Skip to content
TirzepatideReport

Monograph appendix · Prescribing pathways · Updated 2026

Best Tirzepatide Providers (2026): Doctor-Reviewed, Ranked

Tirzepatide is FDA-approved and works, but it is prescription-only and titrated up a dose ladder over months — so what a program charges, and whether that charge climbs with your dose, is the decision. CoreAge Rx is our featured partner at a flat $149/month at every dose.

Advertising disclosure — some, not all, of the providers ranked here are partners, and we may earn a commission at no additional cost to you. The prices and facts we report come from each provider's own published program. Full disclosure.

§ Price position — every program against the median

Plotted against the $199/month median of the 18 compounded prices we can confirm — left of the rule is cheaper, right is dearer.

Tirzepatide telehealth programs with their published monthly price and position relative to the compounded median.
ProgramLink
01CoreAge Rx$149/mo flatCompoundedFlat−$50 vs medianVisit
02Ageless$169/mo injectableCompounded−$30 vs medianVisit
03FoundFrom $99/mo (varies)CompoundedVisit
04Gala Health$179/mo compoundedCompounded−$20 vs medianVisit
05Trimi$229/moCompoundedFlat+$30 vs medianVisit
06Enhance MD$280/mo compoundedCompoundedFlat+$81 vs medianVisit
07yourEra$299/mo compoundedCompounded+$100 vs medianVisit
08Telos RxFrom $99/mo annualCompounded−$100 vs medianVisit
09Direct Meds~$224/mo sublingualCompoundedVisit
10HealthRX~$189/mo injectable (company-stated)CompoundedVisit
11Sprout HealthFrom $199/mo compoundedCompoundedat median vs medianVisit
12Bodybuilding Health+$139/mo (12-mo bundle)Compounded−$60 vs medianVisit
13Shed (ShedRx)$299/moCompounded+$100 vs medianVisit
14Sesame CareBrand, varies + subscriptionBrandVisit
15Oak$185/moCompoundedFlat−$14 vs medianVisit
16Strut Health$199/moCompoundedat median vs medianVisit
17MadeMed$399/moCompoundedFlat+$200 vs medianVisit
18Synergy Rx$349/moCompounded+$150 vs medianVisit
19Care Bare RxFrom $199/mo*CompoundedVisit
20Breeze Meds$299/moCompounded+$100 vs medianVisit
21Mochi Health$199/mo + $79/mo membershipCompoundedat median vs medianVisit
22Eden$199/mo + $99/mo membershipCompoundedat median vs medianVisit
23Henry MedsFrom $179/mo all-inCompounded−$20 vs medianVisit
24Ro$149/mo membership + RxBrandVisit
25LifeMD$149/mo program + RxBrandVisit
Programs indexed
25
Compounded median
$199 / month
Published range
$99 – $399
Published prices
18 of 25

§ Funding — the links marked Visit → pay us a commission at no extra cost to you. The price figures and the assessment are the same either way. See our disclosure. The median is computed from compounded prices only, so brand-pathway programs are shown but never plotted against it. Prices were verified on each provider's own site in 2026 and can change without notice — the full index, with CSV and JSON downloads.

Our #1 pick

$149/mo flat
1

CoreAge Rx

Our #1 pick

Doctor-reviewed tirzepatide with one flat price and built-in human support.

$149/mo flat

Compounded tirzepatide (503A)

U.S.-licensed clinicians review an online intake; the tirzepatide protocol is filled by a 503A compounding pharmacy. Pricing is a single flat $149/month that does not change as your dose is titrated up, every plan includes 1:1 nurse and registered-dietitian consults, and you are refunded automatically if you are not approved for treatment.

Pros

  • Flat $149/month that stays the same across every dose level — no escalation surcharge as you titrate up
  • Doctor-reviewed protocols filled by a 503A compounding pharmacy
  • Included 1:1 support from nurses and registered dietitians
  • Automatic refund if you are not approved for treatment

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound) — see our evidence guide
  • Single-medication focus rather than a broad telehealth catalog

Price: $149 / month, flat across all dose levels

Start with CoreAge Rx

The rest of the field

Real telehealth providers that verifiably offer tirzepatide or compounded tirzepatide, each checked against their own site. We only state a price where the provider published one we could confirm — otherwise it reads “Pricing varies.”

2

Ageless

Broad compounded storefront pairing $169/month injectable tirzepatide with a rare oral-drop option — plus NAD+, sermorelin, and TRT under one roof.

$169/mo injectable

Compounded tirzepatide (injectable and oral drops)

Full assessment — how the program works, pros and cons

Fully online telehealth storefront (Try Ageless) built around one of the broadest compounded menus in the category: injectable tirzepatide at $169/month, an oral tirzepatide-drops option at $249/month, and compounded semaglutide from $119/month, alongside adjacent longevity and hormone lines (NAD+, sermorelin, low-dose naltrexone, methylene blue, and TRT). A licensed clinician reviews an online intake and, where appropriate, the protocol is filled by 503A/503B partner pharmacies and shipped discreetly; no insurance is taken and Klarna/Affirm financing is offered. The headline prices are floors that can rise after clinical review, and Ageless does not publish which states it serves.

