The best compounded tirzepatide programs in 2026

Tirzepatide is the active ingredient in Zepbound and Mounjaro, and in trials it produced more weight loss than semaglutide.Tirzepatide is the active ingredient in Zepbound and Mounjaro, and in trials it produced more weight loss than semaglutide. Compounded versions cost less than the brand but are not FDA-approved.

Only providers that pay us appear in our rankings and reviews, and we’re paid when you sign up through our links. How we make money

Safety: Tirzepatide carries a boxed warning for thyroid C-cell tumors. Read before you start

At a glance

Program	Compounded tirzepatide	Score
Lowest price Collective Compounded tirzepatide from $86/mo	$86/mo	8.5
Best value yourEra Compounded tirzepatide from $99/mo, 12 mo prepaid	$99/mo 12 mo prepaid	8.8
Top pick Eden Compounded tirzepatide from $129/mo	$129/mo	9.1

By the RxLineup editorial team · 23 programs scored on 5 published criteria · Prices checked Nov 3, 2026

· How we rate

Advertiser disclosure

RxLineup earns a fee when you click a link to a provider and complete a qualifying step. Only providers that pay us appear in our rankings and reviews. Our guides also name providers that don’t pay us, so you can see the whole market.

We don’t cover every program on the market. Prices change often, so confirm the details with the provider before you enroll.

Full disclosure

Lowest price

Rated 8.5 out of 10, Very good

Collective

Compounded tirzepatide from $86/mo.

Collective sells compounded semaglutide for $59 a month and tirzepatide for $69 at every dose, with no multi-month order required, plus a $199 yearly membership (about $16.58 a month) that covers unlimited doctor messaging, quarterly check-ins and dietitian Q&As. All in, semaglutide comes to about $75.58 a month. It serves 44 states.

Compounded tirzepatide from: $86/mo
Medications: Semaglutide, Tirzepatide Compounded
Membership: $16.58/mo

Unlimited doctor messaging and quarterly check-ins
Live group Q&As with registered dietitians
Optional twice-weekly dosing

Rated 8.5 out of 10, Very good

From $86/mo compounded tirzepatide, per month

Check eligibility

on collective.org

Read the Collective review

Pricing details and fine print

Starting price: $75.58, compounded semaglutide $59 a month plus the $199 yearly membership ($16.58 a month), month to month; the membership starts with a 21-day free trial
Semaglutide / tirzepatide: $76/mo / $86/mo
Same price at every dose: Yes
Membership: Membership is $199 a year, billed annually, after a 21-day free trial; it covers doctor messaging, check-ins, dose adjustments, nutrition support and shipping. Medication is billed separately each month: $59 for semaglutide, $69 for tirzepatide. Membership fees are non-refundable.
Insurance: Collective doesn’t bill insurance. Medication and membership may qualify for HSA/FSA reimbursement.
Guarantee: Full refund if the doctor decides treatment isn’t right for you.
Availability: 44 states (not AL, CA, LA, MA, MS or WA)

Best value

Rated 8.8 out of 10, Excellent

yourEra

Compounded tirzepatide from $99/mo, billed $1,188 for 12 months.

Compounded tirzepatide from: $99/mo Same price at every dosebilled $1,188 for 12 months
Medications: Semaglutide, Tirzepatide Compounded
Membership: None

Unlimited messaging and scheduled check-ins
Video or phone visit where required or on request
Free shipping in 1 to 2 days

Rated 8.8 out of 10, Excellent

From $99/mo compounded tirzepatide, per month Billed $1,188 for 12 months

Check eligibility

on yourera.com

Read the yourEra review

Pricing details and fine print

Starting price: $89, compounded semaglutide, month to month, medication included; $65 a month on the 12-month plan ($780 billed yearly)
Terms: 12-month plan billed yearly (billed $1,188 for 12 months)
Semaglutide / tirzepatide: $65/mo / $99/mo
Same price at every dose: Yes
Membership: No membership fee. The plan price covers the medical visit, prescription, medication, supplies and free shipping. An optional Optimum membership (coaching, nutrition, at-home labs) is listed as coming soon.
Insurance: Priced for out-of-pocket payment; no insurance required. HSA/FSA eligible.
Guarantee: Your card is charged only if a clinician prescribes, and you get a full refund if you cancel before the order ships.
Availability: All 50 states (availability of specific treatments varies by state)

Top pick

Rated 9.1 out of 10, Excellent

Eden

Compounded tirzepatide from $129/mo.

