Compounded tirzepatide

Compounded tirzepatide without a membership fee

Quick answer

358 of the 383 sellers in this index charge no separate mandatory recurring fee at all. 25 do, at a median of $49.00 a month. So “no membership fee” is a selling point against a charge that 93% of the market does not have — and 6 of the 25 that do charge are billing shipping you cannot decline, not a membership.

Why the market believes otherwise

Because sellers advertise it. “No membership fee” appears on landing pages as a differentiator, and the pages that rank for it repeat the claim from the seller that made it. That is a fact about marketing, not about prices.

We check by opening the checkout. Every figure below was read on the seller’s own site, with the wording it used, on a recorded date — see how we verify. A charge counts here only if it is mandatory and recurring: an optional upgrade is not a fee, and a one-time consultation is a different thing, listed further down.

⚠ Read 25 as a floor rather than a ceiling. It is the number of sellers whose mandatory recurring charge we have confirmed at a checkout, not a claim that no other seller has one.

The 25 that do charge

Sorted by what the fee costs per month. The wording is the seller’s own, quoted exactly, because the grouping is our reading of it and you should be able to disagree.

SellerFee / monthWhat it isIn the seller’s words
Zealthy$135.00MembershipZealthy Weight Loss membership, billed monthly, medication not included (standard $135/month; first month introductory)
Vita Bella$129.00MembershipVita Bella membership fee ($129/mo), required for members-only medication pricing
Alloy$99.00MembershipAlloy Weight Care membership (doctor messaging, dose adjustments, refills)
Shapely$99.00MembershipShapely membership, required to access medications, medication not included
Primary Clinic (Direct GLP)$89.00Membershipmembership, with the medication billed separately
ElitePhysiqMD$89.00MembershipElitePhysiq MD Membership (required; renews automatically)
Mochi Health$80.15MembershipMochi Health membership (required; medication cost not included)
Regenics$79.00MembershipRegenics membership (required; renews automatically, medication billed separately)
Ivim Health$74.99MembershipIvím membership, required: "ongoing membership for only $74.99/ month" (first month free)
Livea$69.00MembershipLivea Medical monthly access fee, mandatory and billed separately from the medication
RxPepsDirect$54.79Shipping you cannot decline$39 RxPepsDirect provider-visit fee + $15 flat FedEx shipping charged by Optimal Balance Pharmacy — both mandatory on every order
DadVantage Men's Health$50.00Recurring visitWeight Loss Optimization follow-up subscription, medication billed separately
Aspire Health$49.00Recurring visitMonthly Medical Care
Lemonaid Health$49.00MembershipLemonaid weight loss membership (medication charged separately)
NP2GO$33.00Recurring visitprovider visit every 3 months
Citizen Meds$29.11Shipping you cannot declineUPS Next Day Air shipping, charged on every order
DrBrainRx$25.00MembershipActive Care Access (required, $25/month)
Immortals$21.74Shipping you cannot declineShipping fee (charged on the 1-month plan; included on the 3-month plan)
Vyora Wellness$20.00Shipping you cannot declinePriority Shipping — the only shipping option offered, charged on every renewal
FORM$18.00MembershipSpecial Handling, added to every monthly charge at checkout and shown on no page
VitaStir$17.39Shipping you cannot declineUPS Saver shipping (cheapest of three required shipping options, charged per order)
Collective$16.58Membershipannual membership
PeterMD$11.93Payment processingService Fee added at checkout, about 3.99% of the subtotal, disclosed on no marketing page
Nu Image Medical$11.16Shipping you cannot decline2 Day Shipping (mandatory, added at checkout; no other shipping option offered)
Lavender Sky Health$6.67Recurring visitFollow-Up Consult, required every 6 months on active treatment plans (medication billed separately)

Where a fee is billed on a cycle that is not a month — every three months, or once a year — it is restated over the same 30.4375-day month as every other figure on this site, so the column compares.

8 of them do not include the medication

This is the one worth reading twice. At these sellers the recurring fee buys access, care or a prescription — and the drug is billed on top of it.

  • Zealthy — $135.00 a month. “Zealthy Weight Loss membership, billed monthly, medication not included (standard $135/month; first month introductory)”
  • Shapely — $99.00 a month. “Shapely membership, required to access medications, medication not included”
  • Primary Clinic (Direct GLP) — $89.00 a month. “membership, with the medication billed separately”
  • Mochi Health — $80.15 a month. “Mochi Health membership (required; medication cost not included)”
  • Regenics — $79.00 a month. “Regenics membership (required; renews automatically, medication billed separately)”
  • Livea — $69.00 a month. “Livea Medical monthly access fee, mandatory and billed separately from the medication”
  • DadVantage Men's Health — $50.00 a month. “Weight Loss Optimization follow-up subscription, medication billed separately”
  • Lavender Sky Health — $6.67 a month. “Follow-Up Consult, required every 6 months on active treatment plans (medication billed separately)”

10 sellers charge something once

A one-time charge is not a membership and is not part of any monthly figure on this site. Spreading it would invent a number nobody is billed and make the answer depend on how long you assume somebody stays. It is listed instead.

SellerOnceWhat for
Midi Health$250first visit, thirty minutes, self-pay rate — covered for in-network insurance patients
DadVantage Men's Health$250initial custom consultation, which includes the first month of medication, supplies and labs
Alloy$99Initial Weight Care Consult
Vita Bella$99One-time $99 consult
Lavender Sky Health$65New Patient Consult
Synergy Rx$59Initial TeleHealth visit, charged whether or not medication is prescribed (quoted as $80 one screen earlier)
Goldspan Health$45Required GLP-1 lab panel (Quest) within 60–90 days; $75 via Labcorp or Bioreference; can be satisfied with outside results
MadeMed$39doctor visit fee, only if not prescribed
ElitePhysiqMD$39membership activation charged today, before the $89/month begins next month
The Calibrate Clinic$30physician consultation deposit, which the site does not say is credited or refunded

The fee is not the thing to worry about

If 358 of 383 sellers have no recurring fee, then hunting for one is mostly hunting for a problem the market does not have. The charge that actually moves what you pay is the billing cycle: a seller billing every four weeks charges you 13.04 times a year, not twelve, and advertises the result as a monthly price.

That is what this index exists to undo. Every price on it is restated as a real calendar month, so the comparison holds regardless of how the seller bills. See the cheapest per real month, or check a price you were quoted.