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Prescription weight loss · GLP-1 + GIP

Compounded Tirzepatide, prescribed online and shipped to your door

A weekly dual GLP-1/GIP injection, a licensed U.S. provider, and everything you need to start, for one all-in price. No insurance required.

  • One flat price at every dose, from 2.5 mg to 15 mg
  • Online visit with a licensed U.S. provider included
  • Ships cold-packed from a licensed U.S. pharmacy
  • Syringes, alcohol pads and dosing guide included
  • No insurance needed. Cancel anytime.
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Start your plan

Compounded Tirzepatide weekly injection

Plan lengthLonger plans cost less per month

Same price at every dose. We never charge by strength. Your provider sets and adjusts your dose (2.5 mg to 15 mg); your price stays the same.

Total today $1,550 ($259/mo)
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No automatic renewals. Refills are sent only after you check in with your care team. Prescription required. After checkout you complete a short online visit. A licensed provider decides whether tirzepatide is right for you; if not, you are not charged for medication. Compounded tirzepatide is not FDA-approved.

Licensed U.S. providers Licensed U.S. compounding pharmacy Provider response within 24 hours Cold-packed, discreet delivery No insurance needed

One price. Every dose. Everything included.

From $259 a month on the 6 months plan, whether you are on the starter dose or the maximum. No dose upcharges, no visit fees, no membership, no shipping charges added at checkout.

  • Online provider visit and ongoing check-ins
  • Compounded tirzepatide at any dose your provider prescribes, same price
  • Syringes, alcohol pads and step-by-step dosing guide
  • Cold-packed, discreet shipping
  • Unlimited messaging with your care team
  • No automatic renewals: refills only after you check in with your care team

This is a compounded medication and is not FDA-approved. Its safety and effectiveness have not been verified by the FDA. Compounded medications are prepared by licensed compounding pharmacies under Section 503A of the Federal Food, Drug, and Cosmetic Act, based on a valid patient-specific prescription from a licensed healthcare provider. Rx.com does not manufacture compounded medications.

How it works

Checkout takes about two minutes. Your provider visit happens right after, entirely online.

1

Choose your plan

Pick a plan length above and check out securely. You are only charged for medication once a provider approves you.

2

Complete your online visit

Answer a confidential health questionnaire and upload a photo ID. A licensed provider in your state reviews it, usually within 24 hours. Some states require a short video visit.

3

Get your medication

If approved, a licensed U.S. compounding pharmacy prepares your prescription and ships it cold-packed to your door with syringes, alcohol pads and a dosing guide.

Get started Secure checkout · Provider visit included · Cancel anytime

How tirzepatide works

Tirzepatide is a GLP-1 / GIP dual receptor agonist. Taken once a week, it works with your body's own appetite and blood-sugar signals.

Feel full sooner

It slows how quickly food leaves your stomach, so meals keep you satisfied longer and portions naturally shrink.

Quiet the cravings

It acts on appetite centers in the brain, turning down hunger and the constant pull toward snacking.

Steadier blood sugar

It helps your body release insulin when blood sugar rises, which supports more stable energy through the day.

In the 72-week SURMOUNT-1 trial of FDA-approved tirzepatide (Zepbound), adults on the 15 mg dose lost an average of about 21% of their body weight alongside diet and exercise. Individual results vary, and compounded tirzepatide has not been studied in those trials. Tirzepatide works best alongside a reduced-calorie diet and regular activity.

Important safety information

Boxed warning: Tirzepatide caused thyroid C-cell tumors in rodent studies. It is not known whether it causes thyroid tumors, including medullary thyroid carcinoma, in people. Do not use tirzepatide if you or any of your family have had medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2.

Common side effects include nausea, vomiting, diarrhea, constipation, stomach pain and decreased appetite, most often while your dose is being increased. Serious risks include pancreatitis, gallbladder disease, low blood sugar (especially with insulin or sulfonylureas), kidney injury from dehydration, and severe allergic reactions. Stop and seek care right away for severe stomach pain, a lump in your neck, trouble swallowing or breathing, or signs of an allergic reaction.

Do not use if you are pregnant, breastfeeding or planning pregnancy, or under 18. Tell your provider about every medication and condition during your visit. This is not a complete list of risks; your provider and the pharmacy will give you full medication information.

