A month of compounded tirzepatide costs this much. The branded cash price sits beside it for reference. The live board is tirzepatide prices.
$249
Typical month, compounded injection (361 sellers)
$83
Lowest published compounded injection price
$634
Highest published compounded injection price
$398
Typical month, brand at a telehealth (12 sellers)
The typical compounded month is $149 below the typical branded cash price. Oral and sublingual compounded versions have a typical price of $250, from 45 sellers. Prices were read through September 2026.
The spread is the story
The range is wide. Part of it can be dose. Some sellers charge more at each step up. Others charge one flat price.
The rest is what is bundled. A consult, a membership, or lab work may sit inside one seller’s figure and outside another’s. The peptide therapy cost guide lists the fees to add back.
Tirzepatide with B12 is a different product
Many compounded tirzepatide products are sold mixed with a B vitamin. A secret-shopper study of 75 clinics and medical spas found 42 (56.0%) offering GLP-1s with B vitamins[3].
A 2026 lab study tested compounded tirzepatide-B12 samples from the U.S. market[4]. It found a widespread, previously unidentified impurity[4]. The impurity came from a reaction between tirzepatide and some B12 analogs[4].
So a lower price with added B12 is not a like-for-like quote. Compare plain against plain.
Why fewer pharmacies can make it now
An outsourcing facility may compound from bulk only in two cases. The substance is on the 503B bulks list, or the drug is in shortage[2].
On May 1, 2026, FDA-approved tirzepatide was not on the shortage list[2]. FDA also proposed not to add tirzepatide to the 503B bulks list[2]. The two tiers are explained in 503A vs 503B.
Compounded drugs are not FDA-approved[1]. Through May 31, 2026, FDA had more than 730 adverse-event reports tied to compounded tirzepatide[1]. FDA also reports dosing errors and doses beyond the approved label[1].
Five questions before paying
- What is the monthly price at each dose, including the top one?
- Is it tirzepatide alone, or mixed with B12?
- Which pharmacy compounds it?
- Does one vial cover more than 28 days of use?
- What does canceling cost?
FDA generally recommends using a multi-dose vial within 28 days of first use[1]. A vial that outlasts that window wastes drug you paid for. The semaglutide market works the same way, in the compounded semaglutide cost guide. Reviewed sellers are on the reviews page.