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TirzepatideReport
Providers

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.

Start with CoreAge RxHow we rank

§ Price position — every program against the median

Plotted against the $269/month median of the 77 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−$120 vs medianVisit
02Pallas Health$299/mo avg (12-wk block)CompoundedVisit
03Ageless$349/mo injection ($199 drops)Compounded+$80 vs medianVisit
04Found$289/mo m2m ($169/mo on 12-mo prepay)CompoundedVisit
05Gala Health$179/mo (yearly plan)CompoundedVisit
06Trimi$125/mo (annual prepay) · $235 monthlyCompoundedFlat−$34 vs medianVisit
07Enhance MD$280/mo ($180 first month)CompoundedFlat+$11 vs medianVisit
08yourEraFrom $159/moCompoundedVisit
09Telos RxFrom $139/mo (plan-length dependent)CompoundedVisit
10Direct Meds$399/mo injectableCompounded+$130 vs medianFDA warning letter · September 2025Visit
11HealthRX$214/moCompounded−$55 vs medianVisit
12Sprout HealthFrom $199/mo compoundedCompounded−$70 vs medianFDA warning letter · September 2025Visit
13Bodybuilding Health+$319/mo ($244/mo on 12-mo bundle)Compounded+$50 vs medianVisit
14Eden$199/mo + $99/mo membershipCompounded−$70 vs medianFDA warning letter · June 2026Visit
15Shed (ShedRx)$299/moCompounded+$30 vs medianVisit
16Sesame CareZepbound from $299/mo + $99/mo subscriptionBrandVisit
17Oak$300/mo (read 15 Aug)CompoundedVisit
18Strut Health$149/mo injectableCompounded−$120 vs medianFDA warning letter · February 2026Visit
19MadeMed$399/mo (quarterly plan)CompoundedFlatVisit
20Synergy RxNot published ($349/mo unconfirmed)CompoundedVisit
21Care Bare RxFrom $199/mo*CompoundedVisit
22Breeze Meds$399/mo ($299 first month)Compounded+$130 vs medianVisit
23bmiMD$179/mo flat ($139 on 12-mo prepay)CompoundedFlat−$90 vs medianVisit
24RxSpan MD$329/mo injection (month-to-month)Compounded+$60 vs medianVisit
25Wellorithm$249/moCompounded−$20 vs medianVisit
26Peter MD$149 first mo, then $249/mo (billed quarterly)CompoundedVisit
27SkinnyRx$399/mo ($299 on a 12-month plan)Compounded+$130 vs medianFDA warning letter · February 2026Visit
28MyDrHank$349/mo month-to-month ($240/mo only on a $2,883 annual prepay)Compounded+$80 vs medianVisit
29System Labs$179/mo flat ($99 first month)CompoundedFlat−$90 vs medianVisit
30WellMedr$99/mo advertised "starting at" (discounted; standing rate not published)CompoundedFlatVisit
31He & She MD$299/mo (month to month, compounded; every lower rate is a prepaid term)CompoundedVisit
32SnagRx$149/mo flat at every doseCompoundedVisit
33HumeCare+$199/mo (microdose)Compounded−$70 vs medianVisit
34Collective$69/mo drug + $199/yr membershipCompoundedVisit
35MEDGm$399/mo (compounded)Compounded+$130 vs medianVisit
36Mochi HealthFrom $90/mo + $79/mo membershipCompoundedVisit
37Henry MedsFrom $179/mo all-inCompounded−$90 vs medianVisit
38Ro$149/mo membership + Zepbound from $299/moBrandVisit
39LifeMD$149/mo program + Rx (unpriced)BrandVisit
40MyStart Health$299/mo flat (price-locked)CompoundedFlat+$30 vs medianFDA warning letter · September 2025Visit

Showing the first 40 of 396 tracked programs, in index order — every figure above the table is computed from all 396. Every program has a review.

