Compounded tirzepatide
OnlyRx review
OnlyRx sells compounded tirzepatide injections for $249 a shipment, charged every 28 days. Spread over a calendar month, that's about $271. The consult, the prescription and shipping are part of the price, and there's no membership fee.
Who it suits
Good fit if
- You want one all-in figure with no membership charge stacked on top.
- You'd like to pay from an HSA or FSA account.
- You want the pharmacy names in front of you before you order, since OnlyRx lists four.
Look elsewhere if
- You expect a prepaid bundle to lower the cost. At OnlyRx, the 3-, 6- and 12-month tirzepatide bundles all work out higher per month than paying as you go.
- You might want your money back after paying, because the consent you sign in the intake says there are no refunds or exchanges.
- You need medication within days. OnlyRx's own FAQ puts the whole process at roughly two to three weeks.
What you get
Tirzepatide here is injected once a week. OnlyRx says its price covers the consult, the prescription process and delivery, and every medication order ships free in discreet packaging. Insurance isn't billed. You pay by card, from an HSA or FSA, or with a buy-now-pay-later plan.
OnlyRx calls itself a technology platform rather than a medical practice or a pharmacy. Prescribing decisions belong to Lion MD, a network of independent licensed providers, and the site names its lead physicians. State-licensed compounding pharmacies make the vials. The FAQ lists Belmar Pharmacy, Strive Pharmacy, Epiq Scripts and Casa Pharma Rx.
A tirzepatide ODT, a daily tablet that dissolves in the mouth, is sold as a separate product at a higher price.
How it works
- Start the online medical questionnaire. OnlyRx says it takes about five minutes, beginning with a BMI check.
- Pick tirzepatide injections and a plan length. The monthly plan is the shortest option, and the longer bundles are charged in full up front.
- A licensed provider reviews your answers. OnlyRx says every form is looked at within 24 hours.
- If you're prescribed, a partner pharmacy ships the medication to your door.
- Your plan then renews on its own until you cancel.
Pros and cons
Pros
- OnlyRx names four partner pharmacies, including Belmar and Strive, so you can look them up before ordering.
- The $249 shipment price carries no membership fee, and OnlyRx includes the consult and shipping.
- Lion MD's lead physicians are named on the site along with their NPI numbers.
Cons
- Charges land every 28 days, so a year of tirzepatide at OnlyRx means 13 payments instead of 12.
- The OnlyRx intake consent says every program auto-renews and that there are no refunds or exchanges.
- Longer OnlyRx bundles cost more per month than the monthly plan, so prepaying saves nothing.
Check before you pay
- Renewals and refunds
- The payment consent in the intake says every program renews automatically unless you ask to cancel before the payment is processed. It also says there are no refunds or exchanges. If you plan to stop, cancel well ahead of the next charge.
- Which plan length to pick
- The monthly plan is the cheapest way to buy tirzepatide at OnlyRx. Each prepaid bundle averages more per month and is charged in one payment.
- The name on your card charge
- The financial consent names CareGLP, a company owned by OnlyRx, as the business authorized to charge your card.
Price
OnlyRx costs $271 a month for compounded tirzepatide. It advertises $249. The card is charged $249 every 4 weeks.
How we got $271
The arithmeticOne month = 30.4375 days
OnlyRx advertises
Read on OnlyRx's own site
$249.00
The card is charged $249.00 — exactly what it advertises
+ $0.00
And it is charged every 4 weeks, not every month
13.04 charges a year, not twelve.
+ $21.68
A real month$270.68
A real month costs $21.68 more than the figure advertised.
Where it sits, and what costs less
$86median $269$434+
189 cheaper · 52%169 dearer · 46%
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
- OnlyRx$271
Another 184 sellers are cheaper than OnlyRx. The whole cheapest list →
Where it says it operates
We currently serve patients in all 50 U.S. states.
Read on its own site in August 2026. That is the seller’s own promise for the whole country, so confirm your state when you sign up.
State pages this seller appears on: AL AK AZ AR CA CO CT DE DC 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 — $195 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.
OnlyRx questions
- Is OnlyRx legit?
- OnlyRx is a telehealth platform with an office in Irvine, California. It doesn't prescribe or compound anything itself. Independent providers in the Lion MD network make the prescribing decisions, and state-licensed compounding pharmacies fill the orders. Compounded tirzepatide is not FDA-approved, and OnlyRx says so on its own site.
- How much is OnlyRx tirzepatide per month?
- $249 per shipment, charged every 28 days, which averages about $271 per calendar month. That includes the consult, the prescription and shipping. OnlyRx also sells 3-, 6- and 12-month bundles, but each costs more per month than the monthly plan.
- Does OnlyRx take insurance?
- No. OnlyRx is self-pay. It accepts HSA and FSA cards and offers buy-now-pay-later plans.
- Can you cancel OnlyRx?
- Yes, but ask before the next payment is processed, because plans renew automatically. OnlyRx's terms say all sales are final and consultation fees aren't refunded. Support works by email and says it usually answers within 24 hours.
- Which states does OnlyRx serve?
- All 50, according to OnlyRx's FAQ.