Compounded tirzepatide
Citizen Meds review
Citizen Meds sells tirzepatide as a four-injection homekit, one month's dose per box. The first box is $145 as a one-off, or $116 on a subscription that ships every 23 days. With the UPS overnight fee added to every order, the subscription comes to about $183 a month at 2.5 mg.
Who it suits
Good fit if
- You like buying a box at a time and seeing each month's price listed before you start.
- You're comfortable with a formula that adds glycine and vitamin B12 to the tirzepatide.
- You want overnight delivery as the standard option, not an upgrade.
Look elsewhere if
- You want one flat price, since each month's higher dose costs more.
- You'd want a refund if you change your mind, because Citizen Meds sells nothing refundable once a doctor approves it.
- You plan to claim the cost through an HSA or FSA that asks for a doctor's note.
What you get
Each homekit holds four weekly injections of tirzepatide with glycine and B12, plus syringes, alcohol pads and telehealth access. The formula is light pink because of the B12. Citizen Meds says the glycine is there to help hold on to muscle and the B12 to ease nausea.
The kits follow a fixed titration. Everyone starts on Month 1 at 2.5 mg, and later kits step up through 5, 7.5, 10 and 12.5 mg to 15 mg. On the subscription, the top kit works out to about $606 a month with shipping.
The medication is compounded under Section 503A for one named patient, though the pharmacy isn't named on the site. Doctors Wasef, Batool, Jafri and Sakla are listed as the physicians, with Dr. Jafri as medical director.
How it works
- Add the Month 1 kit to your cart and pick one-time or the subscription. Then choose UPS Next Day Air or the pricier early-morning option.
- Complete the medical form at checkout. A physician may call within 24 hours if something needs clarifying. If not, there's no call at all.
- Once the doctor approves the order, it's packed within 48 hours. Citizen Meds says the pharmacy can take up to five business days to process.
- On the subscription, the next kit ships every 23 days, and the dose moves up each month unless you email support to hold it.
Pros and cons
Pros
- Every Citizen Meds dose is priced on the product page, from the 2.5 mg kit up to 15 mg.
- The subscription is 20% below the one-time price at each of the six doses.
- Any order a Citizen Meds physician declines is refunded right away, according to its refund policy.
Cons
- The UPS Next Day Air fee is charged on each order, so it recurs with every kit on the 23-day plan.
- Citizen Meds' refund policy says all products are non-refundable once approved.
- Citizen Meds moves subscribers up a dose each month by default, and the price rises with it.
Check before you pay
- The automatic dose increase
- Citizen Meds' FAQ says subscribers move up a dose every month unless they email support. If you want to stay at your current strength, ask before the next kit ships.
- Subscription timing
- Each kit holds four weekly injections, yet the subscription ships every 23 days. Kits can arrive faster than you use them, so check your supply before each renewal.
- Report problems fast
- Inspect the box when it arrives. Delivery or product issues have to be reported by email within 48 hours.
Price
Citizen Meds costs $183 a month for compounded tirzepatide. It advertises $145. The card is charged $116 every 23 days. That is the starting dose; it rises to $606 at the top of its range.
How we got $183
The arithmeticOne month = 30.4375 days
Citizen Meds advertises
Read on Citizen Meds's own site
$145.00
The card is charged $116.00, not $145.00
The advertised figure is not the amount that leaves the account.
− $29.00
And it is charged every 23 days, not every month
15.88 charges a year, not twelve.
+ $37.51
UPS Next Day Air shipping, charged on every order is billed separately and cannot be declined
A charge you cannot avoid is part of what the medication costs.
+ $29.11
A real month$182.62
A real month costs $37.62 more than the figure advertised.
The price above is the starting dose, and it rises as your dose does. At the top of the range this seller publishes, a month costs $606.
Where it sits, and what costs less
$86median $269$434+
49 cheaper · 13%314 dearer · 86%
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
- Citizen Meds$183
Another 44 sellers are cheaper than Citizen Meds. The whole cheapest list →
What else this seller sells
The same seller appears in our data for one other medication.
- semaglutide — $161 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.
Citizen Meds questions
- Is Citizen Meds legit?
- Citizen Meds is a telehealth seller that names four physicians on its site, one of them its medical director. Its tirzepatide is compounded under Section 503A for individual patients. It isn't the FDA-approved Zepbound or Mounjaro, and the product page says it isn't affiliated with Eli Lilly.
- How much is Citizen Meds tirzepatide per month?
- The 2.5 mg kit is $145 one-time or $116 on the subscription. Counting the overnight shipping on every order, the subscription runs about $183 a month. Higher doses cost more. Its compounded semaglutide starts at about $161 a month on the same terms.
- Does Citizen Meds take insurance?
- No. It accepts HSA and FSA cards but gives only a plain purchase receipt, with no physician notes or extra forms.
- Can you cancel Citizen Meds?
- Nothing forces a subscription, since each kit can be bought one-time. Subscribers manage changes by emailing support. Orders already approved can't be refunded.