StackMD Tirzepatide Review: Cost, Named Legal Entities & Honest Verdict (2026)

StackMD publishes an exact price for every dose strength rather than a single "from" figure, and names both its legal entity — Medical 360 HC PLLC — and its prescribing telehealth partner, SamaritanMD. Every fact here comes from the company's own published program.

Every dose priced openly — but steeply

Worth flagging directly: StackMD publishes exact pricing per dose strength — a real transparency positive — but tirzepatide rises steeply from $199 at 5mg to $449 at 30mg. Confirm your actual maintenance-dose price before assuming the entry figure applies.

What StackMD is

StackMD is a New York telehealth platform, operated by Medical 360 HC PLLC, selling compounded semaglutide and tirzepatide formulated with B12 and glycine, alongside NAD+, sermorelin, and other longevity peptides. It's prescribed through partner SamaritanMD, serving all 50 states per its terms.

What StackMD costs

Tirzepatide runs $199 at the 5mg dose up to $449 at 30mg, and semaglutide $125-$225. No membership or platform fee applies — the medication price is the whole price. Free discreet shipping and FSA/HSA eligibility are included.

The brand-vs-compounded question

StackMD dispenses compounded semaglutide and tirzepatide, and states plainly on its own site that these medications are "not FDA-approved and have not been evaluated by the FDA for safety, efficacy, or quality" — a genuinely direct disclosure. Compounded tirzepatide is pharmacy-made, not itself an FDA-approved finished drug, and was not the specific product studied in the pivotal trials. See our guide to whether compounded tirzepatide is still legal in 2026 for the regulatory picture.

How the care model holds up

StackMD's real strengths: exact pricing at every dose tier, named legal entity and prescribing partner, no membership or platform fee, a plainly stated FDA-status disclaimer, and all-50-state coverage with FSA/HSA eligibility. The trade-offs: all sales are final — no refunds except in narrow circumstances, and dispensed medication can't be returned, compounding pharmacies are never named, only "a licensed third-party pharmacy," pricing rises steeply with dose, SamaritanMD (not StackMD) handles billing and refunds, and its terms impose binding arbitration in New York with a jury-trial and class-action waiver. As with any GLP-1 program, confirm your actual maintenance-dose price and read the refund limitations closely; tirzepatide carries labeled warnings for acute pancreatitis, gallbladder disease, and a boxed thyroid C-cell tumor warning — see our guides on Zepbound side effects, the gallbladder risk, and the thyroid cancer warning.

Does the drug work? (Separate from the provider)

Judge the provider on price, oversight and disclosure; judge the molecule on its trials. Tirzepatide's are strong — roughly 15–21% of body weight over 72 weeks in SURMOUNT-1¹, and better than semaglutide head-to-head² — but they were run on the brand drug at FDA-approved doses. Our tirzepatide evidence guide has the full picture.

The honest verdict

StackMD's exact per-dose pricing and named legal entities are genuine transparency strengths, but the steep dose escalation and all-sales-final policy are worth reading closely before committing. For a provider with genuinely flat pricing at every dose, compare it against Ondra Health or MyFastRx. See our best tirzepatide providers ranking for the full field.