Compounded Tirzepatide Cost: Prices by Provider, Plan and Dose (2026)

Compounded tirzepatide cost by provider (Oct 2026)

What this covers: 13 providers we track that publish a compounded tirzepatide injection price, not every seller on the market. How it is sorted: by the lowest all-in monthly price at the starting dose, on any plan length. A price that needs a prepaid plan says so.

*First 12 months is our arithmetic at the lowest plan's price, not a quote: the upfront total for prepaid plans, otherwise 12 months (13 four-week charges for Remedy Meds). Promos and first-month prices left out. Where the price rises with the dose, a year at a higher dose costs more. The seller's checkout is the final word on price.

Tablets instead of injections:

• Henry Meds, daily dissolving tablet: $234/mo on a 12-month plan (re-read Oct 20, 2026). A 3-month supply is $891 paid in full ($297/mo) or $1,047 ($349/mo). Henry Meds programs.

Not taking new patients: Fella Health ($399/mo in our Oct 11 check) said on Oct 20, 2026 that it is "temporarily pausing new signups" (Fella Health), so it is left out of the ranking.

Price not verifiable: Medvi's site showed no compounded tirzepatide price when we checked on Oct 20, 2026 (its injection tile lists semaglutide only); our Oct 11 figure was $399/mo (Medvi), so it is left out of the ranking.

Looking only for the lowest price? Our cheapest compounded tirzepatide online page covers how to compare offers.

How much is compounded tirzepatide per month by plan length?

Most sellers charge less per month the longer you commit, and the lowest prices need the whole year paid up front. These six publish a full ladder:

All-in monthly price at the starting dose by plan length, from each seller's own page, checked Oct 20, 2026. *Mochi: $90 medication at 2.2 mg plus a membership of $79, $69, $59 or $49 a month; its 12-month membership is $588 upfront and the medication is billed monthly.

Provider	Month to month	3 months	6 months	12 months	Paid upfront for 12 months
Trimi Health	$235	$199	$175	$125	$1,500
Amble	$179	$160	$135 or $145	$135	$1,620
Cora	$225	$199	$175	$135	$1,620
Mochi Health*	$169	$159	$149	$139	$1,668
Shed	$299	–	$269	$239	$2,868
Fridays	$359	–	–	$240	$2,880

Two months of compounded tirzepatide month to month costs about $258 to $864 in our table. Before prepaying, read the cancellation and refund terms: some sellers re-price the months you used at the monthly rate if you cancel early.

Does compounded tirzepatide cost more at higher doses?

At some sellers. Tirzepatide is usually started low and raised every 4 weeks or more (see the tirzepatide dosage chart), so a per-dose price climbs in the first months. These are the sellers that publish a price at their top dose:

All-in monthly price at the starting dose vs the highest dose each seller lists, from its own page (checked Oct 20, 2026; Mochi Health's dose list Oct 11–13; GobyMeds Oct 11). Zepbound: LillyDirect self-pay, medication only, refilled within 45 days.

Seller	Starting dose	Highest listed dose	Change
Amble	$135 (12-month plan); $179 month to month	Same	None
Cora	$135 (12-month plan); $225 month to month	Same	None
Mochi Health	$139: $90 at 2.2 mg + $49 membership (12-month membership)	$248: $199 at 16.6 mg + $49 membership ($278 with the $79 monthly membership)	+$109 a month
GobyMeds	$133/mo on a 3-month bundle ($399)	$199.67/mo on a 3-month bundle ($599)	+$66.67 a month
Zepbound, LillyDirect (FDA-approved)	$299 at 2.5 mg	$449 at 7.5 to 15 mg	+$150 a month

• Same price at every dose: Amble, Cora, Eden (except during promotions) and Trimi Health.
• Priced by dose: Mochi Health charges $90 a month at 2.2 mg, $119 at 4.4 mg, $144 at 6.6 mg and up to $199 at the top dose, plus its membership. GobyMeds' bundles also rise with dose.
• Not stated: the others don't publish a dose ladder. Ask before you sign up what you'll pay at the dose you expect to reach.

Already on a vial? The tirzepatide dose calculator converts a prescribed dose to syringe units.