Pros

  • Unusually broad compounded menu under one roof — injectable and oral tirzepatide plus semaglutide, with NAD+, sermorelin, and TRT alongside
  • Transparent, low headline tirzepatide pricing ($169/month injectable) with no insurance required and Klarna/Affirm financing
  • Rare oral tirzepatide-drops pathway for patients who want to avoid injections
  • 100% online with licensed-clinician review, discreet delivery, and clear upfront compounded/not-FDA disclaimers

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound) — quality depends on the partner pharmacies
  • Oral tirzepatide drops lack the robust absorption and efficacy evidence of injectables
  • No published list of states served and no named legal entity or medical group — a transparency gap
  • Advertised prices are floors finalized after clinical review, and the very broad storefront has a thin public track record

Price: Compounded injectable tirzepatide $169/month; oral tirzepatide drops $249/month; compounded semaglutide from $119/month (advertised prices are floors, finalized after clinical review)

Visit Ageless
3

Found

Established, physician-designed weight care with a broad formulary — real brand-name Zepbound/Mounjaro alongside compounded tirzepatide, paired with coaching.

From $99/mo (varies)

Broad formulary: compounded tirzepatide plus brand-name Zepbound/Mounjaro, brand/compounded semaglutide, and oral Rybelsus

Full assessment — how the program works, pros and cons

Founded in 2019, Found is an established weight-care platform with 250k+ members and one of the broadest formularies in telehealth. Obesity-medicine clinicians review an online intake and prescribe from a wide menu — compounded tirzepatide, the FDA-approved brand-name products (Zepbound and Mounjaro), brand and compounded semaglutide, and oral Rybelsus — matched to each patient. Medication is paired with behavioral coaching, an app, a member community, and insurance navigation. Available in all 50 states with HSA/FSA accepted. Pricing is layered rather than flat: a compounded GLP-1 entry point advertised as low as $99/month (the cheapest tiers require a 3–12 month prepay), realistic compounded tirzepatide around $299–$399/month, and a brand-name pathway that stacks a membership of roughly $39/month on top of the medication; cost and coverage vary by state and plan.

Pros

  • Established since 2019 and sizable (250k+ members), with obesity-medicine clinicians — a longer track record than most compounded-only startups
  • Broad formulary including the real FDA-approved brand-name products (Zepbound and Mounjaro), not only compounded tirzepatide
  • Behavioral coaching, app, and member community paired with the medication
  • Insurance navigation plus HSA/FSA accepted, available in all 50 states

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Layered pricing — the cheapest compounded rate requires a 3–12 month prepay
  • The brand-name pathway stacks a separate membership fee (about $39/month) on top of the medication
  • Cost and coverage vary by state and plan, so there is no single flat monthly figure

Price: Pricing varies by path and state: compounded GLP-1 entry as low as $99/month (realistic compounded tirzepatide roughly $299–$399/month); brand-name pathway adds a membership of about $39/month

Visit Found
4

Gala Health

Low-cost compounded tirzepatide shipped to all 50 states, with a brand-name path if you want it.

$179/mo compounded

Compounded tirzepatide (brand Ozempic available separately)

Full assessment — how the program works, pros and cons

Telehealth weight program from Gala (AI Coaching Inc). A licensed prescriber reviews an online intake and, where appropriate, compounded tirzepatide ships for $179/month, with a lower $149/month microdose tier and 3-month bundles starting at $199. Uniquely for a compounded provider at this price, Gala is available in all 50 states and also offers a brand-name pathway (Ozempic) for patients who specifically want the FDA-approved product, plus HRT and menopause care under the same roof.

Pros

  • Low compounded-tirzepatide entry price at $179/month, with an even cheaper $149 microdose tier
  • Available in all 50 states — broader coverage than most compounded-only startups
  • Offers a brand-name pathway (Ozempic) alongside compounded options
  • HRT and menopause care available for patients wanting adjacent treatment

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • The brand-name Ozempic option is very expensive at $1,299
  • No oral tirzepatide pathway yet
  • Newer operator with a shorter track record than established telehealth platforms

Price: Compounded tirzepatide $179/month (microdose $149/month; 3-month plans from $199); brand Ozempic available at $1,299

Visit Gala Health
5

Trimi

Compounded tirzepatide on a single nationwide membership, shipped fast to all 50 states.

$229/mo

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

Direct-to-patient telehealth built around one membership rather than a medication fee bolted onto a second subscription. A U.S.-licensed prescriber reviews an online intake and, if appropriate, compounded tirzepatide ships free to all 50 states — typically within about a day of approval. Semaglutide is offered on the same membership, so the tirzepatide price is the all-in monthly figure rather than a base price plus surprise add-ons.

