Compounded tirzepatide
Lean Rx review
Lean Rx's Pay As You Go plan charges $449 for each vial of compounded tirzepatide, billed every four weeks, which works out to about $488 a calendar month. You meet a provider on a short video call before paying anything beyond a token consultation fee. The plan asks for six vials, or 24 weeks, before you can cancel.
Who it suits
Good fit if
- You'd like to talk to a provider face to face on video before you commit money to a plan.
- You plan to stay on tirzepatide for at least six months anyway, so the 24-week minimum costs you nothing extra.
- You want to pay with an HSA or FSA card.
Look elsewhere if
- You want the freedom to stop after the first month without finishing a commitment.
- You expect to need more than 50 units a week, which Lean Rx charges extra for.
- You'd rather be billed once a calendar month than every 28 days.
What you get
Each Pay As You Go shipment is one vial meant to last four weeks, sent with syringes and alcohol wipes. Shipping is free on this plan and goes out overnight in a cold pack. Lean Rx compounds its tirzepatide with glycine and vitamin B-12, and says the added nutrients support energy and blood sugar control.
The vials come from state-licensed sterile compounding pharmacies or FDA-registered 503B outsourcing facilities, according to Lean Rx's FAQ. No specific pharmacy is named. The typical schedule is 25 units a week for the first month, then 50 units from week five. Going above 50 units adds a charge for each extra vial.
How it works
- Book a video consultation online. Lean Rx charges a one-dollar fee for it and says calls run about 15 minutes.
- Fill in the health history questionnaire that arrives by email after you book.
- Meet a board-certified provider on the call. If tirzepatide is appropriate, you pick a plan length and pay at the end.
- Your first order takes about seven days to process, then ships overnight. Lean Rx quotes 7 to 10 days in total.
- Later vials ship automatically every 28 days, without the first-order processing wait.
Pros and cons
Pros
- A live video call with a Lean Rx provider comes before any real payment, and the consultation costs a single dollar.
- Shipping is free on Pay As You Go, while the 4-week one-off purchase adds an overnight shipping charge.
- HSA and FSA cards work at Lean Rx, along with all major credit cards.
Cons
- Pay As You Go locks you in for 24 weeks, which is six vials, before canceling is allowed.
- Lean Rx treats every sale as final, with no returns, exchanges or refunds on medication.
- Doses above 50 units a week cost extra per vial every four weeks, on top of $449.
Check before you pay
- The 24-week commitment
- The plan card says you can cancel at any time after 24 weeks. Budget for six charges of $449 before you sign up.
- Billing every four weeks
- Charges land every 28 days, not on the same date each month. That comes to 13 payments across a year.
- Glycine and B-12
- Lean Rx mixes both into its tirzepatide as standard. Raise it on your video call if either is a problem for you.
- Higher doses
- Ask the provider where your dose is likely to end up. Anything past 50 units a week means paying for an additional vial.
Price
Lean Rx costs $488 a month for compounded tirzepatide. It advertises $449. The card is charged $449 every 4 weeks. That is the starting dose; it rises to $651 at the top of its range.
How we got $488
The arithmeticOne month = 30.4375 days
Lean Rx advertises
Read on Lean Rx's own site
$449.00
The card is charged $449.00 — exactly what it advertises
+ $0.00
And it is charged every 4 weeks, not every month
13.04 charges a year, not twelve.
+ $39.09
A real month$488.09
A real month costs $39.09 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 $651.
Where it sits, and what costs less
$86median $269$434+
359 cheaper · 99%4 dearer · 1%
Lean Rx costs more than this chart is drawn to show, so its bar sits in the final column rather than at its true position. The chart stops at $434 because 10 sellers charge more than that, up to $649.
- Collective$86
- Teleios Health$99
- Valhalla Vitalitystarting dose$99
- RxPepsDirectstarting dose$100
- WeightRxstarting dose$125
- Lean Rx$488
Another 354 sellers are cheaper than Lean Rx. The whole cheapest list →
What else this seller sells
The same seller appears in our data for one other medication.
- semaglutide — $325 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.
Lean Rx questions
- Is Lean Rx legit?
- Lean Rx is a telehealth weight-loss clinic that prescribes after a live video visit with a board-certified provider. It prescribes only compounded tirzepatide and semaglutide, filled by licensed compounding pharmacies or 503B outsourcing facilities. Compounded tirzepatide isn't Zepbound or Mounjaro and has no FDA approval, which Lean Rx states on its own site.
- How much is Lean Rx tirzepatide per month?
- $449 per vial on Pay As You Go, charged every 28 days. Spread over a calendar month, that's about $488. Shipping is included. Prepaid 12-week and 48-week packages lower the per-vial cost, and Lean Rx's semaglutide averages $325 a month.
- Does Lean Rx take insurance?
- No. Lean Rx is self-pay. It accepts HSA and FSA cards and major credit cards, but not cash, and it has no payment plans.
- Can you cancel Lean Rx?
- Yes, once you've completed the first 24 weeks of Pay As You Go. After that the subscription keeps renewing until you tell Lean Rx to stop. Medication already shipped can't be returned or refunded.