Compounded Tirzepatide Price 2026: What It Costs and Where to Get It Online

Compounded tirzepatide vial
Compounded, not FDA-approved

Compounded Tirzepatide

At the 8 telehealth providers we track that publish a month-to-month tirzepatide price, compounded tirzepatide costs $129 to $359 a month, with a median of $207. One provider runs an $89 fall sale. It’s a pharmacy-made version of tirzepatide, the drug in Zepbound and Mounjaro, but it is not FDA-approved: the FDA doesn’t review compounded drugs for safety, effectiveness or quality before they’re sold.
Weekly injection Not FDA-approved Pharmacy-made Prescription only
Telehealth, month to month $129–$359/mo
Longest prepaid plans Median $179/mo
First month Median $149
FDA-approved Zepbound (self-pay) $299–$449/mo
Provider prices checked Sep 22–23, 2026 on each provider’s site. Zepbound prices checked Sep 25, 2026 on LillyDirect.

Is Compounded Tirzepatide FDA-Approved?

  • No. Compounded drugs are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they are sold.
  • FDA-approved tirzepatide is sold as Zepbound for weight management and sleep apnea, and as Mounjaro for type 2 diabetes.
The FDA declared the tirzepatide shortage over on December 19, 2024, and a federal appeals court upheld that decision on August 27, 2026. As of May 31, 2026, the FDA had received more than 730 adverse-event reports for compounded tirzepatide. Source: FDA (content current as of Sep 1, 2026).
Last Updated:

How Much Does Compounded Tirzepatide Cost? Every Way to Pay

Compounded tirzepatide has no single price. Each telehealth provider sets its own, and the first month is often a teaser. The table shows what we found across providers, next to the FDA-approved options.
Way to payWhat you payGood to knowChecked
Way to pay
Telehealth, month to month
Injection
What you pay
$129–$359 per month
Good to know
Median $207 across 8 providers that name tirzepatide next to a month-to-month price. One provider’s fall sale is $89.
Checked
Sep 23, 2026
our provider data
Way to pay
Telehealth, first month
Injection
What you pay
$99–$259 first month
Good to know
Median $149 across 9 providers. Several raise the price in month two, for example $99 then $179 at System Labs.
Checked
Sep 23, 2026
our provider data
Way to pay
Telehealth, prepaid plans
Injection
What you pay
$125–$259 per month
Good to know
Median $179 a month on each provider’s longest plan, often paid upfront, such as $1,500 a year at Trimi.
Checked
Sep 23, 2026
our provider data
Way to pay
A year, month to month (median)
Injection
What you pay
$2,484 per year
Good to know
12 months at the $207 median.
Checked
Sep 26, 2026
our cost analysis
Way to pay
Zepbound (FDA-approved), LillyDirect self-pay
VialKwikPen
What you pay
$299–$449 per month
Good to know
2.5 mg $299, 5 mg $399, 7.5 to 15 mg $449 if you refill within 45 days. Zepbound prices and providers.
Checked
Sep 25, 2026
lilly.com
Way to pay
Medicare Part D: GLP-1 Bridge
KwikPen
What you pay
Up to $50 per month
Good to know
Covers the FDA-approved Zepbound KwikPen for eligible Part D enrollees through December 31, 2027. Compounded drugs aren’t part of it.
Checked
Sep 26, 2026
medicare.gov

Compare the month-to-month price, not the first-month offer. And price FDA-approved Zepbound before you commit: Lilly sells it for $299 to $449 a month on LillyDirect, and covered insurance can bring it to $25.

Telehealth Providers That Offer Compounded Tirzepatide

We track 23 telehealth providers that offer compounded tirzepatide. These 11 publish a tirzepatide price or are ones we’ve reviewed, sorted by the lowest monthly price each one lists. Plan length matters: some of the lowest prices need a year paid upfront. See all providers side by side.

