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First month. Every month after. The whole year.

Affordable tirzepatide online: what you’ll really pay each month

Affordable compounded tirzepatide online costs about $129 to $199 a month, all in, month to month, at the 25 programs we checked on October 13, 2026: Ola Health from $129 at its lowest doses, PreventiveMD $139, AltRx $149 and NexLife $169 at every dose, matched if you pay less^†. 12-month plans run from about $97 a month; NexLife’s is $139 at every dose. Watch for first-month sales: Embody’s $129 becomes $349. Compounded tirzepatide isn’t FDA-approved.

First month, every month after, and the year
6 programs under $200 a month, month to month
Every price from the program’s own site, checked October 13, 2026

Published by NexLifeLegitScript-certifiedUpdated October 14, 2026 · First published October 14, 2026Medically reviewed by the NexLife clinical team, led by Adam Kennah, MD (NPI 1144260043)

Affordable tirzepatide, at a glance

Programs we checked: 25, on their own sites, October 13, 2026
Under $200 a month, month to month: 6 programs
Month to month, all in: $129 to $399
First-month prices that jump: 5 programs
NexLife: $169 a month at every dose, $139 on 12 months, matched if you pay less†

Not sure what a program will charge you after month one? Call or text us at (949) 818-8000. We’ll walk you through any price.

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Compounded medicines aren’t FDA-approved. A NexLife provider prescribes one only if it offers a significant difference for you compared with an FDA-approved medicine.

Key takeaways

Month to month, all in, compounded tirzepatide cost $129 to $399 a month at the 25 programs we checked, and 6 charged under $200 with no first-month sale.
12-month plans start at about $97 a month (PreventiveMD, $1,168 upfront). NexLife’s is $139 at every dose. Paying a lower regular monthly price elsewhere? We match it.^†
A first-month sale isn’t your price. At 5 programs the price rises after the first month or first plan; Embody goes from $129 to $349.
Your first year, month to month at the starting dose, runs from $1,548 (Ola Health, before any dose increase) to $5,067 (Remedy Meds). NexLife’s is $2,028.
Compounded tirzepatide isn’t FDA-approved; a NexLife provider prescribes it only if it offers a significant difference for you compared with an FDA-approved medicine.

Under $200

Tirzepatide under $200 a month

You don’t have to pay $300 a month. These programs charged under $200, all in, month to month, when we checked on October 13, 2026, with no first-month sale price. Cheapest first.

Ola Health: $129 a month, at the lowest dose; it rises with dose
PreventiveMD: $139 a month, at every dose
AltRx: $149 a month; plan length not stated
Mochi Health: $169 a month, at the lowest dose; it rises with dose
NexLife: $169 a month, at every dose; matched if you pay less†
Alloy: $199 a month, at the lowest dose

On a prepaid or committed plan, these get under $200 a month: PreventiveMD about $97 (12 months), Embody $119 (12 months), CoreAge Rx $129 (12 months), Fifty 410 $133 (3 months), Cora $135 (12 months), Mochi Health $139 (12 months), NexLife $139 (12 months), Ondra Health $142 (12 months), Rx.com $149 (12 months), Sprout Health $149 (12 months), Refills $159 (12 months), BMI MD $179 (12 months). Most bill the plan total upfront, and most don’t refund medication once it ships.

The real cost

What tirzepatide really costs, program by program

The sticker price is only part of the story. Here’s the first month, every month after it and your first year at each program, at the starting dose, cheapest year first.

