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Tirzepatide Report
Provider review

Precision Telemed Tirzepatide Review: Plans and Refunds

Researched & written by Alan PierceClinical Pharmacology WriterUpdated

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Precision Telemed lists a monthly tirzepatide program at $199 initially, then $249.99, alongside prepaid autoship and dose-limited maintenance options.

Standout details

  • Monthly program: $199 first month, then $249.99; advertised doses 2–15 mg
  • Three-month supply: $644.99 paid upfront on autoship, approximately $215/month

Things to consider

  • Autoship language conflicts with no-subscription marketing; obtain renewal authorization and cutoff
  • After consultation, discretionary pre-shipment cancellation may retain $50; dispensing can make an order final earlier

Precision Telemed's compounded tirzepatide menu lists $199 for the first month, then $249.99 per month, a $644.99 three-month supply on autoship, and a $179.99 monthly maintenance option restricted to 2 mg. The lowest headline is not the same offer as the broader-dose monthly program.3

The second important distinction is cancellation: flexible-plan marketing does not mean that an already-dispensed prescription can be refunded. Its policy retains a consultation fee in specified circumstances and gives a short reporting window for verified delivery failures.4

Compare the three plans separately

TopicWhat to know
Monthly program$199 first month, then $249.99/month; advertised dose range 2–15 mg.
Three-month supply$644.99 paid once for three months (~$215/month); labeled autoship.
Maintenance$179.99/month; restricted to the provider-described 2 mg dose.
The lowest maintenance figure does not cover the full-dose program.

The product describes consultation, medication and shipping as included. The $644.99 option is one payment for three months, approximately $215 per month; it is not a $215 monthly installment. The page labels that plan autoship while other sections say no subscriptions and month-to-month only. Obtain its renewal amount, next billing date and cancellation method before choosing it.3

The $179.99 maintenance selection is limited to the provider-described 2 mg dose. It should not be presented as a price for every dose or as an approved standard maintenance regimen. Your clinician must determine the prescribed dose; do not adjust injections to fit an advertised tier.3

The homepage also sells a separate $50 consultation without medication for people who want to ask questions before choosing a program. That is distinct from the consultation included in a medication plan and from a retained consultation fee after cancellation.5

The refund cutoff can precede shipment

After a consultation but before shipment, the policy says Precision may cancel an order and refund payment less $50. It separately says medication that has been dispensed, shipped or delivered is generally nonrefundable except for its qualifying non-delivery provision. Do not assume an unshipped order remains cancellable if the pharmacy has already dispensed it.4

TopicWhat to know
After consultationPre-shipment cancellation may retain $50; dispensing can make the order final earlier.
Not approvedPolicy refunds the described monthly membership fee minus $50; states 30 days.
Verified non-deliveryReport within 48 hours of tracking delivery date; carrier confirmation required.
Appointment cancellation and future autoship cancellation have separate conditions.

For patients not approved after consultation, the policy describes refunding the monthly membership fee minus a $50 video or asynchronous consultation charge, within 30 days. The product page says no subscription is required, so obtain the exact payment component meant by that membership language rather than assuming a separate fee or a full refund.3,4

Appointment cancellation, rescheduling or no-show within 24 hours carries a $50 fee; outside that window the stated charge is zero. This appointment rule is separate from prescription processing and future autoship cancellation.4

Report a delivery failure promptly

The non-delivery provision requires notifying Precision within 48 hours of the delivery date shown by tracking, with the carrier confirming a delivery issue. After verification, the policy offers a medication-order refund or replacement sent to a different address. This is not an automatic refund based only on an initial complaint.4

The policy's general approved-refund processing estimate is 10 business days, while its medical-nonapproval paragraph gives 30 days. Keep the order number, tracking and supporting information and ask which process applies. Quality concerns should be reported promptly, but the delivery exception should not be expanded into a blanket satisfaction guarantee.4

Know the practice behind the platform

Terms identify Precision Health Digital LLC. The site says Doctors Now PC, a group of independent clinicians, supplies medical services through the platform, and payment does not guarantee a prescription. The product names Joseph Palumbo, DO, as medical director; these are provider disclosures, not independent credential checks or proof that he will treat you.3,6

The product identifies Rush Pharmacy as a compounding partner. Confirm the legal dispensing facility, address and pharmacist contact on the actual prescription. A named relationship does not establish your assignment, current facility license or preparation quality.3

Precision advertises all-state access and describes clinician assessment by telehealth; the homepage mentions Zoom. Confirm your physical location and selected service. Shipping claims vary between 48 hours on the product and 72 hours on the homepage, so ask when preparation and dispatch occur rather than assuming a guaranteed arrival date.3,5

Our assessment

The useful comparison is the ongoing $249.99 program, prepaid autoship obligation or dose-limited maintenance option that actually fits the prescription. Compare Premium Health and Ondra Health using equivalent supply, included care and exit terms.

Compounded preparations are not FDA-approved finished drugs. Branded tirzepatide trials do not establish the safety or effectiveness of every compounded formulation.1,2 Read the compounding guide and evidence guide, and discuss side effects, gallbladder concerns and the thyroid warning with your clinician.

The provider comparison supplies wider context. This review uses public sources without treatment or a purchase.

Frequently asked questions

Is Precision Telemed tirzepatide always $199 per month?

The broader-dose monthly program lists $199 for the first month and $249.99 thereafter. The $644.99 three-month autoship and $179.99 dose-limited maintenance programs have different terms.

Can I cancel an unshipped Precision prescription for a full refund?

The policy permits discretionary cancellation after consultation with $50 retained before shipping, but separately makes dispensed medication generally final. Obtain the pharmacy-processing cutoff; unshipped does not necessarily mean refundable.

What if Precision medication does not arrive?

Notify support within 48 hours of the delivery date shown by tracking. The carrier must confirm a delivery issue; after verification the policy offers a medication-order refund or replacement to another address.

References(6)

  1. Jastreboff AM, Aronne LJ, Ahmad NN, Wharton S, Connery L, Alves B, Kiyosue A, Zhang S, Liu B, Bunck MC, Stefanski A, and the SURMOUNT-1 Investigators (2022). Tirzepatide Once Weekly for the Treatment of Obesity.. New England Journal of Medicine. PMID: 35658024. Read source
  2. Aronne LJ, Horn DB, le Roux CW, Ho W, Falcon BL, Bays HE, et al. (2025). Tirzepatide as Compared with Semaglutide for the Treatment of Obesity (SURMOUNT-5).. New England Journal of Medicine. PMID: 40353578. Read source
  3. Precision Telemed (2026). Compounded Tirzepatide: three plans, clinical disclosures and pharmacy. Precision Telemed.
  4. Precision Telemed (2026). Refund Policy: dispensing cutoff, consultation fees and non-delivery exception. Precision Telemed.
  5. Precision Telemed (2026). Homepage: included care, separate consultation and delivery estimates. Precision Telemed.
  6. Precision Telemed (2026). Terms of Use: platform identity and independent clinical practice disclosure. Precision Telemed.

About the author

Alan Pierce

Clinical Pharmacology Writer

About Tirzepatide Report · How we verify prices

Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.