Compounded tirzepatide

Compounded tirzepatide without a membership fee

Quick answer

360 of the 382 sellers in this index charge no separate mandatory recurring fee at all. 22 do, at a median of $60.37 a month. So “no membership fee” is a selling point against a charge that 94% of the market does not have — and 5 of the 22 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 22 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 22 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
Vita Bella$130.88MembershipVita Bella membership fee, required to access medication pricing ($179/month for California residents)
Shapely$100.44MembershipShapely membership, required to access medications, medication not included
Alloy$99.00MembershipAlloy Weight Care membership (doctor messaging, dose adjustments, refills)
Eden$99.00MembershipEden Membership, required, auto-renewing (first month $39)
ElitePhysiqMD$90.30MembershipElitePhysiq MD Membership (required; renews automatically)
Primary Clinic (Direct GLP)$89.00Membershipmembership, with the medication billed separately
Wholesome Clinic$81.53Recurring visitFollow-up visit, typically scheduled every 4 weeks
Mochi Health$80.15MembershipMochi Health membership (required; medication cost not included)
Regenics$79.00Membershipmembership the seller states is required to buy medication at all
Ivim Health$76.09MembershipIvím Membership — mandatory, first month free then $75/mo
Livea$70.01MembershipLivea Medical monthly access fee, mandatory and billed separately from the medication
DadVantage Men's Health$50.73Recurring visitWeight Loss Optimization follow-up subscription, medication billed separately
Aspire Health$49.00Recurring visitMonthly Medical Care
NP2GO$33.00Recurring visitprovider visit every 3 months
DrBrainRx$25.36MembershipCompounded Medication Membership (required to purchase)
Citizen Meds$23.92Shipping you cannot declineUPS Next Day Air shipping, charged on every order
Immortals$21.74Shipping you cannot declineShipping fee (charged on the 1-month plan; included on the 3-month plan)
Vyora Wellness$20.29Shipping you cannot declinePriority Shipping — the only shipping method offered, billed $20.00 / month on every renewal per the checkout's Recurring totals (included in the 419 billed_amount)
Collective$16.58Membershipannual membership
RxPepsDirect$15.22Shipping you cannot declineovernight shipping, charged by the pharmacy per order
PeterMD$12.10Payment 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)

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.

6 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.

  • Vita Bella$130.88 a month. Vita Bella membership fee, required to access medication pricing ($179/month for California residents)
  • Shapely$100.44 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)
  • Livea$70.01 a month. Livea Medical monthly access fee, mandatory and billed separately from the medication
  • DadVantage Men's Health$50.73 a month. Weight Loss Optimization follow-up subscription, medication billed separately

13 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
Rivas Medical Weight Loss$195initial visit fee for new patients
Wholesome Clinic$149Initial medical weight loss evaluation
Alloy$99Initial Weight Care Consult
Vita Bella$99One-time consultation fee to start
Synergy Rx$59Initial TeleHealth visit, charged whether or not medication is prescribed (quoted as $80 one screen earlier)
ZYP Medical$50Deep Dive consult, required to start and non-refundable (the pricing footnote on the same page says $75; a $29.99 Power Consult is offered to experienced GLP-1 patients, quoted as $39.99 in that same footnote)
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
Oxford's Medical Weight Loss (The Calibrate Clinic)$30physician consultation deposit, which the site does not say is credited or refunded
KERNX Health$25provider consultation fee for a message-based review

The fee is not the thing to worry about

If 360 of 382 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.