Compounded tirzepatide from: $129/mo
Medications: Semaglutide, Tirzepatide Compounded, plus Wegovy, Ozempic, Zepbound, Mounjaro
Membership: None

Compounded semaglutide $99/month or tirzepatide $129/month at every dose
Price kept for as long as your account stays active
24/7 provider support and messaging, with labwork when a provider orders it

Rated 9.1 out of 10, Excellent

From $129/mo compounded tirzepatide, per month

Check eligibility

on eden.health

Read the Eden review

Pricing details and fine print

Starting price: $99, compounded semaglutide, with provider care, 24/7 messaging and shipping included
Semaglutide / tirzepatide: $99/mo / $129/mo
Same price at every dose: Yes
Membership: No membership fee on the compounded GLP-1 plans: one monthly price covers the medication, provider care, 24/7 messaging and delivery. Brand-name GLP-1s need the Eden Membership ($39 for the first month, then $99 a month) on top of the medication.
Insurance: Eden and its providers don’t accept insurance. HSA and FSA cards accepted for most visits and prescriptions.
Guarantee: Weight Loss Warranty: follow your Eden plan for 6 months and, if you lose less than 15% of your body weight, you may qualify for your money back. Eligibility depends on plan adherence and required check-ins.

Rated 8.1 out of 10, Good

Strut Health

Compounded tirzepatide from $149/mo.

Compounded tirzepatide from: $149/mo
Medications: Semaglutide, Tirzepatide Compounded, injection or tablet
Membership: None

Physicians by secure chat, phone or video
Message your physician any time; free follow-ups

Rated 8.1 out of 10, Good

From $149/mo compounded tirzepatide, per month

Check eligibility

on struthealth.com

Read the Strut Health review

Pricing details and fine print

Starting price: $129, compounded semaglutide injection, consultations and shipping included
Terms: Auto-refill plan
Semaglutide / tirzepatide: $129/mo / $149/mo
Same price at every dose: Not stated
Membership: No separate membership. The monthly price includes physician consultations, medication and free shipping.
Insurance: No insurance billing listed.
Availability: All states except Arkansas; some medications vary by state

Rated 8.1 out of 10, Good

Bodybuilding Health+

Compounded tirzepatide from $175/mo, billed $1,048 for 6 months.

Compounded tirzepatide from: $175/mo billed $1,048 for 6 months
Medications: Semaglutide, Tirzepatide, Microdose Compounded
Membership: None

Compounded semaglutide or tirzepatide injections
Bundles of 1, 3, 6 or 12 months

Rated 8.1 out of 10, Good

From $175/mo compounded tirzepatide, per month Billed $1,048 for 6 months

Check eligibility

on bbhealthplus.com

Read the Bodybuilding Health+ review

Pricing details and fine print

Starting price: $179, compounded semaglutide, 1-month bundle on the homepage; its GLP-1 page shows the same $179 as a first-month price, $100 off a struck $279
Terms: 6-month bundle (billed $1,048 for 6 months)
Semaglutide / tirzepatide: $142/mo / $175/mo
Same price at every dose: Not stated
Membership: No membership fee. Medication is sold as 1-, 3-, 6- or 12-month bundles, billed for the whole bundle.
Insurance: No insurance required. Its terms say its medical groups aren’t contracted with any insurance plan, so you pay all fees yourself.
Availability: All 50 states (availability of specific services may vary by state)

Rated 8.8 out of 10, Excellent

Gala GLP-1

Compounded tirzepatide from $179/mo.