Programs indexed
396
Compounded median
$269 / month
Published range
$109 – $429
Published prices
77 of 396

§ 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, but the ORDER is not: this index runs affiliate partners first, then everyone else, so a program further down is not necessarily dearer or worse — read the column, not the row number. 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.

Read our CoreAge Rx review

$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 (microdose tier $129/month); no membership fee, no contract

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

Pallas Health

Prices tirzepatide openly and bills it a quarter at a time — $897 up front, with no monthly option behind it.

Read our Pallas Health review

$299/mo avg (12-wk block)

compounded

Full assessment — how the program works, pros and cons

A cash-pay telehealth selling compounded semaglutide and tirzepatide in twelve-week blocks, priced publicly before any intake. There is no month-to-month option: the block is the only cadence, paid up front, with a reduced first four weeks on each molecule. It also runs a Spanish-language lander alongside the English site.

Pros

  • Tirzepatide is priced publicly, with the amount actually charged stated rather than only a monthly average
  • A genuinely reduced first cycle at $179 for the first four weeks
  • Runs a Spanish-language lander as well as the English site, which most of this field does not

Cons

  • There is no monthly rung at all. The only cadence is $897 paid up front every twelve weeks, so the advertised 'per month' figure is arithmetic rather than a payment anyone makes
  • A 12-week cycle is 4.33 charges a year, not 4 — a year costs more than four times the block
  • The $179 first cycle is an intro rate; the standing block applies from the second cycle on
  • Compounded tirzepatide is not an FDA-approved product and is not a generic of Mounjaro or Zepbound

Price: $299/mo average — Pallas's own figure for $897 billed every 12 weeks, its only cadence; $179 covers the first 4 weeks

Visit Pallas Health
3

Ageless

Broad compounded storefront whose sublingual tirzepatide drops ($199/mo) undercut its own injection ($349/mo) — an inversion of the usual market rule.

Read our Ageless review

$349/mo injection ($199 drops)

Compounded tirzepatide (injection and sublingual 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: a tirzepatide injection at $349/month month-to-month, sublingual tirzepatide drops at $199/month, and a compounded semaglutide + B12 injection at $279/month, alongside adjacent longevity and hormone lines (NAD+, sermorelin, low-dose naltrexone, methylene blue, and TRT). A licensed clinician reviews an online intake and the protocol is filled by a named partner pharmacy, The Pharmacy Hub in Miami, and shipped discreetly; no insurance is taken and Klarna/Affirm financing is offered. Ageless names more of its chain than most compounded sellers — the operator is Lovely Meds, Inc. and the prescribing practice is Wasef Health, PC under Michael Wasef, MD — but its most visible per-month figures are twelve-month prepay rungs, and it does not publish which states it serves.

Pros

  • Unusually broad compounded menu under one roof — injectable and sublingual tirzepatide plus semaglutide, with NAD+, sermorelin, and TRT alongside
  • Sublingual tirzepatide drops at $199/month sit $150 BELOW its own injection, where the rest of the category charges the same or more for a needle-free route
  • Names its operator (Lovely Meds, Inc.), its prescribing practice (Wasef Health, PC / Michael Wasef, MD) and its dispensing pharmacy (The Pharmacy Hub, Miami) — three disclosures most compounded sellers make none of
  • 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 pharmacy
  • At $349/month the injection does not undercut brand Zepbound across the board — LillyDirect self-pay is $299 at 2.5 mg and $399 at 5 mg, so the compounded route costs MORE at the doses most people start on
  • The advertised 'from $159/mo', 'from $199' and 'from $249' figures are all twelve-month rates charged in a single upfront payment of $1,908, $2,388 or $2,988
  • Sublingual tirzepatide drops lack the robust absorption and efficacy evidence of injectables — the lower price is a signal about the format, not a discount on the same drug
  • No published list of states served, and a separate storefront catalog publishes a third set of prices behind a checkout that is disabled

