Compounded tirzepatide
Genesis Health review
Month to month, Genesis Health bills $225 for compounded tirzepatide. The $125 figure on its product page only applies if you prepay a full year. The provider visit, the medication and shipping are all inside that monthly charge, with no insurance involved.
Who it suits
Good fit if
- You want a plain monthly charge you can stop, rather than a bundle paid up front.
- You've already decided to stay on tirzepatide for a year and would rather lock in $125 a month.
- You like having brand-name Zepbound available from the same company if your plan changes.
Look elsewhere if
- You tend to cancel at the last minute. Genesis wants 15 days' notice before a billing date.
- An FDA warning letter to the company is a dealbreaker for you.
What you get
The $225 monthly plan covers the online consultation, the prescription, the tirzepatide itself and free shipping. Genesis says there are no hidden fees. Three longer plans lower the rate: quarterly, every six months and yearly, each paid in one charge at the start.
Genesis is a telehealth company based in Boynton Beach, Florida. Independent licensed providers decide whether to prescribe. The medication comes from state-licensed 503A compounding pharmacies in the U.S., the kind that prepare a drug for one named patient. The site doesn't say which pharmacy fills your order.
How it works
- Complete the online health assessment. You'll also upload a photo of a government ID and a separate photo of your face.
- A doctor or nurse practitioner reviews your history, usually within 24 hours. A few states require a short video visit first.
- If you're prescribed tirzepatide, the pharmacy takes 3 to 4 business days to prepare it and then ships it 2-day.
- Genesis says most people have their medication 8 to 10 business days after that first visit. The plan then renews on the cycle you picked.
Pros and cons
Pros
- The $225 monthly plan runs month to month, so there's no long contract to sign.
- If you're found medically ineligible at the first consultation, Genesis returns the full payment.
- Zepbound is sold through Genesis too, so a switch to the brand-name drug doesn't mean a new company.
Cons
- The FDA sent Genesis Health a warning letter in February 2026 about false or misleading claims.
- Canceling takes an email at least 15 days before your next billing date, not a button in the account.
- Once your intake is submitted and the order is in review, Genesis won't cancel or refund that order.
Check before you pay
- The 15-day cancel window
- Email Genesis at least 15 days before the next billing date. Cancel later and the charge goes through. If the box hasn't shipped, Genesis may offer a 10% account credit, and nothing once it has.
- Which plan you're paying for
- The headline $125 a month is the annual plan, billed as one charge. The monthly plan is $225. Check which one is selected before you pay.
- HSA and FSA cards
- The product page shows an “FSA & HSA Eligible” badge, but the FAQ says Genesis doesn't take FSA or HSA payments. Ask before counting on either.
- Regulatory history
- The FDA issued Genesis Health International a warning letter on February 20, 2026, about false and misleading claims and misbranding in its online sales.
- FDA warning letter
- FDA sent Genesis Health a warning letter in February 2026. Read what it covers.
Price
Genesis Health costs $225 a month for compounded tirzepatide. It advertises $125.
How we got $225
The arithmeticOne month = 30.4375 days
Genesis Health advertises
Read on Genesis Health's own site
$125.00
The card is charged $225.00, not $125.00
The advertised figure is not the amount that leaves the account.
+ $100.00
And it is charged once a calendar month
+ $0.00
A real month$225.00
A real month costs $100.00 more than the figure advertised.
Where it sits, and what costs less
$86median $269$434+
101 cheaper · 28%259 dearer · 71%
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
- Genesis Health$225
Another 96 sellers are cheaper than Genesis Health. The whole cheapest list →
What else this seller sells
The same seller appears in our data for one other medication.
- semaglutide — $175 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 721451 to Genesis Health International Inc. dba Genesis (Boynton Beach, FL). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names trygenesis.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 →
Genesis Health questions
- Is Genesis Health legit?
- Genesis Health is a Florida telehealth company. Independent licensed providers write the prescriptions and state-licensed 503A pharmacies compound them. Its tirzepatide isn't FDA-approved, which Genesis states on its own pages. The FDA sent the company a warning letter in February 2026 about misleading claims.
- How much is Genesis Health tirzepatide per month?
- $225 on the monthly plan. Prepaying brings the monthly rate down, reaching $125 a month on the annual plan. Compounded semaglutide from Genesis is $175 a month.
- Does Genesis Health take insurance?
- No. Genesis sells tirzepatide as a cash-pay plan, and the price includes the provider visit and shipping.
- Can you cancel Genesis Health?
- Yes. The subscription runs month to month. Email Genesis at least 15 days before your next billing date to stop the following charge. Charges already processed aren't refunded.