Compounded Tirzepatide Providers in 2026 — Ranked & Reviewed

Compounded tirzepatide gives you the same active ingredient found in Mounjaro and Zepbound at a fraction of the retail price. We ranked the most trusted telehealth providers shipping compounded tirzepatide in 2026 by clinical oversight, pharmacy reputation, monthly cost, and user experience.

Lowest verified price: $69/mo396 providers compared

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By Eli Marsden · Founding Editor
Editorially reviewed & fact-checked against primary sources · How we verify contentLast reviewed

396 compounded tirzepatide providers compared · independently scored against our six-factor methodology.

Quick Picks: Top 5

#ProviderScore
1CoreAge RxVisit
2FoundVisit
3CollectiveVisit
4Enhance MDVisit
5GalaVisit

Compare the top providers at a glance

Logos, our editorial rating, price, medications, and coverage — the fastest way to narrow the list.

  • ★ Editor's Pick
    CoreAge Rx

    best overall value

    From /mo
    $149
    Flat at every dose
    Coverage
    50 states
    Medications
    SemaglutideTirzepatide
    Visit →
  • Nationwide Coverage
    Found

    mainstream telehealth GLP-1 access

    From /mo
    $99
    Coverage
    50 states
    Medications
    SemaglutideTirzepatide
    Visit →
  • Best Budget
    Collective

    the lowest flat medication price if you can absorb an annual membership fee

    From /mo
    $69
    Flat at every dose
    Coverage
    Check intake
    Medications
    SemaglutideTirzepatide
    Visit →
  • Enhance MD

    lab-monitored compounded GLP-1 with mandatory video visit

    From /mo
    $169
    Flat at every dose
    Coverage
    39 states
    Medications
    SemaglutideTirzepatide
    Visit →
  • Gala

    compounded GLP-1/GIP combo on a yearly plan with free shipping

    From /mo
    $149
    Flat at every dose
    Coverage
    50 states
    Medications
    TirzepatideSemaglutide
    Visit →
  • bmiMD

    mainstream telehealth GLP-1 access

    From /mo
    $139
    Flat at every dose
    Coverage
    50 states
    Medications
    SemaglutideTirzepatide
    Visit →
  • Transparent Pricing
    RxSpan MD

    physician-led, pharmacy-transparent compounded GLP-1 with brand-name options

    From /mo
    $329
    Coverage
    50 states
    Medications
    SemaglutideTirzepatide
    Visit →
  • GobyMeds

    budget-conscious shoppers

    From /mo
    $133
    Coverage
    Check intake
    Medications
    SemaglutideTirzepatide
    Visit →
6scored dimensions
396compounded tirzepatide providers compared
100%verified against live provider sites
Value 25%Effectiveness 25%User Experience 15%Trust & Safety 15%Accessibility 10%Support 10%

Providers that don’t post pricing up front score lower on Value and carry a cost-transparency note in their review. Read the full methodology →

Detailed Reviews

1

CoreAge Rx

Verified partner

Best for: best overall value

8.3

CoreAge Rx offers LegitScript-certified compounded semaglutide and tirzepatide with free 2-day shipping to all 50 states. Backed by licensed physicians and 24/7 support, it delivers the most competitive pricing in the compounded GLP-1 space.

Score Breakdown

Value25%
8.5
Effectiveness25%
8.5
User Experience15%
8.5
Trust & Safety15%
7.8
Accessibility10%
8
Support10%
8.4

Pros

  • ✓LegitScript certified — rigorous pharmacy standards
  • ✓Free 2-day shipping nationwide
  • ✓Both semaglutide and tirzepatide available
  • ✓Lowest per-month pricing in the compounded segment
  • ✓24/7 support team
  • ✓All 50 states covered

Cons

  • ✗Compounded only — no brand-name Ozempic or Wegovy
  • ✗Newer brand with fewer independent reviews than legacy players
Starting from $149/moRead full review →
Visit CoreAge Rx →
2

Found

Verified partner

Best for: mainstream telehealth GLP-1 access

8.3

Personalized weight care platform with a self-pay membership model plus medication costs.

Score Breakdown

Value25%
8.5
Effectiveness25%
9
User Experience15%
8
Trust & Safety15%
7.3
Accessibility10%
8.5
Support10%
7.5

Pros

  • ✓Aggressively low monthly pricing
  • ✓Both semaglutide and tirzepatide available
  • ✓Compounded GLP-1 access

Cons

  • ✗Limited public information on program details
Starting from $99/moRead full review →
Visit Found →
3

Collective

Verified partner

Best for: the lowest flat medication price if you can absorb an annual membership fee

8.3

Collective (collective.org) is a membership-based telehealth platform from the founder of Thrive Market, selling compounded semaglutide and tirzepatide at a flat price on every dose. Medication is billed separately from a required annual membership, and the program bundles unlimited clinician messaging, dietitian access and express cold shipping.