How much is a vial of compounded tirzepatide, and what does it cost per mg?

Some sellers and pharmacies quote a price per vial rather than per month. That number is hard to compare, because a vial's contents (its strength in mg per mL times its volume) vary by pharmacy and by dose. To compare, convert it to a month: monthly cost = vial price ÷ the weeks the vial lasts at your prescribed dose × 4.33. Example: a $300 vial holding 20 mg, used at 5 mg a week, lasts 4 weeks, so it costs about $300 ÷ 4 × 4.33 = $325 a month.

One limit changes the math: the FDA advises throwing away an opened multi-dose vial 28 days after first use, even if medication remains (FDA's concerns with unapproved GLP-1 drugs used for weight loss (content current as of Oct 1, 2026; read Oct 20, 2026)). A vial that holds more than four weeks of your dose doesn't save money; the extra is discarded. Ask the seller how many mg each vial holds and how many weeks it covers at your dose before comparing it with the monthly prices above.

A flat monthly price also gets cheaper per milligram as the dose rises, because the same price buys more drug. This is arithmetic, not a dosing guide: the dose steps are the Zepbound label's schedule, and your prescriber sets yours.

Cost per mg of tirzepatide. Compounded: a flat $125 a month (the lowest annual-plan price in our table) and a flat $129 a month (the lowest flat month-to-month price in our table), spread over 4.33 weekly doses a month. Zepbound: LillyDirect self-pay per 4-dose fill, checked Oct 20, 2026. Compounded tirzepatide is not FDA-approved, so these are not like-for-like.

Weekly dose	mg in a month	Flat $125/mo compounded	Flat $129/mo compounded	Zepbound, LillyDirect (4 weekly doses per fill)
2.5 mg	10.8 mg	$11.54/mg	$11.91/mg	$29.90/mg ($299 for 4 doses)
5 mg	21.7 mg	$5.77/mg	$5.95/mg	$19.95/mg ($399 for 4 doses)
7.5 mg	32.5 mg	$3.85/mg	$3.97/mg	$14.97/mg ($449 for 4 doses)
10 mg	43.3 mg	$2.88/mg	$2.98/mg	$11.23/mg ($449 for 4 doses)
12.5 mg	54.2 mg	$2.31/mg	$2.38/mg	$8.98/mg ($449 for 4 doses)
15 mg	65 mg	$1.92/mg	$1.98/mg	$7.48/mg ($449 for 4 doses)

What the price includes, and the fees to check

• Membership or program fees. Mochi Health ($49 to $79 a month) and Ivim Health ($75 a month) charge one on top of the medication; the table's all-in figure includes it.
• First-month offers that renew higher. Remedy Meds $279 then $399 every 4 weeks; TrimRx $349 then $399; SkinnyRx $99 then $299; Noom Med $149 for the first 4 weeks, then $299 a month.
• Billing every 4 weeks. Remedy Meds bills every 28 days, which is 13 charges a year; we convert it to a calendar month.
• Upfront cash. A 12-month plan means paying $1,620 to $2,880 at once at the sellers above.
• Promo codes. Fridays showed "as low as $198/mo" with a code on Oct 20, 2026, for "a limited time" with no end date; we rank its regular $240 annual price.

Several sellers say the clinician visit and shipping are included in the price; ask whether labs, if your prescriber orders them, cost extra. For one seller's full terms, see our reviews of Medvi, Remedy Meds, TrimRx, SkinnyRx, Shed and Ivim Health, and the Mochi Health cost and Noom Med cost breakdowns.

Compounded tirzepatide vs Zepbound cost

Zepbound is Eli Lilly's FDA-approved tirzepatide for chronic weight management. Through LillyDirect self-pay, Zepbound vials or KwikPens cost $299 at 2.5 mg, $399 at 5 mg and $449 at 7.5–15 mg if each refill comes within 45 days ($499 to $699 otherwise), medication only (LillyDirect Zepbound, re-checked Oct 20, 2026). Lilly's list price is $499 to $1,086.37 per fill (Lilly pricing).

