Best Online Tirzepatide Compounding Providers Compared For 2026
Registered Dietitian
Brenda Peralta is a Registered Dietitian Nutritionist (RDN) with 10 years of clinical experience supporting people with metabolic and chronic health conditions, including obesity, insulin resistance, type 2 diabetes, prediabetes, PCOS, and fatty liver disease. She works closely with patients using GLP-1 medications, helping them manage side effects, meet nutrition needs, preserve muscle, and build sustainable eating habits that support long-term health.
If you’ve been scrolling through social media or searching Google for weight loss solutions, you’ve probably noticed that there are so many options available that it can get overwhelming. The rise of weight loss medications has allowed for millions of clinics to offer their services to anyone looking to shed some pounds.
Each website provides its own benefits, methods, and medical support. However, some of them also come with hidden fees, disappearing customer service, and questionable pharmacy partners that leave you wondering if you are making the right decision.
With over 75% of Policy Lab’s subscribers suffering from medical conditions associated with obesity, GLP-1 treatment options and clinical studies have been a hot but confusing topic amongst the user base.
Here, we are going to cut through all the marketing fluff. After hours of analyzing the tirzepatide online providers available, we’ve come up with the top 10 best compounding providers for 2026. We have based our analysis on real pricing, medical oversight, and customer transparency.
Disclaimer: This article is for informational purposes only and does not provide medical advice. GLP-1 medications require a prescription and should be used only under the guidance of a licensed healthcare professional.
Top 5 Providers at a Glance
If you are in a rush, here are our top 5 recommendations based on value and patient outcomes.
Provider | Our Rating | Monthly Cost | Learn More | Lifestyle Support | Get Started |
|---|---|---|---|---|---|
 OnlineSemaglutide.org | ★ 9.6/10 Best Overall | $232-$349 | Licensed professionals, but limited lifestyle coaching | Save $50 Code: policy-lab-50 | |
 tryeden.com | ★ 9.6/10 Best for brand name medication | $229-349 | Licensed professionals, no coaching | ||
 henrymeds.com | ★ 8.5/10 Best for oral tirzepatide | $349 | HQ Telehealth services, no lifestyle coaching | ||
 ro.co | ★ 8.3/10 | $299 Not including membership fee | Offers 1:1 health coaching | ||
 skinnyrx.com | ★ 8.1/10 | $299 | No lifestyle coaching |
Factors to Consider When Choosing a Provider
Before we go into a snapshot of the top 10 online tirzepatide compounding providers, it’s important to understand the criteria that we used to grade these services.
- Medical Oversight: Is there a real board-certified clinician reviewing your medical history and prescribing the medication?
- Pharmacy Accreditation: Does the provider partner with 503A or 503B regulated compounding pharmacies?
- Pricing Transparency: Are there hidden membership fees, or does the price jump significantly as you increase your dosages?
- Access, Speed and Support: Ongoing clinician access, how fast is shipping, and can you actually reach a person if something goes wrong?
For full insight into our criteria for including and ranking GLP-1 providers, please review our full methodology.
Top 10 Providers of Compounding Tirzepatide for 2026: A Detailed Comparison
Zepbound and Wegovy are both brand-name drugs approved for weight management. They’re subcutaneous injections administered once weekly alongside exercise and dietary changes. Although they’re used for similar purposes, they differ in key respects.
1. Online Semaglutide
Starting this list, we have Online Semaglutide. We gave it a 9.6 out of 10 due to their no-nonsense approach to pricing, their transparency, and speed of service.
Now, don’t let the name fool you, onlinesemaglutide.org offers more than just semaglutide for weight loss. They also offer tirzepatide and liraglutide as other options if you find that semaglutide is not the best weight loss medication for you.