Pros

  • One straightforward membership covering the visit, medication, and free nationwide shipping — no separate stacked fee
  • Ships to all 50 states, usually within roughly 24 hours of prescriber approval
  • Single-membership model keeps the true monthly total predictable as you titrate

Cons

  • At $229/month it costs more than CoreAge's flat $149 for the same molecule
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • The dispensing compounding pharmacy is not publicly named on the site
  • Injectable only — no oral or brand-name pathway

Price: Compounded tirzepatide $229/month on one membership — no separate medication-plus-membership stack

Visit Trimi
6

Enhance MD

Transparent tiered compounded tirzepatide — microdose, standard, and combination options with included labs.

$280/mo compounded

Compounded tirzepatide (microdose and sema+tirz combination options)

Full assessment — how the program works, pros and cons

Compounded-only telehealth program with an unusually transparent, published price ladder: standard compounded tirzepatide at $280/month, a lower $169/month microdose tirzepatide tier, a semaglutide-plus-tirzepatide combination at $322/month, and compounded semaglutide at $212/month ($112 the first month). Pricing is dose-flat within each tier, provider care and 6-month lab testing are included, and NAD+ is offered as an adjacent longevity option.

Pros

  • Transparent, published tiered pricing including microdose and a sema+tirz combination
  • Dose-flat within each tier — no surcharge as you titrate up
  • Included provider care and 6-month lab testing
  • NAD+ available as an adjacent longevity offering

Cons

  • Compounded only — no FDA-approved brand or oral tirzepatide pathway
  • Higher entry price ($280/month standard tirzepatide) than CoreAge's flat $149
  • States served are not published on the site
  • The standard tier costs more than several rivals for the same molecule

Price: Compounded tirzepatide $280/month (microdose tirzepatide $169/month; sema+tirz combo $322/month; compounded semaglutide $212/month, first month $112)

Visit Enhance MD
7

yourEra

Transparent compounded tirzepatide with both molecules and a broad longevity menu, shipped nationwide — priced in the mid-market.

$299/mo compounded

Compounded injectable tirzepatide (compounded semaglutide also available)

Full assessment — how the program works, pros and cons

"A New Era of Personalized Health" — yourEra is a compounded-only telehealth brand that publishes its prices openly, a genuine plus in a category where many competitors hide cost behind a quiz. A licensed clinician reviews an online intake and, where appropriate, compounded tirzepatide ships as a weekly injectable at $299/month, with compounded semaglutide from $199/month on the same platform. The broader menu adds NAD+ from $249/month and microdosing protocols from $179/month, plus an optional yourEra Optimum membership (+$149/month) that bundles 1:1 coaching, a nutritionist, at-home lab draws, and wearables. yourEra markets a 50-state licensed-clinician network with no insurance required and HSA/FSA accepted; the 50-state reach and efficacy claims are self-reported.

Pros

  • Transparent, publicly listed pricing on the site — many compounded competitors hide the price behind a quiz
  • Both semaglutide and tirzepatide (not single-drug), plus a broad menu — NAD+, microdosing, and an optional coaching/nutritionist/labs bundle
  • Markets 50-state clinician access with no insurance required and HSA/FSA accepted

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound), and compounding availability can tighten as brand shortages resolve
  • Mid-market pricing at $299/month — above the cheapest compounders (~$99–$150)
  • No brand-name and no oral pathway — injectable only
  • Thin independent footprint with few third-party reviews; the 50-state and efficacy claims are self-reported

Price: Compounded tirzepatide $299/month (weekly injectable); compounded semaglutide from $199/month; NAD+ from $249/month; optional yourEra Optimum coaching membership +$149/month

Visit yourEra
8

Telos Rx

Compounded injectable, oral, and microdosed tirzepatide from a LegitScript-certified telehealth, with a low annual entry price.

From $99/mo annual

Compounded tirzepatide (injectable, oral, and microdosed)

Full assessment — how the program works, pros and cons

LegitScript-certified, HIPAA-compliant compounded telehealth with an unusually broad tirzepatide menu: compounded injectable, oral, and microdosed tirzepatide, plus compounded semaglutide. U.S. providers and licensed pharmacies review an online intake; published GLP-1 pricing starts at $49/month for microdosed tirzepatide on a 12-month plan and $99/month for tirzepatide on an annual plan, with shorter first-month plans at $145/$199/$399. HSA/FSA is accepted with free 48-hour shipping. The broader catalog also spans semaglutide, PT-141, intranasal NAD+, recovery peptides, and HRT, though pricing outside the GLP-1 menu is not published and the states served are not listed.

Pros

  • Multiple tirzepatide formats — compounded injectable, oral, and microdosed — a rare combination in one program
  • LegitScript-certified and HIPAA-compliant, with U.S. providers and licensed pharmacies
  • Low published entry price on annual plans (from $99/month tirzepatide; from $49/month microdosed), with HSA/FSA accepted and free 48-hour shipping
  • Broad catalog beyond GLP-1 (semaglutide, PT-141, intranasal NAD+, recovery peptides, HRT)

Cons

  • Every formulation is compounded — not the FDA-approved branded product (Mounjaro / Zepbound)
  • The lowest headline prices require a 6- to 12-month commitment; short plans run $145/$199/$399 for the first month
  • Pricing is opaque outside the GLP-1 menu, and the list of states served is not published
  • No named clinicians and thin third-party reviews

Price: Compounded tirzepatide from $99/month on an annual plan (microdose from $49/month on a 12-month plan); short plans $145/$199/$399 first month

Visit Telos Rx
9

Direct Meds

One of the few programs offering oral/sublingual tirzepatide alongside injectable, on an all-inclusive fee.

