How much does compounded tirzepatide cost per month?

Compounded tirzepatide costs $125 to $399 a month at the online programs we track, as of October 2026, taking each program’s lowest ongoing monthly price with medication and any required membership included, on any plan length and without first-month deals. Of the 25 programs that publish a tirzepatide price, 19 fall between $149 and $299, and the median is $219. Most are below brand-name Zepbound, which costs $299 to $449 a month with on-time refills if you pay cash through LillyDirect. The advertised price is only part of the bill, though: commitments, dose-based pricing and first-month deals all change what you pay over a year.

Compounded tirzepatide prices, program by program

These are the listed monthly prices for injectable compounded tirzepatide at a sample of the programs we track, from the cheapest to the most expensive, as of October 2026. Our compounded tirzepatide rankings list every program’s price.

Scroll sideways to see the full table

For deeper comparisons, see our compounded tirzepatide rankings and our reviews of LumiMeds and Precision Telemed.

What the monthly price usually covers

Most of these programs bundle the clinician review, the medication and shipping into one charge. altRx includes a kit with syringes, needles and alcohol swabs. Contour Health includes all injection supplies and free shipping. LumiMeds and Precision Telemed ship temperature-controlled or cold-chain at no extra cost.

A few costs can sit outside the bundle. WellPeps bills lab work separately when its clinicians recommend it, while Contour Health says no lab work is needed to start. Most programs accept HSA or FSA cards, and LumiMeds and Trillium offer pay-over-time options such as Klarna.

Why prices for the same ingredient vary so much

Flat pricing vs dose-based pricing

Tirzepatide doses usually climb over the first months. On the Zepbound label, treatment starts at 2.5 mg for 4 weeks, moves to 5 mg, and can rise in 2.5 mg steps at least 4 weeks apart, up to 15 mg. Your clinician sets your own dose, but that pattern is why pricing structure matters.

Flat-price programs (LumiMeds, altRx, Trillium’s 1-month plan and Precision Telemed’s full program) charge the same at every dose, so your bill stays put when your dose goes up. Contour Health uses dose-based pricing: in its words, “your dose sets your price.” At the starting dose its price is $50 a week, about $216.67 a month, and you pay for each vial up front (for example $500 for a 20 mg tirzepatide vial). Its vials last 6 to 14 weeks depending on dose, and a higher dose uses up a vial sooner.

Intro prices and low-dose plans

Some headline prices apply only at the start or only at the lowest dose. Precision Telemed’s tirzepatide is $199 for the first month, then $249.99, and ReadyRx charges $295 for the first month, then $315. Trillium’s starter plans cover starter doses only, such as 2.5, 5 and 7.5 mg.

Price promises have limits too. LumiMeds markets its plans as “price locked forever,” but its membership terms let it change pricing with 28 days’ notice. When we checked, its compounded semaglutide was on a sale price of $89, down from $189, so confirm the tirzepatide price at checkout.

Commitments and refunds

The lowest monthly rate often comes with the longest commitment. BetterMe Rx charges $249 month to month but $159 a month on a 12-month plan paid up front ($1,908), and LumiMeds sells fixed terms you can’t cancel partway through. Precision Telemed is month-to-month, and WellPeps renews monthly with no cancellation fee.

Refund rules matter most if a clinician decides tirzepatide isn’t right for you. LumiMeds, Rila and WellPeps refund you in full if you aren’t prescribed. Trillium refunds you only if no prescription has been issued or sent to a pharmacy, and altRx refunds the unused part of your term minus services already used.

Tablets are priced separately

Some programs also sell compounded tirzepatide as a tablet or drops, at a separate price. Strut Health lists oral tirzepatide at $199 a month, Vital Step a dissolving tablet at $279 month to month, BMI Doctors sublingual drops at $349 on a 1-month plan, and Willow tablets at $399, the same as its injection.

Compounded tirzepatide vs Zepbound: the price gap

Zepbound’s self-pay price depends on your dose and on refilling on time. Vials and KwikPens cost the same, and a month is 4 vials or 1 KwikPen.

At 2.5 mg, the cheapest compounded plan we track ($125) costs $174 less a month than Zepbound. Against Zepbound’s $449 price at 7.5 mg to 15 mg with on-time refills, it costs $324 less, while the highest lowest-ongoing price we track ($399, at DirectMeds and Willow) costs $50 less. BMI Doctors’ 1-month plan with a lab panel, at $470, costs more than Zepbound. Lilly says its savings cards expire on December 31, 2026 (Lilly).

Coverage can flip the math. If your commercial plan covers Zepbound, Lilly’s savings card brings it to as little as $25 a month (government beneficiaries are excluded). On Medicare Part D, the Medicare GLP-1 Bridge charges eligible enrollees $50 a month from July 1, 2026, to December 31, 2027, and Zepbound KwikPen is on its covered list. For the full side-by-side, read compounded tirzepatide vs Zepbound.

What the lower price does and doesn’t buy

Compounded tirzepatide is not Zepbound or Mounjaro, and not a generic of either. A compounding pharmacy prepares it, it isn’t FDA-approved, and the FDA does not review compounded drugs for safety, effectiveness or quality before marketing (FDA). The results on Zepbound’s label, such as an average 20.9% weight loss over 72 weeks at 15 mg in SURMOUNT-1, were measured with Zepbound itself (label).

The rules have also tightened. The FDA declared the tirzepatide shortage resolved on October 2, 2024, and confirmed it on December 19, 2024 (FDA). Since then, state-licensed pharmacies may compound it only for an individual patient with a prescription, and not “regularly or in inordinate amounts” when it is essentially a copy: the same ingredient, by the same route, in a similar strength to an approved drug. On April 30, 2026, the FDA proposed formally excluding tirzepatide from the bulk ingredients list that outsourcing facilities compound from (FDA). We cover what that means in is compounded semaglutide still legal and safe.

How to compare quotes

Before you sign up, check these on each program’s site and in its terms:

• The monthly price at the dose you’re likely to reach, not only the starting dose.
• Whether the price stays the same at every dose or rises.
• How long the commitment runs, and what happens if you cancel early.
• Whether you get a refund if the clinician doesn’t prescribe.
• How many hours before billing you must cancel.
• Whether supplies, shipping and labs are included.

Then run the numbers in our GLP-1 cost calculator.

The bottom line

Compounded tirzepatide runs $125 to $399 a month at the programs we track, as of October 2026, at each program’s lowest ongoing price. The cheapest costs $174 to $324 a month less than Zepbound’s on-time self-pay price, depending on dose, while the priciest plans cost about as much as Zepbound or more. The cheapest plans often carry fixed terms or strict refund rules, so weigh the price at your likely dose, the commitment and the refund policy together. Ask a licensed clinician whether a compounded or FDA-approved option fits you, and check whether your insurance or Medicare covers Zepbound before you pay cash.