The process over at OnlineSemaglutide.org is pretty simple. You fill out a medical questionnaire, which is then reviewed by a licensed provider. If you get approved, the pharmacy ships your medication (cold-chain) directly to your door. Refills are also managed through a simple patient portal.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: No insurance needed
Consultation fee: $0 (included in the package)
Membership fee: None
Medications available: Semaglutide (oral and injectable), tirzepatide (oral and injectable), and injectable liraglutide
Pricing: Starting at $242 for compounded tirzepatide
Pros and Cons
✅ Pros
- Fast approval process (typically within 24 hours).
- No recurring monthly membership fees.
- Shipping is consistently rated as fast.
- It has a simple and user-friendly interface.
- All dosages have the same price.
- Made in FDA-registered compounding pharmacies
❌ Cons
- Support is primarily digital or email-based (difficult for those who are not tech savvy).
- Limited holistic or lifestyle coaching.
Pricing
Onlinesemaglutide offers different forms of tirzepatide. You can get compounded tirzepatide injections, oral drops, or oral pills. Here is the pricing for each one:
Compounded Tirzepatide Injections
- Monthly plan: $349 per month
- 3-month plan: $800 total ($267 per month)
- 6-month plan: $1,450 total ($242 per month)
Compounded Tirzepatide Oral Drops
- Monthly plan: $339 per month
Compounded Tirzepatide Oral Pills
- Monthly plan: $359 per month
- 3-month plan: $850 total ($283 per month)
- 6-month plan: $1,600 total ($267 per month)
Keep in mind that the prices include the consultations, medications, supplies, shipping, and support. You also receive a $100 discount on your first month.
What Customers Are Saying
Users praise how simple and easy it is to order from the website, and the fact that you pay what you see on the website. You won’t be surprised at checkout by hidden fees. Overall, people are very satisfied with the results of medical weight loss, and the weight-loss transformations are impressive.
The Bottom Line
If you want an affordable, reliable path to tirzepatide without being locked into a subscription model, Online Semaglutide is our top pick for 2026.
2. Eden
Next on our list is Eden, with a ranking of 9.1 out of 10. Eden offers a sleek and user-friendly interface, suitable for even those who don’t have a lot of technology experience. One of their biggest advantages is that you pay what you see. There are no hidden fees or prices.
To get started, you need to fill out their form to get evaluated by a medical provider. You can then choose from their monthly, 3-month, or 6-month plan. And, you have the possibility of canceling at any time.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: No
Consultation fee: $0 (included in package)
Membership fee: No
Medications available: Compounded tirzepatide, Ozempic, Zepbound, Wegovy, and Mounjaro
Pros and Cons
✅ Pros
- Flat pricing model, meaning the price doesn’t go up as the doses increase.
- Great mobile experience for users.
- 24/7 care team access.
- Prescriptions from licensed clinicians.
- Free nationwide shipping on many plans.
❌ Cons
- Higher costs for FDA-approved drugs.
- Not available in all states.
Pricing
For their GLP-1 + GIP treatment, they have an initial price of $229 (for the first month) and then a standard fee of $349 per month. Now, if you decide to go for the brand names, you might end up paying a higher price.
What Customers Are Saying
Eden has very positive feedback. Most customers claim that they have a good customer service with a caring attitude. They feel supported along their health journey, and they appreciate the quick and efficient service they have received.
The Bottom Line
Eden is a great option if you are looking for a flat-rate option with no hidden fees and good customer service. You can also get brand-name medication, but it might come at a higher cost.
Get $80 First Month with Eden3. Henry Meds
Third on our list, with an 8.5 out of 10, we have Henry Meds. It’s a great option for those who are seeking oral tirzepatide. They focus on providing affordable medications with high-quality telehealth services. While the selection might be lower compared to other competitors, it’s a great option for those who want access to straightforward treatment.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: No
Consultation fee: $0 (included in package)
Membership fee: No
Medications available: Semaglutide (oral and injectables), tirzepatide (oral), and liraglutide (injectable)
Pros and Cons
✅ Pros
- Offers oral or sublingual options for those who don’t like needles.