~$224/mo sublingual

Compounded tirzepatide (oral/sublingual and injectable) and semaglutide

Full assessment — how the program works, pros and cons

Compounded-only telehealth pharmacy (launched 2024) that is unusual in offering an oral/sublingual tirzepatide route in addition to standard injectable, plus compounded semaglutide. Fees are described as all-inclusive with no separate membership. The figures here are stated by the company rather than confirmed on a live public price page, and the brand operates across multiple domains, so we present the numbers with that caveat rather than as independently verified.

Pros

  • Rare oral/sublingual tirzepatide option in addition to injectable
  • All-inclusive pricing with no separate membership fee
  • Offers both tirzepatide and semaglutide molecules

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Pricing is company-stated and could not be independently verified on a live page
  • Newer operator (2024) with an ambiguous footprint across multiple domains
  • States served are not disclosed

Price: Compounded tirzepatide ~$224/month sublingual or ~$399/month injectable; semaglutide ~$179–$297/month (intro promo ~$147) — company-stated, not independently verified

Visit Direct Meds
10

HealthRX

LegitScript-certified physician-supervised telehealth with a rare oral tirzepatide tablet alongside injectable.

~$189/mo injectable (company-stated)

Compounded tirzepatide and semaglutide (injectable and oral tablet)

Full assessment — how the program works, pros and cons

Physician-supervised telehealth for medical weight loss that is LegitScript-certified (#50087439) — a genuine third-party trust signal that most compounded startups lack. A U.S. board-certified physician reviews an online intake and, where appropriate, compounded tirzepatide (and semaglutide) is filled by a licensed U.S. 503A pharmacy with transparent monthly pricing and no insurance required. HealthRX is unusual in offering an oral GLP tablet in addition to the standard injectable. Company-stated tiers run about $189/month for the compounded GLP injectable, ~$239/month for the oral tablet, and ~$349/month for a GLP+GIP option, with a brand pass-through option quoted around $1,299; those figures are stated by the company rather than confirmed on a live public price page, so we present them with that caveat.

Pros

  • LegitScript-certified (#50087439) — a genuine third-party trust signal most compounded providers lack
  • Physician-supervised, with a licensed U.S. 503A compounding pharmacy
  • Offers tirzepatide, semaglutide, and a rare oral GLP tablet alongside injectable
  • Transparent monthly pricing with no insurance required

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Several tiers are company-stated and could not be independently verified on a live public page
  • Brand tiers are an expensive pass-through (~$1,299)
  • Number of states served is not published

Price: Company-stated: compounded GLP injectable ~$189/month, oral GLP tablet ~$239/month, GLP+GIP ~$349/month; brand pass-through ~$1,299 — not independently verified

Visit HealthRX
11

Sprout Health

LegitScript-certified compounded tirzepatide from $199/month with a real brand-name Wegovy/Zepbound path and a low-friction, no-labs signup.

From $199/mo compounded

Compounded injectable tirzepatide (brand-name Wegovy/Zepbound path also offered)

Full assessment — how the program works, pros and cons

Sprout Health is a LegitScript-certified telehealth weight program. A licensed prescriber reviews an online intake and, where appropriate, compounded tirzepatide ships from $199/month as a weekly injectable, with compounded semaglutide from $149/month on the same platform. Unusually for a low-cost compounder, Sprout also offers a genuine brand-name Wegovy/Zepbound pathway for patients who specifically want an FDA-approved product. The signup is deliberately low-friction — often no labs and no separate video visit are required. The trade-offs are real: the program does not name a medical director, that low-friction model means thinner clinical oversight, state availability is gated behind a quiz rather than published upfront, and the tirzepatide itself is compounded (503A) and not FDA-approved.

Pros

  • LegitScript-certified — a genuine third-party trust signal many compounded startups lack
  • Offers a real brand-name Wegovy/Zepbound pathway alongside compounded tirzepatide, uncommon for a low-cost compounder
  • Transparent compounded pricing from $199/month tirzepatide (compounded semaglutide from $149/month)
  • Low-friction signup — often no labs and no separate video visit required

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • No named medical director, and the low-friction model (often no labs or visit) means thinner clinical oversight
  • Injectable only — no oral tirzepatide pathway
  • State availability is quiz-gated rather than published, and $199/month is above the cheapest flat compounders

Price: Compounded tirzepatide from $199/month; compounded semaglutide from $149/month; a brand-name Wegovy/Zepbound pathway is also offered

Visit Sprout Health
12

Bodybuilding Health+

The Bodybuilding.com fitness brand's new compounded arm — value-priced tirzepatide bundles down to $139/month, alongside semaglutide, NAD+, sermorelin, and peptides.