Compounded tirzepatide from: $179/mo
Medications: Semaglutide, Tirzepatide Compounded, plus Ozempic
Membership: None

Live coaching sessions included
Care team by message 7 days a week

Rated 8.8 out of 10, Excellent

From $179/mo compounded tirzepatide, per month

Check eligibility

on galaglp1.com

Read the Gala GLP-1 review

Pricing details and fine print

Starting price: $129, compounded semaglutide, same price at every dose; other Gala pages list $179 and $199, and plan terms appear at checkout
Semaglutide / tirzepatide: $129/mo / $179/mo
Same price at every dose: Yes
Membership: No membership fee. The price includes medication, video provider visits, live coaching sessions, the app and a care team 7 days a week.
Insurance: Cash pay; insurance not required.
Guarantee: Refund of remaining charges if you are medically disqualified.
Availability: Licensed providers in all 50 states

Rated 8.7 out of 10, Very good

Belle

Compounded tirzepatide from $179/mo, 12-month supply.

Compounded tirzepatide from: $179/mo 12-month supply
Medications: Semaglutide, Tirzepatide Compounded
Membership: None

Nurse support and weekly registered-dietitian check-ins
Provider guidance by phone or text

Rated 8.7 out of 10, Very good

From $179/mo compounded tirzepatide, per month 12-month supply

Check eligibility

on joinbelle.com

Read the Belle review

Pricing details and fine print

Starting price: $199, compounded semaglutide, 1-month supply, medication included; $93 a month on a 12-month supply
Terms: 12-month supply
Semaglutide / tirzepatide: $93/mo / $179/mo
Same price at every dose: Yes
Membership: No membership, consultation or setup fees. The monthly price covers the medication, supplies, shipping, provider access and weekly registered-dietitian check-ins. Longer supplies cost less per month: semaglutide is $199 for 1 month, $119 a month for 2 or 6 months and $93 for 12.
Insurance: No insurance required; Belle doesn’t bill insurance. FSA/HSA eligible, and financing is available.

Rated 8.4 out of 10, Very good

HealthRX

Compounded tirzepatide from $192/mo, billed $2,123 for 12 months.

Compounded tirzepatide from: $192/mo billed $2,123 for 12 months
Medications: Semaglutide, Tirzepatide Compounded
Membership: None

Provider review within about 24 hours
Provider messaging, dose management and refills in your account

Rated 8.4 out of 10, Very good

From $192/mo compounded tirzepatide, per month Billed $2,123 for 12 months

Check eligibility

on healthrx.com

Read the HealthRX review

Pricing details and fine print

Starting price: $178.75, compounded semaglutide, monthly Subscribe & Save plan, medication included: $165 per 4-week supply after a $99 first month, about $178.75 a calendar month; about $104.99 a month on the 12-month plan ($1,163 for a 48-week supply)
Terms: 12-month plan paid up front (billed $2,123 for 12 months)
Semaglutide / tirzepatide: $105/mo / $192/mo
Same price at every dose: Not stated
Membership: No membership or visit fees. Every plan includes the provider review, prescription, medication and overnight shipping. Subscribe & Save plans renew with a $25 credit off the one-time price (semaglutide $165 against $190 one-time for a 4-week supply); 3-, 6- and 12-month plans are paid up front.
Insurance: Does not accept insurance. HSA and FSA eligible.
Guarantee: Full refund if a provider does not approve you.
Availability: All 50 states

Most options

Rated 9.0 out of 10, Excellent

Measured

Compounded tirzepatide from $219/mo, billed $2,628 for 12 months.

Compounded tirzepatide from: $219/mo billed $2,628 for 12 months
Medications: Semaglutide, Tirzepatide, Microdose Compounded, plus Wegovy pill, Zepbound, Wegovy, Ozempic, Mounjaro
Membership: $49/mo
Insurance: Helps with claims

Compounded semaglutide $199/month month to month, $119 on a 12-month plan
Microdose plan at $99/month ($79 on a current sale, regularly $99)

