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// The Desk · Compounding dispatch · Filed August 2026

Best compounded tirzepatide providers — and what “compounded” actually buys you.

Same molecule as Zepbound. Not the same product, not FDA-approved, and not a generic. Here is what that means, who files a compounded tirzepatide price, and — printed on every row — exactly what our record does and does not confirm about it.

// The distinction this whole page rests on

Zepbound and Mounjaro are FDA-approved brand tirzepatide from Eli Lilly: reviewed for safety, efficacy and quality, and batch-controlled. Compounded tirzepatide is not. It is prepared for an individual patient by a licensed compounding pharmacy under a different set of rules, carries no FDA approval, and is not a generic — no generic tirzepatide exists. The molecule is the same; the oversight is not, and that is most of why the price is a fraction of the brand. If FDA-approved certainty is what you want, read compounded vs brand-name GLP-1 before anything below.

// Compounded tirzepatide board

10 entries · desk score · August 2026

CoreAge Rx leads the board at 94/100, filing tirzepatide at $349/mo. The lowest figure on the same board is WeightRx at $83/mo (term not published, compounded). Every row carries a provenance column: what our record states about the product behind the price, with nothing inferred to fill a blank.

Open CoreAge Rx
  1. 01

    CoreAge Rx

    TIRZ $349 · NOT STATED IN OUR RECORD94·AOpen ↗
  2. 02

    Strut Health

    TIRZ $199 (from-price) · NOT STATED IN OUR RECORD88·B+Open ↗
  3. 03

    HealthRX

    TIRZ $349 (GLP+GIP) · NOT STATED IN OUR RECORD86·BOpen ↗
  4. 04

    RxSpan MD

    TIRZ $329 · NOT STATED IN OUR RECORD86·BOpen ↗
  5. 05

    Sprout Health

    TIRZ $199 · NOT STATED IN OUR RECORD86·BOpen ↗
  6. 06

    MadeMed

    TIRZ $399 (from $369/mo on 6 months) · NOT STATED IN OUR RECORD86·BOpen ↗
  7. 07

    Enhance MD

    TIRZ $280 · NOT STATED IN OUR RECORD85·BOpen ↗
  8. 08

    Telos Rx

    TIRZ $99 (annual) · NOT STATED IN OUR RECORD85·BOpen ↗
  9. 09

    ShedRx

    TIRZ $299 · NOT STATED IN OUR RECORD85·BOpen ↗
  10. 10

    Trimi

    TIRZ $229 · NOT STATED IN OUR RECORD84·BOpen ↗

// Assume any provider we log may compensate us. We may earn a referral commission if you start care through some of these links, at no extra cost to you — what we file on a provider reads the same either way. Full disclosure.

// What our record can and cannot tell you

The provenance column, in full

Of the 498 providers the Desk logs, 260 carry an explicit compounded marker on the tirzepatide price we hold, and 13 file an FDA-approved brand-name price. The remainder carry a figure and no product attestation in our data.

That is a limit of our record and not a finding about the provider — most of these operators do describe their product plainly on their own pages, and every row above links straight to both our dispatch and their site.

// States compounded, on the record

// Files a brand-name price — not on the board above

  • Sesame Care Brand Zepbound (price varies)
  • AskRx $299/mo (2.5 mg dose, brand-name)
  • Heally $299/mo (starting dose, brand-name)
  • Hers $299/mo (starting dose, plus a separate fee, brand-name)
  • Levity $1,299/mo (all doses, bundle, brand-name)
  • GoodRx $299/mo (brand Zepbound)
  • Knownwell $349/mo (brand Zepbound)
  • Kin Meds $149/mo (brand Zepbound)
  • Rex MD $349/mo (brand Zepbound)
  • PrideRx $299/mo (2.5 mg dose, plus a separate fee, brand-name)
  • Ark Health $1,499/mo (brand Mounjaro)
  • Form Health $1,350/mo (starting dose, brand-name)
  • NowPatient $1,069/mo (brand Mounjaro, promotional rate)

These are FDA-approved products at FDA-approved prices. They belong in a compounded-tirzepatide comparison only as the thing being compared against.

No figure filed. 173 providers we log publish no tirzepatide price we can quote, so they cannot be placed on a priced board. The Desk will not estimate one.

The dispatches

The top 6 entries in full, with what our record states about each one's product.

  1. #1

    CoreAge Rx

    The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.

    Tirzepatide:
    $349/mo
    Product, per our record:
    not stated in our record
    States:
    All 50 states

    Best for: Anyone who wants a verified flat price and full nationwide reach from day one.

    Marked down on: Not the lowest sticker price on the board

  2. #2

    Strut Health

    The same molecule as a lozenge or an injection at the same price — the only place on this board where the needle is genuinely optional.

