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The Verdict · In the matter of tirzepatide · July 2026

The tirzepatide ruling — who we'd pick, and who we'd avoid.

31 providers on our board file a tirzepatide price, from $99/mo (annual) to $399/mo. Below: the ruling, the reasoning under it, and — at the foot of the page — the entries we would not use.

Read this before you click anything

Zepbound and Mounjaro are FDA-approved brand tirzepatide from Eli Lilly. Nearly every price on this page is compounded tirzepatide dispensed through a licensed pharmacy — a different product at a different price, and one the FDA has not reviewed for safety, efficacy or quality. It is not a generic Zepbound, because no generic exists. Rows where the provider files a brand-name price are marked BRAND. If brand is what you want, read compounded vs brand-name GLP-1 first.

The ruling

We rule for CoreAge Rx.

The most honest middle of the market: nationwide access, both molecules at one flat, no-surprise price. It grades 97 on price honesty — its strongest factor — and files tirzepatide at $349/mo, which is $4,188 across twelve months at the listed rate. The reservation on it is formulary choice at 88, the lowest of its six factors.

Lowest figure filed

Telos Rx

$99/mo (annual) — filed with a condition (annual), so treat it as an entry rate and not a month-to-month price. Verdict Score 85/100.

Visit Telos Rx

We would not pick

Bodybuilding Health+, Peak Wellness, Mochi Health

The three lowest Verdict Scores among providers selling tirzepatide. Reasons, and the price each one is asking, in the dissent. No outbound link — we are not sending you to one.

The docket — tirzepatide, 10 entries

In Verdict-Score order. The disposition is derived from the score, not assigned by hand: 90 and above is affirmed, 87–89 is affirmed in part, below that judgment is reserved. The annual column is twelve months at the figure as filed — a projection, not a quote.

  1. No. 01 · Affirmedwe would use it ourselves

    CoreAge Rx

    $349/mo · $4,188 / 12 mo at that rate

    All 50 states · finds for price honesty (97), marked down on formulary choice (88)

    94/100 · A
    Visit site ↗
  2. No. 02 · Affirmedwe would use it ourselves

    Eden

    $349/mo · $4,188 / 12 mo at that rate

    All 50 states · finds for prescriber access (95), marked down on formulary choice (86)

    91/100 · A−
    Visit site ↗
  3. No. 03 · Affirmed in partsound, with a named reservation

    Invigor Medical

    $339/mo · $4,068 / 12 mo at that rate

    Not disclosed · finds for member support (90), marked down on prescriber access (84)

    88/100 · B+
    Visit site ↗
  4. No. 04 · Affirmed in partsound, with a named reservation

    ShedRx

    $299/mo · $3,588 / 12 mo at that rate

    Not disclosed · finds for formulary choice (90), marked down on prescriber access (83)

    87/100 · B+
    Visit site ↗
  5. No. 05 · Affirmed in partsound, with a named reservation

    Ondra Health

    $166/mo · $1,992 / 12 mo at that rate

    All 50 states · finds for price honesty (91), marked down on cancellation fairness (87)

    89/100 · B+
    Visit site ↗
  6. No. 06 · Judgment reservednot ruled for on this record

    Sprout Health

    $199/mo · $2,388 / 12 mo at that rate

    Not disclosed · finds for price honesty (90), marked down on member support (78)

    86/100 · B
    Visit site ↗
  7. No. 07 · Judgment reservednot ruled for on this record

    Gala Health

    $179/mo · $2,148 / 12 mo at that rate

    All 50 states · finds for prescriber access (88), marked down on cancellation fairness (84)

    86/100 · B
    Visit site ↗
  8. No. 08 · Judgment reservednot ruled for on this record

    HealthRX

    $349/mo · $4,188 / 12 mo at that rate

    Not publicly listed · finds for formulary choice (90), marked down on cancellation fairness (84)

    86/100 · B
    Visit site ↗
  9. No. 09 · Judgment reservednot ruled for on this record

    RxSpan MD

    $329/mo · $3,948 / 12 mo at that rate

    All 50 states · finds for formulary choice (90), marked down on real-world results (84)

    86/100 · B
    Visit site ↗
  10. No. 10 · Affirmed in partsound, with a named reservation

    Found

    $129/mo · $1,548 / 12 mo at that rate

    All 50 states · finds for prescriber access (92), marked down on formulary choice (84)

    88/100 · B+
    Visit site ↗

Affiliate partners are listed first: a capped 3-point edge in listing order only, never in the Verdict Score itself, which is scored against the same published rubric for every provider. We may earn a commission if you start care through some of these links, at no extra cost to you. See our disclosure.