With commercial insurance that covers Zepbound, Lilly's savings card can bring the single-dose pen to as little as $25 (Zepbound savings terms). The card never applies to compounded tirzepatide. Compounded tirzepatide is not FDA-approved, has not been reviewed by the FDA for safety, effectiveness or quality, and is not the same as Zepbound or Mounjaro, so the two are not interchangeable on price alone.

Every brand price, with insurance and Medicare, is in our tirzepatide cost with and without insurance guide, and the self-pay detail is on Zepbound cost without insurance. For how the products differ beyond price, see compounded tirzepatide vs Zepbound, and for what compounded tirzepatide is, our compounded tirzepatide guide. Pricing semaglutide instead? See compounded semaglutide cost.

Does insurance, HSA or FSA cover compounded tirzepatide?

Insurance: rarely. Compounded tirzepatide is not an FDA-approved product, so most health plans don't cover it, and the makers' savings cards apply only to their own brands. Lilly's $25 savings card is for Zepbound and Mounjaro with commercial coverage only. Ask your plan before assuming either way.

HSA and FSA: often usable, as reimbursement. A prescribed medication can be a qualified medical expense under IRS Publication 502, and several sellers in the table say they accept HSA/FSA cards. Confirm with your plan administrator and keep the prescription. More: Can you use HSA/FSA for a GLP-1?

Can you still buy compounded tirzepatide in 2026?

Yes, with a prescription, but under narrower rules than during the shortage. The FDA determined the tirzepatide shortage resolved on Dec 19, 2024. Its period of enforcement discretion for compounding copies then ended in early 2025: for 503B outsourcing facilities on March 19, 2025, and for state-licensed 503A pharmacies after a court ruling that March ("FDA clarifies policies for compounders as national GLP-1 supply begins to stabilize" (content current as of Apr 1, 2026; read Oct 20, 2026)).

Today a 503A pharmacy can compound tirzepatide for an individual patient's prescription, but the FDA reminds compounders they may not compound, "regularly or in inordinate amounts", drugs that are essentially copies of a commercially available product. Compounded tirzepatide is not FDA-approved, and the FDA says unapproved versions "do not undergo FDA's review for safety, effectiveness and quality before they are marketed" (FDA's concerns with unapproved GLP-1 drugs used for weight loss (content current as of Oct 1, 2026; read Oct 20, 2026)). For the safety side, see is compounded tirzepatide safe?

How to check that a low price is legitimate

A lower monthly price is only useful if the product is real and the prescriber and pharmacy are licensed. The FDA lists warning signs for online GLP-1 sellers, including a company that "offers medicine at deep discounts or prices that seem too good to be true" (FDA's concerns with unapproved GLP-1 drugs used for weight loss (content current as of Oct 1, 2026; read Oct 20, 2026)). Before you pay:

• A licensed prescriber decides. A legitimate seller requires a clinician visit before any prescription; skip any site that ships tirzepatide without one.
• The pharmacy is named. The label should name the compounding pharmacy. Check that it is licensed in your state through your state board of pharmacy, and whether it is a 503A pharmacy (patient-specific prescriptions) or a 503B outsourcing facility registered with the FDA.
• The website checks out. The FDA's BeSafeRx page explains how to spot a fake online pharmacy, and LegitScript's certification search shows whether a telehealth or pharmacy site is certified.
• Nobody calls it FDA-approved or generic. Compounded tirzepatide is neither. A seller that says otherwise is misdescribing it.

More on how compounding works and what to ask: how to choose a GLP-1 telehealth provider.

Frequently asked questions

How much is compounded tirzepatide per month?

In our table, $125 to $432 a month all-in at the starting dose, checked Oct 20, 2026. The lowest price needs an annual plan paid up front; month to month, it runs $129 to $432.

How much does compounded tirzepatide cost without insurance?

The same $125 to $432 a month, because insurance rarely covers it: these are cash prices. It is not FDA-approved.

How much is 2 months of compounded tirzepatide?

Month to month, about $258 to $864 at the sellers in our table, before any first-month discount. Most lower prices need a 3-, 6- or 12-month commitment.

Why is compounded tirzepatide cheaper than Zepbound?

Compounding pharmacies make it to a prescription without the clinical trials, FDA review and brand pricing behind Zepbound, which is why it is not FDA-approved. Zepbound costs $299 to $449 a month through LillyDirect.

