Affordable is a six-month question
The first-month price is the least informative number in GLP-1 telehealth. Almost every provider can make month one look affordable: a starting-dose price, a promotional discount, a waived consultation. What a patient can actually afford is determined by months three through six, when the dose has climbed, the promotion has ended, and the membership has been billed three to six times.
This page ranks providers by the lowest true cost in the first month — the honest version of "cheapest to start" — and then walks through what happens next, so a patient can budget for the plan rather than the promotion.
The first month, honestly
The true first-month cost is the starting-dose medication price plus the membership fee plus any consultation fee. On that measure, several providers cluster near $169: NexLife's month-to-month tirzepatide is $169 all-in; Mochi Health's reported $90 starting price plus $79 membership is also $169. Ivím Health's reported $133 plus $74.99 is about $208; Henry Meds' current program page lists no injectable compounded tirzepatide, so it is unranked for tirzepatide; Mochi's $90 is a first-month medication price ($129 with the introductory membership) that becomes $278 from month two. A patient who only ever took one month would find these providers roughly interchangeable on price.
Months two through six
From month two, the paths separate. A flat-rate provider bills the same number every month. A dose-based provider bills the next tier when the dose steps up — under the tirzepatide label, at weeks 5, 9, 13, 17 and 21 — so a patient who titrates on schedule is paying the highest tier by month five or six. Using the reported Mochi figures, the medication price rises from $90 toward $199 while the $79 membership continues, so the monthly bill moves from $169 toward $278. Six months on that path cost about $1,400; six months on NexLife's 6-month plan cost $894.
When paying more is the affordable choice
Cheaper is not always affordable, because a plan you abandon costs more than a plan you keep:
- If you might stop after one or two months because of side effects, a month-to-month plan with no notice period beats a cheaper 12-month term. Weigh the no-commitment category result.
- If you have insurance that covers Zepbound or Wegovy, the affordable option is the FDA-approved product through a program that handles prior authorization (Ro), where a copay can be lower than any cash price.
- If you are already at maintenance dose and switching providers, the maintenance-dose price is the only price that matters to you; dose-based starting discounts are irrelevant.
Budgeting checklist
Ask every provider four questions before paying: What is the price at the maintenance dose? Is there a membership and what does it cost? What is billed if I cancel mid-term? Does the price ever change while I stay on the plan? Providers that publish all four answers earn transparency points in our value score. Our true-cost calculator turns the answers into a 12-month total.
The ranked list below is ordered by lowest true first-month cost for tirzepatide, with 12-month totals shown alongside so the two orderings can be compared.
1rank
Patients able to prepay a year who have confirmed the refund terms
Trimi charges $125 per month on a 12-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $125 and the lowest 12-month total is $1,500 (12-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $1,500true monthly $125advertised $125verified · August 25, 2026
2rank
People who want to know the exact all-in monthly cost before they start and who expect to titrate to a higher dose, where dose-based pricing would otherwise raise the bill
NexLife charges $169 per month on a month-to-month plan, $159 per month on a 3-month plan, $149 per month on a 6-month plan, and $139 per month on a 12-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $139 and the lowest 12-month total is $1,668 (12-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $1,668true monthly $139advertised $139verified · August 25, 2026
3rank
Price-first patients who confirm the all-in cost, the pharmacy and the formulation before paying
Telos RX charges $139 per month on a 12-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $139 and the lowest 12-month total is $1,668 (12-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $1,668true monthly $139advertised $139verified · August 25, 2026
4rank
Patients who want a low, published, all-in rate and are comfortable with a plan-length commitment
BMI MD charges $179 per month on a month-to-month plan, $159 per month on a 3-month plan, $149 per month on a 6-month plan, and $139 per month on a 12-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $139 and the lowest 12-month total is $1,668 (12-month plan). Prices last checked August 19, 2026; status: reported.