Rated 9.0 out of 10, Excellent

From $219/mo compounded tirzepatide, per month Billed $2,628 for 12 months

Check eligibility

on trymeasured.com

Read the Measured review

Pricing details and fine print

Starting price: $199, compounded semaglutide month to month, membership and medication included ($119/month on a 12-month plan billed annually)
Terms: 12-month plan billed annually (billed $2,628 for 12 months)
Semaglutide / tirzepatide: $119/mo / $219/mo
Same price at every dose: Not stated
Membership: Compounded and microdose plans include the membership and medication in one price. Compounded semaglutide is $199 a month month to month, $139 on a 3-month plan, $129 on 6 months and $119 on 12 months (each plan billed up front); tirzepatide is $299, $239, $229 or $219. The brand-name path is a membership from $49/month (the Zepbound and Wegovy pages show $99/month), with medication paid separately. Membership fees are not covered by insurance.
Insurance: Compounded plans are cash-pay. For brand-name GLP-1s, Measured runs a benefits check and handles prior authorization on commercial plans; membership fees are not covered by insurance.
Availability: 26 states: AZ, CA, CO, CT, FL, GA, IL, IN, KY, MA, MI, MN, MO, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, VA, WA, WI

Rated 7.7 out of 10, Good

MyDrHank

Compounded tirzepatide from $240/mo.

Compounded tirzepatide from: $240/mo
Medications: Semaglutide, Tirzepatide Compounded, injection or tablet
Membership: None

Compounded semaglutide or tirzepatide injection, with B-12 or glycine
Oral semaglutide tablet with low-dose ondansetron

Rated 7.7 out of 10, Good

From $240/mo compounded tirzepatide, per month

Check eligibility

on mydrhank.com

Read the MyDrHank review

Pricing details and fine print

Starting price: $178, compounded semaglutide injection, “from” price; plan length and dose not stated; free consultation and delivery
Semaglutide / tirzepatide: $178/mo / $240/mo
Same price at every dose: Not stated
Membership: No membership fee mentioned. Consultation and delivery are free.
Insurance: No insurance required; self-pay.

The other 13 programs on this list

Same scores and the same price rule, in list order. Select a name for the full review.

11
PeterMD
Compounded tirzepatide after a video visit, billed by the quarter

Rated 7.7 out of 10, Good

From $249/mo billed quarterly
Visit site for PeterMD (opens in a new tab)
12
DudeMeds
Seeing the price of every dose step, with no subscription

Rated 7.7 out of 10, Good

From $256/mo
Visit site for DudeMeds (opens in a new tab)
13
Found
Using insurance for visits, with compounded medication in one plan

Rated 8.5 out of 10, Very good

From $259/mo billed $3,107 for 12 months
Visit site for Found (opens in a new tab)
14

Best clinical care
MEDGm
Labs and video access included, with tablets and brand-name options

Rated 9.0 out of 10, Excellent

From $269/mo billed $3,228 for 12 months
Visit site for MEDGm (opens in a new tab)
15
EverPrime
One price at every dose, with metabolic labs every 6 months

Rated 8.0 out of 10, Good

From $280/mo billed $3,360 for 12 months
Visit site for EverPrime (opens in a new tab)
16
RxSpan MD
Compounded GLP-1 capsules or brand-name pens in one physician-led program

Rated 7.9 out of 10, Good

From $289/mo billed $1,734 for 6 months
Visit site for RxSpan MD (opens in a new tab)
17
FindMyDirectDoctor
Labs and a care coach included

Rated 7.8 out of 10, Good

From $291/mo billed $3,497 for 12 months
Visit site for FindMyDirectDoctor (opens in a new tab)
18
Embody
A flat price at every dose, with visits and shipping included

Rated 8.1 out of 10, Good

From $349/mo On sale now: $129/mo† † Sale price; regularly $349
Visit site for Embody (opens in a new tab)
19
SnagRx
One flat price at every dose, with telemed visits and shipping included

Rated 8.0 out of 10, Good

From $349/mo On sale now: $149/mo† † Sale price; regularly $349
Visit site for SnagRx (opens in a new tab)
20
Wellorithm
Unlimited clinician video access, with a weight-loss warranty

Rated 8.6 out of 10, Very good

From $378/mo
Visit site for Wellorithm (opens in a new tab)
21
HumeCare+
A compounded GLP-1 with a body-composition scale included