Frequently asked questions

What is compounded tirzepatide?
Tirzepatide activates two gut-hormone receptors, GLP-1 and GIP, to reduce appetite, slow stomach emptying and improve how your body handles blood sugar. Compounded tirzepatide is prepared for you by a licensed U.S. compounding pharmacy from a prescription written by your provider. It is not an FDA-approved product and is not the same as any brand-name medication.
How is tirzepatide different from semaglutide?
Semaglutide acts on the GLP-1 receptor only. Tirzepatide acts on both GLP-1 and GIP receptors. In separate trials of the FDA-approved products, tirzepatide produced larger average weight loss, but both are effective and the right choice depends on your health history, tolerance and budget. Your provider can help you decide.
How does the online visit work?
After checkout you complete a confidential medical questionnaire. A licensed provider in your state reviews it, follows up if they need more information, and decides whether tirzepatide is appropriate for you. Some states require a brief video or live-chat visit. If you are not approved, you are not charged for medication.
What dose will I start on?
Most people start at 2.5 mg once a week for four weeks and step up in 2.5 mg increments as tolerated. Your provider sets your starting dose and your step-up schedule.
Does the price go up when my dose increases?
No. We do not charge by strength. Every dose costs the same, so when your provider steps you up your plan price stays exactly where it started. The only thing that changes your price is the plan length you choose.
What does the price include?
One price covers the provider visit, your medication at any prescribed dose for the plan length you choose, injection supplies and cold-packed shipping. There are no visit fees, membership fees, dose upcharges or shipping charges added at checkout.
Do I need insurance?
No. This is a cash-pay program and we do not bill insurance. You can pay with a debit or credit card, and many HSA and FSA cards are accepted.
What are the side effects?
The most common side effects are nausea, diarrhea, decreased appetite, vomiting, constipation and stomach pain, most often while your dose is being increased. Less common but serious risks include pancreatitis, gallbladder problems, low blood sugar (especially with other diabetes medicines) and kidney problems from dehydration. Tirzepatide carries a boxed warning for thyroid C-cell tumors seen in rodent studies; do not use it if you or a family member has had medullary thyroid carcinoma or MEN 2.
Who should not take tirzepatide?
Do not take tirzepatide if you are pregnant, breastfeeding or planning pregnancy, have a personal or family history of medullary thyroid carcinoma or MEN 2, have had pancreatitis, or are under 18. Tirzepatide can reduce the effectiveness of oral birth control while your dose is increasing; tell your provider about every medication and condition during your visit.
How do refills and cancellation work?
Your plan does not renew automatically. Before each refill your care team checks in with you, and nothing ships or is charged until you confirm. You can pause or cancel from your account at any time with no fees. Federal and state law do not allow medication to be returned once shipped, so all medication sales are final.
Where is this available?
We currently serve 49 states (all except Alaska). Some states have additional visit requirements, which are handled during intake.

Tirzepatide articles & guides

Independent, provider-reviewed reading on dosing, side effects, cost and what to expect — written by our editorial team, not by a pharmacy.

