// The Desk · Tirzepatide dispatch · Filed July 2026
Best tirzepatide providers — and what the switch costs you.
39 providers on the Desk's board file a tirzepatide line. Below: the scored board, and then the number nobody publishes — what each one charges for tirzepatide over its own semaglutide price.
// Filed before anything else
Zepbound and Mounjaro are FDA-approved brand tirzepatide from Eli Lilly. Nearly every figure below is compounded tirzepatide from a licensed pharmacy: a different product, not FDA-reviewed for safety, efficacy or quality, and not a generic — there is no generic tirzepatide. Where a provider files a brand-name price the row is marked BRAND. The full trade-off is in compounded vs brand-name GLP-1.
// Tirzepatide board
10 entries · desk score · July 2026
CoreAge Rx tops the board at 94/100, filing tirzepatide at $349/mo. Cheapest filing on the wire is Telos Rx at $99/mo (annual); dearest is MadeMed at $399/mo quarterly (from $369/mo on 6 months). And the premium for choosing tirzepatide over semaglutide at the same provider runs from $0 a month to $234 — the ladder is below the board.
Open CoreAge Rx ↗- 01
CoreAge Rx
TIRZ $349 · SEMA $149 · ALL 50$149ALL 5094·AOpen ↗ - 02
Invigor Medical
TIRZ $339 · SEMA $199 · NOT DISCL.$199NOT DISCL.90·A−Open ↗ - 03
Vaylen
TIRZ $239 · SEMA $179 · ALL 50$179ALL 5091·A−Open ↗ - 04
Strut Health
TIRZ $199 · SEMA $99 · 49 STATES (NOT ARKANSAS)$9949 STATES (NOT ARKANSAS)88·B+Open ↗ - 05
Ondra Health
TIRZ $166 · SEMA $93 · ALL 50$93ALL 5090·A−Open ↗ - 06
Vytora Health
TIRZ $200 · SEMA $150 · ALL 50$150ALL 5090·A−Open ↗ - 07
Sesame CareBrand
TIRZ NOT DISCL. · SEMA $149 · NATIONWIDE MARKETPLACE$149NATIONWIDE MARKETPLACE87·B+Open ↗ - 08
Tyde Wellness
TIRZ $249 · SEMA $149 · ALL 50$149ALL 5089·B+Open ↗ - 09
Effecty
TIRZ $240 · SEMA $160 · ALL 50$160ALL 5089·B+Open ↗ - 10
Gala Health
TIRZ $179 · SEMA $1,299 · ALL 50$1,299ALL 5086·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.
Not on the board. 4 providers we log file no tirzepatide price we can quote (AgelessRx, Sesame Care, Ro, Hims & Hers). They are not excluded on quality — the Desk will not estimate a figure a provider has not published. Their reviews stay on the site.
// The finding
The tirzepatide premium, provider by provider
What each provider charges for tirzepatide over its own semaglutide price. Same operator, same account, same shipping — so the gap is the molecule and nothing else. 33 of the Desk's 42 providers file two lines comparable enough to subtract. Smallest gap first.
| Provider | Sema | Tirz | Premium/mo | Per year |
|---|---|---|---|---|
| Curex | $199 | $199 | no premium | — |
| Found | $129 | $129 | no premium | — |
| Bodybuilding Health+ | $139 | $139 | no premium | — |
| Care Bare Rx | $199 | $199 | no premium | — |
| Direct Meds | $179 | $224 | +$45 | +$540 |
| Primary Clinic (Direct GLP) | $65 | $110 | +$45 | +$540 |
| Vytora Health | $150 | $200 | +$50 | +$600 |
| Sprout Health | $149 | $199 | +$50 | +$600 |
| Ageless | $119 | $169 | +$50 | +$600 |
| Optimized Health | $200 | $250 | +$50 | +$600 |
| Vaylen | $179 | $239 | +$60 | +$720 |
| Oak | $119 | $185 | +$66 | +$792 |
| Enhance MD | $212 | $280 | +$68 | +$816 |
| REMEVi | $199 | $269 | +$70 | +$840 |
| Ondra Health | $93 | $166 | +$73 | +$876 |
| Effecty | $160 | $240 | +$80 | +$960 |
| Strut Health | $99 | $199 | +$100 | +$1,200 |
| Tyde Wellness | $149 | $249 | +$100 | +$1,200 |
| ShedRx | $199 | $299 | +$100 | +$1,200 |
| Trimi | $129 | $229 | +$100 | +$1,200 |
| yourEra | $199 | $299 | +$100 | +$1,200 |
| BetterMe Rx | $199 | $299 | +$100 | +$1,200 |
| Breeze Meds | $199 | $299 | +$100 | +$1,200 |
| Peak Wellness | $249 | $349 | +$100 | +$1,200 |
| Mochi Health | $138 | $238 | +$100 | +$1,200 |
| Henry Meds | $249 | $349 | +$100 | +$1,200 |
| Eden | $239 | $349 | +$110 | +$1,320 |
| Fitish | $219 | $339 | +$120 | +$1,440 |
| Invigor Medical | $199 | $339 | +$140 | +$1,680 |
| HydraMed | $179 | $319 | +$140 | +$1,680 |
| Synergy Rx | $199 | $349 | +$150 | +$1,800 |
| CoreAge Rx | $149 | $349 | +$200 | +$2,400 |
| Fella Health | $165 | $399 | +$234 | +$2,808 |
Per-year is twelve months at the two figures as filed — a projection, not a quote.
