Compounded tirzepatide
Refills review
Refills bills its monthly tirzepatide plan $249 every 28 days, and each charge buys four weeks of injections. That makes 13 charges a year, so the calendar-month average is about $271. The $249 carries a “NEW PATIENT COUPON APPLIED” label, and the page doesn't say whether renewals keep it.
Who it suits
Good fit if
- You want one price whatever tirzepatide dose you reach.
- You'd prepay a year to get the $159 monthly rate.
- You want to skip membership and app fees, which Refills says it never charges.
Look elsewhere if
- You live in the District of Columbia, which Refills doesn't serve.
- You want the renewal price stated in writing, not just the coupon price.
What you get
The monthly plan covers four weeks of tirzepatide, doctor support through Refills' Health Concierge, patient portal access and expedited shipping. Refills says it never charges membership or app fees. The price doesn't change with your dose.
Refills Health is a technology platform, not a medical practice. Independent clinicians from partners such as Beluga Health and TelegraMD do the prescribing. Its listed pharmacy partners are PerfectRx in Bartonville, Texas, and Hallandale Pharmacy in Fort Lauderdale, Florida.
Longer plans ship every quarter. The 3-month plan bills every 12 weeks, the 6-month plan every 24 weeks and the annual plan every 48 weeks.
How it works
- Take Refills' online quiz about your goals, health history and current medications.
- Create an account, agree to the telehealth consent and add a shipping address.
- Pick the tirzepatide plan length. Your card is authorized but not charged until a licensed provider approves the prescription.
- Once approved, a partner pharmacy fills the order and it ships to your door.
- The plan renews automatically. Cancel at least 72 hours before the next processing date to stop it.
Pros and cons
Pros
- Refills charges no membership or app fees on top of the $249 tirzepatide plan.
- Tirzepatide costs the same at every dose on Refills' plans, so moving up a dose doesn't raise the bill.
- The annual plan lowers Refills' tirzepatide rate to $159 a month, shipped quarterly.
Cons
- The FDA sent Refills Health a warning letter in February 2026 over false or misleading claims and misbranding.
- Refills bills every 4 weeks, so the $249 plan is charged 13 times a year, not 12.
- The $249 price carries Refills' “NEW PATIENT COUPON APPLIED” tag, and renewal pricing isn't stated.
Check before you pay
- FDA warning letter
- The FDA issued Refills Health a warning letter in February 2026 over false or misleading claims and misbranding.
- Coupon and renewals
- The monthly tirzepatide plan shows a struck-out list price and $249 under “NEW PATIENT COUPON APPLIED.” The page doesn't say whether that price holds at renewal. Ask the Health Concierge before you pay.
- Canceling in time
- Cancel by email or in the Refills app at least 72 hours before the processing date. Once an order has shipped, the sale is final.
- FDA warning letter
- FDA sent Refills a warning letter in February 2026. Read what it covers.
Price
Refills costs $271 a month for compounded tirzepatide. It advertises $159. The card is charged $249 every 4 weeks.
How we got $271
The arithmeticOne month = 30.4375 days
Refills advertises
Read on Refills's own site
$159.00
The card is charged $249.00, not $159.00
The advertised figure is not the amount that leaves the account.
+ $90.00
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 $111.68 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
- Refills$271
Another 184 sellers are cheaper than Refills. The whole cheapest list →
Where it says it operates
Refills operates across all 50 states, however does not service the District of Columbia, ensuring nationwide access to our services.
Read on its own site in August 2026. It excludes District of Columbia. 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 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 — $216 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.
FDA has written to this seller
In , FDA sent warning letter 721475 to Refills Health, LLC dba Refills Health (Wilmington, DE). The letter’s subject:
False & Misleading Claims/Misbranded (Telehealth)
Read the letter on fda.gov · The letter names refills.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 →
Refills questions
- Is Refills legit?
- Refills Health, LLC is a telehealth platform that connects you with independent licensed clinicians; it doesn't prescribe or dispense itself. Compounded tirzepatide isn't Zepbound or Mounjaro and isn't FDA-approved, which Refills states. The FDA issued Refills Health a warning letter in February 2026.
- How much is Refills tirzepatide per month?
- It's $249 every 28 days on the monthly plan, about $271 averaged over a calendar month. The annual plan brings it to $159 a month. Refills' monthly semaglutide plan averages $216.
- Does Refills take insurance?
- No insurance is needed. Refills sells its plans on a self-pay basis, at one price for every dose.
- Can you cancel Refills?
- Yes, by email or in your Refills account, at least 72 hours before the next processing date. Prescription medication can't be returned once it ships.