Compounded tirzepatide

Pepti review

By ·Editor·Reviewed

Pepti starts compounded tirzepatide at $159 for a 28-day supply of the 2.5 mg dose. Because refills repeat every 28 days, that works out to about $173 per calendar month. Each step up the dose ladder costs more, reaching about $347 a month at 15 mg.

A real month costs$173advertised $159 +$13.84 gap
EvidenceVerified
Billing cycle4-wk
Price across dosesClimbs with the doseup to $347
Where it ships36 states
FDA warning letterNone found
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On this page

Who it suits

Good fit if

  • You're starting at 2.5 mg and want the lowest entry price while you see how you respond.
  • You want to see independent lab results for recent tirzepatide batches before you order.
  • You plan to pay with an HSA or FSA card, which Pepti accepts.

Look elsewhere if

  • You expect to reach the higher doses soon, since the price rises at every step.
  • You'd rather be billed on a fixed calendar date. Pepti's 28-day cycle means 13 charges a year.

What you get

Pepti prices tirzepatide by dose. The 2.5 mg starter costs $159 per 28-day supply, and the ladder climbs through 5, 7.5, 10 and 12.5 mg to 15 mg. When your physician approves a step up, Pepti charges the difference on your next fill. There's no membership fee, and shipping is free.

Each 2 mL vial is compounded to your dose with vitamin B12 included. A PCAB-accredited, FDA-registered 503A pharmacy makes it, though the product page doesn't name which one. Every batch goes to an outside lab for sterility, endotoxin, potency and identity testing. Pepti posts the results by lot number.

Pepti LLC is a Delaware company that describes itself as a technology platform, not a provider or a pharmacy. Licensed physicians make the prescribing decision. Syringes and alcohol pads come with every vial.

How it works

  1. Take the free online assessment. New patients start at 2.5 mg; if you already take tirzepatide, you pick your current dose.
  2. A board-certified MD or DO reviews your answers within 24 hours. If you're declined, the medication charge is refunded in full.
  3. The partner pharmacy compounds the vial and ships it cold with tracking. Pepti says most first orders arrive in 5 to 7 business days.
  4. A new vial ships every 28 days, as the last one runs out. Ask your physician when you're ready for the next dose.

Pros and cons

Pros

  • Pepti's 2.5 mg starter supply is $159, with physician care, supplies and shipping included.
  • Third-party results for recent Pepti tirzepatide lots, including potency against the label, are published on the product page.
  • You can pause a Pepti subscription for up to 90 days from your account without canceling it.

Cons

  • Pepti's price rises with the dose, to about $347 a month at 15 mg.
  • Pepti bills every 28 days, so a year brings 13 charges instead of 12.
  • The 503A pharmacy that compounds Pepti's tirzepatide isn't named on the product page.

Check before you pay

Your dose sets the price
Only the 2.5 mg starter costs $159. Look up your dose's price before a step up, because the new rate applies from your next fill.
Stopping refills
Cancel under Your medications in your account, or by email. Canceling stops future charges but doesn't refund a supply already shipped.
The optional blood panel
The product page offers an at-home blood kit for an extra charge. Leave it unchecked if you don't want it.

Price

Pepti costs $173 a month for compounded tirzepatide. It advertises $159. The card is charged $159 every 4 weeks. That is the starting dose; it rises to $347 at the top of its range.

How we got $173

The arithmeticOne month = 30.4375 days

  1. Pepti advertises

    Read on Pepti's own site

    $159.00

  2. The card is charged $159.00 — exactly what it advertises

    + $0.00

  3. And it is charged every 4 weeks, not every month

    13.04 charges a year, not twelve.

    + $13.84

A real month$172.84

A real month costs $13.84 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 $347.

Where it sits, and what costs less

$86median $269$434+

42 cheaper · 12%321 dearer · 88%

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. Pepti$173

Another 37 sellers are cheaper than Pepti. The whole cheapest list →

Where it says it operates

Listed in 36 states.

State pages this seller appears on: AL AZ AR CA CO CT DE FL GA HI IL KS KY LA MD MA MI MN MS MO MT NE NM NY NC ND OH OK PA RI SD TN TX VT VA WA

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.

Pepti questions

Is Pepti legit?
Pepti LLC is registered in Delaware and connects patients with licensed physicians, who decide whether to prescribe. A 503A pharmacy compounds each order, and outside labs test every batch. The tirzepatide is compounded, so it isn't Zepbound or Mounjaro and isn't FDA-approved, which Pepti's own pages say.
How much is Pepti tirzepatide per month?
$159 per 28-day supply at 2.5 mg, about $173 per calendar month. Higher doses cost more, up to about $347 a month at 15 mg. Physician care and shipping are included, with no membership fee.
Does Pepti take insurance?
No. Pepti is cash-pay, though it accepts HSA and FSA cards. It doesn't offer buy-now-pay-later plans.
Can you cancel Pepti?
Yes, any time, from your account or by emailing support. There's no cancellation fee. A supply that has already shipped isn't refunded.