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Gut Metabolic

Tirzepatide · ranked

Compounded tirzepatide, ranked on what you can find out first

Every program we link to that publishes a tirzepatide price before the intake, with the conditions attached to that price printed in full rather than summarized into a headline.

Tirzepatide is the molecule in Mounjaro and Zepbound, and it acts on two gut-hormone receptors rather than one. What these programs sell is compounded tirzepatide — mixed to order by a pharmacy rather than manufactured and released as a finished product, so the FDA has not reviewed the specific preparation you are prescribed.

Nearly every program here pays us a commission if you start care through it — that is what decides who has a review on this site, and only reviewed programs are ranked here, so read this as the list of companies we send readers to rather than as a survey of the market. Three no longer pay us — Breeze Meds, Care Bare Rx and Synergy Rx — and we kept them ranked rather than delete them when the money stopped. See our disclosure. Scores are not for sale, and no score has ever moved for money. Order is a different thing and we would rather name it: the programs that pay us are listed first, then everyone else, and within each group the order is the transparency score and nothing else. The programs we left out are named at the foot of this page with the reason.

The ranking

30 programs, ordered by how much you can find out before you commit.

01

System Labs

Tirzepatide

$179/mo standing, $99 for the first month (the same "COMPOUNDED GLP-1/GIP" listing — it sells one GLP-1 product and does not say which drug is in it)Show the full price note
PharmacyPharmacy named
02

Breeze Meds

Tirzepatide

From $399/mo (compounded)

PharmacyPharmacy named
03

Trimi Health

Tirzepatide

From $125/mo (all doses, compounded)

PharmacyPharmacy named
04

SnagRx

Tirzepatide

$149/mo month-to-month (compounded weekly injection, the same price at every dose in SnagRx's own words; $139/mo on 3 months, $129 on 6, $119 only on 12)Show the full price note
PharmacyPharmacy named
05

Enhance MD

Tirzepatide

$329/mo month-to-month (compounded weekly injection, flat at every dose — $280/mo only on the 12-month plan, and the $169/mo microdosing tier is prepay-only with no one-month option at all)Show the full price note
PharmacyPharmacy named
06

HealthRX

Tirzepatide

$239/mo month-to-month (compounded weekly injection, the same price at every dose; a new patient's first month is $149, then $209/mo on 3 months, $199 on 6, and $179 only on 12)Show the full price note
PharmacyNo pharmacy named
07

YourEra

Tirzepatide

From $259/mo (all doses, compounded)

PharmacyNo pharmacy named
08

Pallas Health

Tirzepatide

$299/mo average (compounded weekly injection; no monthly option — $897 billed every 12 weeks, after $179 for the first 4 weeks)Show the full price note
PharmacyPharmacy named
09

RxSpan MD

Tirzepatide

$329/mo (month-to-month, compounded injection; $309 on 3 months, $289 on 6, $269 on 12 — oral capsules $349)

PharmacyPharmacy named
10

CoreAge Rx

Tirzepatide

From $149/mo, and it states "Same price at every dose" beside the figure (compounded, typically formulated with B-12 unless you ask otherwise at intake)Show the full price note
PharmacyNo pharmacy named
11

Care Bare Rx

Tirzepatide

$299/mo at the 2.5 and 5 mg tiers (compounded weekly injection; $349 at 7.5 and 10 mg, $399 at 12.5 and 15 mg)

PharmacyPharmacy named
12

Synergy Rx

Tirzepatide

$349/mo month-to-month (compounded weekly injection; the 3-month bundle is $1,068, or $356/mo — dearer, not cheaper; sublingual tablets $399/mo)Show the full price note
PharmacyPharmacy named
13

Telos Rx

Tirzepatide

From $139/mo (compounded weekly injection, the same price at every dose — but this is the longest-plan floor, and the month-to-month rate appears only inside the intake)Show the full price note
PharmacyNo pharmacy named
14

Oak

Tirzepatide

$300/mo at every dose on its order form, read the afternoon of 15 August 2026 — it showed $250/mo that morning

