Compounded Tirzepatide, Compared on What a Month Costs
Nearly every seller here charges more for tirzepatide than for semaglutide, and the size of that step varies far more than the headline prices do. From the same seller it can be nothing at all or it can double your bill, which makes the molecule decision worth more than the seller decision for most buyers.
45 providers, side by side
Ordered by our published rubric — price transparency, dose-ladder pricing and access — not by price alone; the cheapest board is a separate page. Sellers that publish a price for compounded injectable tirzepatide. Brand-name figures from the same seller are excluded from the ranking rather than mixed in. A figure implausible as a standing monthly rate is kept out of the ordering and labeled on the seller's own page.
CoreAge Rx—Flat pricing on either molecule
Access
From $149/moInsurance
FlatVisit
All 50
Trimi Health—Tirzepatide without the usual premium
Access
From $125/moInsurance
FlatVisit
All 50- Zera Health—
Comparing oral against injection
Access
From $199/moInsurance
FlatVisit
All 50 - Cora Health—
Switching molecules without switching sellers
Access
From $135/moInsurance
FlatVisit
All 50 - Peak Wellness—
Flat pricing, premium tier
Access
From $349/moInsurance
FlatVisit
All 50 
Precision Telemed—Mid-market on both molecules
Access
From $199/moInsurance
FlatVisit
All 50- Big Easy Weight Loss—
A narrow molecule gap
Access
From $199.67/moInsurance
FlatVisit
All 50 - KERNX Health—
Mid-market with a flat ladder
Access
From $199/moInsurance
FlatVisit
All 50 - Longevixx—
Semaglutide, if you will not switch
Access
From $299/moInsurance
FlatVisit
All 50 
Maximus—Buyers willing to commit up front
Access
From $359.99/moInsurance
FlatVisit
All 50- NextMeds—
A typical spread, flatly priced
Access
From $179/moInsurance
FlatVisit
All 50 - Renlo Health—
Flat pricing above mid-market
Access
From $269/moInsurance
FlatVisit
All 50 - Revive Meds—
Flat ladder at a premium price
Access
From $459/moInsurance
FlatVisit
All 50 - Idgie Health—
Seeing the real oral premium
Access
From $179/moInsurance
FlatVisit
All 50
We never show a fabricated price or rating. Facts are shown only where a provider publishes them.
How this board is built
Across the sellers that publish both figures, moving from semaglutide to tirzepatide costs a median of $64 a month more. But that median hides the useful part. Aspen and InstaRX charge the same for either molecule. Longevixx charges $149 against $299. Get Thin MD charges $169 against $299. If you already know which molecule you want, compare within it; if you might switch, the gap is the number to look at.
Some sellers list both a compounded and a brand-name price for tirzepatide. Those are different products — Zepbound dispensed as the manufacturer’s pen is not the same thing as a compounded vial — and this board ranks the compounded figure. Comparing one against the other produces a number that describes neither.
Why tirzepatide costs more, and when the gap is worth it
Tirzepatide acts on two receptors where semaglutide acts on one, and in the head-to-head trial it produced greater average weight loss. That is the clinical case for the premium. The commercial case is simpler: it is newer, in higher demand, and sellers price accordingly.
What the price difference does not tell you is which will work better for you specifically. Trial averages are averages; response varies widely, and tolerability matters as much as potency for anyone who has to stay on a drug long enough to benefit.
The practical question is whether a seller lets you switch without starting over. A seller carrying both molecules on one intake means a change of plan is a conversation rather than a new account, a new consult, and a new set of shipping delays.
How we judge sellers
- Price transparency — Can you find what a month costs — for the molecule and the form you want — before creating an account, and does the seller's own site agree with itself?
- Honest headline — Is the figure the seller leads with the figure it bills? A price that needs a twelve-month prepay, or that is struck through from an anchor nobody pays, is a different number from a standing monthly rate.
- Dose-ladder pricing — Does the price hold as your dose escalates, or is it re-set at every step? This is the difference most buyers only discover in month three.
- Access — How many states the seller ships to, and whether it covers more than one molecule or delivery form.
We never show a fabricated price or rating, and access notes appear only where a provider publishes them. Pricing and availability change often — confirm current details on the provider’s own site.
Keep comparing
Compounded semaglutide, ranked · The lowest real monthly prices · Sellers that hold one price across doses · How we score sellers
Common questions
- How much more does tirzepatide cost than semaglutide?
- From the same seller, a median of about $64 a month more, across the sellers here that publish both. The range is wide: several charge identically for either molecule, while others charge roughly double. The gap is a property of the seller, not of the drugs, so it is worth comparing directly.
- Is compounded tirzepatide the same as Mounjaro or Zepbound?
- No. Mounjaro and Zepbound are FDA-approved products from Eli Lilly. Compounded tirzepatide is prepared by a compounding pharmacy against a prescription and is not FDA-approved or reviewed for safety, efficacy or quality before dispensing. Some sellers list both; they are different products at different prices.
- Which is better for weight loss, tirzepatide or semaglutide?
- In the trial that compared them directly, tirzepatide produced greater average weight loss. Averages are not predictions for an individual, and side-effect tolerance often decides which drug someone can actually stay on. That is a conversation for a prescriber rather than a table.
- Does the price go up as my tirzepatide dose increases?
- At many sellers, yes. Tirzepatide titrates from 2.5 mg upward, and a seller that prices per milligram will charge more at each step. Sellers that hold one figure across the whole ladder are marked on this board, and over a year that policy is usually worth more than the starting price.
- Can I switch from semaglutide to tirzepatide later?
- Clinically that is a prescriber's call. Commercially it is much easier at a seller that already carries both molecules, since switching does not mean a new intake, a new consult and a new account. Sellers covering both are noted in each row.