Does the price go up when my dose increases?

It depends on the seller: Amble, Cora, Eden and Trimi Health charge one price at every dose, while Mochi Health goes from $90 to $199 a month in medication plus membership and GobyMeds' bundles also rise with dose. Check the "Price at higher doses" column.

Can I get tirzepatide for $25 a month?

Only Zepbound or Mounjaro, with commercial insurance that covers it plus Lilly's savings card. The card does not apply to compounded tirzepatide.

Is compounded tirzepatide a generic?

No. It is not FDA-approved and not the same as Zepbound or Mounjaro, and as of Oct 20, 2026 the FDA has approved no generic tirzepatide.

Can I still buy compounded tirzepatide legally?

Yes, with a prescription, but narrowly: since the FDA declared the shortage over in December 2024, compounders may not make essentially copies of Zepbound or Mounjaro. A state-licensed 503A pharmacy can compound for an individual patient's prescription.

Does insurance cover compounded tirzepatide?

Rarely. It is not an FDA-approved product, and Lilly's savings cards apply only to Zepbound and Mounjaro.

Can I use an HSA or FSA for compounded tirzepatide?

Often, as reimbursement: a prescribed medication can be a qualified medical expense. Confirm with your plan administrator.

What's the cheapest compounded tirzepatide?

In our table, the lowest all-in price at the starting dose is $125 a month on Trimi Health's annual plan, then Eden at $129 month to month, GobyMeds at $133 on a 3-month bundle, and Amble and Cora at $135 on 12-month plans. Eden's fees and GobyMeds' dose pricing carry caveats noted in the table, and none of this is the whole market.

How much is a vial of compounded tirzepatide?

It depends on how many mg the vial holds, which varies by pharmacy and dose, so compare by month instead: vial price ÷ the weeks it lasts at your dose × 4.33. The FDA advises discarding an opened multi-dose vial 28 days after first use, so doses beyond four weeks in one vial are wasted.

How we checked these prices

We read each seller's own pricing page (or its published terms) on the date in its row, mostly Oct 20, 2026. Where a page needed JavaScript, we opened it in a browser; where a price was no longer shown, the row keeps its earlier date and says so. The table covers 13 providers we track that sell compounded tirzepatide injections, not every seller on the market. All-in means medication plus every fee the seller requires. Intro and first-month prices and promo codes are left out of the ranking and noted in the row. The figures come from our GLP-1 telehealth pricing dataset (CC-BY-4.0; last published Oct 14, 2026) with the Oct 20 re-checks applied; the full directory, every drug and brand, is on our GLP-1 provider price directory. No seller paid to be listed. Spotted a price that has changed? Tell us.

Sources and references

1. Seller pricing pages, each linked in its table row with the date read (Oct 11–20, 2026).
2. LillyDirect: Zepbound self-pay prices and Lilly: Zepbound pricing information (list price) (re-checked Oct 20, 2026)
3. Eli Lilly: Zepbound savings card terms
4. "FDA clarifies policies for compounders as national GLP-1 supply begins to stabilize" (content current as of Apr 1, 2026; read Oct 20, 2026)
5. FDA's concerns with unapproved GLP-1 drugs used for weight loss (content current as of Oct 1, 2026; read Oct 20, 2026)
6. FDA: Human drug compounding
7. Drugs@FDA: approved tirzepatide applications (checked Oct 20, 2026)
8. FDA: BeSafeRx · LegitScript certification search · NABP: state boards of pharmacy
9. IRS Publication 502: Medical and Dental Expenses
10. Nouri GLP-1 telehealth pricing dataset 2026 (Hugging Face, CC-BY-4.0)

Zepbound® and Mounjaro® are registered trademarks of Eli Lilly and Company. Nouri is not affiliated with Eli Lilly. Nouri is a publisher; it does not prescribe or sell any medication. Not medical, financial or tax advice: a licensed prescriber decides whether any medication fits you. Compounded tirzepatide is not FDA-approved and has not been evaluated by the FDA for safety, effectiveness or quality.

Disclosure: Nouri may earn a commission when you sign up with some of the providers we link to. It doesn't change what you pay or how we rank providers. Full disclosure.