    Tirzepatide:
    From $199/mo either route
    Product, per our record:
    not stated in our record
    States:
    49 states (not Arkansas)

    Best for: People whose real objection is the needle rather than the medicine, and who want every route priced before signing up.

    Marked down on: Asynchronous by design — their FAQ notes some states need no phone consultation, so you may never speak to the prescriber

  3. #3

    HealthRX

    A LegitScript-certified telehealth desk with a rare oral GLP tablet route alongside injectables and physician-reviewed intake.

    Tirzepatide:
    $349/mo (GLP+GIP)
    Product, per our record:
    not stated in our record
    States:
    United States

    Best for: Patients who want a certified, physician-supervised program and the option of an oral tablet instead of an injection.

    Marked down on: Compounded medications are not FDA-approved

  4. #4

    RxSpan MD

    A physician-founded desk with one of the widest menus on the board — compounded and brand-name GLP-1 across injectable and oral routes, microdosing, plus longevity, hair, and sexual-health lines — with transparent, all-inclusive pricing across all 50 states.

    Tirzepatide:
    $329/mo
    Product, per our record:
    not stated in our record
    States:
    All 50 states

    Best for: Patients who want a broad, physician-led menu across GLP-1 routes and adjacent longevity care, with transparent all-inclusive pricing and nationwide reach.

    Marked down on: Compounded semaglutide and tirzepatide are not FDA-approved — not the same as Wegovy/Ozempic or Zepbound

  5. #5

    Sprout Health

    A LegitScript-certified desk that pairs low-cost compounded semaglutide and tirzepatide with a real brand-name Wegovy and Zepbound path — and a near-frictionless, often visit-free start.

    Tirzepatide:
    $199/mo
    Product, per our record:
    not stated in our record
    States:
    Not disclosed

    Best for: Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding.

    Marked down on: Compounded semaglutide and tirzepatide are not FDA-approved

  6. #6

    MadeMed

    Publishes its price at every single dose, so what month six costs is knowable on day one.

    Tirzepatide:
    $399/mo quarterly (from $369/mo on 6 months)
    Product, per our record:
    not stated in our record
    States:
    40 states

    Best for: Anyone who expects to titrate and wants the eventual cost visible before starting.

    Marked down on: The most expensive tirzepatide here at $399/mo quarterly

Compounded tirzepatide, answered

What is compounded tirzepatide?
Tirzepatide prepared for an individual patient by a licensed compounding pharmacy rather than manufactured and sold as Eli Lilly's FDA-approved product. The molecule is the same molecule that is in Zepbound and Mounjaro. The product is not the same product: compounded preparations are not reviewed by the FDA for safety, efficacy or quality, and no generic tirzepatide exists. That regulatory gap is most of the reason the price is a fraction of the brand.
Is compounded tirzepatide the same as Zepbound or Mounjaro?
No. Zepbound and Mounjaro are Eli Lilly's FDA-approved tirzepatide products, reviewed and batch-controlled. Compounded tirzepatide is dispensed under the pharmacy-compounding rules instead. Anyone selling compounded product as though it were the brand, or as a 'generic Zepbound', is misdescribing it — there is no generic tirzepatide.
Which provider does the Desk rank first for compounded tirzepatide?
CoreAge Rx, at a Desk Score of 94/100, filing tirzepatide at $349/mo. The board is ordered on six measured dimensions rather than on price — the lowest figure on the same board belongs to WeightRx at $83/mo (term not published, compounded).
Does the Desk verify that each provider dispenses compounded product?
Not from our own record, and we would rather show you the gap than paper over it. Of the 498 providers the Desk logs, 260 carry an explicit compounded marker on the filed tirzepatide price and 13 file a brand-name price. The rest carry a figure with no product attestation in our record — a limitation of our data, not a finding about the provider. Every row links to its full dispatch and to the provider's own site, where that description generally does appear.
How do I check a compounding pharmacy before I pay one?
Look for a named 503A or 503B pharmacy, a LegitScript or state-board registration you can verify yourself, a real prescriber reviewing your intake rather than a form that rubber-stamps it, and written cancellation terms before the first charge. Our guide on telling a legitimate provider from a bad one walks the checks in order.

// The Desk's other boards

Read next: is compounded GLP-1 legit and safe for the 503A/503B rules in plain English, how to tell if a provider is legitimate for the checks to run before you pay, or how to choose a GLP-1 provider to weigh the rest. You can also compare any two providers head-to-head.

Prices and coverage are each provider's own public filings at last review and change without notice. Scores follow the Desk's published methodology. Informational, not medical advice; compounded medications are not FDA-approved brand products. See our medical disclaimer.