Compounded tirzepatide
Fitish review
Fitish, a Fort Worth beauty and wellness brand, sells compounded tirzepatide through its Fitish RX clinic for $339 per monthly supply. That flat price includes the provider consult and shipping. Nothing is charged until a provider approves you, but once you've paid, the sale is final.
Who it suits
Good fit if
- You want one flat monthly figure while your dose steps up.
- You'd like a program pitched at women, which is how Fitish describes its tirzepatide.
- You might prefer a lower fixed microdose, which Fitish sells as a separate, cheaper option.
Look elsewhere if
- You want the chance of a refund after checkout. Fitish treats completed sales as final.
- An FDA warning letter to the seller would rule it out for you.
What you get
Each order is a monthly supply of compounded tirzepatide, a weekly injection prepared by a state-licensed sterile compounding pharmacy. Your provider starts you low and raises the dose gradually. The price stays at $339 as that happens.
Fitish says there are no separate consult or membership fees. The care team stays available through the patient portal for dose changes and questions at no added cost. Pharmacy partners ship by FedEx or UPS Priority Overnight.
Fitish RX runs two tirzepatide options. The full-dose program is the one priced here. A microdose version stays at one low dose, never titrates up, and costs less.
How it works
- Complete the online intake. A live consultation happens only if your state requires one.
- A provider reviews your case and decides within 1 to 2 business days, messaging you if anything needs clarifying.
- If approved, your card is charged automatically and the prescription goes to the pharmacy.
- The pharmacy takes 2 to 6 business days to process, and it doesn't process orders Friday through Sunday. Fitish says to expect your box within 5 to 7 business days.
Pros and cons
Pros
- Fitish prices full-dose tirzepatide at a flat $339 a month, consult and shipping included.
- You're charged only after a Fitish RX provider approves the prescription.
- Checkout on the Fitish product page offers Sezzle, splitting the cost into 5 payments.
Cons
- The FDA sent Fitish a warning letter in June 2026 over false and misleading claims in its telehealth marketing.
- Fitish RX's refund policy calls all sales final, with exceptions only for its own verified errors.
- Pharmacy partners don't process Fitish orders Friday, Saturday or Sunday, which can slow a first shipment.
Check before you pay
- Regulatory history
- The FDA issued Fitish a warning letter on June 8, 2026, citing false and misleading claims and misbranding in its telehealth sales. Read it before you decide.
- Refund window
- Refunds apply only to errors such as a wrong product or a wrong address caused by Fitish. You have 10 days from purchase to ask.
- HSA or FSA cards
- Fitish warns that an HSA or FSA card may be declined for compounded telehealth prescriptions. It suggests paying by another card and claiming reimbursement, and a provider can write a Letter of Medical Necessity.
- FDA warning letter
- FDA sent Fitish a warning letter in June 2026. Read what it covers.
Price
Fitish costs $339 a month for compounded tirzepatide.
How we got $339
The arithmeticOne month = 30.4375 days
Fitish advertises
Read on Fitish's own site
$339.00
The card is charged $339.00 — exactly what it advertises
+ $0.00
And it is charged once a calendar month
+ $0.00
A real month$339.00
Reconciles exactly — the advertised figure is a real month.
Where it sits, and what costs less
$86median $269$434+
273 cheaper · 75%88 dearer · 24%
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
- Fitish$339
Another 268 sellers are cheaper than Fitish. The whole cheapest list →
Where it says it operates
Listed in 50 states, all but 1 of the 51 we track.
State pages this seller appears on: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
What else this seller sells
The same seller appears in our data for one other medication.
- semaglutide — $219 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 728280 to FITISH (Fort Worth, TX). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names fitish.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 →
Fitish questions
- Is Fitish legit for tirzepatide?
- Fitish is a Texas wellness brand whose products sell at Neiman Marcus. Its Fitish RX clinic works with a telehealth platform of licensed, board-certified providers. State-licensed compounding pharmacies fill the prescriptions. The FDA sent Fitish a warning letter in June 2026. Its tirzepatide is compounded, so it isn't Zepbound or Mounjaro and has no FDA approval.
- How much does Fitish tirzepatide cost?
- $339 for a monthly supply, flat as your dose rises. The provider consult, the medication and shipping are included, with no membership fee. The lower-dose microdose option costs less.
- Does Fitish take insurance?
- No. Fitish RX is direct-pay only. Some HSA or FSA cards go through at checkout and some don't.
- How long does Fitish take to ship tirzepatide?
- A provider decides within 1 to 2 business days. The pharmacy then needs 2 to 6 business days, excluding Fridays and weekends, and ships overnight. Fitish's own estimate is 5 to 7 business days in total.