Compounded · weekly GLP-1 + GIP injectionLicensed U.S. providers
Compounded Tirzepatide, prescribed online and shipped to your door
$149
$285
/mo · 12-month plan
Save $1,632
$1,788 total. Same price at every dose.
Looking for semaglutide?Already a patient? Sign in
- No auto-renew. Refills ship only when you confirm.
- One price at every dose. 2.5 mg to 15 mg, no step-up charges.
- Everything included. Provider visit, supplies and cold-packed shipping.
- LegitScript certified
- Licensed U.S. providers
- U.S. company, San Antonio, TX
- No insurance needed
- Never auto-renews
Your dose goes up. Your price doesn't.
Tirzepatide is usually stepped up about every 4 weeks. Programs that price by the milligram get more expensive at each step. Ours stays flat from the first dose to the last.
One price covers all of it
- Provider visit
- Included, plus ongoing check-ins
- Medication
- Compounded tirzepatide, 2.5 mg to 15 mg
- Supplies
- Syringes, alcohol pads, dosing guide
- Shipping
- Cold-packed and discreet, no charge
- Care team
- Unlimited messaging
- Membership or visit fees
- None
- Renewal
- Never automatic
This is a compounded medication and is not FDA-approved. Its safety and effectiveness have not been verified by the FDA. Compounded medications are prepared by licensed compounding pharmacies under Section 503A of the Federal Food, Drug, and Cosmetic Act, based on a valid patient-specific prescription from a licensed healthcare provider. Rx.com does not manufacture compounded medications.
Continue to checkout Only billed if prescribedFrom checkout to your door
Today · 2 minChoose a plan and check out
You are only billed if a provider prescribes your medication.
Within 24 hrsComplete your online visit
A confidential health questionnaire and a photo ID. A licensed provider in your state reviews it, usually within 24 hours. Some states require a short video visit.
After approvalYour medication ships
A licensed U.S. compounding pharmacy prepares your prescription and ships it cold-packed with syringes, alcohol pads and a dosing guide.
Not a pop-up GLP-1 site. This is Rx.com.
A lot of GLP-1 websites appeared overnight. Before you hand anyone your health history and your card, you should know exactly who they are.
LegitScript certified
Independently certified by LegitScript, the standard Google and the card networks use to vet online pharmacies and telehealth. Verify it.
A real U.S. company
Rx.com is headquartered in San Antonio, Texas. About us.
Licensed providers and pharmacy
A provider licensed in your state reviews every visit, and a state-licensed U.S. pharmacy prepares your prescription. Never "research use" products.
Prices on the page, no traps
No membership, visit, dose or shipping fees. Plans never renew automatically, and you can cancel anytime.
| Before you buy GLP-1s online, check | Rx.com | Many online programs |
|---|---|---|
| LegitScript certified | ✓ | Not always |
| Same price at every dose | ✓ | Often more |
| Provider visit included | ✓ | Often extra |
| No automatic renewals | ✓ | Rarely |
| Only billed if prescribed | ✓ | Varies |
“The signup process was easy, communication was clear, and I had everything shipped right to me.”
How much does compounded tirzepatide cost?
Compounded tirzepatide through Rx.com is $149 a month on the 12-month plan, or $285 month to month. That price covers your online provider visit, the medication, supplies and cold-packed shipping, and it stays the same when your dose goes up.
Price by plan
| Plan | Total | Per month |
|---|---|---|
| 12 months | $1,788 | $149 |
| 6 months | $1,550 | $258.33 |
| 3 months | $795 | $265 |
| Month to month | $285 | $285 |
Price at every dose
| Weekly dose | Medication per month (about) | Your price per month |
|---|---|---|
| 2.5 mg | 10.8 mg | $149 |
| 5 mg | 21.7 mg | $149 |
| 7.5 mg | 32.5 mg | $149 |
| 10 mg | 43.3 mg | $149 |
| 12.5 mg | 54.2 mg | $149 |
| 15 mg | 65.0 mg | $149 |
Per-month amounts are the weekly dose × 52 weeks ÷ 12 months. Price shown is the 12-month plan. Your provider decides your starting dose and when to step up.
Tirzepatide is started at 2.5 mg once a week and usually stepped up about every 4 weeks. At 15 mg you use roughly 6 times as much medication each month as at the starting dose, so a price quoted per milligram or per vial keeps rising as you titrate. With one flat price, stepping up never changes your bill.
Before you prepay for any tirzepatide plan, ask
- Does the price change when my dose goes up? Per-milligram pricing gets more expensive every few weeks.
- Is the provider visit included? Some programs add an intake fee or a monthly membership.
- Are supplies and cold shipping included? Syringes, alcohol pads and cold-packed delivery can be billed separately.
- How much ships at once? An opened multi-dose vial has a beyond-use date, so a large shipment only saves money if you can use it in time.
Semaglutide or tirzepatide?
| Compare | Semaglutide | Tirzepatide |
|---|---|---|
| Works on | GLP-1 | GLP-1 + GIP |
| Taken | Once a week | Once a week |
| Dose range | 0.25 mg to 2.4 mg | 2.5 mg to 15 mg |
| From | $99/mo | $149/mo |
Both are once-weekly injections. Your provider recommends the one that fits your health history. See compounded semaglutide →
Continue with tirzepatide Only billed if prescribedHow tirzepatide works
- What it isTirzepatide is a GLP-1 / GIP dual receptor agonist, acting on the GLP-1 + GIP receptors.
- How you take itOne injection a week under the skin of the stomach, thigh or upper arm, with the syringes and dosing guide we send.
- How your dose is setYour provider starts you at 2.5 mg and plans any increases with you, about every 4 weeks, with check-ins before each refill.
Compounded tirzepatide is not FDA-approved. Individual results vary.
