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
| # | Provider | Per month | Per year | Score |
|---|---|---|---|---|
| 1 | Coreage Rx | $199 | $2,388 | 4.5 |
| 2 | Trimi | $125 | $1,500 | 4.6 |
| 3 | PlexusDx | $189 | $2,268 | 4.4 |
| 4 | Ozari Health | $125 | $1,500 | 4.4 |
| 5 | Fifty 410 | $133 | $1,596 | 4.2 |
| 6 | Ivím Health | $199 | $2,388 | 4 |
| 7 | Mochi Health | $278 | $3,336 | 3.6 |
| 8 | Coby Health | $239 | $2,868 | 3.6 |
| 9 | Hims & Hers | $238 | $2,856 | 3.5 |
| 10 | Zealthy | $216 | $2,592 | 3.5 |
| 11 | Noom Med | $149 | $1,788 | 3.5 |
| 12 | Remedy Meds | $399 | $4,788 | 3.5 |
| 13 | Lemonaid Health | $348 | $4,176 | 3.5 |
| 14 | Eden | $298 | $3,576 | 3.1 |
| 15 | Henry Meds | $449 | $5,388 | 3 |
| 16 | TrimRx | $399 | $4,788 | 2.9 |
| 17 | Willow | $399 | $4,788 | 2.9 |
| 18 | MEDVi | $399 | $4,788 | 2.8 |
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.