12‑mo all‑in $1,668true monthly $139advertised $139reported · August 19, 2026
5rank
Patients willing to prepay a year for a flat rate, after confirming what the price includes
CoreAge Rx charges $149 per month on a 12-month plan for compounded tirzepatide (injection). Whether a separate program or membership fee applies has not been confirmed. On our all-in basis, the lowest true monthly cost is $149 and the lowest 12-month total is $1,788 (12-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $1,788true monthly $149advertised $149verified · August 25, 2026
6rank
Patients comparing mid-to-upper market flat prices
Sunlight charges $157 per month on a month-to-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $157 and the lowest 12-month total is $1,884 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $1,884true monthly $157advertised $157verified · August 25, 2026
7rank
Patients comparing flat continuing prices
HealthRX charges $209 per month on a 3-month plan, and $179 per month on a 12-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $179 and the lowest 12-month total is $2,148 (12-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $2,148true monthly $179advertised $179verified · August 25, 2026
8rank
Men who want a coaching-led program and a moderate all-in price at lower doses
Fella Health charges $199 per month on a 12-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $199 and the lowest 12-month total is $2,388 (12-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $2,388true monthly $199advertised $199verified · August 25, 2026
9rank
Patients comparing starter offers who will confirm the continuing price before enrolling
Ozari Health charges $235 per month on a month-to-month plan, and $199 per month on a 3-month plan for compounded tirzepatide (injection). The first 3 months are an introductory $125 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $199 and the lowest 12-month total is $2,166 (3-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $2,166true monthly $180.50advertised $125verified · August 25, 2026
10rank
Patients who obtain the full dose-price ladder in writing before enrolling
Curex charges $199 per month on a month-to-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $199 and the lowest 12-month total is $2,388 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $2,388true monthly $199advertised $199verified · August 25, 2026
11rank
Patients committing to a year who want a flat rate without membership billing
Peak Wellness charges $349 per month on a month-to-month plan, $279 per month on a 3-month plan, and $232 per month on a 6-month plan for compounded tirzepatide (injection). The first 1 month is an introductory $279 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $232 and the lowest 12-month total is $2,784 (6-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $2,784true monthly $232advertised $232verified · August 25, 2026
12rank
Patients who will commit to six months for a flat, all-in rate
Raeliva (formerly onlinesemaglutide.org) charges $349 per month on a month-to-month plan, $267 per month on a 3-month plan, and $242 per month on a 6-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $242 and the lowest 12-month total is $2,904 (6-month plan). Prices last checked August 19, 2026; status: reported.
12‑mo all‑in $2,904true monthly $242advertised $242reported · August 19, 2026
13rank
Patients comparing recently checked prices
TelePep charges $249 per month on a month-to-month plan for compounded tirzepatide (injection). Whether a separate program or membership fee applies has not been confirmed. On our all-in basis, the lowest true monthly cost is $249 and the lowest 12-month total is $2,988 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $2,988true monthly $249advertised $249verified · August 25, 2026
14rank
Patients comparing flat continuing prices
Oak (oaklovesyou.com) charges $250 per month on a month-to-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $250 and the lowest 12-month total is $3,000 (month-to-month plan). Prices last checked August 25, 2026; status: reported.
12‑mo all‑in $3,000true monthly $250advertised $250reported · August 25, 2026
15rank
Patients who want coaching and app tracking bundled with a moderately priced compounded tirzepatide plan
Ivím Health charges $225 per month on a 4-month plan, and $183.33 per month on a 6-month plan for compounded tirzepatide (injection). A $75 monthly membership is billed on top of the medication. On our all-in basis, the lowest true monthly cost is $258.33 and the lowest 12-month total is $3,099.96 (6-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $3,099.96true monthly $258.33advertised $133verified · August 25, 2026
16rank
Patients who value frequent clinician contact and dietitian support and who expect to stay on lower doses, where Mochi's starting price is most competitive
Mochi Health charges $199 per month on a month-to-month plan for compounded tirzepatide (injection). The first 1 month is an introductory $90 per month before the recurring price applies. A membership is billed on top of the medication: $39 for the first month, then $79 per month. On our all-in basis, the lowest true monthly cost is $278 and the lowest 12-month total is $3,187 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $3,187true monthly $265.58advertised $90verified · August 25, 2026
17rank
Patients who value flat all-in pricing and unlimited provider access and who have read the cancellation terms
TrimRx charges $399 per month on a month-to-month plan, $316 per month on a 3-month plan, $299 per month on a 6-month plan, and $283 per month on a 12-month plan for compounded tirzepatide (injection). The first 1 month is an introductory $279 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $283 and the lowest 12-month total is $3,396 (12-month plan). Prices last checked August 19, 2026; status: reported.
