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.
| Seller | Fee / month | What it is | In the seller’s words |
|---|---|---|---|
| Zealthy | $135.00 | Membership | Zealthy Weight Loss membership, billed monthly, medication not included (standard $135/month; first month introductory) |
| Vita Bella | $129.00 | Membership | Vita Bella membership fee ($129/mo), required for members-only medication pricing |
| Alloy | $99.00 | Membership | Alloy Weight Care membership (doctor messaging, dose adjustments, refills) |
| Shapely | $99.00 | Membership | Shapely membership, required to access medications, medication not included |
| Primary Clinic (Direct GLP) | $89.00 | Membership | membership, with the medication billed separately |
| ElitePhysiqMD | $89.00 | Membership | ElitePhysiq MD Membership (required; renews automatically) |
| Mochi Health | $80.15 | Membership | Mochi Health membership (required; medication cost not included) |
| Regenics | $79.00 | Membership | Regenics membership (required; renews automatically, medication billed separately) |
| Ivim Health | $74.99 | Membership | Ivím membership, required: "ongoing membership for only $74.99/ month" (first month free) |
| Livea | $69.00 | Membership | Livea Medical monthly access fee, mandatory and billed separately from the medication |
| RxPepsDirect | $54.79 | Shipping 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 | $50.00 | Recurring visit | Weight Loss Optimization follow-up subscription, medication billed separately |
| Aspire Health | $49.00 | Recurring visit | Monthly Medical Care |
| Lemonaid Health | $49.00 | Membership | Lemonaid weight loss membership (medication charged separately) |
| NP2GO | $33.00 | Recurring visit | provider visit every 3 months |
| Citizen Meds | $29.11 | Shipping you cannot decline | UPS Next Day Air shipping, charged on every order |
| DrBrainRx | $25.00 | Membership | Active Care Access (required, $25/month) |
| Immortals | $21.74 | Shipping you cannot decline | Shipping fee (charged on the 1-month plan; included on the 3-month plan) |
| Vyora Wellness | $20.00 | Shipping you cannot decline | Priority Shipping — the only shipping option offered, charged on every renewal |
| FORM | $18.00 | Membership | Special Handling, added to every monthly charge at checkout and shown on no page |
| VitaStir | $17.39 | Shipping you cannot decline | UPS Saver shipping (cheapest of three required shipping options, charged per order) |
| Collective | $16.58 | Membership | annual membership |
| PeterMD | $11.93 | Payment processing | Service Fee added at checkout, about 3.99% of the subtotal, disclosed on no marketing page |
| Nu Image Medical | $11.16 | Shipping you cannot decline | 2 Day Shipping (mandatory, added at checkout; no other shipping option offered) |
| Lavender Sky Health | $6.67 | Recurring visit | Follow-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.
| Seller | Once | What for |
|---|---|---|
| Midi Health | $250 | first visit, thirty minutes, self-pay rate — covered for in-network insurance patients |
| DadVantage Men's Health | $250 | initial custom consultation, which includes the first month of medication, supplies and labs |
| Alloy | $99 | Initial Weight Care Consult |
| Vita Bella | $99 | One-time $99 consult |
| Lavender Sky Health | $65 | New Patient Consult |
| Synergy Rx | $59 | Initial TeleHealth visit, charged whether or not medication is prescribed (quoted as $80 one screen earlier) |
| Goldspan Health | $45 | Required GLP-1 lab panel (Quest) within 60–90 days; $75 via Labcorp or Bioreference; can be satisfied with outside results |
| MadeMed | $39 | doctor visit fee, only if not prescribed |
| ElitePhysiqMD | $39 | membership activation charged today, before the $89/month begins next month |
| The Calibrate Clinic | $30 | physician 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.