Rated 7.7 out of 10, Good

Price – Price not published
Visit site for HumeCare+ (opens in a new tab)
22
Oak
Compounded or brand-name GLP-1s through one quiz

Rated 7.7 out of 10, Good

Price – Price not published
Visit site for Oak (opens in a new tab)
23
CoreAge Rx
A flat sale price at every dose, if you pay for a year up front

Rated 7.6 out of 10, Good

From $129/mo billed $1,548 for 12 months † Sale price (regular price not published)
Visit site for CoreAge Rx (opens in a new tab)

Prices are as each provider advertised them when we checked and can change at any time. Compounded medications are not FDA-approved. A prescription is required and is at the clinician’s discretion.

Compare the top 8

The 8 highest in this ranking on price, medications and terms. Select a name for the full review.

Scroll sideways to see all 8 programs

The top 8 programs in this ranking compared
Program	Collective review	yourEra review	Eden review	Strut Health review	Bodybuilding Health+ review	Gala GLP-1 review	Belle review	HealthRX review
Our score	8.5/10	8.8/10	9.1/10 Highest	8.1/10	8.1/10	8.8/10	8.7/10	8.4/10
Compounded tirzepatide	$86/mo Lowest	$99/mo billed $1,188 for 12 months	$129/mo	$149/mo	$175/mo billed $1,048 for 6 months	$179/mo	$179/mo 12-month supply	$192/mo billed $2,123 for 12 months
Brand-name options	None	None	Wegovy, Ozempic, Zepbound, Mounjaro	None	None	Ozempic	None	None
Membership	$17/mo	None	None	None	None	None	None	None
Insurance	Self-pay	Self-pay	Self-pay	–	Self-pay	Self-pay	Self-pay	Self-pay
Next step	Visit site for Collective (opens in a new tab)	Visit site for yourEra (opens in a new tab)	Visit site for Eden (opens in a new tab)	Visit site for Strut Health (opens in a new tab)	Visit site for Bodybuilding Health+ (opens in a new tab)	Visit site for Gala GLP-1 (opens in a new tab)	Visit site for Belle (opens in a new tab)	Visit site for HealthRX (opens in a new tab)

– Not published by the provider.

What it costs

21 of the 23 programs here publish an all-in monthly price for compounded tirzepatide: $86 to $378 a month, with a median of $240. That includes the medication and any membership the program requires.
12 of these prices need a prepaid or fixed plan of 3 months or more; each says so beside the price.
2 programs don’t publish a price for it before you sign up.
A sale counts at its regular price, with the sale price shown beside it.

Every provider’s price, side by side: the weight loss price index.

Safety

One of these treatments carries an FDA boxed warning, the strongest warning on a label: tirzepatide.

TirzepatideNot FDA-approved: GLP-1 medications carry a boxed warning for thyroid C-cell tumors and are not for people with a personal or family history of medullary thyroid carcinoma or MEN 2. FDA label

Not medical advice. A licensed clinician decides whether a treatment is right for you; read the full prescribing information before you start.

How we rated these programs

This list is ordered by the all-in monthly price of compounded tirzepatide, lowest first, with a sale counted at its regular price. Each program keeps the same five weighted scores.

Price & value 30%
Clinical care 25%
Medication options 20%
Transparency 15%
Experience 10%

The providers on this page pay us when you sign up through our links. How we rate

Plain shipping box on a sunny front step

The bottom line

Our top pick is Eden

Eden has the highest overall score on this list, 9.1 out of 10. Compounded tirzepatide there costs $129/mo. Its warranty refunds you if you follow the plan and lose less than 15% in 6 months, subject to its terms.

Check eligibility Read the review

Rated 9.1 out of 10, Excellent

From $129/mo Compounded tirzepatide, monthly, all-in

How GLP-1 weight loss medications work

GLP-1 medications copy a hormone your gut releases after you eat. They signal fullness to your brain and slow how quickly food leaves your stomach, so most people feel satisfied with less food and think about food less often. Many describe the quieter “food noise” as the biggest surprise.

