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Ten programs. Six tests. Every price dated.
Best tirzepatide providers online (2026): 10 compared on price and care
By the NexLife Medical Team · Medically reviewed by Adam Kennah, MD · Updated
The best tirzepatide providers depend on your need: LillyDirect for brand-name Zepbound, Ro for insurance checks, PreventiveMD for $139 a month, Rx.com for no auto-renewal (checked November 1, 2026). NexLife, this guide’s publisher, is $139 a month on the 12-month plan or $169 month to month.
NexLife publishes this comparison and is one of the 10 providers in it. Every program, ours included, faces the same six tests, and every price links to its source.
$139/mo on 12 months, every dose · Price Match Guarantee† · 4.8 on Trustpilot · 407 reviews
- Five of the 10 keep one price at every dose
- Four of the 10 charge more in month two
- Compounded and brand-name Zepbound, priced side by side
$139/mo on a 12-month plan, all-inclusive, same price at every dose
Or $169/mo month to month
About 3 minutes of health questions · No insurance needed · Not prescribed? No charge for medication
4.8 out of 5 on Trustpilot, 407 reviewsLegitScript-certified
Compounded, not FDA-approved. A licensed provider prescribes it only when it offers a significant difference for you. The vial shown is an illustration. Always use the strength on your pharmacy’s label.
Month two costs what month one did: no intro price to wear off, and the same price at every dose.
Brand-name Zepbound: $299 to $449 a month at LillyDirect, by dose; $449 (7.5 to 15 mg) needs a refill within 45 days, or it’s $499 to $699
See all 4 plans and what a year costs
| Plan | Per month | 12 months at this rate |
|---|---|---|
| 12-month Lowest monthly price | $139 | $1,668 |
| 6-month | $149 | $1,788 |
| 3-month | $159 | $1,908 |
| Month to month | $169 | $2,028 |
Month to month costs $360 more over 12 months than the 12-month plan. Plans renew until you cancel. Longer plans bill the way you choose at checkout.
Price Match Guarantee†. Paying less elsewhere? We match your regular monthly price. How it works
- Licensed U.S. providers
- LegitScript certified
- Free expedited shipping
- HSA, FSA, Affirm, Klarna, Afterpay
- 24/7 support, real people
- Filled by Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA)
Top 10 tirzepatide providers online, by month-to-month price
- PreventiveMD: Month to month, no membership fee · $139/mo month to month
- Mochi Health: Obesity-medicine doctors · $169/mo at the lowest dose
- NexLife: Publisher of this guide · $169/mo month to month
- Ondra Health: Plan lengths from 1 to 12 months · $219/mo month to month
- Rx.com: No automatic renewals · $285/mo month to month
- LillyDirect: Zepbound at Lilly’s price · $299–$449 per 28-day supply ($449, from 7.5 mg, needs a refill within 45 days; otherwise $499–$699)
- Noom: Most coaching · $299/mo after a $149 first month
- Remedy Meds: Unlimited clinician access · $399 every 4 weeks
- Hims: 24/7 provider messaging · From $448 with membership
- Ro: Insurance checks · $448–$598 with membership
Listed by month-to-month price at the starting dose, lowest first; ties A to Z. NexLife publishes this guide and doesn’t rank itself.
- Tell us about you About 3 minutes of health questions
- A licensed provider decides You’re prescribed only if it’s right for you
- Your partner pharmacy ships Usually within 1 to 2 business days, free
Key takeaways
- No single best provider: we compared 10 on all-in price and care, checked November 1, 2026.
- Month to month, no membership: PreventiveMD, $139 a month at every dose. It isn’t available in six states and D.C.
- Brand-name Zepbound: LillyDirect, $299 to $449 by dose; $449, from 7.5 mg, needs a refill within 45 days, or it’s $499 to $699.
- Insurance help: Ro checks your Zepbound coverage for free; in cash, it’s $448 to $598 a month with its membership.
- No automatic renewals: Rx.com, $285 a month at every dose. Nothing ships or bills until you confirm a refill.
