The useful thing about an itemised price is that it lets you compare the parts, not just the total — and on tirzepatide the parts are revealing.
Compounded tirzepatide is $144 a month: $65 medication, $15 doctor consultation, $5 prescription preparation, $20 shipping and handling, $15 telehealth platform fee, and $24 HealthiCare service at 20%. Three months brings it to $122.40 a month at $367.20.
Compare the medication lines across its own two products. Semaglutide costs $50, tirzepatide $65 — a $15 difference. Across the rest of the market the gap between the two molecules is $50 to $100 at retail, which tells you how much of that spread elsewhere is margin rather than raw material.
Where $144 lands
Compounded tirzepatide, sustained monthly cost including every mandatory fee
| Provider | Monthly | Price itemised? |
|---|---|---|
| Ondra Health (12-month) | $142 | No — single figure per plan |
| HealthiCare (3-month) | $122.40 | Yes — every component |
| HealthiCare (monthly) | $144 | Yes — every component |
| CoreAge Rx · 12-month plan | $129 monthly equivalent | No |
| Mochi Health | $169 | Split into med and membership |
| Fridays | $198 | No |
| Measured | $268 | Split into med and membership |
| Coby Health (12.5 mg) | $439 | Yes — by dose |
Scroll the table sideways to see every column.
On the three-month plan at $122.40, HealthiCare is the second-cheapest tirzepatide in this dataset behind Fifty 410's undefined starter band — and unlike Fifty 410, it tells you precisely what you are buying at every dose.
The caveats carry over
The pharmacy named on the site is stated to be unable to dispense sterile compounds, which is what an injectable is. It holds no licence in ten states, and compounded pricing excludes California. None of that is disqualifying, but all of it deserves a direct answer before you pay.
Where a dose sits on the studied ladder
Move the slider to see whether a dose is one the weight-loss trials actually used. Doses below the studied range may still suit you — they simply have no trial result attached.
Standard titration step
Standard schedule: Weeks 1–4
The standard starting dose. Intended to build tolerance, not to produce weight loss.
In the trial programme behind Wegovy, adults reached a 2.4 mg weekly maintenance dose and lost an average of about 15% of body weight over 68 weeks.
Titration schedules are the standard ones for the approved products and are shown for orientation, not as a dosing instruction. Compounded products are not FDA-approved and your prescriber sets your schedule. Never change a dose on the basis of a web page.
What compounded tirzepatide actually is
Tirzepatide is the active ingredient in Mounjaro and Zepbound, both FDA-approved products from Eli Lilly. Unlike semaglutide, it acts on two receptors — GLP-1 and GIP — which is the basis for the larger average weight reductions seen in its trials. A compounded version is prepared by a pharmacy and is not FDA-approved or FDA-evaluated.
Compounded tirzepatide is consistently more expensive than compounded semaglutide, typically by $50 to $100 a month. That gap is real and reflects the raw material, so a provider pricing them identically is worth a question rather than a celebration.
Dosing usually starts at 2.5 mg weekly and escalates in 2.5 mg steps. As with semaglutide, dose-flat pricing is worth substantially more than a low starting price, because the starting dose is not the dose most people end up on.
Side effects mirror semaglutide's — predominantly gastrointestinal, worst after dose increases — though some patients report tirzepatide is better tolerated at equivalent efficacy. That is an individual matter and not something a telehealth intake form can predict for you.
Before you buy from anyone
- Get the total monthly cost in writing — medication plus any membership, not the headline figure.
- Ask whether the price changes as your dose increases. This is where most of the money is lost.
- Ask which pharmacy compounds it, and whether it is a 503A or 503B facility.
- Confirm what happens if you stop after one month, and whether there is an auto-rebill.
- Ask whether a refund is available if a provider declines to prescribe.
- Tell the prescriber every medication and supplement you take, including anything bought online.