What is compounded tirzepatide?
What compounded tirzepatide is
Compounded tirzepatide is tirzepatide prepared by a licensed compounding pharmacy for one patient, from a prescription written by that patient's provider. It contains the same active ingredient studied in the clinical trials, but the finished product is made by the pharmacy rather than a drug manufacturer, so it has not been reviewed by the FDA for safety, effectiveness or quality. Rx.com prescribes it as a weekly injection, not a pill or drops.
Is compounded tirzepatide legal?
Yes, when it is prescribed for you. The FDA declared the tirzepatide shortage over in December 2024. State-licensed 503A pharmacies may still compound it for an individual patient with a valid prescription when the prescriber decides a compounded version meets that patient's medical need. The FDA has warned about products sold without a prescription, products labeled “for research use only” and products that are not made by a licensed pharmacy.
Is compounded tirzepatide safe?
The active ingredient has a known safety profile, with the same boxed warning and side effects described below. The added risks with any compounded medication come from how it is made and used: the FDA has received reports of dosing mistakes when people confused milligrams, milliliters and syringe markings, and it has warned about versions made with salt forms of the drug, which are different active ingredients. That is why your prescription, your pharmacy label and the syringe your pharmacy sends matter.
How to tell a legitimate source
A prescription from a licensed provider after a medical review. A pharmacy licensed in your state that you can look up on your state board of pharmacy website. A label with the drug, strength and pharmacy name. Cold-packed shipping and a dosing guide. Walk away from anything sold without a prescription, labeled for research only, or shipped from outside the U.S.
Is compounded tirzepatide legal?
Yes, when it is prescribed for you. State-licensed 503A compounding pharmacies may prepare tirzepatide for an individual patient with a valid prescription when the prescriber decides a compounded version meets that patient's medical need. It is not FDA-approved.
Is compounded tirzepatide safe?
The active ingredient has a known safety profile, but compounded products are not reviewed by the FDA for quality. The main added risks are dosing mistakes and poorly made products, so use a licensed provider and a state-licensed pharmacy, and follow your label and the syringe your pharmacy sends.
Is compounded tirzepatide the same as the FDA-approved product?
It contains the same active ingredient, but it is not FDA-approved and is not the same as any brand-name medication. It is prepared by a compounding pharmacy for you rather than mass-produced by a manufacturer.
Read the full compounded tirzepatide guide: how it is made, legal status and safety →
Important safety information
Boxed warning: Tirzepatide caused thyroid C-cell tumors in rodent studies. It is not known whether it causes thyroid tumors, including medullary thyroid carcinoma, in people. Do not use tirzepatide if you or any of your family have had medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2.
Common side effects include nausea, vomiting, diarrhea, constipation, stomach pain and decreased appetite, most often while your dose is being increased. Serious risks include pancreatitis, gallbladder disease, low blood sugar (especially with insulin or sulfonylureas), kidney injury from dehydration, and severe allergic reactions. Stop and seek care right away for severe stomach pain, a lump in your neck, trouble swallowing or breathing, or signs of an allergic reaction.
Do not use if you are pregnant, breastfeeding or planning pregnancy, or under 18. Tell your provider about every medication and condition during your visit. This is not a complete list of risks; your provider and the pharmacy will give you full medication information.
Frequently asked questions
What is compounded tirzepatide?
How is tirzepatide different from semaglutide?
How does the online visit work?
What dose will I start on?
Does the price go up when my dose increases?
What does the price include?
Do I need insurance?
What are the side effects?
Who should not take tirzepatide?
How do refills and cancellation work?
Where is this available?
Tirzepatide articles & guides
Reading on dosing, side effects, cost and what to expect, from the Rx.com Editorial Team.
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Some adults lose 20% of their body weight with weekly tirzepatide, while others see the scale barely budge. This guide explains exactly why that happe...
Tirzepatide Fatigue After a Dose Increase to 10 mg: What Causes It and How to Fix It Fast
Many people feel sudden fatigue when they move from 7.5 mg to 10 mg of tirzepatide. This guide explains why the energy dip happens, how long it usuall...
9 Things I Wish I Knew Before Starting GLP-1 Weight-Loss Injections
New to GLP-1 weight-loss shots? This in-depth guide distills the nine lessons real patients wish they knew before their first injection—from dosing sc...
GLP-1 Survival Guide for New Ozempic, Wegovy, and Mounjaro Users
Starting Ozempic, Wegovy, or Mounjaro? This step-by-step survival guide covers dosing, side-effect hacks, red-flag symptoms, and where to get GLP-1 pr...
Tirzepatide + Niacinamide: Should You Choose the Compounded Combo?
Some U.S. compounding pharmacies mix niacinamide (vitamin B3) into tirzepatide vials. This in-depth guide explains why, reviews the limited evidence,...
Compounded Tirzepatide: What It Is, Whether It Is Safe and Legal, and What It Costs in 2026
Compounded tirzepatide is made by a licensed pharmacy for one patient and is not FDA-approved. Here is its 2026 legal status, what the FDA has said ab...
Microdosing Tirzepatide: What You Need to Know
A guide to microdosing tirzepatide for weight loss and tolerability — what it means and what the evidence says.
Tirzepatide Injection Sites
Where to inject tirzepatide (Zepbound/Mounjaro), why rotating sites matters, and tips for a comfortable shot.
Peptides for Weight Loss
How GLP-1 peptides like tirzepatide compare to research peptides — a complete weight-loss guide.
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Continue to checkoutZepbound® and Mounjaro® are registered trademarks of Eli Lilly and Company. Compounded tirzepatide is not FDA-approved and is not equivalent to any brand-name medication. Photos are of models. Information on this page is educational and is not a substitute for advice from your own healthcare provider. See our Weight Loss Program page for the full program FAQ.
