Compounded tirzepatide
DrBrainRx review
DrBrainRx sells a month of compounded tirzepatide for $299, and every patient also keeps a required Care Access plan, so a real month costs $324. The medication itself never renews on its own. You ask for each refill when you want it, and only the care plan bills automatically.
Who it suits
Good fit if
- You want to decide on every refill yourself instead of being shipped a vial on a schedule.
- You expect to climb toward 15 mg, since the Monthly Flex price is the same at every dose DrBrainRx lists.
- You like the idea of a practice led by a neurologist who is also board-certified in obesity medicine.
Look elsewhere if
- You live outside the 21 states where DrBrainRx currently prescribes.
- You're comparing the $249 headline with other sellers. That rate needs a six-month bundle paid upfront.
- You want shipping built into the price, because DrBrainRx adds it at checkout.
What you get
The Monthly Flex plan is one tirzepatide order at a time for $299. Weekly doses run from 2.5 mg to 15 mg, and DrBrainRx's homepage says there are no price hikes as the dose goes up. The Care Access plan on top covers physician oversight, dose changes, side-effect help and refill access.
Two bundles lower the medication price. The 3-Month Momentum plan ships a full three-month supply together. The 6-Month Premier plan, the source of the $249 headline, ships in two three-month boxes with a short clinical check-in between them. A bundle may hold stronger vials than you need, and the team can give you instructions for injecting a smaller amount.
DrBrainRx was founded by Dr. Sara Siavoshi, who is board-certified in neurology, headache medicine and obesity medicine. The tirzepatide is compounded by a pharmacy that follows USP standards, with certificate-of-analysis testing for sterility and potency. Orders ship cold-packed.
How it works
- Choose Monthly Flex or a bundle on the tirzepatide page and check out.
- Complete the medical intake. A DrBrainRx provider reviews it and sets your starting dose.
- You must be physically in one of DrBrainRx's licensed states when the prescription is written. After that, the medication can ship to any state.
- The vial ships cold from a U.S. compounding pharmacy, with dosing guides and self-injection videos.
- When you're ready for more, request a refill. On Monthly Flex nothing ships or bills until you do.
Pros and cons
Pros
- Monthly Flex never auto-ships tirzepatide, so you're only charged $299 when you ask for a refill.
- One price covers every weekly dose from 2.5 mg to 15 mg, with no step up as you climb.
- Care Access can be canceled at any time, and DrBrainRx charges no cancellation fee.
Cons
- The required Care Access plan lifts every month from $299 to $324.
- DrBrainRx currently prescribes in 21 states, so many buyers can't start treatment at all.
- Shipping isn't included; DrBrainRx calculates it at checkout on top of the listed price.
Check before you pay
- Where you are when prescribed
- The current prescribing states are CA, FL, KY, ME, MA, MI, MN, MT, NV, NH, NY, OH, RI, SC, TX, UT, WY, CO, NC, IN and NE. You need to be in one of them at the time of prescribing.
- Bundle deadlines
- A 3-month bundle has to be used within three months of purchase, and a 6-month bundle within six. The clock starts on the day you buy.
- Refunds
- Shipped medication can't be returned or refunded. The only exception is a pharmacy error reported within 72 hours of delivery, and care fees aren't refunded once service starts.
- Promotional codes
- Bundle prices can't be combined with new-patient or other discount codes. Eligible codes work only on Monthly Flex.
Price
DrBrainRx costs $324 a month for compounded tirzepatide. It advertises $249. The difference is a charge you cannot decline.
How we got $324
The arithmeticOne month = 30.4375 days
DrBrainRx advertises
Read on DrBrainRx's own site
$249.00
The card is charged $299.00, not $249.00
The advertised figure is not the amount that leaves the account.
+ $50.00
And it is charged once a calendar month
+ $0.00
Active Care Access (required, $25/month) is billed separately and cannot be declined
A charge you cannot avoid is part of what the medication costs.
+ $25.00
A real month$324.00
A real month costs $75.00 more than the figure advertised.
Where it sits, and what costs less
$86median $269$434+
261 cheaper · 72%102 dearer · 28%
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
- DrBrainRx$324
Another 256 sellers are cheaper than DrBrainRx. The whole cheapest list →
What else this seller sells
The same seller appears in our data for one other medication.
- semaglutide — $224 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.
DrBrainRx questions
- Is DrBrainRx legit?
- DrBrainRx is a physician-led telehealth practice founded by Dr. Sara Siavoshi, a neurologist with a board certification in obesity medicine. Prescriptions come from its licensed providers and are filled by U.S. compounding pharmacies. Its tirzepatide is compounded, so it isn't Zepbound or Mounjaro and isn't FDA-approved, as DrBrainRx's own product page says.
- How much is DrBrainRx tirzepatide per month?
- $299 for a month on the Monthly Flex plan, plus the required Care Access plan, for $324 in total. Shipping is added at checkout. The $249 figure is the monthly equivalent of the six-month bundle, paid upfront.
- Does DrBrainRx take insurance?
- Not for compounded tirzepatide, which is cash-pay. DrBrainRx runs a separate insurance concierge that files prior authorizations for brand-name drugs, and a Lilly Direct track for Zepbound.
- Can you cancel DrBrainRx?
- Yes. Care Access is the only recurring charge and can be canceled at any time without a fee. On Monthly Flex there's no medication subscription to stop, since each refill is a new request.