Compounded tirzepatide

OrderlyMeds review

By ·Editor·Reviewed

The $149 a month on OrderlyMeds' tirzepatide page is a two-month starter pack for new patients, paid up front and limited to the lowest dose. After that the standard plan is $299 a month. There's no membership fee, and the price doesn't climb with your dose.

A real month costs$299advertised $149 +$150.00 gap
EvidenceVerified
Billing cyclemonthly
Price across dosesNot stated
Where it shipsClaims every state
FDA warning letterOne on filestill listed here
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On this page

Who it suits

Good fit if

  • You're new to tirzepatide and can pay for two months at once to get the starter rate.
  • You plan to titrate up, since OrderlyMeds charges the same at every dose.
  • You'd rather talk to a prescriber by text chat than book a video appointment.

Look elsewhere if

  • You're already on a GLP-1 and hoped for the starter price. Transfers pay more, and returning patients pay $299.
  • You're in a hurry. OrderlyMeds says it can't expedite orders.

What you get

Each month's price covers the prescriber's visit, the compounded tirzepatide, syringes, alcohol pads and shipping. OrderlyMeds says there are no membership fees and no setup costs. Depending on your health screening, the prescriber may add B6 or B12 to the formula.

The vials come from 503A compounding pharmacies, and OrderlyMeds names them in its FAQ: PerfectRx, ProRx, Casa, Pharmacy Hub and SmartPharmaRx. You can pay with a credit card or an HSA or FSA card. OrderlyMeds also sells brand-name Zepbound, at a far higher monthly price.

Buying includes some extras. You get a free month of BetterHelp therapy, a fitness and nutrition app, dietitian meal plans and a private Facebook group for patients.

How it works

  1. Check your eligibility online, pick tirzepatide and a plan, fill out the health screening and pay.
  2. A licensed provider reviews it and messages you in the patient portal, usually within 24 to 48 hours. Some states, including Louisiana, Kansas and West Virginia, require a live video visit.
  3. Once the prescription is written, a partner pharmacy compounds and ships it within 2 to 3 days. OrderlyMeds' FAQ puts arrival at 8 to 10 business days after sign-up.
  4. Before each refill you get a check-in reminder by text and email. You report how you feel and can ask to stay at your dose or go up.
  5. The medical team writes the new prescription and you're charged when you request the refill.

Pros and cons

Pros

  • OrderlyMeds' FAQ says every dose costs the same, so moving up the dose ladder doesn't raise the $299 monthly charge.
  • The five partner pharmacies are named in the FAQ, all 503A compounding pharmacies.
  • If the provider turns you down, OrderlyMeds says it refunds your payment in full.

Cons

  • The $149 starter rate needs two months paid at once and applies only to new patients on the lowest dose.
  • Once the prescriber writes your prescription, OrderlyMeds won't let you cancel that order.
  • The FDA sent OrderlyMeds a warning letter in June 2026 over false or misleading claims.

Check before you pay

Starter, transfer or monthly
The starter pack is for people new to GLP-1s. If you already take one, you're offered the transfer program or the regular monthly plan. Check which one your checkout shows before paying.
The price after the starter pack
One answer in OrderlyMeds' FAQ still quotes the starter rate for month-to-month buyers. The product page and the pricing page both put the regular plan at $299 a month, so budget for that.
When you can cancel
You can cancel up to the moment the doctor finalizes your prescription, unless you chose a multi-month plan. After that the order goes ahead.
Delivery time
Allow up to two weeks for the first box. The pharmacy says the medication stays potent for 72 hours in transit, but refrigerate it when it arrives.
FDA warning letter
FDA sent OrderlyMeds a warning letter in June 2026. Read what it covers.

Price

OrderlyMeds costs $299 a month for compounded tirzepatide. It advertises $149.

How we got $299

The arithmeticOne month = 30.4375 days

  1. OrderlyMeds advertises

    Read on OrderlyMeds's own site

    $149.00

  2. The card is charged $299.00, not $149.00

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

    + $150.00

  3. And it is charged once a calendar month

    + $0.00

A real month$299.00

A real month costs $150.00 more than the figure advertised.

Where it sits, and what costs less

$86median $269$434+

221 cheaper · 61%119 dearer · 33%

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. OrderlyMeds$299

Another 216 sellers are cheaper than OrderlyMeds. The whole cheapest list →

Where it says it operates

ts Pricing How it works Health screening FAQs Suggested Searches Search Login Get started Connecting patients to licensed healthcare professionals in all 50 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.

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 728291 to OrderlyMeds LLC dba OrderlyMeds (Decatur, GA). The letter’s subject:

False & Misleading Claims/Misbranded (Telehealth)

Read the letter on fda.gov · The letter names orderlymeds.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 →

OrderlyMeds questions

Is OrderlyMeds legit?
OrderlyMeds is a telehealth company that began prescribing in 2024. Licensed providers write the prescriptions and 503A pharmacies fill them. Its compounded tirzepatide is not FDA-approved, and the FDA issued the company a warning letter in June 2026 about false or misleading claims.
How much is OrderlyMeds tirzepatide per month?
New patients can start at $149 a month by paying for two months up front. The regular plan is $299 a month. The price is the same at every dose and includes shipping.
Does OrderlyMeds take insurance?
No. OrderlyMeds is cash-pay, but it accepts HSA and FSA cards. It doesn't take CareCredit or mobile wallets like Apple Pay.
Can you cancel OrderlyMeds?
Yes, before the doctor finalizes your prescription, unless you bought a multi-month plan. After the prescription is written, that order can't be canceled. There's no subscription to stop, because you're charged only when you ask for a refill.