What compounded tirzepatide really costs in 2026 (and why the spread is so wide)
Across hundreds of published provider prices in 2026, ongoing compounded tirzepatide runs from roughly $180 to more than $500 a month, with a median near $255. Compounded semaglutide is typically $120 to $250. Our live price table tracks the providers we list daily.
What is in the price
- The clinician visit. Some providers bundle it; others charge $29 to $99 separately. We normalize to include it.
- The pharmacy. 503A pharmacies compound for an individual patient on a prescription. Pharmacy sourcing and quality testing vary, which partly explains price differences.
- Membership fees. Several providers add a monthly membership on top of medication.
- Promotions. “$179 first month” rarely equals the ongoing rate. Twelve-month plans often advertise a monthly figure that only applies if you commit for the year.
What is not in the price
Compounded tirzepatide is not FDA-approved and has not been evaluated by FDA for safety, effectiveness, or quality. It is a prescription drug with risks including nausea, pancreatitis, gallbladder disease, and a boxed warning for thyroid C-cell tumors in rodents. Only a licensed clinician can decide whether it is appropriate.
Regulatory outlook
FDA declared the tirzepatide shortage over in late 2024 and proposed in April 2026 to bar outsourcing facilities from compounding it from bulk ingredients. 503A patient-specific compounding continues, and litigation by the brand manufacturer is ongoing. Prices and availability may change; we update this page as they do.
How to pay the least, safely
Choose a provider that publishes the ongoing rate, uses a live video visit, names its pharmacy, and does not require a long commitment. Those four filters are exactly how we order our table.
Sources
- fda.gov/drugs/drug-safety-and-availability/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss
- healingmaps.com/how-much-does-compounded-glp1-cost-2026/
Read next
-
503A vs 503B compounding pharmacies: what the difference means for you
Who makes compounded GLP-1s and peptides, how each type is regulated, and the questions to ask before you fill a prescription.
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Can a naturopathic doctor prescribe semaglutide or tirzepatide?
In some states yes, in most no. How ND prescribing authority works, which states grant it, and how to keep your ND in charge of the protocol either way.