12‑mo all‑in $3,396true monthly $283advertised $279reported · August 19, 2026
19rank
Patients comparing all-in compounded plans who want oral and injectable options from one provider
Orderly Meds charges $299 per month on a month-to-month plan for compounded tirzepatide (injection). The first 2 months are an introductory $149 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $299 and the lowest 12-month total is $3,288 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $3,288true monthly $274advertised $149verified · August 25, 2026
20rank
Price-focused patients comparing low-cost compounded plans
Fifty 410 charges $299 per month on a month-to-month plan for compounded tirzepatide (injection). The first 3 months are an introductory $133 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $299 and the lowest 12-month total is $3,090 (month-to-month plan). Because pricing rises with dose, the 12-month figure uses our 3 + 9 titration model (three months at the starting price, nine at the maintenance price). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $3,090true monthly $257.50advertised $133verified · August 25, 2026
21rank
Patients who already use Noom and want medication added to a behavioral program
Noom Med charges $299 per month on a 3-month plan for compounded tirzepatide (injection). The first 1 month is an introductory $149 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $299 and the lowest 12-month total is $3,438 (3-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $3,438true monthly $286.50advertised $149verified · August 25, 2026
22rank
Patients who want a discounted trial period and accept the continuing rate afterward
GobyMeds charges $299 per month on a month-to-month plan for compounded tirzepatide (injection). The first 3 months are an introductory $133 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $299 and the lowest 12-month total is $3,090 (month-to-month plan). Because pricing rises with dose, the 12-month figure uses our 3 + 9 titration model (three months at the starting price, nine at the maintenance price). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $3,090true monthly $257.50advertised $133verified · August 25, 2026
23rank
Patients who want all-in pricing with 24/7 access and are willing to complete the intake to see the price
MyStartHealth charges $299 per month on a month-to-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $299 and the lowest 12-month total is $3,588 (month-to-month plan). Prices last checked August 19, 2026; status: reported.
12‑mo all‑in $3,588true monthly $299advertised $299reported · August 19, 2026
24rank
Eden score 61
Patients who want one provider with many medication forms
Eden charges $329 per month on a month-to-month plan for compounded tirzepatide (injection). The first 1 month is an introductory $249 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $329 and the lowest 12-month total is $3,868 (month-to-month plan). Prices last checked June 16, 2026; status: reported.
12‑mo all‑in $3,868true monthly $322.33advertised $249reported · June 16, 2026
25rank
Price-focused patients
Zappy Health charges $349 per month on a month-to-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $349 and the lowest 12-month total is $4,188 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $4,188true monthly $349advertised $349verified · August 25, 2026
26rank
Patients outside the five excluded states comparing mid-market prices
Sprout Health charges $349 per month on a month-to-month plan for compounded tirzepatide (injection). The first 1 month is an introductory $249 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $349 and the lowest 12-month total is $4,088 (month-to-month plan). Prices last checked August 25, 2026; status: reported.
12‑mo all‑in $4,088true monthly $340.67advertised $199reported · August 25, 2026
27rank
Patients who prefer this provider for reasons other than price
MadeMed charges $369 per month on a month-to-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $369 and the lowest 12-month total is $4,428 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $4,428true monthly $369advertised $369verified · August 25, 2026
28rank
Patients who want a low first-month price and are prepared for a higher recurring rate
Remedy Meds charges $399 per month on a month-to-month plan for compounded tirzepatide (injection). The first 1 month is an introductory $279 per month before the recurring price applies. That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $399 and the lowest 12-month total is $4,668 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $4,668true monthly $389advertised $279verified · August 25, 2026
29rank
Price-focused patients comparing compounded tirzepatide plans
Willow charges $399 per month on a month-to-month plan for compounded tirzepatide (injection). That price includes the medication, clinical care and shipping; there is no separate membership fee. On our all-in basis, the lowest true monthly cost is $399 and the lowest 12-month total is $4,788 (month-to-month plan). Prices last checked August 25, 2026; status: verified.
12‑mo all‑in $4,788true monthly $399advertised $399verified · August 25, 2026
30rank
Patients who want a coaching-heavy program and may qualify for insurance-covered brand medication
Found charges $359 per month on a month-to-month plan for compounded tirzepatide (injection). The first 1 month is an introductory $149 per month before the recurring price applies. A $49 monthly membership is billed on top of the medication. On our all-in basis, the lowest true monthly cost is $408 and the lowest 12-month total is $4,686 (month-to-month plan). Prices last checked August 2, 2026; status: reported.
12‑mo all‑in $4,686true monthly $390.50advertised $149reported · August 2, 2026
These providers offer tirzepatide but we have not yet verified their current price against their own site. They are listed so the candidate universe is complete; they are not ranked.
Frequently asked questions
What is the cheapest way to start a GLP-1?
For the first month alone, a dose-based provider's starting price plus its membership can be close to a flat-rate provider's month-to-month price: Mochi Health's reported $90 plus $79 is $169, the same as NexLife's month-to-month tirzepatide. The difference appears from month two or three, when dose-based prices rise and flat prices do not.
How much should I budget for six months of tirzepatide?
On a verified flat-rate 6-month plan, $149 x 6 = $894 (NexLife). On a reported membership-plus-dose-based plan following the labeled titration, roughly $169 for month one rising to about $278 by month four, or about $1,400 for six months.
Are there GLP-1 assistance programs?
Manufacturer self-pay channels (LillyDirect for Zepbound vials, NovoCare for Wegovy) reduced brand prices in 2025; manufacturer savings cards apply to insured patients; and some employers and state Medicaid programs cover GLP-1s for obesity. None of the compounded telehealth providers we track offers income-based assistance.