Almost every provider in this category is a brand with clinicians attached. SkinnyVIP presents as the reverse — a Miami medical practice that happens to sell online — and the terms it publishes are consistent with that framing.
Compounded tirzepatide is $695 for a three-month plan, about $232 a month, covering any dose from your starting dose through maintenance. There is no membership, no auto-billing and no minimum commitment hidden in the terms. If a clinician does not approve treatment, you are refunded in full — the practice states you only pay if approved.
It also discloses its ownership, which almost nobody does: founded and majority-owned by a US military veteran with an SBA VetCert application in process, with patient operations, intake and care coordination led by a women-led team. It states every prescription is reviewed by a licensed clinician, with no algorithms and no autopilot.
Where $232 actually lands
Flat pricing is worth most at high doses, so the comparison depends on where you expect to end up.
Compounded tirzepatide at a maintenance dose, sustained monthly cost
| Provider | At 12.5 mg | Structure |
|---|---|---|
| Ondra Health (12-month) | $142 | Flat, $1,699 prepaid |
| CoreAge Rx | $129 monthly equivalent | Flat across doses · 12-month plan |
| Mochi Health | $169 | $90 med + $79 membership |
| Fridays | $198 | Flat, promo code required |
| SkinnyVIP | $232 | Flat, 3-month plan |
| Precision Telemed | $249.99 | Flat, month-to-month |
| Measured | $268 | $219 med + $49 membership |
| Coby Health | $439 | Dose-based |
Scroll the table sideways to see every column.
So SkinnyVIP sits mid-table: comfortably better than the dose-priced providers at maintenance, comfortably worse than the cheapest flat-rate ones. What it adds is the refund guarantee and the practice framing, neither of which shows up in a price column.
The comparison table on its own site
One claim in that table is worth keeping, because it matches what we have seen elsewhere: SkinnyVIP states Hims and Ro Body both discontinued compounded tirzepatide across 2025–2026, with Ro Body moving to branded Zepbound. That is consistent with the wider retreat from compounded GLP-1s among the largest consumer brands.
What is not published
No compounding pharmacy named, no shipping terms, no eligibility criteria, no lab requirements. For a practice leaning this hard on being a real medical practice rather than a platform, naming the pharmacy would cost nothing and prove a great deal.
What it actually costs per year
Advertised prices in this category are usually medication only. Add the membership back in and the ranking changes. Pick a provider, or enter the quote you were given.
One-month semaglutide rate. Starting at $79/month equivalent requires a 12-month plan ($948 total); confirm payment and renewal terms.
- First month
- $139
- Every month after
- $139
- Total over 12 months
- $1,668
No membership on this plan, so every dollar goes to medication and care.
Figures are the providers' own published prices as of our last review of each. Promotional rates, multi-month prepayment and dose changes can all move these numbers — confirm at checkout.
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.