Compounded tirzepatide
Ascend Medical vs RxPepsDirect
Quick answer
RxPepsDirect costs $100 a real month and Ascend Medical costs $130 — a difference of $30 a month, or $360 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 RxPepsDirect?
RxPepsDirect is the cheaper way to start, at $100 a month against $130 for Ascend Medical; Ascend Medical does not publish what its top dose costs, so ask before you commit past the first month. RxPepsDirect's figure includes a monthly fee of $55 that Ascend Medical does not charge. Only Ascend Medical reaches Georgia, while only RxPepsDirect reaches Alaska, Arizona, Colorado, Connecticut and 23 more states, going by where each says it ships. Neither has an FDA warning letter on record.
What each one bills
| Ascend Medical | RxPepsDirect | |
|---|---|---|
| True monthly cost | $130 | $100 |
| Advertised as | $240 | — |
| Charged | every 8 weeks | every 30 days |
| Each charge | $240 | $45 |
| Price basis | a starting-dose price that climbs | a starting-dose price that climbs |
| Mandatory recurring fee | none found | $55 a month |
| States it names | 2 states | 28 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 RxPepsDirect charges every 30 days. That alone changes what a “month” costs, which is the whole reason this index recomputes every price.
- Only one carries a mandatory recurring fee. RxPepsDirect: $55 a month. 360 of 382 sellers charge nothing like it.
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 RxPepsDirect. 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.