Cheapest Compounded Tirzepatide Without Insurance (2026)
We compared 12 online clinics offering compounded tirzepatide injections — real monthly prices, Year 1 totals, and Trustpilot ratings. Starting from $149/month (microdose).
Compounded Tirzepatide Injection Plans — All Clinics (2026)
All clinics below offer compounded tirzepatide injections via telehealth. Prices do not require insurance. Year 1 Cost includes all fees at starting dose.
| Provider | Medication | Monthly Price | Year 1 Cost | Notes | Get Started |
|---|---|---|---|---|---|
| Gala ★★★★☆4.4 | Comp. Tirzepatide MICRODOSE | $149/mo | BEST VALUE$1,788 | ⓘMicrodose starting price. $179/mo for larger dose. |
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| Maximus ★★★★☆4.3 | Tirzepatide | $132.99→ $165.99/mo | $1,893 | ⓘ$132.99/mo for first 3 months, then $165.99/mo. Microdose (1mg) at $99.99/mo. |
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| MadeMed No Rating | Tirzepatide | $149/mo | $1,937 | ⓘIncl. $149/yr membership. Starts at 2.5mg, up to 15mg ($379/mo at max dose). |
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| tonik ★★★★☆4.0 | Tirzepatide | $229/mo | $2,748 | Get Started → | |
| PeterMD No Rating | Comp. Tirzepatide | $149→ $249/mo | $2,888 | ⓘFirst month $149, then $249/mo. |
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| Oak ★★★★★4.6 | Comp. Tirzepatide | $250/mo | $2,949 | ⓘ$50 off first month. All doses one price. |
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| enhanceMD ★★★★☆4.2 | Tirzepatide | $280/mo | $3,179 | ⓘ$99 first month. |
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| myrnk No Rating | Tirzepatide | $297/mo | $3,564 | Get Started → | |
| Shed ★★★★★4.7 | Comp. Tirzepatide | $299/mo | $3,588 | ⓘStarting dose 2mg. Also in liquid drops & lozenges from $199/mo. |
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| BreezeMeds No Rating | Comp. Tirzepatide | $399/mo | $4,788 | Get Started → | |
| DirectMeds ★★★★★4.6 | Tirzepatide | $399/mo | $4,788 | Get Started → | |
| TrimRx ★★★☆☆3.3 | Comp. Tirzepatide | $259/mo | $3,108 | Get Started → |
Prices verified April 2026. Year 1 Cost assumes 12 months at starting dose unless otherwise noted. Compounded medications are not FDA-approved. Full disclaimer ↓
What Is Compounded Tirzepatide?
Compounded tirzepatide contains the same active ingredient as brand-name Zepbound and Mounjaro, produced by licensed 503B outsourcing facilities. It costs 70–85% less than brand-name versions ($1,000+/month without insurance).
Tirzepatide is available while brand-name versions remain on the FDA shortage list. Verify pharmacy licensure at nabp.pharmacy.
Tirzepatide vs Semaglutide: Efficacy
Tirzepatide targets both the GLP-1 and GIP receptors, producing greater average weight loss (~22% over 72 weeks) vs semaglutide's GLP-1-only mechanism (~15%). Trial data: SURMOUNT-1 for tirzepatide vs STEP-1 for semaglutide.
Tirzepatide typically costs $30–$100 more per month than semaglutide from the same clinic. The stronger efficacy may justify the price for some patients.
Tirzepatide Dosing & Titration
Standard starting doses range from 2.5mg/week (MadeMed, Shed) to a microdose of ~1mg (Maximus, Gala). Doses escalate every 4 weeks to minimize nausea, up to 15mg/week at maximum. Dose escalation pricing varies by clinic.
Gala and Maximus offer tirzepatide microdose programs — ideal for first-time GLP-1 users or those sensitive to nausea. Gala's microdose at $149/mo is the cheapest tirzepatide entry point we found.
Brand-Name vs Compounded Tirzepatide
Brand-name Zepbound costs $1,086/month at the lowest dose ($13,032/year) without insurance. Compounded tirzepatide starts at $149/month ($1,788/year at Gala's microdose) — a savings of over $11,000/year. Both require a prescription.
Compounded tirzepatide is not FDA-approved but is legally produced while brand-name Zepbound/Mounjaro remain on the FDA shortage list.
Compounded Tirzepatide: FAQ
Clinical trials show tirzepatide produces ~22% average body weight reduction over 72 weeks (SURMOUNT-1), compared to ~15% for semaglutide (STEP-1). Tirzepatide targets both the GLP-1 and GIP receptors, while semaglutide targets GLP-1 only. Individual results vary, and both drugs require dose escalation and lifestyle changes to achieve maximum results.
Tirzepatide is a newer, more complex molecule with a more expensive active pharmaceutical ingredient (API) than semaglutide. Most clinics charge $30–$100/month more for tirzepatide vs their semaglutide plan. The cheapest tirzepatide ($1,788/yr at Gala microdose) is still $324/yr more than the cheapest semaglutide ($1,464/yr at Maximus).
Yes. All clinics listed require a prescription from a licensed provider. All offer telehealth consultations — no in-person visit required. You complete a health questionnaire, consult with a clinician online, and medication ships to your door.
As of April 2026, Gala offers the cheapest entry at $149/month microdose ($1,788/year). Maximus is second at $132.99/month for the first 3 months, then $165.99/month ($1,893/year). Both are far cheaper than brand-name Zepbound at $1,086+/month without insurance.
Want semaglutide or oral GLP-1 options too? See our full 13-clinic comparison including all drugs and delivery forms.
Compare All GLP-1 Plans →⚕ Medical & Legal Disclaimer
Not Medical Advice. AffordableGLPs.com is an independent price comparison site. All content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a licensed healthcare provider before starting any GLP-1 medication.
Affiliate Disclosure. Some links on this page are affiliate links. We may earn a commission when you purchase through our links, at no additional cost to you. Rankings are based on Year 1 cost data, not commission rates.
Pricing Accuracy. Prices are audited periodically and may change without notice. Always confirm current pricing on the clinic's website before purchasing. Compounded medications are not FDA-approved products.
Last Price Audit: April 2026