Guide · GLP-1 telehealth
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Monthly stickers for compounded tirzepatide hide memberships, prepaid years and 4-week billing, so we converted every published price into a 12-month total.
Compounded tirzepatide through telehealth costs $86–$399 a month across the 32 programs in our index (median $153), based on the lowest all-in monthly figure each program publishes on its own page, read October 15, 2026; it is not FDA-approved and is not the same product as Zepbound or Mounjaro.
A monthly sticker can hide membership fees, prepaid years or 4-week billing, so compare the cost over 12 months.
Tirzepatide is the active ingredient in Zepbound and Mounjaro. Compounded versions are mixed by pharmacies for individual prescriptions and sold well below brand self-pay prices. That gap is the appeal, and the source of most confusion.
As of October 15, 2026, the 32 compounded tirzepatide programs we track publish $86–$399 a month, median $153. Annual memberships are spread across 12 months in that figure. The real yearly bill depends on billing cycle, membership fees and whether you prepay.
Four pricing patterns recur:
SnagRx's $119 is a sale price. Ask what you pay in month four, not month one.
Multiply what you are actually charged by how often you are charged. Over 12 months, the programs below range from $1,027 at Collective (with membership) to $4,667 at Found's top 28-day rate, and NexLife lands between $1,668 and $2,028 depending on plan length.
| Program and plan | Published price | Year arithmetic | 12-month cost |
|---|---|---|---|
| Collective | $69/month + $199/year membership | 12 × $69 + $199 | $1,027 |
| Embody (prepaid) | $119/month | Prepaid year | $1,428 |
| Mondae, month-to-month | $126/month | 12 × $126 | $1,512 |
| Eden Health, no membership | $129/month | 12 × $129 | $1,548 |
| NexLife, 12-month plan | $139/month | 12 × $139 | $1,668 |
| NexLife, 6-month plan | $149/month | 12 × $149 | $1,788 |
| Sprout Health (prepaid) | $149/month | Prepaid year | $1,788 |
| NexLife, 3-month plan | $159/month | 12 × $159 | $1,908 |
| NexLife, month-to-month | $169/month | 12 × $169 | $2,028 |
| Sprout Health, every 4 weeks | $199 per 4 weeks | 13 × $199 | $2,587 |
| Found, per 28-day cycle | $239 to $359 | 13 × $239 to 13 × $359 | $3,107 to $4,667 |
For context, brand Zepbound vials from LillyDirect cost $449 a month at 7.5–15 mg with each refill within 45 days: about $5,388 if twelve monthly fills were all at $449 (check how many fills the offer covers and its end date), before any telehealth fee.
State-licensed 503A pharmacies may compound tirzepatide for individual patients under specific federal conditions, but the product is not FDA-approved and is not a generic. The FDA has also proposed keeping tirzepatide off the list larger 503B facilities compound from, with no final decision as of October 15, 2026.
That proposal was announced April 30, 2026 (91 FR 23431) and its comment period closed July 30, 2026 (91 FR 38719). Separately, an FDA warning letter to Empower Pharmacy, dated September 18 and posted September 22, 2026, said its compounded tirzepatide/niacinamide and semaglutide/cyanocobalamin products "appear to be essentially copies of FDA-approved semaglutide and tirzepatide products" and cited insanitary conditions. We follow updates on the news page.
Nobody knows for certain. The headline numbers come from brand tirzepatide: 20.9% mean weight loss at 15 mg over 72 weeks in SURMOUNT-1 (treatment-regimen estimand), and 20.2% versus 13.7% for semaglutide in SURMOUNT-5. No trial of that size has tested a compounded version.
The FDA has received more than 730 adverse-event reports tied to compounded tirzepatide as of May 31, 2026. If you are deciding between the two molecules, our tirzepatide vs semaglutide comparison walks through the trial evidence.
NexLife is our top-ranked program at 94/100 on methodology v4.1. It charges $169 a month month-to-month or $139 on a 12-month plan, the same price at every dose, and names its three dispensing pharmacies. It does not have the lowest standing price among the programs in our index.
| In its favor | Against it |
|---|---|
| Same price at 2.5 mg and at the top dose; no membership fee or contract | Eden Health ($129) and Mondae ($126) publish lower month-to-month prices |
| Names Absolute Pharmacy (Lutz, FL), Premium Compounding (Decatur, AL) and Boudreaux's New Drug Store (Lake Charles, LA), all state-licensed 503A pharmacies | Cancellation takes effect after 30 days, so one more shipment may be charged |
| Provider review and guidance (NexLife Medical Group), nutrition plan, 1:1 wellness-coach call, 24/7 support, free expedited shipping | Pages do not state labs are included |
| Unshipped months refunded on 3, 6 and 12-month plans; authorization charge refunded if not prescribed | Multi-month plan wording is unclear on whether billing is up front or monthly; once medication ships, the order is final |
NexLife's refund page also says program fees, not medication, may be refunded if a member loses less than 5% of starting weight over six months, with conditions. Full detail is in the NexLife review, and the scoring rules are on how we rank.