Are 3-Month Compounded Tirzepatide Bundles Really Cheaper? Full Cost-per-mg Math for September 2026 Three-month “bundle” offers for compounded tirzepatide look cheap-but are they? This guide crunches the per-mg math, compares every published price fo... GLP-1 Injection Supplies in 2026: Exact Prices for Syringes, Alcohol Swabs, Bacteriostatic Water & Sharps Disposal How much do Ozempic® and compounded-semaglutide users really pay for syringes, pen needles, alcohol swabs, bacteriostatic water and sharps disposal? T... What Size Needle Do You Need for Semaglutide or Tirzepatide? Not sure which insulin syringe to use with your compounded semaglutide or tirzepatide? This step-by-step guide explains the ideal gauge and length, ho... What to Avoid While Taking Zepbound Taking Zepbound can super-charge weight loss-but the wrong foods, drinks, or companion drugs can also super-charge side-effects. This evidence-backed... What Is Food Noise, and How Do You Quiet It? Food noise is the relentless mental chatter about what, when, or how much to eat. This guide unpacks the brain and hormone science behind it, why GLP-... Feeling Dizzy or Lightheaded on Tirzepatide: Causes and Fixes Up to 1 in 20 people report dizziness while taking tirzepatide. This guide explains the science behind the symptom and shows simple, evidence-based wa... Does Tirzepatide Affect Libido? Wondering if tirzepatide will boost, sink or leave your sex drive unchanged? We unpack the data on GLP-1 weight-loss benefits, testosterone, erectile... Does Tirzepatide Cause Insomnia? Having trouble sleeping after starting tirzepatide? Insomnia is not a labeled side effect, but night-time nausea, reflux, low blood sugar, dehydration... How Much Fiber Should You Eat on a GLP-1? Constipation is the #1 digestive complaint on GLP-1 medications. This evidence-based guide shows exactly how many grams of fiber you need each day, wh... Can You Take Creatine With Tirzepatide? Can you take creatine while using tirzepatide for weight loss? This in-depth guide explains why the two don’t clash pharmacologically, how creatine pl... Is Tirzepatide a Generic? What Tirzepatide Is and Isn't Confused by ads for “generic Mounjaro”? Tirzepatide is still patent-protected until at least 2036, so every FDA-approved pen on U.S. pharmacy shelves... How Long Does a GLP-1 Stay in Your System? Wondering how long a once-weekly GLP-1 medicine like Ozempic or Mounjaro stays in your body? Their long half-lives mean they can linger for a month af... Accidentally Took a Double Dose of Tirzepatide - What to Do Injected tirzepatide twice this week? This safety guide explains the symptoms to expect, how to stay safe, and the danger signs that mean you need med... I Took Expired Semaglutide or Tirzepatide - What Now? Worried after using an outdated GLP-1 pen or vial? This guide explains how semaglutide and tirzepatide break down, whether the dose will still work, a... Best Time of Day to Take Tirzepatide Wondering whether to inject tirzepatide in the morning or at night? This guide explains why the exact hour matters less than taking your weekly dose o... Tirzepatide and Pregnancy: How Soon Can You Try to Conceive After Stopping Zepbound or Mounjaro? Planning a baby after Zepbound or Mounjaro? This guide explains the FDA pregnancy warning, why doctors stop tirzepatide once pregnancy begins, and exa... Does Tirzepatide Show Up on a Drug Test? Worried that your weekly tirzepatide or semaglutide injection will flag a positive drug test? It won’t. Standard workplace panels only look for contro... When Do Zepbound Side Effects Start? A Week-by-Week Timeline New to Zepbound? This week-by-week timeline shows when nausea, fatigue, constipation, and other side effects usually appear and how long they last, pl... Why Electrolytes Matter on a GLP-1 (and Which Ones You Actually Need) Using a GLP-1 drug can curb appetite and cause GI side effects that quietly drain electrolytes. This guide breaks down how much sodium, potassium and... Lipo-C and Tirzepatide: Does Adding It Actually Help You Lose Weight? Many clinics bundle Lipo-C shots with GLP-1 drugs like tirzepatide. This evidence review explains what Lipo-C contains, the lack of FDA approval, prov... Do GLP-1 Patches Work? What to Know Before You Buy One Are “semaglutide” or “tirzepatide” skin patches legit? This expert guide explains why GLP-1 peptides cannot be absorbed through intact skin, what thos... What Does Tirzepatide Do? How It Works for Weight Loss and Blood Sugar New to tirzepatide? This guide explains exactly what the dual GIP + GLP-1 drug does inside your body-from curbing appetite in week one to dropping A1C... Can You Drink Protein Shakes While Taking Tirzepatide? Wondering whether your daily protein shake plays well with tirzepatide? This in-depth guide explains how the drug changes digestion, how much protein... How to Get Rid of Sulfur Burps on GLP-1 Drugs (Ozempic, Wegovy, Mounjaro) Sulfur burps are a surprisingly common, embarrassing side effect of GLP-1 weight-loss injections. Learn why they happen and science-backed ways to sto... Where to Inject Tirzepatide for the Least Pain