Price: Compounded tirzepatide injection $349/month month-to-month, stepping to $329 on three months, $299 on six and $249 only on a twelve-month plan billed $2,988 up front; sublingual tirzepatide drops $199/month ($159/mo on a $1,908 annual prepay); compounded semaglutide + B12 injection $279/month

Visit Ageless
4

Found

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

Read our Found review

$289/mo m2m ($169/mo on 12-mo prepay)

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: Compounded GLP-1 program $289/month month-to-month (cash), or $169/month on a 12-month plan paid up front; the advertised $99/month is the with-insurance annual-prepay rate. No tirzepatide-specific medication price is published; brand Zepbound from about $650/month

Visit Found
5

Gala Health

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

Read our Gala Health review

$179/mo (yearly plan)

Compounded GLP-1/GIP incl. tirzepatide (brand Ozempic available separately)

Full assessment — how the program works, pros and cons

Telehealth weight program from Gala (AI Coaching Inc), pitched specifically at women — its product pages read "for Women" and it sells HRT and menopause care alongside GLP-1. A licensed prescriber reviews an online intake and, where appropriate, compounded GLP-1/GIP including tirzepatide ships at $179/month — but that figure is calculated on a yearly subscription, which the storefront footnotes and which we state here because the headline does not. The cheapest term Gala actually quotes in prose is $199/month on a 3-month plan, and no month-to-month rate is published at all. A separate $149/month microdose tier (also yearly) is sub-therapeutic by design — a longevity protocol, not a weight-loss dose — so it is not the comparable tirzepatide price. Gala is licensed in all 50 states and keeps a brand-name pathway open at $1,299/month cash for Ozempic.

Pros

  • Low compounded entry at $179/month with all doses included, so titrating up costs nothing extra
  • Available in all 50 states — broader coverage than most compounded-only startups
  • Offers a brand-name pathway (Ozempic) alongside compounded options
  • LegitScript-certified, with HRT and menopause care under the same roof

Cons

  • The $179 headline requires a YEARLY subscription — no month-to-month price is published anywhere on the site
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • The $149 microdose tier is sub-therapeutic and should not be read as a cheap tirzepatide dose
  • The brand-name Ozempic option is very expensive at $1,299, and the dispensing pharmacy is never named

Price: Compounded GLP-1/GIP (incl. tirzepatide) $179/month on a YEARLY subscription, all doses included — no month-to-month price is published; the site's own FAQ quotes $199/month on a 3-month plan. Microdose tier $149/month, also yearly. Brand Ozempic $1,299/month cash

Visit Gala Health
6

Trimi

One of the lowest compounded rates here — but only if you prepay a year up front.

Read our Trimi review

$125/mo (annual prepay) · $235 monthly

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

Direct-to-patient telehealth on one membership covering the visit, the medication and free overnight shipping, 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 to all 50 states. The advertised $125/month is the annual tier and requires $1,500 paid up front — the true no-commitment price is $235/month, and Trimi publishes the whole ladder openly rather than hiding it behind an intake. Compounded semaglutide runs on the same plan structure from $99/month annual. Price is flat at every dose, so titrating up costs nothing extra.

Pros

  • Publishes its full four-tier price ladder openly, with the billed total next to each per-month figure — rare candour in this category
  • Flat price at every dose, so titration never raises the bill
  • One membership covers the visit, medication and free overnight shipping to all 50 states
  • Buy-now-pay-later (Affirm / Klarna / Afterpay) available on the prepaid terms

Cons

  • The $125 headline needs $1,500 paid up front; month-to-month is $235, more than CoreAge's flat $149
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • Prepaying a year for a medication you may not tolerate carries real refund risk
  • Injectable only — no oral or brand-name pathway

Price: Compounded tirzepatide $125/month ONLY on the annual plan, billed $1,500 up front. Billed monthly it is $235/month; $199/month on a 3-month term ($597); $175/month on a 6-month term ($1,050). Trimi's own page states the range as "$125-235 per month depending on billing plan"

