terms; TotalRx states you can cancel at any time.

Prices and terms, product by product

A price is set against the other side only for the same product, and only when both are standing monthly or 4-week rates. Those pairs are compared by yearly cost.

Pomegranate Health

TotalRx

Compounded semaglutide injection

$129/mo

$1,548 a year

$129/mo

plan terms unclear; not compared

Compounded tirzepatide injection

$149/moLower

$1,788 a year

$174/mo

$2,088 a year

Price includes
Medication, shipping
Medication, clinician visits, shipping
Cancel any time
Not stated
Yes, stated
Minimum term
Not stated
Auto-renewing subscription; multi-month plans bill the full term, and canceling within 72 hours of renewal lets that charge go through
Refunds
Not stated
Full refund if medically disqualified; otherwise none on cancellation, apart from a pro-rata share of unshipped paid months on prepaid plans

Read off each seller’s own pages. Pomegranate Health: October 17, 2026. TotalRx: October 17, 2026. Every plan and dose we hold is on the full review.

The case for each

The case for Pomegranate Health

6.7/10
  • $300 a year less on compounded tirzepatide injection
  • Names no compounding pharmacy
  • Publishes no state list

The case for TotalRx

6.2/10
  • States you can cancel at any time
  • Names no compounding pharmacy

Scores

Pomegranate Health 6.7 · TotalRx 6.2 out of 10. Six weighted parts.

Value25%

8.7A
vs
B
3.0

Effectiveness25%

10.0A
vs
B
10.0

User Experience15%

3.0A
vs
B
3.0

Trust & Safety15%

4.0A
vs
B
5.0

Accessibility10%

5.0A
vs
B
10.0

Support10%

4.5A
vs
B
7.0

The score is the same formula for every seller. Payment does not enter it. Method

Pomegranate Health vs TotalRx: questions

Neither Pomegranate Health nor TotalRx has an FDA warning letter on record. Letters are matched to a seller by company, domain and address, never by a similar name.
Neither names the pharmacy that compounds its medication.
Pomegranate Health, by $300 a year at standing rates. Pomegranate Health: $149 a month, about $1,788 a year. TotalRx: $174 a month, about $2,088 a year.
Pomegranate Health does not state its cancellation terms. TotalRx states you can cancel at any time; refunds: full refund if medically disqualified; otherwise none on cancellation, apart from a pro-rata share of unshipped paid months on prepaid plans.
Neither Pomegranate Health nor TotalRx pays us. Links to them earn nothing. Scores: Pomegranate Health 6.7, TotalRx 6.2.

Other sellers we are paid by

Affiliate partners outside this pair. Each has its own record and review, scored the same way.

Matched on molecule, form and price. Every pair we list · The register