- No hidden shipping or consultation fees.
- Strong network of providers.
- You can get lab work done if the healthcare provider recommends it.
- They offer a free evaluation before you pay.
❌ Cons
- They don’t have lifestyle support recommendations.
- Prices can increase with a higher dosage.
Pricing
They offer a monthly subscription service where they include the medical consultation and medication. For the oral compounded tirzepatide, the prices start at $349. Keep in mind that the cost might be higher if you need a higher dosage of medication.
What Customers Are Saying
Henry Meds have a surprisingly high customer rating with a 4.5-star rating in Trust Pilot and over 12,000 reviews. Overall, people claim that the staff is professional, knowledgeable, and with caring attitude. They feel supported at every step of the process.
The Bottom Line
With positive ratings, great customer service, and affordable prices, Henry Meds is a great option for those looking for oral tirzepatide.
Get Started With Henry Meds4. Ro
Ro (formerly Roman) is big on the telehealth space with a score of 8.3 out of 10 in our ranking. If you want a comprehensive medical ecosystem and have the budget for it, it’s a great option for those who want to get results.
One of the biggest benefits of Ro’s weight loss program is that it includes lab testing (if needed), a video or async consultation, and an insurance concierge that fights for coverage of brand-name drugs before offering you compounded options.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: Yes
Consultation fee: $45 for the initial consultation
Membership fee: $45 for the first month and then $145 per month thereafter
Medications available: Wegovy pill, Zepbound, Ozempic, and Saxenda
Pros and Cons
✅ Pros
- They offer insurance concierge service to help you get brand names covered.
- Includes lab work availabillity.
- Personalized medical care with licensed professionals.
- 1:1 health coaching services.
- 24/7 support.
❌ Cons
- Does require a membership fee which can be pricey ($145 monthly).
- High out-of-pocket costs if your insurance does not cover the medication.
- Mixed reviews regarding the service and cost transparency.
Pricing
They offer different pricing depending on the type of medication you get. However, keep in mind that the prices are not clear and you need to complete the full quiz in order to understand how much it’s going to cost.
Generally speaking, if you decide to use Zepbound, which is the tirzepatide option they use, it starts at $299 per month, and it can go up to $499 depending on the dose. Remember that you need to pay a membership fee in addition to the cost of the medication.
What Customers Are Saying
The reviews are somewhat mixed. Some people are happy with the user experience, and they find the website very user-friendly. However, some users are concerned that there is no transparency regarding the pricing of the membership.
The Bottom Line
Ro is a great option if you want to try to use insurance brand-name drugs first or if you want a full-service medical concierge. However, it’s important to know that they do charge a membership fee, and it has reduced pricing the first month ($45 then $145).
Get Started With Ro5. SkinnyRx
SkinnyRx is a weight management program that combines personalized consultations and medical-grade treatments. It scores an 8.1 out of 10 in our ranking. It aims to deliver results in a safe and sustainable way.
Just like any other medical weight loss service, you answer the quiz to know if you are eligible to get your medication. If a healthcare professional approves your request, the medication will be delivered to your doorstep.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: No
Consultation fee: $0 (included in package)
Membership fee: None
Medications available: Semaglutide (injections and tablets) and tirzepatide (injections and tablets)
Pros and Cons
✅ Pros
- Offers fast shipping
- Aggressive introductory discounts
- It provides medical oversight
- You can start the process and receive the medications mostly online.
- It has good customer feedback.
- Free overnight shipping.
❌ Cons
- Some users have complained about billing or delivery issues.
- Limited lifestyle change guidelines.
Pricing
You can get injectable compounded tirzepatide as low as $299 per month, with free overnight shipping. As for the compounded tirzepatide tablets, you can get them as low as $249 per month.
What Customers Are Saying
Some customers love the speed of their service and the weight loss results they get from the medication. However, some users complain about how difficult it is to cancel their auto-shipments.