Most are a once-weekly injection you give yourself at home with a short, thin needle. Two are now daily pills. Doses start low and step up every four weeks or so, which keeps the most common side effects, mainly nausea and other stomach upset, more manageable.

Which medication is which

Several of these are the same molecule sold under different names for different conditions.

Scroll sideways to see the full table

Brand	Active ingredient	Form	FDA-approved for
Wegovy®	Semaglutide	Weekly injection	Long-term weight reduction (adults, and children 12 and older)
Wegovy® pill	Semaglutide (oral)	Daily pill	Long-term weight reduction (adults)
Zepbound®	Tirzepatide	Weekly injection (vial or KwikPen)	Long-term weight reduction (adults)
Foundayo™	Orforglipron	Daily pill	Long-term weight reduction (adults)
Ozempic®	Semaglutide	Weekly injection	Blood sugar control in adults with type 2 diabetes
Mounjaro®	Tirzepatide	Weekly injection	Blood sugar control in type 2 diabetes (adults and children 10 and older)
Saxenda® / liraglutide	Liraglutide	Daily injection	Long-term weight reduction (adults, and children 12 and older over 60 kg)

Brand-name or compounded?

Brand-name GLP-1s such as Wegovy and Zepbound are FDA-approved and made by their manufacturers. Compounded versions are prepared by state-licensed pharmacies for an individual prescription. They usually cost less, but they are not FDA-approved and the FDA does not review them for safety, effectiveness or quality. Our compounded GLP-1 guide covers what changed in 2025 and how to choose a program carefully.

What to look for in a provider

The price at your maintenance dose, not just month one. Programs that charge the same at every dose are easier to budget for.
A real clinical review. A licensed clinician should review your history and adjust your dose when side effects hit or progress stalls.
A licensed US pharmacy, and a clear statement of whether your medication is compounded or FDA-approved.
Terms you can live with. Check for prepaid terms, cancellation windows and what happens if you are not prescribed.

Small unlabeled glass vial on a warm limestone surface

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Questions, answered

Is tirzepatide better than semaglutide for weight loss?

In the SURMOUNT-5 head-to-head trial (751 adults, published in the New England Journal of Medicine in 2025), people on tirzepatide lost 20.2% of their body weight on average over 72 weeks, compared with 13.7% on semaglutide. Individual results vary, and side effects and cost matter too. See semaglutide vs tirzepatide.

How much does compounded tirzepatide cost?

Each program’s lowest ongoing monthly price for compounded tirzepatide runs $85.58 to $378.08, medication and any required membership included, on any plan length. Some discount the first month, which we leave out, so check the price after month one and at higher doses.

Is compounded tirzepatide still legal?

The FDA took tirzepatide off its shortage list in December 2024. Since then, licensed 503A pharmacies may compound it only for an individual patient’s needs, not as a routine copy of Zepbound or Mounjaro. See the FDA’s statement.

What dose of tirzepatide do programs start with?

The Zepbound schedule starts at 2.5 mg once a week for 4 weeks, then rises by 2.5 mg every 4 weeks to a maintenance dose of 5 mg, 10 mg or 15 mg. Compounded programs usually follow it. See the Zepbound label.

Do compounded tirzepatide prices rise with the dose?

12 of the 21 programs that publish a compounded tirzepatide price say it stays the same at every dose. At the rest, ask what you will pay at 10 mg and 15 mg before you start.

What are the side effects of tirzepatide?

The most common in the Zepbound trials were nausea, diarrhea, vomiting, constipation, stomach pain and indigestion, mostly while the dose was rising. The label carries a boxed warning for thyroid C-cell tumors and lists pancreatitis and gallbladder problems among its warnings. See the Zepbound label.

The best compounded tirzepatide programs in 2026

At a glance

Collective

yourEra

Eden

Strut Health

Bodybuilding Health+

Gala GLP-1

Belle

HealthRX

Measured

MyDrHank

The other 13 programs on this list

Compare the top 8

What it costs

Safety

How we rated these programs

Our top pick is Eden