Visit Trimi
7

Enhance MD

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

Read our Enhance MD review

$280/mo ($180 first month)

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 at every dose ($180 the first month), microdose tirzepatide $169/month, semaglutide-plus-tirzepatide combination $322/month, compounded semaglutide $212/month ($112 the first month); provider care and 6-month lab testing included

Visit Enhance MD
8

yourEra

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

Read our yourEra review

From $159/mo

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 from $159/month (dose ladder not published; no long-term contracts); compounded semaglutide from $79/month; NAD+ from $249/month; microdosing from $179/month; optional Optimum coaching +$149/month

Visit yourEra
9

Telos Rx

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

Read our Telos Rx review

From $139/mo (plan-length dependent)

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 as low as $139/month — the price depends on plan length and the ladder is not published; microdosed from $116/month; compounded semaglutide $99/month; oral GLP-1 from $9/day

Visit Telos Rx
10

Direct Meds

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

Read our Direct Meds review

$399/mo injectable

Compounded tirzepatide (oral/sublingual and injectable) and semaglutide

FDA warning letter
FDA issued directmeds.com, Inc. dba DirectMeds a warning letter in September 2025 (Unlawful Sale of Unapproved and Misbranded Drugs to United States Consumers Over the Internet (Telehealth)). Read the letter on FDA’s own warning-letter database.

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
  • FDA issued the company a warning letter in September 2025 — read it on FDA's own site

Price: Compounded tirzepatide injection $399/month (30-, 60- or 90-day supplies; no membership); no sublingual tirzepatide price is published — sublingual semaglutide is $249/month and semaglutide injections from $297/month

Visit Direct Meds
11

HealthRX

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

Read our HealthRX review

$214/mo

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: Compounded tirzepatide $214/month month-to-month; $193 for the first month; $209/month on a 3-month plan and $179/month on a 12-month plan; compounded semaglutide from $99–$133/month

Visit HealthRX
12

Sprout Health

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

Read our Sprout Health review

From $199/mo compounded

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

FDA warning letter
FDA issued Sprout Health Partners LLC dba Sprout Health a warning letter in September 2025 (Unlawful Sale of Unapproved and Misbranded Drugs to United States Consumers Over the Internet (Telehealth)). Read the letter on FDA’s own warning-letter database.

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
  • The two pharmacies it names — Foothills and Promise — are disclosed only in the Terms and the HIPAA notice, and neither is classified as 503A or 503B anywhere on the site
  • Injectable only — no oral tirzepatide pathway
  • State availability is quiz-gated rather than published, and $199/month is above the cheapest flat compounders
  • FDA issued the company a warning letter in September 2025 — read it on FDA's own site

Price: Compounded tirzepatide from $199/month — a promotional rate off a $349 list; plans renew automatically and the billing frequency is shown before checkout; compounded semaglutide from $149/month; brand Wegovy ($1,799) and Zepbound ($1,999) also offered

Visit Sprout Health
13

Bodybuilding Health+

The Bodybuilding.com fitness brand's new compounded arm — tirzepatide bundles down to $244/month on a year, alongside semaglutide, NAD+, sermorelin, and peptides.

Read our Bodybuilding Health+ review

$319/mo ($244/mo on 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 (regular $319/month), $286/month on the 3-month bundle, $250/month on 6 months and $244/month on the 12-month bundle — all bundles paid up front; compounded semaglutide from $139/month (the $179/$139 ladder is semaglutide's, not tirzepatide's)

Visit Bodybuilding Health+
14

Eden

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

Read our Eden review

$199/mo + $99/mo membership

Compounded tirzepatide

FDA warning letter
FDA issued Eden Health International Inc. dba Eden a warning letter in June 2026 (False & Misleading Claims/Misbranded (Telehealth)). Read the letter on FDA’s own warning-letter database.