Disclosure: every provider below is an affiliate partner, and we earn a commission if you become a patient through our links. That doesn’t change the order: cards are sorted by the lowest monthly price each provider lists. How we make money.
Wellmedr logo

Wellmedr$89/mo sale

Checked: Oct 4, 2026

Tirzepatide $89/mo (sale)
Plan Month to month
Price at every dose Same
The $89 price is a limited-time sale. 90-day money-back guarantee, per Wellmedr.
Trustpilot star logo icon used in GLP1Rating reviews
Trustpilot 4.6 (1,919)
SkinnyRx logo

SkinnyRx$99 first month

Read Review

Checked: Oct 4, 2026

First month $99
Month 2 on Shown at checkout
Shipping Free overnight
FDA warning letter in February 2026 over labels and claims
System Labs logo

System Labs$99 first month

Checked: Oct 4, 2026

First month $99
Month 2 on $179/mo
Supplies Included
Pause or cancel anytime. 2-day cold shipping.
No public rating
Trimi logo

TrimiFrom $125/mo

Checked: Oct 4, 2026

Annual plan $125/mo ($1,500 upfront)
Month to month $235/mo
Price at every dose Same
6-month money-back guarantee (conditions apply). HSA/FSA accepted.
No public rating
Eden logo

Eden$129/mo

Read Review

Checked: Oct 4, 2026

Tirzepatide $129/mo
Price at every dose Same
Membership (Terms) $39, then $99/mo
FDA warning letter in June 2026; BBB rating F
Strut Health logo

Strut Health$149/mo

Read Review

Checked: Oct 4, 2026

Injection $149/mo
Oral form Also offered
Plan Auto-refill; cancel anytime
FDA warning letter in February 2026 over marketing claims
AgelessRx logo

AgelessRxFrom $159/mo

Read Review

Checked: Oct 4, 2026

Microdose (sale) $159/mo
Regular microdose price $239/mo
Messaging Unlimited
Microdose plans with dose adjustments included
Gala logo

GalaFrom $179/mo

Checked: Oct 4, 2026

Yearly plan $179/mo
3-month plan $199/mo
Dose changes No extra cost
Licensed providers in all 50 states, per Gala
Trustpilot star logo icon used in GLP1Rating reviews
Trustpilot 4.6 (4,154)
bmiMD logo

bmiMDFrom $179/mo

Read Review

Checked: Oct 4, 2026

12-month plan $179/mo ($2,148 upfront)
Month to month $249/mo
Cancellation fee $50 after intake
BBB rating F with 41 complaints in 3 years
Found logo

FoundFrom $239/mo

Read Review

Checked: Oct 4, 2026

12-month plan, cash $239/mo
1-month plan, cash $219, then $359/mo
12-month plan, insurance $179/mo
Billed every 28 days, so 13 charges a year
TrimRx logo

TrimRx$249/mo

Checked: Oct 4, 2026

Tirzepatide $249/mo
Shipping Free, tracked
Insurance Not needed
Price guarantee, per TrimRx
Trustpilot star logo icon used in GLP1Rating reviews
Trustpilot 3.7 (5,667)
Prices are for compounded tirzepatide injections and leave out lab tests, taxes and shipping unless a card says otherwise. Providers change prices often, so confirm the total and the plan length before you pay. Stars show our editorial score for providers we’ve reviewed; other ratings come from Trustpilot.

How to Get Tirzepatide for the Lowest Price

Price FDA-approved Zepbound first. LillyDirect charges $299 to $449 a month, and covered insurance can bring it to $25.

Compare month-to-month prices, not first-month offers. Some providers raise the price by 60% to 80% in month two.

On Medicare Part D? The GLP-1 Bridge covers the Zepbound KwikPen for up to $50 a month. Compounded drugs aren’t included.

Check who makes it. Ask for the compounding pharmacy’s name and license, and skip anyone who sells it without a prescription.

Prepay only if you’re sure. The lowest per-month prices often need a year paid upfront, and refunds are limited.

Be wary of “generic Zepbound” or “generic Mounjaro” claims. There is no generic tirzepatide, and the FDA has warned telehealth companies against that wording.