What online tirzepatide really costs: the first month, every month after and the year
Program	First month	Every month after	First year, month to month	First year on its cheapest plan	Same at every dose?
Ola Health	Same	$129 to $279	$1,548	—	No, rises with dose
PreventiveMD	Same	$139	$1,668	$1,168 (about $97 a month)	Yes
AltRx	Same	$149	$1,788	—	Yes
Mochi Health	Same	$169	$2,028	$1,668 ($139 a month)	No, rises with dose
NexLife	Same	$169 Pay less elsewhere? Matched^†	$2,028	$1,668 ($139 a month)	Yes
Alloy	Same	$199	$2,388	—	Not stated
Sprout Health	Same	$199 per 4 weeks	$2,587	$1,788 ($149 a month)	Yes
Ondra Health	Same	$219	$2,628	$1,699 (about $142 a month)	Yes
Cora	Same	$225	$2,700	$1,620 ($135 a month)	Yes
BMI MD	Same	$249	$2,988	$2,148 ($179 a month)	Yes
Belle	Same	$249	$2,988	$2,148 ($179 a month)	Yes
Refills	Same	$249	$2,988	$1,908 ($159 a month)	Yes
Rx.com	Same	$285	$3,420	$1,788 ($149 a month)	Yes
Raeliva	Same	$299	$3,588	$2,900 (about $242 a month)	Yes
Shed	Same	$299	$3,588	$2,868 ($239 a month)	Not stated
Bodybuilding Health+	$209	$319	$3,718	$3,432 ($286 a month)	Not stated
Noom	$149	$299 (billed every 12 weeks)	$3,737	—	Not stated
Embody	$129	$349	$3,968	$1,428 ($119 a month)	Yes
Shapely	Same	$348 to $398	$4,176	$3,477 (about $290 a month)	No, rises with dose
Remedy Meds	$279	$399 per 4 weeks	$5,067	—	Yes
CoreAge Rx	—	Not published ($129 on a plan)	Not published	$1,548 ($129 a month)	Yes
Fifty 410	—	Not published ($133 on a plan)	Not published	$1,596 ($133 a month)	No, rises with dose
Gala GLP-1	—	Not published ($199 on a plan)	Not published	$2,388 ($199 a month)	Yes
He & She MD	$199 a month for 6 months	$289 a month ($1,734 every 6 months)	Not published	$2,928 ($244 a month)	Not stated
Ivím Health	—	Not published (from $191.66)	Not published	—	Not stated

Prices from each program’s own site, checked October 13, 2026 (Belle’s month-to-month prices on October 7). First year month to month = the first month at its price plus 11 more at the regular price (13 charges for programs billed every 4 weeks; Noom bills every 12 weeks after the first 4). Cheapest plan = a 12-month plan, or shorter plans bought back to back, usually paid upfront; He & She MD’s intro price and Shapely’s starter package apply once. Prices that rise with dose are shown at the starting dose. Compounded tirzepatide isn’t FDA-approved; a NexLife provider prescribes it only if it offers a significant difference for you compared with an FDA-approved medicine.

Your year

Price out your first year

Pick a program and how you’d pay. The tool uses the prices in the table above.

ProgramHow you pay

–Pick a program.

Starting-dose prices from each program’s site, checked October 13, 2026. Prices that rise with dose cost more later. Compounded tirzepatide isn’t FDA-approved.

Watch for

First-month prices that jump

A low first month is a sale, not your price. Here’s what each one becomes, and what it adds up to in a year.

First-month prices that jump afterward
Program	First month	Then	Jump	First year
Bodybuilding Health+	$209	$319	+$110	$3,718
Embody	$129	$349	+$220	$3,968
He & She MD	$199 a month for 6 months	$289 a month ($1,734 every 6 months)	+$90	$2,928 on 6-month plans
Noom	$149	$299 (billed every 12 weeks)	+$150	$3,737
Remedy Meds	$279	$399 per 4 weeks	+$120	$5,067

From each program’s own site, checked October 13, 2026. Remedy Meds bills every 4 weeks; Noom bills every 12 weeks after the first 4.

Prepaid plans

Cheaper per month, usually paid upfront

A 12-month plan lowers the monthly price. Most programs bill the whole plan at the start, and most don’t refund medication that has shipped. Prepay only what you’re sure you’ll use.

12-month tirzepatide plans, cheapest per month first
Program	Per month	Year total	How it’s billed	A year month to month	You save
PreventiveMD	about $97	$1,168	Upfront	$1,668	$500
Embody	$119	$1,428	Upfront	$3,968	$2,540
CoreAge Rx	$129	$1,548	Upfront	Not published	—
Cora	$135	$1,620	Upfront	$2,700	$1,080
Mochi Health	$139 at the lowest dose	$1,668	Membership upfront, medication monthly	$2,028	$360
NexLife	$139 Pay less elsewhere? Matched^†	$1,668	Savings at checkout; unshipped months refunded	$2,028	$360
Ondra Health	$142	$1,699	Upfront	$2,628	$929
Rx.com	$149	$1,788	Upfront	$3,420	$1,632
Sprout Health	$149	$1,788	Upfront	$2,587	$799
Refills	$159	$1,908	Not stated	$2,988	$1,080
BMI MD	$179	$2,148	Upfront	$2,988	$840
Belle	$179	$2,148	Not stated	$2,988	$840
Shed	$239	$2,868	Not stated	$3,588	$720

From each program’s own site, checked October 13, 2026. Mochi’s 12-month price is at its lowest dose; Belle’s month-to-month price is from October 7. NexLife’s plans pages say longer plans start only if you’re prescribed, and unshipped months are refunded if treatment stops.