Score Breakdown

Value25%
9.4
Effectiveness25%
8.2
User Experience15%
8
Trust & Safety15%
7.2
Accessibility10%
7.4
Support10%
8.4

Pros

  • ✓The lowest published compounded GLP-1 medication prices we track — $59/month semaglutide and $69/month tirzepatide
  • ✓Flat pricing at every dose, so titrating up does not raise the bill
  • ✓Unlimited clinician messaging and registered-dietitian access are included rather than upsold
  • ✓21-day free trial on the membership before the annual fee is charged

Cons

  • ✗The advertised $59 and $69 exclude a mandatory $199 annual membership — the real first-year cost is $907 and $1,027
  • ✗Membership fees are non-refundable and no partial-period refunds are given
  • ✗Compounding pharmacies are described only as 'independent, third-party licensed pharmacies' and are never named
  • ✗State availability is not published on the marketing site
Starting from $69/moRead full review →
Visit Collective →
4

Enhance MD

Verified partner

Best for: lab-monitored compounded GLP-1 with mandatory video visit

8.2

Enhance MD pairs compounded semaglutide and tirzepatide with mandatory baseline metabolic labs at Quest Diagnostics and a synchronous video visit with a board-certified clinician — a more rigorous onboarding than the async-only compounded GLP-1 model most telehealth providers use. Three tiers (Core semaglutide, Advanced tirzepatide, Elite combined) plus $100-off-first-order intro pricing ($112 first month on Core with code SUMMER100).

Score Breakdown

Value25%
7
Effectiveness25%
9
User Experience15%
8.5
Trust & Safety15%
8
Accessibility10%
8.5
Support10%
8.9

Pros

  • ✓Baseline and ongoing metabolic labs (CMP, lipids, TSH, HbA1c) at Quest every 6 months — rare for compounded GLP-1
  • ✓Mandatory video visit with a US-licensed MD or NP before your first prescription — not a pure questionnaire model
  • ✓Three tiers, including a combined semaglutide + tirzepatide Elite plan ($322/mo) for patients plateaued on one GLP-1
  • ✓Uses LegitScript-certified 503A pharmacies (Tru Meds Rx, Strive Pharmacy, Pharmacy Hub)
  • ✓Intro pricing via $100 off your first order (code SUMMER100): $112 Core, $180 Advanced, $222 Elite first month
  • ✓Unlimited clinician messaging and dose-adjustment support included

Cons

  • ✗Compounded only — no FDA-approved Ozempic, Wegovy, Zepbound, or Mounjaro
  • ✗Not available in 10 states: AL, AR, GA, HI, LA, MS, MO, SC, TN, WV
  • ✗Mandatory lab work adds 5–10 days to onboarding vs async-only competitors
  • ✗No insurance accepted — cash pay, HSA/FSA eligible
  • ✗Intro discount applies only to the first order — ongoing rates are $212–$322/mo on 12-month plans, or $249–$379/mo month-to-month
Starting from $169/moRead full review →
Visit Enhance MD →
5

Gala

Verified partner

Best for: compounded GLP-1/GIP combo on a yearly plan with free shipping

8.2

Gala (legal entity AI Coaching Inc., d/b/a Gala GLP-1) is a Delaware-incorporated telehealth platform selling compounded GLP-1/GIP (tirzepatide) on a yearly subscription, a lower-priced microdosing version of the same protocol, and brand-name Ozempic. It does not sell a compounded semaglutide product. The marketing site claims licensed providers in all 50 states with free shipping included. An oral Wegovy pill option is listed as 'coming soon.'

Score Breakdown

Value25%
8.5
Effectiveness25%
8.5
User Experience15%
8
Trust & Safety15%
7.3
Accessibility10%
8
Support10%
8.4

Pros

  • ✓Compounded semaglutide and tirzepatide at $179/mo with all doses included on the yearly plan
  • ✓Lower microdosing tirzepatide tier at $149/mo for a sub-therapeutic starting protocol
  • ✓Brand-name Ozempic available alongside compounded options
  • ✓Claims licensed providers in all 50 states with free shipping included
  • ✓24/7 support, provider visit included, cancel anytime
  • ✓LegitScript certified

Cons

  • ✗$179/mo requires a yearly subscription — the standalone monthly price isn't published
  • ✗Brand-name Ozempic at $1,299/mo is higher than peers (e.g., Found at $1,100/mo)
  • ✗Pharmacy partners not named — only a "network of pharmacies" reference
  • ✗Wegovy oral pill listed as "coming soon," not yet available
  • ✗Per-state availability isn't listed; the all-50-states claim is gated behind intake
Starting from $149/moRead full review →
Visit Gala →

How to choose a compounded tirzepatide provider

Compounded tirzepatide delivers the same active ingredient as Zepbound and Mounjaro at a fraction of the cash price — but because it's not FDA-approved, pharmacy accreditation and honest pricing are what separate good providers from risky ones.

