Looking for the best compounded tirzepatide pharmacy? The market has consolidated since FDA ended the shortage exemption. Here are the providers still offering compounded tirzepatide legally, ranked by certifications, pricing transparency, and overall value.
Legal Status (2026): Compounding "essentially a copy" of tirzepatide is no longer permitted. Current legal compounding requires a "clinical difference"—modified formulations with added vitamins (B6, B12) or significantly different dosing.
How We Ranked These Pharmacies
Our ranking prioritizes:
- 1. Certifications: LegitScript verification, PCAB accreditation, 503B FDA registration
- 2. True Monthly Cost: Including membership fees, consultations, and shipping
- 3. Pharmacy Transparency: Do they disclose which pharmacy compounds their medication?
- 4. Format Options: Injectable, oral tablets, or sublingual
The Best Compounded Tirzepatide Pharmacies
SkinnyRx
No Sign-Up Fee • Transparent Pricing
True Monthly Cost
$179-$300
All-inclusive
Format
Injectable
Weekly injections
Why #1: Lowest entry price with no hidden membership fees. Transparent pricing and fast shipping.
Check Eligibility →Elevate Health
Medical Weight Loss Program
True Monthly Cost
From $199
With program
Format
Injectable
Weekly injections
Why #2: Comprehensive weight loss program with ongoing medical support.
Get Started →TMates GLP-1
Telehealth GLP-1 Prescriptions
Pricing
Competitive
Check current rates
Format
Injectable
Personalized dosing
Notable: Quick telehealth consultations with personalized dosing plans.
Learn More →Should You Choose Compounded or Brand?
With LillyDirect's recent price cuts, the decision is closer than ever:
| Dose | Brand (LillyDirect) | Compounded (Lowest) | Winner |
|---|---|---|---|
| 2.5mg | $299 | $224 | Compounded |
| 5mg | $399 | $224-$278 | Compounded |
| 10mg | $449 | $278 | Compounded |
| 15mg | $449 | $278 | Compounded |
Compounded wins on price at every dose—but brand wins on certainty. With FDA-approved Zepbound, you get guaranteed potency, clinical trial-backed efficacy, and regulatory oversight. With compounded, you're saving $75-$170/month but accepting more risk.
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