Dose pricing

When the price climbs with your dose

Most tirzepatide programs we checked charge one price at every dose. These don’t.

When the tirzepatide price climbs with your dose
Program	Starting dose	Higher doses
Ola Health	$129 a month (1.5 to 3 mg)	$159 to $279, depending on dose and pharmacy
Mochi Health	$169 with the membership	Medication is priced by dose on top of the $79 membership
Shapely	$348 with the membership	$398 at high doses
Fifty 410	$399 for 3 months (starter tier)	$499 (mid dose) or $549 (high dose) for 3 months
Zepbound, LillyDirect	$299 at 2.5 mg	$399 at 5 mg; $449 from 7.5 mg to 15 mg if you refill within 45 days, $499 to $699 if you don’t

Checked October 13, 2026 (Zepbound prices on LillyDirect, October 14, 2026). Most programs on this page charge one price at every dose; these are the ones that don’t.

Two medications.
One flat price each.

Both are prepared by state-licensed 503A partner pharmacies and shipped free. Your provider helps you decide which one fits.

GIP + GLP-1

$169/mo

Tirzepatide

Weekly and dual-action. Care, coaching and shipping included.

Get started

GLP-1

$139/mo

Semaglutide

Weekly GLP-1. Care, coaching and shipping included.

Get started

What’s inside every plan

Tirzepatide: compounded, acts on two hormone pathways (GIP and GLP-1), taken once a week
Semaglutide: compounded, acts on the GLP-1 pathway, taken once a week
Prepared by state-licensed 503A partner pharmacies
A licensed provider who reviews your history and follows your dose
A personalized nutrition plan and a 1:1 coaching call
Free expedited shipping; orders usually ship within 1 to 2 business days
24/7 support from real people, plus physician access during clinical hours
HSA and FSA cards accepted, and Klarna or Afterpay at checkout
Prefer no injections? Ask about the sublingual tablet, at its own flat price

Prescription required. Compounded medications are not FDA-approved, and a provider prescribes one only if it offers a significant difference for you compared with an FDA-approved medicine. On 12-month plans: $139 a month for tirzepatide, $119 for semaglutide, still the same at every dose. Prices checked October 7–13, 2026.

Your dose goes up.
Your price doesn’t.

No membership, no dose surcharges, no surprises. One flat, all-inclusive monthly price at every dose.

NexLife month-to-month price, month by month
	Month one	Month two	Month three	Every month after
Tirzepatide	$169	$169	$169	$169
Semaglutide	$139	$139	$139	$139

Paying less somewhere else? Send us a receipt from another licensed U.S. telehealth provider and we’ll match your regular monthly price. See the terms

Month-to-month plan, all-inclusive. Longer plans cost less and stay flat. Tirzepatide is $159, $149 and $139 a month on 3-, 6- and 12-month plans. Semaglutide is $132, $125 and $119.

The NexLife Price Match Guarantee

Keep your price.
Upgrade your care.

Already on compounded tirzepatide or semaglutide? Bring your price to NexLife. If you pay less with another licensed U.S. telehealth provider, we match your regular monthly price for as long as your plan stays active.^† You keep your price, and you gain a provider who follows your dose, a personal nutrition plan, a 1:1 coaching call and real people who answer 24/7.

1Send a receipt from the last 60 days
2A NexLife provider reviews your prescription
3Pay your matched price, at every dose

Switch and keep my price

Locked while your plan is activeSame price at every doseNo membership fee

^†NexLife Price Match Guarantee: for new members switching from a licensed U.S. telehealth provider with an active prescription for compounded tirzepatide or semaglutide. Send a receipt from the last 60 days and we match your regular all-in monthly price on the month-to-month plan, for the same medication (medication plus required fees; not first-month offers, sale prices, coupons or prepaid multi-month rates), for as long as your plan stays active. A NexLife provider must determine that treatment is right for you. Not open to people with Medicare, Medicaid or TRICARE coverage. Full terms.