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
15

Shed (ShedRx)

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

Read our Shed (ShedRx) review

$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)
16

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.

Read our Sesame Care review

Zepbound from $299/mo + $99/mo 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 Zepbound (KwikPen or vial) at the LillyDirect cash ladder — $299/month at 2.5 mg, $398 at 5 mg, $499 at 7.5 mg, $698 at 10–15 mg — plus a Sesame subscription of $99/month monthly or $59/month on an annual plan; oral Rybelsus also available

Visit Sesame Care
17

Oak

No membership fee and same-day approval — but Oak publishes nine different 'starting' figures and attaches a billing term to none of them.

Read our Oak review

$300/mo (read 15 Aug)

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

A deliberately stripped-back model: you buy a one-month or multi-month package rather than joining a subscription, and there is no membership fee layered on top of the medication. 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. What Oak will not do is tell you what it charges: its own pages carry nine different 'starting at' figures with no term or billing cadence on any of them, and the full ladder is only revealed after a 29-question health intake.

Pros

  • No membership or subscription fee, and free shipping
  • Same-day approval with no video call required
  • All 50 states, with the process available in Spanish as well as English
  • Advertises price-matching on any medication, which few programs here offer

Cons

  • No usable published price: nine conflicting 'starting at' figures from $119 to $250, none carrying a term or a billing cadence, and the real ladder only appears after a 29-question intake
  • The lowest figures, $119 and $185, appear only beside a '$200 off' new-patient offer that Oak describes as $50 off the first month and $200 off three months — a package discount, not a monthly rate
  • Oak's 'all doses are the same price' claim is unconfirmed — a separate reading of its checkout copy recorded each dose step costing roughly $50–$75 more
  • 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

Price: $300/mo tirzepatide and $250 semaglutide on its order form, read the afternoon of 15 August 2026 — fifty dollars higher than the same page showed that morning. Neither is any of the nine conflicting 'starting at' figures ($119 to $250) Oak advertises across its own pages, none of which carries a term or a billing cadence

Visit Oak
18

Strut Health

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

Read our Strut Health review

$149/mo injectable

Compounded injectable tirzepatide and compounded sublingual tirzepatide lozenges

FDA warning letter
FDA issued Strut Health, LLC dba Strut a warning letter in February 2026 (False & Misleading Claims/Misbranded (Telehealth)). Read the letter on FDA’s own warning-letter database.

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, so the needle is optional without paying a premium for it
  • Free physician visit, free shipping and free follow-up care included in the price
  • Subscriptions can be canceled, 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
  • FDA issued the company a warning letter in February 2026 — read it on FDA's own site

Price: Compounded tirzepatide injection $149 per 30-day supply on auto-refill; oral lozenge $199 per 30 days, offered only when injections fail or cannot be used

Visit Strut Health
19

MadeMed

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

Read our MadeMed review

$399/mo (quarterly plan)

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

  • At $399/month on a quarterly commitment it sits near the best options here's price range — 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 billed $1,197 every 3 months (quarterly plan), or $369/month on six months — the same price at every dose from 2.5mg to 15mg

Visit MadeMed
20

Synergy Rx

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

Read our Synergy Rx review

Not published ($349/mo unconfirmed)

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 program in this ranking, which usually tracks with a rough purchase experience

Price: No GLP-1 price is published on the public site; a $349/month figure was recorded from a third-party dataset in July 2026 and could not be confirmed on August 28, 2026. A $100 welcome credit applies at checkout; pharmacies named: Belmar Pharmacy and Strive Pharmacy

Visit Synergy Rx
21

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.

Read our Care Bare Rx review

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 programs 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
22

Breeze Meds

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

Read our Breeze Meds review

$399/mo ($299 first month)

Compounded injectable tirzepatide

Full assessment — how the program works, pros and cons

A LegitScript-certified nationwide program 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 $399/month (injectable or oral) on the public site; a $299 first-month rate and a $1,068 three-month plan appear only inside the intake — inclusive of consult, medication, supplies and shipping, priced at the lowest dose

Visit Breeze Meds
23

bmiMD

Flat-priced compounded tirzepatide at every dose — but the advertised rate is a twelve-month prepay, not a monthly one.

