Compounded tirzepatide
Bliv review
Bliv sells compounded tirzepatide by the vial, not by the month. The starter vial costs $599 and is dosed to last 12 weeks, which is where the $199 a month headline comes from. On that schedule you pay about $217 a month, but the vial runs out sooner at higher doses.
Who it suits
Good fit if
- You're starting tirzepatide and want one purchase to cover the first three months.
- You'd rather skip phone calls and video visits entirely.
- You want to spread the cost with CareCredit or Klarna.
Look elsewhere if
- You're already on a high dose, since one vial covers as little as four weeks at 15 mg.
- You want a seller with no FDA warning letter on record.
- You'd like a refund window longer than 72 hours.
What you get
Each Bliv tirzepatide order is one vial at one price, whatever strength your plan uses. What changes is how long the vial lasts. The Starter plan steps from 2.5 mg to 7.5 mg over 12 weeks, and a steady 5 mg plan also lasts 12 weeks. At 7.5 mg a vial lasts 8 weeks, at 10 mg 6 weeks, and at 15 mg just 4.
At checkout you can buy one vial, buy two at a discount, or choose Subscribe and Save. That last option takes 10% off each vial and makes consultations free when you reorder within 90 days.
Bliv says the tirzepatide is compounded and dispensed by licensed U.S. pharmacies. Shipping is free and typically takes 3 to 5 days, in discreet packaging.
How it works
- Start the online consultation and choose tirzepatide. There's no phone call or video visit.
- Answer the medical intake. A U.S.-licensed clinician reviews it, usually within a day.
- Pick your plan and how many vials to buy, then pay by card or with a pay-later option.
- If you're approved, a U.S. pharmacy fills the prescription and ships it to you.
- Reorder when the vial runs low. Subscribe and Save reorders within 90 days skip the consultation charge.
Pros and cons
Pros
- One Bliv tirzepatide vial covers 12 weeks on the Starter plan, from 2.5 mg up to 7.5 mg.
- No phone call or video visit is needed, and Bliv says approval usually comes within 24 hours.
- Subscribe and Save cuts 10% off every Bliv vial and waives consultations on reorders within 90 days.
Cons
- At 15 mg the same $599 Bliv vial lasts only 4 weeks instead of 12.
- In February 2026 the FDA issued a warning letter to Bliv Wellness LLC over false or misleading claims.
- After 72 hours, Bliv refunds only for medical reasons, minus a coordination charge.
Check before you pay
- FDA warning letter
- The FDA sent Bliv Wellness LLC, doing business as Bliv, a warning letter dated February 20, 2026, about false and misleading claims. You can read it on the FDA's warning letter pages.
- How long your vial lasts
- The price is per vial, not per month. Ask how many weeks your prescribed dose gets from one vial before you compare it with monthly sellers.
- Fees and refunds
- Bliv's refund policy mentions a fee for provider consultations and deducts a coordination charge from qualifying refunds. CareCredit's service fee is not refundable. Read the order summary before you pay.
- FDA warning letter
- FDA sent Bliv a warning letter in February 2026. Read what it covers.
Price
Bliv costs $217 a month for compounded tirzepatide. It advertises $199. The card is charged $599 every 12 weeks. That is the starting dose, and it rises as your dose does.
How we got $217
The arithmeticOne month = 30.4375 days
Bliv advertises
Read on Bliv's own site
$199.00
The card is charged $599.00, not $199.00
The advertised figure is not the amount that leaves the account.
+ $400.00
And it is charged every 12 weeks, not every month
4.35 charges a year, not twelve.
− $381.95
A real month$217.05
A real month costs $18.05 more than the figure advertised.
The price above is the starting dose, and it rises as your dose does. This seller does not publish how far, so treat it as an entry price rather than what you will be paying in six months.
Where it sits, and what costs less
$86median $269$434+
89 cheaper · 24%274 dearer · 75%
The most expensive 10 sellers charge between $434 and $649 a month.
- Collective$86
- Teleios Health$99
- Valhalla Vitalitystarting dose$99
- RxPepsDirectstarting dose$100
- WeightRxstarting dose$125
- Bliv$217
Another 84 sellers are cheaper than Bliv. The whole cheapest list →
What else this seller sells
The same seller appears in our data for one other medication.
- semaglutide — $126 a month
Each figure is a real month for that medication, and none of it is part of the compounded tirzepatide price above. How the two molecules compare at every seller that sells both: compounded tirzepatide vs compounded semaglutide.
FDA has written to this seller
In , FDA sent warning letter 721479 to Bliv Wellness LLC dba Bliv (Ogden, UT). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names joinbliv.com — the same site this page links to.
This seller stays in the index, at its real price. A warning letter is something you should see and weigh for yourself — an index that quietly dropped the worst records would be least useful exactly when it matters most. How we screen for these →
Bliv questions
- Is Bliv legit?
- Bliv is run by Bliv Wellness LLC, which says U.S.-licensed clinicians review each intake and licensed U.S. pharmacies compound the tirzepatide. The FDA issued a warning letter to Bliv Wellness LLC on February 20, 2026, citing false and misleading claims. Compounded tirzepatide is not FDA-approved.
- How much is Bliv tirzepatide per month?
- A vial costs $599. On the 12-week Starter plan that works out to about $217 a month. At higher doses the vial runs out faster, so the monthly cost rises.
- Can you cancel Bliv?
- Bliv advertises no contracts and no cancellation fees. For a full refund, cancel within 72 hours of purchase, before services start and before the order reaches the pharmacy.
- Does Bliv offer payment plans?
- Yes. Bliv takes CareCredit, with 24 months at 0% on eligible plans, and Klarna split payments. CareCredit orders carry a service fee that isn't refunded.