$139/mo (12-mo bundle)

Compounded tirzepatide (compounded semaglutide also available)

Full assessment — how the program works, pros and cons

Bodybuilding Health+ is the compounded-telehealth arm of the Bodybuilding.com brand, operated by Dynamo Group LLC (Boca Raton, FL) and launched around April 2026. An online medical evaluation is reviewed by an independent licensed provider, and where appropriate a U.S.-registered compounding pharmacy fills the prescription. Its tirzepatide line is the on-thesis draw: publicly listed at $209 for the first month (reg. $319), then $179/month on the 3-month plan and $139/month on the 12-month plan, with compounded semaglutide from $139/month on the same platform — genuinely competitive pricing carried by a recognizable fitness brand. The broader menu adds NAD+, sermorelin, ED treatment, and a deep peptide catalog under one login. The tradeoffs are real: every GLP-1 here is compounded and not FDA-approved, the operator is brand-new with a thin, mixed third-party review record, bundle pricing is paid upfront, and prescription products are final sale.

Pros

  • Value-priced compounded tirzepatide bundles — $139/month on the 12-month plan (from $209 the first month), undercutting most mid-market compounders
  • Transparent GLP-1 pricing shown publicly on the site, with compounded semaglutide also from $139/month
  • Backed by the recognizable Bodybuilding.com brand and a broad menu (NAD+, sermorelin, ED, peptides) under one login
  • Standard telehealth flow: online intake reviewed by an independent licensed provider, free until you are approved

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Brand-new operator (Dynamo Group LLC, launched ~April 2026) with a thin, mixed third-party review record
  • Lowest prices require a large upfront prepay, and prescription products are final sale — no refunds for change of mind or results
  • Pharmacy and provider network are not named on the consumer pages, and we could not verify a LegitScript certification

Price: Compounded tirzepatide $209 first month (reg. $319), dropping to $179/mo on the 3-month plan and $139/mo on the 12-month plan; compounded semaglutide from $139/mo; all bundles paid upfront

Visit Bodybuilding Health+
13

Shed (ShedRx)

Compounded tirzepatide from $239 with the widest set of formats here — injections, liquid drops, lozenges, and a real brand Zepbound pathway.

$299/mo

Compounded injectable tirzepatide, plus GLP-1 liquid drops and lozenges, with brand Zepbound and Wegovy available

Full assessment — how the program works, pros and cons

A weight-loss platform rather than a single-molecule prescriber: compounded tirzepatide and semaglutide injections sit alongside GLP-1 liquid drops and lozenges for people who will not inject, and alongside genuine brand Zepbound and Wegovy for anyone who wants the FDA-approved product. Unlimited follow-up appointments and health coaching come with the membership rather than being sold separately, and the company advertises a 120-day weight-loss guarantee — an unusual commitment in a category that mostly sells month to month. GLP-1s are available in all 50 states.

Pros

  • Four routes to the same molecule — injection, liquid drops and lozenges compounded, plus brand Zepbound if you want the FDA-approved product
  • Unlimited follow-up appointments and health coaching included with membership
  • A published 120-day weight-loss guarantee, which almost nothing else in this ranking offers
  • GLP-1 treatment available in all 50 states

Cons

  • At $299/month month-to-month it costs twice CoreAge's flat $149 for the same molecule; reaching $239 means committing to twelve months up front
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • The advertised "as low as $239" is a twelve-month commitment rate — the month-to-month price is $299
  • The dispensing compounding pharmacy is not publicly named

Price: Compounded tirzepatide $299/month month-to-month, falling to $269 on a six-month plan and $239 on twelve — the widely advertised $239 is the twelve-month rate, not the entry price

Visit Shed (ShedRx)
14

Sesame Care

Established national telehealth marketplace with the widest real brand-name access — Zepbound, Mounjaro, Wegovy, Ozempic, and oral Rybelsus — though brand meds carry a separate platform subscription.

Brand, varies + subscription

Marketplace access to brand-name tirzepatide (Zepbound, Mounjaro) plus Wegovy, Ozempic, and oral Rybelsus

Full assessment — how the program works, pros and cons

Sesame is one of the most established national telehealth marketplaces (operating since 2018), LegitScript-certified and BBB-listed with a large volume of public reviews. Rather than a single dedicated weight program, it is a marketplace that connects patients to independent clinicians and pharmacies. For tirzepatide it routes the FDA-approved brand-name products (Zepbound and Mounjaro), with pricing that varies by listing, and it also lists Wegovy (pen and pill), Ozempic, and oral Rybelsus — the widest brand-name access in this ranking. Brand medication is billed separately from a Sesame platform subscription, so the true cost is two-part rather than a single flat monthly figure. It is a generalist marketplace, not a weight-loss-specialized program with built-in coaching.

