Compounded tirzepatide
Ascend Medical vs Fresh Day Meds
Quick answer
Ascend Medical costs $130 a real month and Fresh Day Meds costs $237 — a difference of $106 a month, or $1,277 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 Fresh Day Meds?
Ascend Medical is the cheaper way to start, at $130 a month against $237 for Fresh Day Meds; 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 Fresh Day Meds, advertised at $140 against Ascend Medical's $240, and that is the wrong way round once each bill is restated as a calendar month. Only Fresh Day Meds reaches Alabama, Alaska, Arizona, California and 44 more states, going by where each says it ships. Neither has an FDA warning letter on record.
What each one bills
| Ascend Medical | Fresh Day Meds | |
|---|---|---|
| True monthly cost | $130 | $237 |
| Advertised as | $240 | $140 |
| Charged | every 8 weeks | every 23 days |
| Each charge | $240 | $179 |
| 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 | claims every state |
| 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 Fresh Day Meds charges every 23 days. 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; Fresh Day Meds’s is the same at every dose. See what titration does to an advertised figure.
- What they advertise is not what they bill. Fresh Day Meds advertises $140 and bills $237.
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 Fresh Day Meds. 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.