Not on this board, and why. 4 providers we review do not publish a tirzepatide price we can quote (Sesame Care, AgelessRx, Ro, Hims & Hers). They are not excluded for quality — we simply cannot rank a price nobody published, and we will not estimate one. Their full reviews stay on the site.

The reasoning, entry by entry

What each ruling rests on, and the thing we held against it.

  1. #1

    CoreAge Rx

    Affirmed

    The most honest middle of the market: nationwide access, both molecules at one flat, no-surprise price.

    Held: Anyone who wants transparent flat pricing and nationwide access without a teaser-rate bait-and-switch.

    Tirzepatide:
    $349/mo
    Semaglutide:
    $149/mo
    States:
    All 50 states

    Against it: Not the cheapest — flat-price challengers like Trimi Health and Alan Meds undercut its sticker price

  2. #2

    Eden

    Affirmed

    A polished, high-disclosure compounded program with strong nationwide coverage.

    Held: People who prioritize a vetted, high-transparency provider over the lowest sticker price.

    Tirzepatide:
    $349/mo
    Semaglutide:
    $239/mo
    States:
    All 50 states

    Against it: Premium pricing vs the cheapest tiers

  3. #3

    Invigor Medical

    Affirmed in part

    An established telehealth pharmacy with a broad metabolic and hormone catalog.

    Held: Patients who want GLP-1 care alongside a wider wellness/hormone program.

    Tirzepatide:
    $339/mo
    Semaglutide:
    $199/mo
    States:
    Not disclosed

    Against it: Does not publish an explicit states-served list

  4. #4

    ShedRx

    Affirmed in part

    A weight-focused program that also offers an oral/sublingual route for the needle-averse.

    Held: People who want an oral or sublingual option rather than weekly injections.

    Tirzepatide:
    $299/mo
    Semaglutide:
    $199/mo
    States:
    Not disclosed

    Against it: States-served not disclosed

  5. #5

    Ondra Health

    Affirmed in part

    A rare combination: near-cheapest semaglutide, nationwide reach, brand-name access and a LegitScript-verified operation.

    Held: Value shoppers who refuse to trade price for legitimacy — the strongest all-around bargain on the board.

    Tirzepatide:
    $166/mo
    Semaglutide:
    $93/mo
    States:
    All 50 states

    Against it: Tirzepatide is priced higher than its standout semaglutide

  6. #6

    Sprout Health

    Judgment reserved

    A LegitScript-certified desk that pairs low-cost compounded semaglutide and tirzepatide with a real brand-name Wegovy and Zepbound path — and a near-frictionless, often visit-free start.

    Held: Patients who want a low compounded entry price but the option of brand-name Wegovy or Zepbound on the same account, with minimal onboarding.

    Tirzepatide:
    $199/mo
    Semaglutide:
    $149/mo
    States:
    Not disclosed

    Against it: Compounded semaglutide and tirzepatide are not FDA-approved

  7. #7

    Gala Health

    Judgment reserved

    One of the few names on the board that pairs a genuinely cheap compounded entry with a real brand-Ozempic path and nationwide coverage — the verdict docks it only for a sky-high brand sticker and an oral route it doesn't yet offer.

    Held: Patients in any state who want to start on low-cost compounded tirzepatide but keep a legitimate brand-name option on the table.

    Tirzepatide:
    $179/mo
    Semaglutide:
    Not disclosed
    States:
    All 50 states

    Against it: GLP-1 is compounded, not FDA-approved — the standard verification caveat applies

  8. #8

    HealthRX

    Judgment reserved

    One of the few names that actually holds a LegitScript certification you can look up — and pairs it with a genuinely rare oral GLP tablet — but the thin public site and some company-stated tiers keep the verdict honest.

    Held: Patients who want a verifiable, physician-supervised operator and would rather swallow a daily tablet than inject.