Save

Six ways to pay less for tirzepatide, safely

Compare the regular price, not the first month
A low first month can hide a regular price that’s $100 to $220 higher. Ask what month two costs.
Pick one price at every dose
Your dose usually climbs for the first months. A flat price keeps month six the same as month one.
Prepay only what you’re sure you’ll use
A 12-month plan can save hundreds, but most programs bill it upfront and won’t refund medication that has shipped.
Use your HSA or FSA
GLP-1 treatment prescribed for a medical condition usually qualifies. See tirzepatide with HSA or FSA.
Ask for a price match
NexLife matches a lower regular monthly price from another licensed U.S. telehealth provider.† How the match works.
On Medicare? Check the GLP-1 Bridge
Since July 1, 2026, Medicare’s GLP-1 Bridge lets eligible Part D enrollees get Wegovy, Foundayo or the Zepbound KwikPen for weight loss at a $50 monthly copay, with prior authorization. It runs through December 31, 2027.

Brand-name

What brand-name Zepbound costs

Brand-name Zepbound online: what it costs
Route	Price	What it covers
Zepbound vial or KwikPen, LillyDirect	$299 at 2.5 mg, $399 at 5 mg, $449 from 7.5 mg to 15 mg if you refill within 45 days ($499 to $699 if you don’t)	Medication only, per 28-day supply; the prescriber visit is extra
Ro, Zepbound KwikPen	$448 to $598 a month	Includes Ro’s $149 monthly membership
Hims, Zepbound	From $448 at the starting dose	Includes the $149 monthly membership
Medicare GLP-1 Bridge	$50 a month copay	Zepbound KwikPen for eligible Part D enrollees, with prior authorization, through December 31, 2027

Zepbound prices from LillyDirect, checked October 14, 2026; Lilly counts a month as 28 days. Ro and Hims prices from our price index, checked October 7, 2026. Medicare terms from the GLP-1 Bridge rules. Zepbound is FDA-approved; compounded tirzepatide is not.

Safety

Cheap tirzepatide to walk away from

A low price isn’t worth it if any of these are true.

No prescription or no provider review. Tirzepatide is prescription-only.
Vials labeled “for research use only” or “not for human consumption”.
A price far below everyone else’s with no pharmacy named.
A first-month price with no regular price beside it.
No way to reach a person, or no cancellation terms on the site.
A Trustpilot profile that was removed, or a rating Trustpilot withholds for breaching its guidelines.

The rules

Is compounded tirzepatide legal and safe?

Compounded tirzepatide is prepared by a licensed pharmacy for an individual prescription. It isn’t FDA-approved, the FDA hasn’t reviewed it for safety, effectiveness or quality, and it isn’t the same as Zepbound or Mounjaro. Since the FDA ended the tirzepatide shortage, pharmacies can compound it only under narrower rules, and a provider should prescribe it only when it offers a significant difference for you compared with an FDA-approved product. In late August 2026, the U.S. Court of Appeals for the Fifth Circuit upheld the FDA’s decisions that the tirzepatide and semaglutide shortages are over.

More in Is compounded tirzepatide legal? and Compounded vs. brand-name tirzepatide.

Affordable tirzepatide: your questions

How much does affordable tirzepatide cost online?

Month to month, all in, the most affordable compounded tirzepatide we found on October 13, 2026 costs $129 to $199: Ola Health ($129 at its lowest doses), PreventiveMD ($139), AltRx ($149), Mochi Health ($169 at the lowest dose), NexLife ($169), Alloy ($199 at the lowest dose). On a 12-month plan, prices start at about $97 a month, usually paid upfront. Brand-name Zepbound costs $299 to $449 per 28-day supply at LillyDirect for the medication alone, if you refill on time.

Can I get tirzepatide for under $200 a month?

Yes. 6 of the programs we checked charged under $200 a month, month to month, with no sale price: Ola Health ($129 at its lowest doses), PreventiveMD ($139), AltRx ($149), Mochi Health ($169 at the lowest dose), NexLife ($169), Alloy ($199 at the lowest dose). NexLife is $169 at every dose, and matches a lower regular price from another licensed U.S. telehealth provider.

What’s the cheapest tirzepatide on a 12-month plan?

PreventiveMD about $97 ($1,168 upfront); Embody $119 ($1,428 upfront); CoreAge Rx $129 ($1,548 upfront); Cora $135 ($1,620 upfront); Mochi Health $139 at the lowest dose (membership prepaid, medication monthly); NexLife $139 ($1,668 a year).