What Is Compounded Tirzepatide?

Compounded tirzepatide is tirzepatide mixed by a compounding pharmacy instead of made by Eli Lilly. It’s usually a weekly injection drawn from a multi-dose vial, and telehealth companies sell it with a prescription from their own clinicians.

Compounded drugs are not FDA-approved. During the tirzepatide shortage, pharmacies could make copies of Zepbound and Mounjaro. Since the FDA declared the shortage over in December 2024, copies are allowed only in limited cases, and the FDA has sent warning letters to dozens of telehealth companies over how they market them. On April 30, 2026, it also proposed excluding tirzepatide from the list of drugs outsourcing facilities can compound. A final decision is pending.

In August 2026 the FDA wrote to state medical boards about labeling and dosing risks with compounded GLP-1 vials. If you use one, confirm your dose in milligrams and units with the pharmacy. Our FDA-approved vs. compounded GLP-1s guide explains the differences.

Vial labeled compounded tirzepatide beside a smiling woman preparing a self-injection in her kitchen
Common Questions

Compounded Tirzepatide FAQ

At the providers we track, month-to-month plans cost $129 to $359 a month, with a median of $207. Prepaid plans bring the median to $179 a month, and first-month offers have a median of $149. One provider runs an $89 fall sale. We checked these prices on September 22 and 23, 2026.

Usually, yes. The median month-to-month price, $207, is less than half of Zepbound’s $449 self-pay price at 7.5 mg and up. But Zepbound can cost as little as $25 with covered insurance, or up to $50 for the KwikPen through the Medicare GLP-1 Bridge, and compounded drugs don’t qualify for either.

No. The FDA doesn’t review compounded drugs for safety, effectiveness or quality before they’re sold. As of May 31, 2026, it had received more than 730 adverse-event reports for compounded tirzepatide.

Not outright. Since the shortage ended in December 2024, pharmacies can make copies of FDA-approved tirzepatide only in limited cases, and a federal appeals court upheld the FDA’s decision on August 27, 2026. The FDA has also proposed keeping tirzepatide off the list outsourcing facilities can compound from. What’s changing for compounded GLP-1s.

No. Compounded versions aren’t tested or approved the way Zepbound is, and doses come from multi-dose vials that are easy to mismeasure. The FDA has told telehealth companies not to call compounded drugs “generic” or “the same as” a brand-name drug.

Many providers advertise a lower first month. In our data, System Labs charges $99 and then $179, and Found (cash, 1-month plan) charges $219 and then $359. Check the month-two price before you sign up.

Few providers bill insurance for it, and Lilly’s savings card and the Medicare Bridge don’t apply. Some providers accept HSA or FSA cards, including Eden, Trimi and SkinnyRx, per their sites.

It can carry more risk than FDA-approved tirzepatide, because the FDA doesn’t check its quality before it’s sold, and the FDA has flagged dosing risks with multi-dose vials. Work with a licensed clinician, use a state-licensed pharmacy, and confirm your dose in milligrams and units.

No. It’s a prescription drug. Legitimate providers require a medical intake and a prescription from a licensed clinician, so skip any site that sells it without one.

Looking More GLP-1 Medications?

How We Checked These Prices

We pulled month-to-month, first-month and prepaid prices from each provider’s own pricing pages on September 22 and 23, 2026, counting only prices that name tirzepatide. We read LillyDirect, Medicare.gov and the FDA’s compounding pages on September 25 and 26, 2026. We don’t buy the drug or sign up for plans. Every card shows when we checked it, and we recheck prices every month. If a price has changed, tell us.

Every provider on this page is an affiliate partner, and we earn a commission when you sign up through our links. Commissions never change the order or what we write. How we make money and our editorial policy explain the rules we follow. We drafted this page with AI assistance and checked every number against its source.

Medical Disclaimer: GLP1Rating provides information for educational purposes and does not give medical advice. GLP-1 medications require a prescription. Talk to a licensed healthcare provider before you start, stop, or change any treatment.

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