Pros

  • One of the most established telehealth marketplaces (operating since 2018), LegitScript-certified and BBB-listed with a large volume of public reviews
  • The widest real brand-name access in this ranking — brand Zepbound and Mounjaro plus Wegovy, Ozempic, and oral Rybelsus
  • Dispenses FDA-approved branded products, not a compounded copy
  • Marketplace model lets you compare independent clinicians and prices

Cons

  • Two-part cost: brand medication is billed separately from a Sesame platform subscription, so there is no single flat monthly figure
  • Brand tirzepatide pricing varies by listing and is typically far higher than compounded options
  • A generalist marketplace, not a weight-loss-specialized program with coaching or a flat all-in price
  • Because it routes to independent clinicians and pharmacies, care continuity and exactly what you are dispensed can vary

Price: Brand-name tirzepatide (Zepbound/Mounjaro) priced by the marketplace listing (varies) plus a separate Sesame platform subscription — a two-part cost; oral Rybelsus also available

Visit Sesame Care
15

Oak

The lowest published tirzepatide price in this ranking, sold as a package rather than a subscription.

$185/mo

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

A deliberately stripped-back model: you buy a one-month or three-month package rather than joining a subscription, there is no membership fee layered on top of the medication, and the price does not change as your dose goes up. Approval is same-day and no video call is required. Available in all 50 states, and the intake is offered in Spanish as well as English — rare in this category.

Pros

  • Lowest published tirzepatide price in this ranking at $185/month
  • One price across every dose, so titrating up does not raise the monthly cost
  • No membership or subscription fee, and free shipping
  • All 50 states, with the process available in Spanish as well as English

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Same-day approval with no video call means very little clinical contact before a prescription
  • Sold as packages, so continuity is on you to re-order rather than arriving automatically
  • No brand-name pathway and no oral or sublingual route

Price: Compounded tirzepatide from $185/month at one price across all dosages, with no membership fee

Visit Oak
16

Strut Health

Injectable or sublingual tirzepatide at the same $199, for anyone who would rather not inject at all.

$199/mo

Compounded injectable tirzepatide and compounded sublingual tirzepatide lozenges

Full assessment — how the program works, pros and cons

An asynchronous prescriber: a U.S.-licensed physician reviews the intake online, typically within a business day, and in many states no phone consultation is required at all. What sets it apart in this ranking is route — the same tirzepatide is offered as a weekly injection or as a sublingual lozenge at the same $199, so the needle is genuinely optional rather than a compromise on molecule. Free shipping, free follow-up care and the online physician visit are included rather than added at checkout.

Pros

  • Sublingual tirzepatide lozenges at the same price as the injection — the only needle-free tirzepatide route in this ranking
  • Free physician visit, free shipping and free follow-up care included in the price
  • Subscriptions can be cancelled, paused or delayed yourself with 48 hours' notice
  • Every route and price is published on the product page rather than hidden behind an intake

Cons

  • At $199/month it costs more than CoreAge's flat $149 for the same molecule
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Asynchronous by design — in many states you will never speak to the prescriber
  • Not available in Arkansas

Price: Compounded tirzepatide from $199/month on auto-refill, injectable or as a sublingual lozenge at the same price

Visit Strut Health
17

MadeMed

One flat tirzepatide price published dose by dose, from 2.5mg all the way to 15mg.

$399/mo

Compounded injectable tirzepatide, with an oral tirzepatide route also offered

Full assessment — how the program works, pros and cons

LegitScript-verified compounded telehealth whose distinguishing feature is that it publishes the price at every single dose — 2.5mg through 15mg all cost the same — so the cost of the dose you eventually titrate to is knowable on day one rather than a surprise at month four. A board-certified physician reviews the intake, medication ships overnight with injection supplies included, and if you are not prescribed you are refunded everything except a $39 physician-visit fee, stated before checkout.

Pros

  • One flat price at every dose, published dose by dose from 2.5mg to 15mg
  • LegitScript verified, with board-certified physician review and U.S. compounding pharmacies
  • Refund of everything but a $39 visit fee if you are not prescribed — stated up front, not buried
  • Free overnight shipping with injection supplies included, and an oral tirzepatide route if you want it

Cons

  • The most expensive tirzepatide in this ranking at $399/month quarterly — well above CoreAge's flat $149
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Available in 40 states rather than nationwide, so check yours before starting
  • Ships one vial every two months, a less flexible cadence than a monthly refill

Price: Compounded tirzepatide $399/month on the quarterly plan, or from $369/month on six months — the same price at every dose from 2.5mg to 15mg

Visit MadeMed
18

Synergy Rx

Brand Mounjaro when clinically appropriate, with unlimited round-the-clock clinical contact — at the top of this ranking's price range.

$349/mo

Compounded tirzepatide, with FDA-approved brand Mounjaro available when clinically appropriate

Full assessment — how the program works, pros and cons

Positioned on access to clinicians rather than on price: unlimited appointments, unlimited messaging and 24/7 contact with a dedicated team are the headline, and its providers will prescribe FDA-approved brand medications — including Mounjaro — where clinically appropriate rather than defaulting to compounded. The catch is transparency: the site prices its longevity line publicly but publishes nothing at all for tirzepatide, so the monthly cost is unknowable until you are inside the intake.