The Bottom Line
SkinnyRx offers a convenient way to access weight loss medications quickly, but customers might need to be cautious about their cancellation policies. While some customer feedback is positive, praising their fast service, others get frustrated by their auto shipments and the difficulty of canceling.
Get Started With SkinnyRx6. ReflexMD
Moving along our ranking, we have ReflexMD, a telemedicine service designed to provide convenient and personalized healthcare solutions. With a score of 7.8 out of 10, the company focuses on delivering quick consultations, tailored treatment plans, and direct access to licensed medical professionals. It has positive customer reviews, but it lacks transparency regarding its pricing.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: No
Consultation fee: $0 (included in package)
Membership fee: No
Medications available: Tirzepatide and semaglutide
Pros and Cons
✅ Pros
- They offer a quick turnaround time.
- Has licensed healthcare oversight.
- They have very positive reviews.
- Convenient online process to get everything delivered to your doorstep.
❌ Cons
- The website doesn’t have a lot of information regarding the program.
- Customer support can be slow.
- Lacks transparency regarding the pricing.
Pricing
The website states that you can get tirzepatide starting at $92, but it’s unclear what it covers or whether it’s weekly or monthly.
What Customers Are Saying
ReflexMD has very positive reviews. Most customers claim that it has friendly, knowledgeable, and warm staff. They feel supported along their weight loss journey. Additionally, they have quick response times and are efficient in handling any customer issues.
The Bottom Line
ReflexMd is a solid choice if you are looking for affordable tirzepatide options. While they have very positive customer reviews, the website is not clear at first glance regarding its pricing options.
Get Started With ReflexMd7. MedVi
With a 7.6 out of 10, we have MedVi, a practical and straightforward service for those who are seeking reliable medication without any complications. They have competitive pricing starting at $179 with no hidden fees. However, keep in mind that the website doesn’t specify what the $179 price covers, and you need to take the quiz to see all the prices.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: No
Consultation fee: $0 (included in package)
Membership fee: No
Medications available: Compounded semaglutide and tirzepatide (injections and tablets)
Pros and Cons
✅ Pros
- Licensed medical providers who oversee the treatment.
- It has 24/7 messaging support and unlimited provider contact.
- Some of their programs have a money-back guarantee.
- They focus on health and not just weight.
❌ Cons
- The website is a bit confusing to navigate, as it does not state which medications they use or their pricing.
- Customer claim that it has a slower shipping time.
Pricing
The GLP-1 injections start at $179, and the GLP-1 tablets start at $249. However, it’s unclear what medication they use and if the price changes based on the dosage.
What Customers Are Saying
Overall, MedVi has good customer feedback. Customers claim that the company is attentive and has a supportive staff. They also enjoyed the positive experience they had and the company’s availability for any questions they might have.
The Bottom Line
MedVi is a great option if you are looking for compounded semaglutide or tirzepatide. However, if you want to know more about the pricing options, you need to complete their thorough questionnaire.
Get Started With MedVi8. MyStartHealth
With a score of 7.4 out of 10, we have MyStartHealth. To begin the process, you fill in a personalized process that considers factors such as BMI and daily habits. With their 5-minute quiz, the company can determine if you are eligible for the medication and what is the best approach for your weight loss goals.
However, you need to do their quiz to understand their pricing and to learn more about their health program.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: No
Consultation fee: $0 (included in package)
Membership fee: No
Medications available: Compounded semaglutide and tirzepatide (oral and injectables)
Pros and Cons
✅ Pros
- They don’t have any membership or hidden fees.
- They have a large network of licensed clinicians.
- You get 24/7 clinician access and ongoing support.
❌ Cons
- Fewer reviews are available.
Pricing
The program starts at $299 per month, before any applicable discounts. This package includes physician evaluations, follow-up consultations, unlimited clinician access, monthly prescriptions,and a 4-week or a 12-week supply of medication (based on the plan that you choose).
