Tirzepatide Pricing Index

Every component of what you actually pay, isolated and priced across the whole market.

Released: · Last reviewed:

Researched By Dr. Parmis · Medical Researcher · Western University of Health Sciences

Medically Reviewed By Dr. Jonathan Snipes, MD · Kim Callender, NP (FNP-BC)

Last medically reviewed: · This page is informational and does not constitute medical advice.

Direct answer

Advertised tirzepatide prices are not comparable to one another. One programme quotes medication only, another bundles a mandatory membership, a third quotes a promotional first month that reverts, and a fourth reprices you every time the dose goes up.

This section takes each component apart — medication, membership, shipping, consultation, labs, refills, cancellation — and prices it across the market so the comparison is like for like.

Price basis

All-in monthly cost = medication plus any mandatory recurring fee, at a named dose, month to month, before tax and before prepaid discounts. Competitor prices read October 15, 2026; NexLife’s as of November 6, 2026. How we verify a price.

All-in monthly cost of compounded tirzepatide at a 10 mg dose, month to month, sorted low to high. 15 programs; competitor prices read October 15, 2026, NexLife’s as of November 6, 2026. Twelve months counts 13 cycles where a program bills every 28 days.
ProgramAll-in at 10 mg12 months at 10 mgPricing modelSourceRead
NexLife$129$1,548same price at every dosenexlife.usNov 6, 2026
Eden$129$1,548same price at every doseeden.healthOct 15, 2026, changed since August
Lavender Sky Health$195$2,340rises with doselavenderskyhealth.comOct 15, 2026, changed since August
Fifty 410$199$2,388same price at every dosefifty410.comOct 15, 2026, changed since August
Trillium$199$2,388same price at every dosetrytrillium.comOct 15, 2026, changed since August
Rift$249$2,988same price at every dosejoinrift.comOct 15, 2026, changed since August
Emerge Weight Loss$269/28 days$3,497rises with doseemergeweight.comOct 15, 2026, changed since August
OrderlyMeds$299$3,588same price at every doseorderlymeds.comOct 15, 2026, changed since August
ShedRx$299$3,588one price printed, no dose laddertryshed.comOct 15, 2026, changed since August
SkinnyRx$299$3,588same price at every doseskinnyrx.comOct 15, 2026
IVIM Health$324.99$3,899.88one price printed, no dose ladderivimhealth.comOct 15, 2026, changed since August
Found$359/28 days$4,667one price printed, no dose ladderjoinfound.comOct 15, 2026, changed since August
Join Fridays$359$4,308same price at every dosejoinfridays.comOct 15, 2026
MEDVi$399$4,788same price at every dosemedvi.orgOct 15, 2026, promotion on page
TrimRx$399$4,788same price at every dosetrimrx.comOct 15, 2026, changed since August

Every pricing page

Pricing

All-In Monthly Cost

Medication plus every recurring fee, at a named dose. The only figure worth comparing.

Pricing

Cost Per Milligram

Divide by milligrams delivered and the dose disappears from the comparison.

Pricing

First-Year Cost

Two months of titration plus ten at maintenance, modelled the same way for every programme.

Pricing

Maintenance Dose Cost

What holding 10 mg costs for a year, which is where the money actually goes.

Pricing

Starting Dose Cost

The advertised month, and why it describes 8% of your year.

Pricing

Flat Rate vs Dose-Based Pricing

Two pricing models, and the crossover point between them.

Pricing

Month-to-Month vs Prepaid

What the discount costs you in flexibility and refundability.

Pricing

Three-Month Plans

The shortest commitment tier, priced.

Pricing

Six-Month Plans

Mid-term commitments and their break-even.

Pricing

Twelve-Month Plans

The deepest discount and the largest exposure.

Pricing

Membership Fees

Recurring platform charges, and why excluding them breaks every comparison.

Pricing

Shipping Fees

Cold-chain delivery, expedited charges and who pays for failures.

Pricing

Consultation Fees

Charged separately, bundled, or recurring.

Pricing

Lab Fees

What gets tested, what it costs, and why requiring labs is a good sign.

Pricing

Refill Fees

Charges that appear after the first cycle.

Pricing

Cancellation Fees

What it costs to stop, and what is refundable.

Pricing

Promotional Price vs Ongoing Price

The single most common distortion in published comparisons.

Pricing

HSA and FSA Eligibility

Usually eligible, with one grey area.

Pricing

Insurance vs Cash Pay

When a prior authorisation is worth the weeks it takes.

Pricing

Zepbound vs Compounded

What FDA approval costs you, as a number, at each dose.

Pricing

Brand vs Compounded First-Year Cost

The whole year on both routes, modelled the same way.

Pricing

Price by Dose

Every tracked programme at all six strengths, with a twelve-month total.

Pricing

Hidden Fees Checklist

Nine charges that are not in the headline price.

Pricing

All-In vs Split Pricing

Some programmes bundle everything into one monthly figure. Others charge a programme fee and bill medication separately. The two cannot be compared without unpicking them.

Primary sources

Open these rather than taking our word for it. Every one is a regulator, a trial registry, a label, an accreditor or the manufacturer.

  1. FDA — Human Drug Compounding
  2. LillyDirect
  3. FDA — Drugs@FDA approved products
  4. FTC — Health Products Compliance Guidance
  5. Medicare.gov

Next step

Compare every programme on one screen

The matrix carries all-in price at every dose, fee structure, commitment terms, pharmacy disclosure and verification status for every programme we track.

Open the comparison matrix How all-in cost is calculated