and Best Results A visual, step-by-step guide to the three FDA-approved tirzepatide injection sites. Learn how to rotate shots, avoid pain, manage bumps and know when... Compounded Tirzepatide Potency: How to Verify Strength and Avoid Weak Doses Compounded tirzepatide can save money—but only if the vial actually contains the dose on the label. This guide shows exactly how to confirm potency, s... Liraglutide vs Tirzepatide: Full Comparison of Weight-Loss Results, Side Effects and Cost Liraglutide and tirzepatide are two FDA-approved injectable drugs for chronic weight management. This guide contrasts how they work, average weight lo... What Is the Right Tirzepatide Maintenance Dose After Weight Loss? Reached your goal weight on tirzepatide? Discover how to pick the right maintenance dose, prevent regain, manage side effects, and keep costs down. Switching from Semaglutide to Tirzepatide: Dose, Timing & Cost Guide Thinking about moving from semaglutide to tirzepatide? This doctor-reviewed guide explains when a switch makes sense, how to line up your doses, what... Semaglutide vs Tirzepatide: Which Weight-Loss Shot Wins? Trying to choose between weekly semaglutide or tirzepatide injections? This evidence-filled guide compares results, side effects, dosing, and real-wor... 10 mg of Tirzepatide Is How Many Units? Exact Conversions for Every Vial Strength Wondering how many U-100 insulin syringe units equal a 10 mg tirzepatide dose? This step-by-step guide covers the math, provides easy tables for 5–20... How to Lose 30 Pounds in 3 Months: The Complete 12-Week, Doctor-Backed Plan A realistic, science-based roadmap for dropping 30 pounds in just 12 weeks—without crash dieting. Learn exactly how many calories to cut, which workou... Tirzepatide Dosage Guide: Schedule, When to Increase, and Maximum Weekly Dose Step-by-step tirzepatide dosage guide. Learn the standard titration schedule, how to know when to increase, common side effects at each dose, and how... GLP-1 Weight-Loss Medications: How They Work, How Much Weight You Can Lose, and How to Get Started GLP-1 medications are changing obesity care. This in-depth guide explains exactly how they work, typical weight-loss averages, dosing schedules, real-... How to Switch GLP-1 Telehealth Providers Without Losing Your Dose Worried you’ll have to start over if you move your GLP-1 prescription to a new virtual clinic? This step-by-step guide explains how to switch teleheal... Why Tirzepatide Isn’t Working for You — and How to Fix It Fast Some adults lose 20% of their body weight with weekly tirzepatide, while others see the scale barely budge. This guide explains exactly why that happe... Tirzepatide Fatigue After a Dose Increase to 10 mg: What Causes It and How to Fix It Fast Many people feel sudden fatigue when they move from 7.5 mg to 10 mg of tirzepatide. This guide explains why the energy dip happens, how long it usuall... 9 Things I Wish I Knew Before Starting GLP-1 Weight-Loss Injections New to GLP-1 weight-loss shots? This in-depth guide distills the nine lessons real patients wish they knew before their first injection—from dosing sc... GLP-1 Survival Guide for New Ozempic, Wegovy, and Mounjaro Users Starting Ozempic, Wegovy, or compounded tirzepatide? This step-by-step survival guide covers dosing, side-effect hacks, red-flag symptoms, and where t... Tirzepatide + Niacinamide: Should You Choose the Compounded Combo? Some U.S. compounding pharmacies mix niacinamide (vitamin B3) into tirzepatide vials. This in-depth guide explains why, reviews the limited evidence,... How Many mg Is 40 Units of Tirzepatide? Why the answer depends on your vial concentration — plus the simple, safe math. Microdosing Tirzepatide: What You Need to Know A guide to microdosing tirzepatide for weight loss and tolerability — what it means and what the evidence says. What Is a Microdose of Tirzepatide? A plain-English guide to microdosing tirzepatide — what it means, how it is used, and what the evidence says. Compounded Tirzepatide: How It Works, Legality & Cost Everything you need to know about compounded tirzepatide — how it differs from Mounjaro/Zepbound, the legal landscape, and cost. Tirzepatide Injection Sites Where to inject tirzepatide (Zepbound/Mounjaro), why rotating sites matters, and tips for a comfortable shot. Peptides for Weight Loss How GLP-1 peptides like tirzepatide compare to research peptides — a complete weight-loss guide.

Browse all weight-loss guides

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Choose your plan, check out securely, and a licensed provider reviews your online visit, usually within 24 hours.

Continue to secure checkout From $259/month at every dose · provider visit, supplies and shipping included

Zepbound® and Mounjaro® are registered trademarks of Eli Lilly and Company. Compounded tirzepatide is not FDA-approved and is not equivalent to any brand-name medication. Information on this page is educational and is not a substitute for advice from your own healthcare provider. See our Weight Loss Program page for the full program FAQ.

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