Pros

  • Will prescribe brand-name Mounjaro when clinically appropriate — genuine FDA-approved tirzepatide, not only compounded
  • Unlimited appointments, messaging and 24/7 access to a dedicated clinical team
  • FSA and HSA eligible

Cons

  • No GLP-1 price anywhere on the public site — it prices its longevity line openly but not the medication this page is about
  • At $349/month it sits near the top of this ranking, roughly $100 above the compounded tirzepatide median
  • Does not publish which states it serves
  • No published cancellation or refund terms
  • The weakest conversion record of any programme in this ranking, which usually tracks with a rough purchase experience

Price: Compounded tirzepatide from $349/month, with a $100 welcome credit applied at checkout — though no GLP-1 price appears anywhere on the public site

Visit Synergy Rx
19

Care Bare Rx

LegitScript-certified, with oral as well as injectable tirzepatide and a real brand Ozempic pathway — but per-dose pricing is quiz-gated.

From $199/mo*

Compounded injectable and oral tirzepatide, plus oral Rybelsus and brand Ozempic

Full assessment — how the program works, pros and cons

A LegitScript-certified, HIPAA-compliant multi-service platform that bundles weight loss with hair, TRT, sexual health and NAD+, so it suits someone consolidating several telehealth needs rather than buying tirzepatide alone. Both routes to the molecule are offered — compounded injectable and oral tirzepatide — alongside oral Rybelsus and a genuine brand Ozempic pathway. The weakness is disclosure: a single "from $199/mo" covers all weight-loss treatments, no tirzepatide-specific price is published, and the per-dose figures only appear once you are through the quiz.

Pros

  • Oral tirzepatide as well as injectable — one of very few programmes here offering the molecule without a needle
  • LegitScript certified and HIPAA compliant, with a real brand pathway (Ozempic, Rybelsus) beside the compounded line
  • One platform if you also want hair, TRT, sexual health or NAD+ handled in the same place

Cons

  • No tirzepatide-specific price at all — the advertised $199 is a shared weight-loss starting figure across molecules
  • Per-dose pricing is quiz-gated, so you cannot model a titrated monthly cost before entering the intake
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • No named clinicians, founding year or parent company disclosed, so transparency on who is behind it is thin

Price: Advertised from $199/month across weight-loss treatments, but that figure is shared across molecules and per-dose pricing only appears inside the intake quiz — brand Ozempic is listed separately from $705/month

Visit Care Bare Rx
20

Breeze Meds

LegitScript-certified compounded tirzepatide from $299, with nothing charged until a provider approves you.

$299/mo

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

A LegitScript-certified nationwide programme whose pricing only appears once you are inside the intake: the public site advertises weight-loss injections "starting at $199" without naming a molecule, and tirzepatide is quoted at $299 for a first month once you reach the plan selector. What you buy is genuinely all-in — consult, medication, supplies, shipping and support in one figure — and nothing is charged until a provider has approved you. The catch is dose: every figure quoted is for the lowest dosage, and the funnel says outright that higher doses may cost more, so the number you see at signup is a floor rather than the price of a therapeutic dose.

Pros

  • Nothing is charged until a provider approves you, and the consult is free if you go ahead
  • One inclusive price covering consult, medication, supplies, shipping and support
  • LegitScript certified, and available in all 50 states
  • Cancel or change plan at any time, stated in the funnel rather than buried in terms
  • NAD+ injections offered alongside the GLP-1 line if you want both from one provider

Cons

  • Every quoted figure is for the LOWEST dose — the funnel states higher doses may cost more, so $299 is a floor, not the price of a titrated dose
  • No tirzepatide price is published anywhere on the public site; you must complete an intake to see it
  • At $299–$399/month it is well above CoreAge's flat $149 for the same molecule
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • An $80 consultation fee applies if you are approved and then decide not to proceed

Price: Compounded tirzepatide from $299 for a first month ($399 month-to-month thereafter), or $1,068 for three months — inclusive of consult, medication, supplies and shipping, but priced at the lowest dose

Visit Breeze Meds
21

Mochi Health

Compounded tirzepatide with dietitian-led coaching, priced on top of a membership.

$199/mo + $79/mo membership

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

Membership-based telehealth weight-care program. The compounded tirzepatide medication is billed at $199/month on top of a separate membership that buys unlimited access to a physician and dietitian, nutrition-coaching sessions, and 24/7 support.

Pros

  • Unlimited access to a physician and registered dietitian, plus nutrition coaching
  • Compounded injectable tirzepatide available with flexible 1-, 3-, 6-, and 12-month terms

Cons

  • Stacked cost: the $79/month membership is charged on top of the $199/month medication
  • The membership renews after the promotional first month, raising the true monthly total
  • Total monthly outlay runs well above CoreAge's flat $149 once the membership renews

Price: Compounded tirzepatide +$199/mo, plus membership ($39 first month, then $79/mo)

Visit Mochi Health
22

Eden

Compounded tirzepatide at a low headline price, billed on top of a recurring membership.

$199/mo + $99/mo membership

Compounded tirzepatide

Full assessment — how the program works, pros and cons

Fully online intake with a licensed provider; compounded tirzepatide is shipped to your door for $199/month. The advertised price covers medication only — an active Eden Membership is required and billed separately, and renews at $99/month after the first month.