Read our bmiMD review

$179/mo flat ($139 on 12-mo prepay)

Compounded tirzepatide (a separate microdose line is also sold)

Full assessment — how the program works, pros and cons

A telehealth medical weight-loss clinic prescribing compounded tirzepatide and semaglutide across all 50 states. The pricing model is genuinely flat by dose — you pay the same whether you are at 2.5 mg or 15 mg — with the variable being how long you commit for rather than how much drug you take. The headline $139 is the twelve-month rate; month to month the same product is $179. A separate 'GLP-1/GIP microdose' line is sold at the same ladder, marketed with strike-through pricing and a 'limited time offer' label that has been standing long enough to treat as the regular price.

Pros

  • Flat pricing across every dose — titrating up to a therapeutic dose does not raise the bill
  • Both compounded tirzepatide and compounded semaglutide on one account
  • Available in all 50 states
  • A published price ladder you can read before starting an intake, which is rarer in this category than it should be

Cons

  • The advertised $139 requires paying $1,668 for twelve months up front; month-to-month is $179
  • Compounded tirzepatide is not the FDA-approved branded product (Mounjaro / Zepbound)
  • The microdose line's 'limited time' strike-through pricing has persisted long enough that it reads as regular pricing
  • Very little published detail about the clinicians or the compounding pharmacy behind the prescription

Price: Compounded tirzepatide $179/month month-to-month, stepping down to $159 on three months, $149 on six, and $139/month only on a twelve-month plan billed $1,668 up front — flat across all doses at every tier

Visit bmiMD
24

RxSpan MD

Physician-founded, LegitScript-certified, and one of the few programs that names every 503A pharmacy it uses.

Read our RxSpan MD review

$329/mo injection (month-to-month)

Compounded tirzepatide (injection and oral capsules) plus brand-name Zepbound, Wegovy and Ozempic

Full assessment — how the program works, pros and cons

A physician-led telehealth practice founded by Dr John Diaz, a board-certified plastic surgeon, running compounded semaglutide and tirzepatide alongside a genuine brand-name path. What distinguishes it from most providers here are disclosure: it publishes its LegitScript certification number, names its 503A compounding partners (Belmar, Strive, Epiq Scripts and Casa Pharma Rx — each with a phone number and a domain) and names the medical group behind the prescribing, Lion MD, where the majority of compounded sellers name none of the three. Free expedited shipping and 24/7 support are included, and it ships to all 50 states after a short assessment. The trade is price — the compounded tiers sit mid-to-high, and the brand-name figures are steep.

Pros

  • Names its 503A compounding pharmacies — Belmar, Strive, Epiq Scripts and Casa Pharma Rx — with a phone number and a domain for each, rather than referring vaguely to 'US-licensed pharmacies'
  • LegitScript certified, with the certificate number published (#50405601) and the seal served from LegitScript's own CDN bound to rxspanmd.com
  • Physician-founded and openly attributed, which is unusual in compounded telehealth
  • A real brand-name pathway (Zepbound, Mounjaro, Wegovy, Ozempic) alongside the compounded tiers, so you are not forced into a copy
  • Ships to all 50 states, with expedited shipping and 24/7 support included in the price
  • Publishes the operating entity, RxSpan MD LLC, in its own terms of service

Cons

  • At $329/month month-to-month the compounded injection is well above the cheapest programs here
  • Brand-name pricing is high even by brand standards — Zepbound and Mounjaro $1,069, Ozempic $1,299, Wegovy $1,349
  • The oral capsule tier costs more than the injection month-to-month while having no published evidence that it absorbs
  • A multi-vertical practice (hair, sexual health, longevity) rather than a weight-management specialist
  • Its own FAQ says there are 'no long-term commitments', yet the cheapest rates require a three-, six- or twelve-month plan

Price: Compounded tirzepatide injections $329/month month-to-month, stepping to $309, $289 and $269 on three-, six- and twelve-month plans; oral capsules $349 month-to-month, stepping to $299, $289 and $269 on the same terms; brand Zepbound and Mounjaro listed separately at $1,069/month

Visit RxSpan MD
25

Wellorithm

Four compounded formats at one price — injectable or oral dissolving tablet, semaglutide or tirzepatide.