Why do some programs charge so little the first month?

It’s a sale to get you started. The regular price kicks in at month two, often $100 to $220 higher. Compare the regular monthly price, and read the terms before you pay.

Is a 12-month plan worth it?

It can save hundreds of dollars, but most programs bill the whole year upfront and don’t refund medication that has shipped. NexLife’s 3-, 6- and 12-month plans start only if you’re prescribed, and unshipped months are refunded if treatment stops. If you’re new to tirzepatide, a month-to-month price lets you stop if it isn’t right for you.

What does tirzepatide cost per year?

Month to month at the starting dose, a first year costs about $1,668 at PreventiveMD, $1,788 at AltRx, $2,028 at NexLife and $2,628 at Ondra Health, and $3,968 at Embody after its sale month. Brand-name Zepbound at LillyDirect is about $5,637 for 13 four-week supplies if you move up to 7.5 mg at your third refill and refill on time.

Does tirzepatide cost more at higher doses?

At some programs, yes. Ola Health, Mochi Health, Shapely and Fifty 410 charge more as your dose rises, and so do the brand-name self-pay prices. Most programs we checked, including NexLife, charge one price at every dose.

Is cheap compounded tirzepatide safe?

Price alone doesn’t tell you. Compounded tirzepatide isn’t FDA-approved. Choose a program with a licensed provider, a named state-licensed pharmacy and a published all-in price. Walk away from anything sold “for research use only” or without a prescription.

Can I use my HSA or FSA for tirzepatide?

Usually, when it’s prescribed to treat a medical condition such as obesity. Program fees and memberships may or may not qualify, so check with your plan administrator. NexLife accepts HSA and FSA cards.

What’s the cheapest way to get brand-name Zepbound?

Through LillyDirect, a 28-day supply of Zepbound costs $299 at 2.5 mg, $399 at 5 mg and $449 from 7.5 mg to 15 mg if you refill within 45 days ($499 to $699 if you don’t), for the medication alone. On Medicare Part D, the GLP-1 Bridge can bring the Zepbound KwikPen to a $50 monthly copay with prior authorization.

Why does billing every 4 weeks cost more?

There are 13 four-week periods in a year, so you pay 13 times instead of 12. A $199 price billed every 4 weeks works out to about $216 a month.

Important safety information

Compounded tirzepatide and semaglutide are not FDA-approved, and the FDA hasn’t reviewed them for safety, effectiveness or quality. A provider prescribes them only when they offer a significant difference for you compared with an FDA-approved product. Both medicines may cause thyroid tumors, including cancer: don’t use either if you or a family member has had medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2).

Read the full safety information

In studies with rodents, both medicines caused thyroid tumors; it isn’t known whether they cause them in people. Tell your provider if you notice a lump or swelling in your neck, hoarseness, trouble swallowing or shortness of breath.

Serious side effects can include inflammation of the pancreas (pancreatitis), gallbladder problems, low blood sugar (especially with insulin or sulfonylureas), kidney problems from dehydration, severe stomach problems, serious allergic reactions, vision changes in people with type 2 diabetes, and a faster heart rate. Tell your care team before any surgery or procedure that uses anesthesia or deep sedation. Don’t combine either medicine with other GLP-1 medicines.

Tirzepatide can make birth control pills less effective: switch to a non-oral method, or add a barrier method such as condoms, for 4 weeks after you start and for 4 weeks after each dose increase. Both medicines may harm an unborn baby. Semaglutide should be stopped at least 2 months before a planned pregnancy. Tell your provider right away if you’re pregnant, planning to be, or breastfeeding.

This is a summary, not the complete safety information. Read the full Prescribing Information for FDA-approved tirzepatide (Zepbound) and semaglutide (Wegovy), and talk with your provider. You can report side effects to the FDA at 1-800-FDA-1088 or fda.gov/medwatch.

Who checked this page

Adam Kennah, MDMedical Director, NexLife · Board-certified in emergency medicine · NPI 1144260043

Leads the NexLife clinical team, which medically reviewed this page on October 14, 2026.

NexLife editorial teamResearch and pricing

Checked every program’s published price and plans on October 13, 2026, and the brand-name prices in our October 7 index.

Every fact, sourced. Each price and rule links to the page it comes from.
How we make money. NexLife is a telehealth provider. We earn revenue when people join NexLife.
Corrections, fast. See something wrong or out of date? Email care@nexlife.us and we’ll fix it.

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