// Held out of the ladder — and why
- Gala Health — one line is brand-name, the other is not — different medicines, not a premium. Filed: $1,299/mo (brand Ozempic) / $179/mo.
- HealthRX — different terms on each line (compounded vs GLP+GIP). Filed: $189/mo (compounded) / $349/mo (GLP+GIP).
- RxSpan MD — different terms on each line (from-price vs none). Filed: From $194/mo / $329/mo.
- MadeMed — different terms on each line (from $199/mo on 6 months vs from $369/mo on 6 months). Filed: $239/mo quarterly (from $199/mo on 6 months) / $399/mo quarterly (from $369/mo on 6 months).
- Telos Rx — different terms on each line (compounded vs annual). Filed: $145/mo (compounded) / $99/mo (annual).
Subtracting these would produce a number that looks precise and means nothing.
The dispatches
The top 6 entries in full — what each is for, and what the Desk marked it down on.
- #1A94/100
Desk Score
CoreAge Rx
The Desk's top dispatch: flat all-in pricing, both molecules, all 50 states — no teaser-rate traps.
- Tirzepatide:
- $349/mo
- Premium over its own sema:
- +$200/mo
- 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
- #2A−90/100
Desk Score
Invigor Medical
A long-running pharmacy operator with steady mid-market pricing and a broad wellness catalog.
- Tirzepatide:
- $339/mo
- Premium over its own sema:
- +$140/mo
- States:
- Not disclosed
Best for: Patients who want GLP-1 care within a wider, established health program.
Marked down on: States-served list not publicly disclosed
- #3A−91/100
Desk Score
Vaylen
The strongest all-rounder among the newer entrants — low pricing, brand access, oral routes, and all 50 states on one account.
- Tirzepatide:
- $239/mo
- Premium over its own sema:
- +$60/mo
- States:
- All 50 states
Best for: People who want maximum optionality — brand or compounded, oral or injectable — without giving up nationwide reach.
Marked down on: Newer operator with a shorter track record
- #4B+88/100
Desk Score
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
- Premium over its own sema:
- +$100/mo
- 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
- #5A−90/100
Desk Score
Ondra Health
Near-rock-bottom pricing paired with brand access and 50-state reach — a value standout a budget-first reader may rank #1.
- Tirzepatide:
- $166/mo
- Premium over its own sema:
- +$73/mo
- States:
- All 50 states
Best for: Cost-conscious patients who still want brand-name capability and nationwide coverage.
Marked down on: Injectable only — no oral route
- #6A−90/100
Desk Score
Vytora Health
Low flat pricing on both molecules with brand access and full nationwide reach — value without the state limits.
- Tirzepatide:
- $200/mo
- Premium over its own sema:
- +$50/mo
- States:
- All 50 states
Best for: Budget-minded patients who want brand access and all-50-state coverage in one place.
Marked down on: Injectable only — no oral route
Tirzepatide, answered
- Which tirzepatide provider does the Desk rank first?
- CoreAge Rx leads the board with a Desk Score of 94/100, filing tirzepatide at $349/mo. The board is ordered on the Desk's six measured dimensions, not on price — the cheapest filed tirzepatide figure belongs to Telos Rx at $99/mo (annual).
- How much more does tirzepatide cost than semaglutide?
- It depends entirely on the provider, which is the finding of this dispatch. Across the 33 providers whose two lines are directly comparable, the premium runs from $0 a month at Curex to $234 a month at Fella Health. A provider charging the same for both molecules and one charging two hundred dollars more are both on this board.
- What is the cheapest tirzepatide online?
- Telos Rx files the lowest tirzepatide figure the Desk logs, at $99/mo (annual) — filed with a condition (annual), so it is not a month-to-month rate. The highest on the same board is MadeMed at $399/mo quarterly (from $369/mo on 6 months). Price is one of six dimensions the Desk scores, so the cheapest filing is rarely the top-scored entry.
- Is compounded tirzepatide the same as Zepbound or Mounjaro?
- No. Zepbound and Mounjaro are Eli Lilly's FDA-approved brand tirzepatide. Most entries here dispense compounded tirzepatide through licensed pharmacies — a different route the FDA has not reviewed for safety, efficacy or quality, and not a generic, because no generic tirzepatide exists. Rows filing a brand-name price are marked BRAND on the board.
- Why are some providers missing from the premium table?
- Because their two price lines are not like-for-like. 5 providers file a tirzepatide figure that cannot be set against their semaglutide figure — one line is brand-name and the other compounded, or one is an annual-commitment rate and the other monthly. Subtracting those would produce a number that looks precise and means nothing, so the Desk holds them out and says which and why.
// The Desk's other boards
- Best semaglutide providers — the other molecule, scored the same way. Start here if price is the binding constraint; semaglutide is the cheaper line at almost every provider above.
- Best compounded semaglutide — read this if what you actually want to know is what compounded means, who is filing it, and what our record does and does not confirm.
- Every board the Desk files — the index, grouped by what you came to find out.
Background reading: weigh the molecules in semaglutide vs tirzepatide, check an operator against how to tell if a provider is legitimate, sort your priorities with how to choose a GLP-1 provider, or see the best-for-X picks in best GLP-1 provider by need. 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.