Read our Wellorithm review

$249/mo

Compounded tirzepatide (injectable or oral dissolving tablet, same price)

Full assessment — how the program works, pros and cons

A Miami-based program offering an unusually wide format menu for a compounded seller — semaglutide and tirzepatide, each as an injectable or an oral dissolving tablet, all at one price — with board-certified obesity specialists doing virtual consultations and a two-minute quiz for onboarding. It serves 49 states, everywhere but Louisiana, which is broader coverage than most compounded programs manage.

Pros

  • Four compounded formats on one menu — semaglutide and tirzepatide, injectable or oral dissolving tablet
  • Board-certified obesity specialists conducting the virtual consultations
  • Available in 49 states, broader than most compounded GLP-1 programs
  • The per-product price is visible after one click into the quiz, before any personal information is entered
  • 24/7 support with a dedicated phone line

Cons

  • The oral dissolving tablet is priced the same as the injection despite no published evidence that it absorbs
  • Not available in Louisiana
  • No visible LegitScript certification or PCAB accreditation, and the pharmacy partner is not named
  • No static pricing page — the price is shown only inside the quiz flow, and any consult or add-on fees beyond the medication price are not visible until further into it

Price: Tirzepatide, injection or oral dissolving tablet: $249/mo, shown on the quiz's medication-selector screen before any personal information is requested. Branded pens also on the menu: Mounjaro $1,399/mo, Ozempic $1,199/mo, Wegovy $899/mo, Zepbound $1,199/mo.

Visit Wellorithm
26

Peter MD

Physician-prescribed tirzepatide with a low $149 entry — after which it's billed quarterly, not monthly, and a broad state exclusion list applies.

Read our Peter MD review

$149 first mo, then $249/mo (billed quarterly)

Physician-prescribed tirzepatide; semaglutide, sermorelin, NAD+ and TRT also available on the same platform

Full assessment — how the program works, pros and cons

A Miami-founded (2021) physician-prescribed telehealth practice built around GLP-1 weight loss, with semaglutide, sermorelin, NAD+ and TRT also on the menu for patients who want more than one prescription from a single account. Tirzepatide leads with a discounted $149 first month before stepping up to a $249/month quarterly-billed rate at the 60mg dose — each renewal lands as one roughly $747 charge rather than a smaller monthly one. Coverage is not universal: the affiliate program's own disclosed restriction for tirzepatide specifically lists at least seven excluded states, a wider list than the marketing page's own two-state disclosure.

Pros

  • Physician-prescribed, nationwide telehealth practice founded 2021, HQ Miami FL
  • Discounted $149 first month before the standing $249/month rate takes over
  • Broader catalog on one account if you also want semaglutide, sermorelin, NAD+ or TRT

Cons

  • Price steps up from $149 to $249/month after the first month, billed quarterly as a single ~$747 charge
  • Not available in at least seven states for tirzepatide specifically, including AL, AR, CA, ID, MI, NC and TX — a wider exclusion list than the marketing page's own AL/ID-only disclosure
  • Customer reviews are mixed
  • The compounding pharmacy and the prescribing clinicians are not publicly named

Price: $149 for the first month, then $249/month billed quarterly for the 60mg dose — so the recurring commitment is a single roughly $747 charge every three months rather than a monthly one

Visit Peter MD

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.

Start with CoreAge Rx

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.