What to look for

  • Pharmacy accreditation you can verify. Look for a named 503A/503B pharmacy plus LegitScript certification, ideally with the certification checkable on legitscript.com.
  • The real per-month total. Compounded tirzepatide ranges widely ($150–$350/mo). Longer plans cut the per-month price but lock you in; month-to-month costs more but stays flexible.
  • Clinical oversight, not just fulfillment. A prescriber should own dose decisions. A provider that's mostly a storefront routing orders to a pharmacy, with no reachable clinician, is a step down.

Red flags to avoid

  • No named pharmacy or LegitScript listing. A legitimate compounded-GLP-1 provider names its 503A/503B pharmacy partner and carries LegitScript certification. If neither is disclosed, you can't verify what you're injecting.
  • Async-only, no real clinician review. A prescriber should review your intake and be reachable for dose questions. Instant approval with no way to reach a clinician is a safety gap.
  • Teaser pricing that hides the real cost. A low 'first month' price that jumps at higher doses, or a membership fee stacked on top of the medication, can double the true monthly total. Confirm the ongoing, all-in price before you pay.
  • Weight-loss claims for B12, MIC, or HCG shots. Only GLP-1 injections have trial evidence for weight loss. A clinic selling B12, lipotropic, or HCG shots as a weight-loss treatment is a red flag.

Every provider ranked above is scored against these criteria across our six-dimension methodology, and prices are re-verified against each provider’s live site.

How we rank & what counts as “legit”

Every provider in this ranking is scored against our published six-factor rubric[1] — value, effectiveness, user experience, trust & safety, accessibility, and support. Compounded GLP-1s from licensed 503A and 503B pharmacies are legal under federal compounding law[2], with additional tolerances historically allowed while semaglutide and tirzepatide were on the FDA Drug Shortage List[3].

Brand-name Wegovy, Zepbound, Ozempic, and Mounjaro are separately FDA-approved under their own NDA numbers[4][5]. Published Phase 3 efficacy for semaglutide 2.4 mg (~14.9% mean weight loss over 68 weeks) comes from the STEP 1 trial[6], and for tirzepatide (~20.9% at the 15 mg dose over 72 weeks) from SURMOUNT-1[7]; the SURMOUNT-5 head-to-head published in 2025 compared the two directly[8].

Insurance coverage for anti-obesity medications varies widely by state Medicaid program and commercial plan[9][10]. Compounded and brand-name GLP-1s are generally FSA/HSA eligible with a prescription under IRS Publication 502[11].

Always verify pricing and state availability on the provider's website before signing up.How our reviews work →
Looking for the pharmacies behind these compounded medications? See our compounding pharmacy directory with 503A/503B status, PCAB accreditation, and regulatory standing.

Frequently Asked Questions

Usually, yes. Compounded tirzepatide through telehealth providers often runs $150–$350/month cash, while brand-name Zepbound's list price is roughly $500–$1,090 for a 28-day supply without insurance. Compounded versions use the same active ingredient but are not FDA-approved products; compare the full monthly total (plus any membership fee) in the ranked list above.
Some providers charge a separate membership on top of the medication, and others bundle everything into one flat monthly price. Our ranking separates the medication cost from any membership so you can see the true total — filter or scan the list above for the no-membership, all-in options.
Compounded tirzepatide from a licensed 503A/503B pharmacy carries the same GLP-1 safety profile as brand-name tirzepatide, but compounded products are not FDA-approved and quality depends entirely on the pharmacy. Verify LegitScript certification and a named, licensed compounding pharmacy before starting — the review pages linked above document each provider's pharmacy partners where disclosed.
Each provider is evaluated across six weighted dimensions: Value (25%), Effectiveness (25%), User Experience (15%), Trust & Safety (15%), Accessibility (10%), and Support (10%). We research publicly available information, user reviews, clinical evidence, and pricing data, then compute a weighted overall score out of 10.
Each provider's score is computed independently using the six-dimension methodology, and a commercial relationship never changes a provider's underlying score — you can see every provider's full score on its card. Some providers have affiliate agreements with us, meaning we earn a commission if you click through and make a purchase. On our highest-commercial-intent lists — including the semaglutide, tirzepatide, compounded and cheapest molecule lists, the weight-loss injection and shot lists, and the fitness-app list — we feature affiliate partners in the top positions; on every other list the order follows the score (or, for the cheapest lists, the lowest price) directly. This placement is disclosed here and on our methodology and affiliate-disclosure pages.

Key terms, explained

New to GLP-1s? Tap any term for a quick, plain-English definition.

Sources & methodology — as of October 2026
  1. 1.Weight Loss Rankings — GLP-1 Pricing Index 2026 (our independent dataset)— WeightLossRankings.org.
  2. 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
  3. 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
  4. 4.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  5. 5.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
  6. 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
  7. 7.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
  8. 8.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Garvey WT et al.)— New England Journal of Medicine.PMID: 40334173.
  9. 9.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
  10. 10.CMS — Medicaid prescription drug coverage policy (state-by-state)— Centers for Medicare & Medicaid Services.
  11. 11.IRS Publication 502 — Medical and Dental Expenses (HSA/FSA eligibility)— Internal Revenue Service.

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