Compounded tirzepatide
Ascend Medical vs FMmeds
Quick answer
Ascend Medical costs $130 a real month and FMmeds costs $288 — a difference of $158 a month, or $1,891 a year. Both figures are computed from what each seller actually charges and how often, not from the price on its landing page.
Checked in . Both sellers are re-checked on the same schedule; a price either side changes after that date will not be reflected here until the next check.
Ascend Medical or FMmeds?
Ascend Medical is the cheaper way to start, at $130 a month against $288 for FMmeds; Ascend Medical does not publish what its top dose costs, so ask before you commit past the first month. Judged by the headline prices you would pick FMmeds, advertised at $145 against Ascend Medical's $240, and that is the wrong way round once each bill is restated as a calendar month. Only FMmeds reaches Alabama, Alaska, Arizona, Arkansas and 45 more states, going by where each says it ships. Neither has an FDA warning letter on record.
What each one bills
| Ascend Medical | FMmeds | |
|---|---|---|
| True monthly cost | $130 | $288 |
| Advertised as | $240 | $145 |
| Charged | every 8 weeks | every 4 weeks |
| Each charge | $240 | $265 |
| Price basis | a starting-dose price that climbs | the same at every dose |
| Mandatory recurring fee | none found | none found |
| States it names | 2 states | 51 states |
| FDA warning letter | none on record | none on record |
Where they actually differ
- They bill on different clocks. Ascend Medical charges every 8 weeks and FMmeds charges every 4 weeks. That alone changes what a “month” costs, which is the whole reason this index recomputes every price.
- One price holds and the other climbs. Ascend Medical’s price is a starting-dose price that climbs; FMmeds’s is the same at every dose. See what titration does to an advertised figure.
- What they advertise is not what they bill. FMmeds advertises $145 and bills $288.
How we know
Both figures were read on the seller’s own site and recomputed over a 30.4375-day calendar month from the charge and the billing period it covers. Neither is a seller’s own “/mo”. The full working for each — the charge, the period, the arithmetic and the date it was read — is on its own page: Ascend Medical and FMmeds. The method is set out in how we verify.
To compare any two sellers in the index rather than these two, use the comparison tool.