Compounded tirzepatide

How to get compounded tirzepatide, and what each step costs

One intake form, one prescriber review, one pharmacy, one cold-pack — and one charge, which is the only step with a price on it. A median month across 386 US sellers runs $272.

The short version

There is no counter to walk up to. Compounded tirzepatide is prescription-only, and the sellers in this index are telehealth programs: the clinic, the prescriber and the pharmacy are all behind one website, and the whole sequence — form, review, payment, shipment — commonly finishes inside a week. What separates one seller from another is almost never the sequence. It is the price, the billing cycle behind the price, and what happens to both as your dose rises.

Step 1 — pick the seller. Costs nothing, decides most of the total.

Four things are worth reading before you type anything into a form, and all four are on each seller’s row here: the computed monthly cost rather than the advertised figure; the billing cycle, because a “monthly” price charged every four weeks lands thirteen times a year; whether the price holds at every dose or climbs as you titrate; and any compulsory fee beside the medication — 22 sellers charge one. The index sorts all 386 by computed month, and the state pages narrow it to sellers that ship to you. The cheapest price that holds at every dose today is $86 a month.

Step 2 — the intake form. Usually free.

The form is a medical history: conditions, medications, weight history, and the contraindications on the drug’s own label. Most sellers charge nothing for it and fold the visit into the monthly price; the ones that bill a separate recurring charge instead are the 22 on the fee list. Answer it honestly — the review that follows is only as good as what it reviews, and the label’s exclusions exist for reasons the boxed warning spells out.

Step 3 — the prescriber. Included at most sellers.

A clinician licensed in your state reviews the intake. At most sellers this is asynchronous — no video call unless your state requires one or the clinician asks for it — and an answer typically comes back within a couple of days. Approval is not automatic: a history that trips the label’s contraindications should end the process here, at a cost of nothing. A site that skips this step entirely is not a faster version of the same thing; it is a different market.

Step 4 — the first charge. This is the step to read twice.

The card is charged at approval, and the first figure is where advertised and actual part company: 197 of 386 sellers advertise a monthly figure more than 2% below what their checkout bills over a real calendar month. The three usual mechanisms are a cycle shorter than a month, an entry price that only covers the starting dose, and a fee billed beside the medication — each one measured, per seller, on the transparency page. Introductory first-month offers are common; the figure that matters is the ongoing one, which is the figure every row on this site computes.

Step 5 — the delivery. Included in the price.

The pharmacy ships a cold-packed vial — typically within a few days of approval — and shipping is almost always inside the monthly price rather than beside it. The vial goes in the refrigerator; the storage page covers how long it keeps and what to do when a cold-pack arrives warm. Doses are drawn with the supplied syringes, and the units tool converts your prescribed milligrams to the mark on the barrel for your vial’s concentration.

Step 6 — refills, and what the dose does to the price

Refills bill on the seller’s cycle from then on, with periodic check-ins. The standard schedule titrates upward — and for 108 of 386 sellers the price climbs with the dose, so the month you compared at 2.5 mg is not the month you will pay at 10 mg. The ladder page shows every published price ladder, and the true-cost tool turns any quote into a real calendar month before you commit to it.

Every figure on this page is computed from the index — the same 386 sellers, verified the same way — and moves when prices do. How each price is verified →