Comparison

Best compounded tirzepatide

Scored on true cost, price honesty, clinical support, pharmacy sourcing and how easy it is to leave.

Updated 2026-09-18

Disclosure: one company on this page — Coreage Rx — pays us a commission when a reader signs up through our link. It does not buy a better score, a higher ranking, or the removal of any criticism. The scoring rubric and the full disclosure are both published.


Compounded tirzepatide specifically — not the branded product, and not the programmes that only prescribe Zepbound. These are the services preparing it through a compounding pharmacy.

Cost carries the heaviest weight in our rubric, but it is not the only thing in the scale. A programme that is $40 cheaper and will not tell you which pharmacy makes your medication is not obviously the better buy in 2026.

Inclusion criteria

  • Offers compounded tirzepatide.
  • Programmes dispensing only FDA-approved branded product are excluded — they are covered separately.
  • Ranked on the published weighted rubric rather than price alone.

18 of the 21 providers we track qualify. Pricing verified 2026-09-18 and re-checked periodically.

The list

#ProviderPer monthPer yearScore
1Coreage Rx$199$2,3884.5
2Trimi$125$1,5004.6
3PlexusDx$189$2,2684.4
4Ozari Health$125$1,5004.4
5Fifty 410$133$1,5964.2
6Ivím Health$199$2,3884
7Mochi Health$278$3,3363.6
8Coby Health$239$2,8683.6
9Hims & Hers$238$2,8563.5
10Zealthy$216$2,5923.5
11Noom Med$149$1,7883.5
12Remedy Meds$399$4,7883.5
13Lemonaid Health$348$4,1763.5
14Eden$298$3,5763.1
15Henry Meds$449$5,3883
16TrimRx$399$4,7882.9
17Willow$399$4,7882.9
18MEDVi$399$4,7882.8

Cheapest qualifying option: Trimi at $125 a month. Our featured partner is pinned to the top of the list where it qualifies — see how we rate for who scores higher.

1. Coreage Rx — Best overall on true monthly cost

$199 a month, no membership fee. Flat-rate telehealth program for compounded GLP-1s. The medication, the clinician visits and the ongoing check-ins are quoted as one number, with no separate membership billed alongside it.

The $99 and $149 rates are annual-plan prices. If you want month-to-month, budget $149 and $199 instead, and check the refund terms before prepaying a year. Read the full Coreage Rx review.

2. Trimi — Lowest flat price with named pharmacies

$125 a month, no membership fee. Flat-rate compounded GLP-1 programme on annual plans, with medical oversight through the Arora Health clinician network and publicly named 503A compounding pharmacies.

Both headline prices are annual-plan rates. Confirm the month-to-month figure and the refund terms before prepaying twelve months. Read the full Trimi review.

3. PlexusDx — Pharmacy transparency and genetic testing

$189 a month, no membership fee. Prescription GLP-1 and peptide programmes with no membership fee, built around genetic testing, using independent clinicians and a publicly listed set of 503A pharmacies.

The advertised "from $129" is the programme floor. Budget $189/month for the compounded injection tier. Read the full PlexusDx review.

4. Ozari Health — Lowest advertised semaglutide price

$125 a month, no membership fee. Flat-rate compounded GLP-1 telehealth service operating in all 50 states, with physician review through the Arora Health network and a dedicated health concierge.

Confirm whether $86 is a month-to-month rate or requires a longer commitment, and ask which pharmacy compounds it. Read the full Ozari Health review.

Frequently asked

What should I look for in a compounded tirzepatide provider?

A prescription requirement and clinician review, a price that does not change when your dose does, a clear ongoing figure rather than a teaser, and ideally a named compounding pharmacy you can look up.

Is compounded tirzepatide legal in 2026?

In a narrower form than in 2024. A 503A pharmacy can compound for an individual patient with a documented clinical reason; routinely marketed compounded GLP-1 is not permitted, and the FDA has proposed removing tirzepatide from the 503B Bulks List.

What the price does not tell you

Compounded preparations are not FDA-approved. Two approved oral GLP-1s now start around $149 a month, and from 1 July 2026 eligible Medicare beneficiaries can access certain GLP-1s for $50 a month — both of which beat a large part of this market. See the approved pills and the Medicare programme.

In SURMOUNT-1, adults with obesity lost an average of 19.5% of body weight on 10 mg and 20.9% on 15 mg over 72 weeks. That figure comes from a controlled trial of the active ingredient, not from any particular seller's product.

Read next

  • Best compounded semaglutide

    The compounded semaglutide programmes ranked on our published rubric, not on their advertised headline.

  • Who names their pharmacy

    The hardest fact to get out of this market, and the one the FDA’s enforcement actually turns on. Here is who publishes it.