PharmacyNo pharmacy named
15

Wellorithm

Tirzepatide

From $249/mo compounded, injection or oral dissolving tablet at the same figure, with the same unexplained "$100 off your first month" beneath itShow the full price note
PharmacyNo pharmacy named
16

ShedRx

Tirzepatide

$299/mo recurring (compounded injection; two-month minimum, so $598 is the smallest purchase — $269 on 6 months, $239 only on 12)Show the full price note
PharmacyPharmacy named
17

Sprout Health

Tirzepatide

From $199/mo (starting dose, compounded)

PharmacyPharmacy named
18

PeterMD

Tirzepatide

$149 for the first month, then $249/mo billed quarterly (compounded injection, 60 mg — so the smallest purchase after the first month is $747; its shop also lists a "LIMITED TIME OFFER: Tirzepatide" at $250, struck from $447)Show the full price note
PharmacyPharmacy named
19

He & She MD

Tirzepatide

$299/mo month-to-month ($1,908 committed for the year)

PharmacyPharmacy named
20

Gala

Tirzepatide

From $149/mo (compounded)

PharmacyNo pharmacy named
21

Found

Tirzepatide

$399/mo month-to-month compounded, falling to $299/mo only if you prepay 12 months (advertised as "From $239/mo"); same price at every dose, and billed every 4 weeks rather than monthlyShow the full price note
PharmacyNo pharmacy named
22

Strut Health

Tirzepatide

From $199/mo (compounded oral)

PharmacyNo pharmacy named
23

SkinnyRx

Tirzepatide

"As low as $299/mo" (compounded weekly injection; same plan-ladder asterisk, and the homepage advertises $249 and $199 tiers without saying which product each belongs to)Show the full price note
PharmacyNo pharmacy named
24

Sesame Care

Tirzepatide

From $299/mo (2.5 mg dose, compounded)

PharmacyNo pharmacy named
25

Direct Meds

Tirzepatide

From $299/mo (compounded oral)

PharmacyPharmacy named
26

WellMedr

Tirzepatide

$129 per cycle month-to-month on the same 21-day billing clock ($187/calendar month); the $99/mo it advertises is the 12-month rung at $1,188 charged every 350 days, and every rung including that one is labelled "Flexible month-to-month" and "No long-term commitment"Show the full price note
PharmacyPharmacy named
27

MadeMed

Tirzepatide

$399/mo on the shortest plan it sells (compounded weekly injection its pharmacy title records as tirzepatide/methylcobalamin — B12 — though its own marketing page says L-carnitine; billed $1,197 up front every 3 months; no month-to-month rung — $369/mo needs 6 months at $2,214 up front)Show the full price note
PharmacyPharmacy named
28

Eden

Tirzepatide

$129/mo all-inclusive on the page our link opens (compounded weekly injection, flat at every dose — the same weight-loss page prices it at $199 medication-only plus the $99/mo membership, $298/mo all-in)Show the full price note
PharmacyNo pharmacy named
29

MyDrHank

Tirzepatide

$349/mo month-to-month (compounded; $240 only on a 12-month prepay)

PharmacyNo pharmacy named
30

Try Ageless

Tirzepatide

$349/mo month-to-month on the plan page our link reaches (compounded weekly injection with B12; the oral drops are a separate, cheaper product at $199/mo)Show the full price note
PharmacyPharmacy named

Who this ranking leaves out

These programs pay us exactly as the ranked ones do, and they are reviewed on this site. They are not ranked here because the ranking is about what you can find out before you commit, and they do not publish the figure this ranking is about. That is a statement about the page you are shown, not about the medicine.

The other rankings

The order is close to the same on all three, because the question is the same one. What changes is the figure each board prints and which programs qualify to be on it.

Before you start

This page ranks sellers, not medicines. Whether a GLP-1 suits you is a decision for a licensed clinician who knows your history, and nothing here is medical advice. If you would rather start with food and fiber than a prescription, that is what most of this site is about.