Compounded tirzepatide

MadeMed review

By ·Editor·Reviewed

MadeMed has no month-to-month tirzepatide plan. The shortest option is Quarterly, which bills $1197 every 3 months and works out to $399 a month at every dose from 2.5 mg to 15 mg. Each vial comes mixed with L-Carnitine, and overnight shipping is included.

A real month costs$399advertised $369 +$30.00 gap
EvidenceVerified
Billing cycle3-mo
Price across dosesSame at every dose
Where it shipsNot stated
FDA warning letterNone found
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On this page

Who it suits

Good fit if

  • You expect to climb toward 10 mg or 15 mg and want the price to stay put while you do.
  • You're happy to pay for three months at once in exchange for one fixed figure.
  • You like the idea of L-Carnitine in the vial at no added cost.

Look elsewhere if

  • You want to try tirzepatide for a single month before committing.
  • You live outside the 23 states MadeMed lists for injectable tirzepatide.
  • You'd rather have a plain tirzepatide formula with nothing added.

What you get

Each Quarterly charge covers the tirzepatide vial with L-Carnitine, a physician consultation, syringes, alcohol swabs and overnight shipping in temperature-controlled packaging. MadeMed ships one vial every two months, and your dose changes only when you ask for a step up. The six-month plan brings the monthly figure down to $369.

MadeMed, run by IDL Health LLC, handles the website and billing. Physicians from Xpedicare, a separate medical group, do the prescribing. The vials are compounded by licensed U.S. pharmacies, which the site doesn't name, so this is not brand Mounjaro or Zepbound.

How it works

  1. Answer a short health questionnaire, which MadeMed says takes about five minutes. No video call is required.
  2. A board-certified physician reviews it, usually within 24 hours. If you aren't prescribed, you get a full refund minus a small doctor visit fee.
  3. Once approved, the pharmacy ships your vial overnight with all the injection supplies.
  4. You start at 2.5 mg. Your care team reviews each step up when you request it, typically no sooner than every four weeks.
  5. MadeMed emails you seven days before each quarterly charge, with options to pause, skip or cancel.

Pros and cons

Pros

  • Every dose from 2.5 mg to 15 mg costs the same $399 a month on the Quarterly plan.
  • L-Carnitine is added to every MadeMed tirzepatide vial at no extra charge.
  • You get an email 7 days before every charge, with options to pause, skip or cancel.

Cons

  • No monthly plan: the smallest MadeMed purchase is $1197 billed every 3 months.
  • Injectable tirzepatide is offered in only 23 states, per MadeMed's own FAQ.
  • Once the pharmacy dispenses it, a MadeMed order is final and can't be refunded or returned.

Check before you pay

Your state
MadeMed's tirzepatide FAQ lists 23 states, including Florida, Texas, New York and Illinois. California is not on it. Check the list before you start the intake.
If you aren't prescribed
MadeMed refunds the payment minus a doctor visit fee. That fee is kept even though you receive no medication.
Pausing and canceling
Cancel with one click from your dashboard. A pause stops billing right away, not at the next cycle. Medication that has already shipped can't be returned.

Price

MadeMed costs $399 a month for compounded tirzepatide. It advertises $369. The card is charged $1197 every 3 months.

How we got $399

The arithmeticOne month = 30.4375 days

  1. MadeMed advertises

    Read on MadeMed's own site

    $369.00

  2. The card is charged $1197.00, not $369.00

    The advertised figure is not the amount that leaves the account.

    + $828.00

  3. And it is charged every 3 months, not every month

    4 charges a year, not twelve.

    − $798.00

A real month$399.00

A real month costs $30.00 more than the figure advertised.

There is also $39 once — doctor visit fee, only if not prescribed. You pay it a single time, so it is not part of the monthly figure above and does not change where this seller ranks.

Where it sits, and what costs less

$86median $269$434+

322 cheaper · 88%25 dearer · 7%

The most expensive 10 sellers charge between $434 and $649 a month.

  1. Collective$86
  2. Teleios Health$99
  3. Valhalla Vitalitystarting dose$99
  4. RxPepsDirectstarting dose$100
  5. WeightRxstarting dose$125
  6. MadeMed$399

Another 317 sellers are cheaper than MadeMed. The whole cheapest list →

Where it says it operates

The Services are subject to state law and may not be available in your state. Certain medications or clinical services may not be available in all states due to state-specific restrictions.

Read on its own site in August 2026. It names no state.

What else this seller sells

The same seller appears in our data for one other medication.

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.

MadeMed questions

Is MadeMed legit?
MadeMed is a LegitScript-certified telehealth platform operated by IDL Health LLC. Physicians at the Xpedicare medical group prescribe, and licensed U.S. compounding pharmacies fill the orders. The tirzepatide is compounded, so it is not FDA-approved Mounjaro or Zepbound.
How much is MadeMed tirzepatide per month?
$399 a month on the Quarterly plan, charged as $1197 every 3 months. That covers the vial, supplies, the physician consult and shipping. The six-month plan lowers it to $369 a month.
Does MadeMed take insurance?
No. MadeMed doesn't accept insurance, FSA or HSA cards. You pay the plan price directly.
Can you cancel MadeMed?
Yes, from your dashboard in one click. You can also pause, which stops billing immediately. Orders already dispensed by the pharmacy are final.