Pros

  • Entirely online with free shipping and a broad telehealth catalog
  • Low promotional membership price for the first month

Cons

  • Stacked cost: the membership ($99/month after the first month) is charged on top of the $199/month medication
  • Membership is required to access a prescription and does not guarantee one
  • Total monthly outlay can exceed CoreAge once the membership renews

Price: Compounded tirzepatide $199/mo medication, plus Eden Membership ($39 first month, then $99/mo)

Visit Eden
23

Henry Meds

Compounded tirzepatide bundled into one all-in monthly fee — no separate membership.

From $179/mo all-in

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

Telehealth weight-management program that bundles the provider visit, medication, supplies, ongoing care, and shipping into a single monthly fee — there is no separate membership charge. The price varies by treatment plan and dose; the program's GLP-1 medication starts at $179/month. Injectable refills typically ship every 45 days.

Pros

  • Single all-in monthly fee with no separate membership stacked on top
  • Provider visit, medication, supplies, ongoing care, and shipping included in the quoted price

Cons

  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Quoted price is a starting figure that rises with higher doses and certain plans
  • Compounded GLP-1 programs operate in a contracting, enforcement-heavy regulatory space post-shortage

Price: Compounded GLP-1 medication starts at $179/month, all-in (provider visit, medication, supplies, and shipping included)

Visit Henry Meds
24

Ro

Branded, FDA-approved Zepbound via a large telehealth platform — medication priced separately.

$149/mo membership + Rx

Zepbound (FDA-approved tirzepatide)

Full assessment — how the program works, pros and cons

Large telehealth platform offering the branded, FDA-approved tirzepatide product (Zepbound pen and KwikPen) with cash-pay and insurance options. Care runs through the Ro Body membership; the medication cost is not included in the membership and depends on your treatment and insurance.

Pros

  • Dispenses the FDA-approved branded product (Zepbound), not a compounded preparation
  • Cash-pay and insurance pathways on an established, large-scale platform

Cons

  • Two separate costs: the Ro Body membership plus medication billed on top
  • Branded Zepbound cash-pay pricing is typically far higher than compounded options
  • No single flat all-in figure — total depends on formulation and insurance

Price: Ro Body membership $39 first month, then $149/mo; Zepbound medication billed separately

Visit Ro
25

LifeMD

Brand-name Zepbound (with compounded options) via board-certified providers — medication priced separately.

$149/mo program + Rx

Zepbound (FDA-approved tirzepatide); compounded where clinically appropriate

Full assessment — how the program works, pros and cons

Telehealth weight-management program with board-certified providers, metabolic testing, and ongoing support. The program fee starts at $75 the first month and is $149/month thereafter; the medication is billed separately. LifeMD offers brand-name Zepbound (the FDA-approved tirzepatide), with compounded medication prescribed only where clinically appropriate through a state-licensed sterile compounding pharmacy partner.

Pros

  • Access to the FDA-approved branded product (Zepbound), not only a compounded preparation
  • Board-certified providers, metabolic testing, and insurance/self-pay navigation included

Cons

  • Two separate costs: the $149/month program fee plus medication billed on top
  • Brand Zepbound cash-pay (vial from $349/month) runs well above CoreAge's flat $149
  • No single flat all-in figure — total depends on formulation and insurance

Price: Program $75 first month, then $149/mo; medication billed separately (brand Zepbound vial from $349/mo)

Visit LifeMD

Why CoreAge Rx ranks first

CoreAge wins on the fundamentals. The price is genuinely flat — $149/month that does not change as your dose climbs, with no separate membership fee to discover later. The intake is reviewed by U.S.-licensed clinicians, the tirzepatide is filled by a 503A compounding pharmacy, and every plan includes 1:1 consults with nurses and registered dietitians. If you are not approved, you are refunded automatically.

We are also honest about the medicine. Tirzepatide is proven and FDA-approved at standard doses — it outperformed semaglutide in head-to-head trials — but it is Rx-only, requires ongoing use, and commonly causes gastrointestinal side effects during titration. Compounded tirzepatide is not the branded FDA-approved product. This ranking is about provider quality and value. Read the full picture in our tirzepatide evidence guide before deciding.

How we rank

Some of the programs here are affiliate partners and we may earn a commission at no extra cost to you — the index above and our disclosure say so plainly. What a commission does not touch is the assessment: the four factors below decide what we write about every program, with price transparency carrying the most weight because a membership stacked on top of the medication is the most common way tirzepatide programs end up costing more than they first appear.

Price transparency

We reward a single, all-in monthly price. Plans that stack a membership fee on top of the medication price rank lower than a true flat rate that holds steady as your dose climbs.

Clinical oversight

Real review by U.S.-licensed clinicians of an online intake, with a clear path to decline patients who are not appropriate candidates for tirzepatide.

Pharmacy quality

We note whether the medication is the FDA-approved branded product or a compounded preparation, and whether the compounding pharmacy is identified (e.g. a 503A facility).

Human support

Included access to nurses or registered dietitians — not just a shipped vial — meaningfully improves a multi-month titration.

This page is informational and not medical advice. Tirzepatide is available by prescription after clinician review; compounded tirzepatide is not an FDA-approved product. Talk to a licensed provider about whether it is appropriate for you.