    Tirzepatide:
    $349/mo
    Semaglutide:
    $189/mo
    States:
    Not publicly listed

    Against it: GLP-1 is compounded, not FDA-approved — the standard verification caveat applies

  9. #9

    RxSpan MD

    Judgment reserved

    A physician-founded telehealth that carries a genuinely broad menu — compounded, advertised brand-name and oral GLP-1 plus longevity lines — ships to all 50 states, and posts transparent all-inclusive pricing that starts around $194/mo on an annual compounded semaglutide plan.

    Held: Patients who want a wide, physician-led formulary available nationwide with the cost stated upfront — consult, medication, supplies, shipping and support bundled into one all-inclusive price they can check before signing up.

    Tirzepatide:
    $329/mo
    Semaglutide:
    From $194/mo
    States:
    All 50 states

    Against it: Compounded semaglutide and tirzepatide are not FDA-approved — not the same as Wegovy, Ozempic or Zepbound

  10. #10

    Found

    Affirmed in part

    A coaching-first program with aggressive, identical pricing on both molecules.

    Held: People who want behavior-change coaching bundled with medication.

    Tirzepatide:
    $129/mo
    Semaglutide:
    $129/mo
    States:
    All 50 states

    Against it: Coaching subscription model isn't for everyone

The dissent

The tirzepatide sellers we would not pick

The three lowest Verdict Scores among providers that sell tirzepatide. Each entry names the rubric factor it fails on and the price it is asking anyway. These carry no outbound link, because recommending against a provider and then linking it for money would be worthless as a ruling.

  1. Bodybuilding Health+

    76/100 · Grade C

    Asking $139/mo (12-mo) ($1,668 a year at that rate) on a record where cancellation fairness scores 68 — the weakest of its six factors. Compounded, not FDA-approved — this is not Wegovy/Ozempic or Zepbound/Mounjaro; no FDA review for safety, efficacy or quality.

    Read why, in full →
  2. Peak Wellness

    80/100 · Grade B−

    Asking $349/mo ($4,188 a year at that rate) on a record where formulary choice scores 77 — the weakest of its six factors. Priced at the top of the market for compounded-only care.

    Read why, in full →
  3. Mochi Health

    81/100 · Grade B−

    Asking $238/mo ($2,856 a year at that rate) on a record where prescriber access scores 74 — the weakest of its six factors. Available in only ~15 states — the narrowest access here.

    Read why, in full →

Tirzepatide, answered

Which tirzepatide provider do you actually recommend?
CoreAge Rx takes the ruling at 94/100 (Grade A) — its strongest rubric factor is price honesty at 97, and its tirzepatide line is filed at $349/mo. That is our pick on the whole record, not on price alone.
What is the cheapest tirzepatide online?
Telos Rx files the lowest tirzepatide figure on our board at $99/mo (annual) — read that condition carefully, because it is not a month-to-month rate. The highest on the same board is Fella Health at $399/mo. Over twelve months at the listed rates that gap is $1,188 against $4,788, which is why we print the annual figure beside every monthly one.
Is compounded tirzepatide the same as Zepbound or Mounjaro?
No. Zepbound and Mounjaro are Eli Lilly's FDA-approved brand tirzepatide products. Most providers on this page dispense compounded tirzepatide through licensed pharmacies — a different, typically far cheaper route that the FDA has not reviewed for safety, efficacy or quality. Where a provider files a brand-name price we say brand on the row.
Why do you publish providers you would not pick?
Because a ranking that only names winners tells you nothing about the floor. The dissent section lists the three lowest Verdict Scores among providers selling tirzepatide, with the rubric factor each one fails on. They carry no outbound link from this page — we are not sending anyone to a provider we would not use.
Does paying you change this ruling?
Affiliate status never buys a higher Verdict Score — the score printed on the docket is unmodified. It does buy a capped edge in ORDER: a partner can sit above a non-partner scoring up to 3 points higher, never more. Beyond that gap the higher score ranks higher whether we earn from it or not, and the dissent is drawn from the same roster on the same rule.

Next: the same board ruled on the other molecule in best semaglutide providers, or the cash-price question in the best GLP-1 without insurance. Every ruling we publish is indexed on the rulings page. If you have not settled on a molecule yet, start with semaglutide vs tirzepatide, or put any two providers head-to-head.

Prices, states and verification facts are each provider's own public disclosures at last review and change without notice — confirm on the provider's site. The Verdict Score is our editorial judgment per the published methodology. This page is informational and not medical advice; compounded medications are not FDA-approved brand products. See our medical disclaimer.