What Customers Are Saying
While MyStartHealth doesn’t have as many reviews as other websites, it still has a 4-star rating on TrustPilot. Customers praise the positive experience they receive and the friendliness and professionalism of the staff.
Nonetheless, the reviews are mixed, as some customers are unhappy with the customer experience and shipping.
The Bottom Line
MyStartHealth is a great option for anyone looking for weight loss medication at a budget-friendly price. However, you will need to fill in their quiz to understand their pricing.
Get Started With MyStart9. IvyRx
IvyRx is a telehealth subscription service that focuses on providing tailored solutions through consultations with licensed professionals. We scored it 7.1 out of 10 because, while the platform receives positive reviews for its personalized care and attentive customer service, some users note that the pricing can be steep, especially if you don’t have insurance.
Additionally, the pricing can be confusing since they state the price of the medication, but it’s not clear if it’s per week or per month. You need to do their quiz in order to get the pricing for the medication.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: No
Consultation fee: $0 (included in package)
Membership fee: No
Medications available: Ozempic, Mounjaro, compounded semaglutide, compounded tirzepatide, metformin, and MIC + B12 injection
Pros and Cons
✅ Pros
- They have licensed clinicians overseeing the process.
- The company offers a free consultation.
- You have access to your doctor through the patient portal.
❌ Cons
- They don’t offer lifestyle coaching.
- Limited live consultations (most are via messaging).
Pricing
The GLP-1 injections start at $175 according to their website. However, we don’t know if it’s for semaglutide or tirzepatide and if it’s weekly or monthly.
What Customers Are Saying
Customer reviews are great, with people praising the company’s staff for their helpfulness and knowledge. They also appreciate that the company has quick response times, and they feel supported at every step of their journey.
The Bottom Line
It can be a great option, but you need to do thorough research to understand the pricing they offer.
Get Started With IvyRx10. Sprout Health
Last on our list, we have Sprout Health with a score of 7 out of 10. They focus on creating sustainable and healthy lifestyle changes by combining evidence-based treatment with guidance from skilled healthcare providers. Patients benefit from a comprehensive approach that addresses both physical and emotional well-being.
To get started ,you need to fill in their quiz. This is going to determine if you are eligible to get the medication. If you are approved, you select the medication you want, and it gets shipped directly to your home.
Key Specifications
Telehealth with prescription: Yes
Accepts insurance: No
Consultation fee: No
Membership fee: No
Medications available: Compounded semaglutide or tirzepatide
Pros and Cons
✅ Pros
- Doesn’t require a membership.
- People often report quick prescription approval and shipping.
- Fixed pricing regardless of the dosage.
- Prescriptions are reviewed by licensed providers.
❌ Cons
- Mixed reviews regarding their customer service.
- Doesn’t have transparent pricing; you need to do their quiz first.
Pricing
They offer a monthly subscription starting at $249 per month. They do offer an initial pricing of $199 during your first month, but then it increases to at least $249. It’s unclear if the price changes based on the dosage.
What Customers Are Saying
One of the biggest disadvantages of Sprout is its customer reviews. They have a 2.5-star review on TrustPilot. Most of the of which state that they have poor customer service, and raising the concern if medical professionals are actually reviewing the quiz information.
The Bottom Line
Sprout Health can be a good option if you are looking for a medical weight loss company that doesn’t have any hidden or membership fees. However, customer reviews are not positive, not regarding the medication or the program, but the poor customer service they offer.
Get Started With Sprout HealthFinal Words: Making an Informed Decision
Choosing a tirzepatide provider is a big medical decision. While price is important, safety and reliability are the most important things to consider when choosing a provider.
For 2026, Online Semaglutide takes our top spot for its balance of value and speed, and most importantly, transparent pricing. Remember that before you start any weight loss journey, you should consult with your primary care physician to ensure that these medications are safe for your specific health history.