- NexLife, which publishes this guide, is $139 a month on the 12-month plan or $169 month to month, at every dose.
Finder
Which tirzepatide provider fits you? Find out in 3 questions
We’ll point you to the right provider, even when it isn’t us.
1. Could your insurance cover brand-name Zepbound?
2. Brand-name or compounded?
3. What matters most to you?
Compounded, not FDA-approved. A licensed provider prescribes it only when it offers a significant difference for you.
Quick picks
The best tirzepatide provider for each need
There’s no single best provider for everyone. Here’s the best fit for each common need, using only prices each company publishes.
Month to month, no membership
PreventiveMD
$139/mo at every dose No membership, consultation or cancellation fees, and your card is charged only after a provider approves. Not available in six states and D.C., including New Jersey.
No automatic renewals
Rx.com
$285/mo at every dose Nothing ships or bills until you confirm a refill, and you can cancel any time, with no notice period.
Brand-name Zepbound
LillyDirect
$299–$449/mo FDA-approved Zepbound at Lilly’s own self-pay price ($449, from 7.5 mg, needs a refill within 45 days; otherwise $499–$699). You’ll need a prescription.
Insurance help
Ro
$448–$598/mo in cash A free coverage check for Zepbound. The cash price includes Ro’s $149 membership.
Most coaching
Noom
$149, then $299/mo Compounded tirzepatide plus Noom’s behavior-change program and 1:1 coaching.
Publisher of this guide
NexLife
$139/mo on 12 months, $169 month to month That’s us: we publish this guide. All in, with no membership: a provider, a nutrition plan, a coaching call and real people 24/7. Paying less elsewhere? We match it.†
Compare
How much do the top 10 tirzepatide providers charge?
Month to month, all in, compounded tirzepatide runs from $139 at PreventiveMD to $399 every 4 weeks at Remedy Meds (checked November 1, 2026). On a 12-month plan, the lowest in our price index is Cora’s $135 a month, paid upfront. Brand-name Zepbound is $299 to $449 at LillyDirect (the $449, from 7.5 mg, needs a refill within 45 days), or from $448 with Ro’s or Hims’s membership.
What changed this month: We re-checked every price on each company’s own site on November 1, 2026. PreventiveMD’s price table didn’t load that day; we confirmed its $139 month-to-month price on November 2, 2026. Rx.com’s tirzepatide no longer serves Louisiana or Mississippi, and PreventiveMD no longer lists Alaska among the states it doesn’t serve. Every other price is unchanged. In October we added our three-question finder, and state links now go only to live state pages and our state-by-state guide.
| Provider | Month to month, all in | As your dose rises | Membership fee | Lowest prepaid rate | Best for |
|---|---|---|---|---|---|
| Compounded tirzepatide (not FDA-approved) | |||||
| PreventiveMDCompounded | $139 | Stays $139 | None | – | Month to month, no membership fee |
| Mochi HealthCompounded | $169 at the lowest dose | Rises with dose | $79/mo included in the $169 | $49/mo membership on 12 months, plus medication | Obesity-medicine doctors |
| NexLifeCompounded · This is us | $169 | Stays $169 | None | $139/mo 12-month plan | Publisher of this guide |
| Ondra HealthCompounded | $219 | Stays $219 | None | $142/mo 12 months, $1,699 upfront; some pharmacies | Plan lengths from 1 to 12 months |
| Rx.comCompounded | $285 | Stays $285 | None | $149/mo 12 months, $1,788 upfront | No automatic renewals |
| NoomCompounded | $299 after a $149 first month | Not listed by dose | Program included | $897 billed every 12 weeks | Most coaching |
| Remedy MedsCompounded | $399 per 4 weeks, after $279 at first | Stays $399 | None listed | None listed | Unlimited clinician access |
| Brand-name Zepbound (FDA-approved) | |||||
| LillyDirectZepbound | $299–$449 per 28-day supply ($449, from 7.5 mg, needs a refill within 45 days; otherwise $499–$699) | $299 to $449 | None | None listed | Zepbound at Lilly’s price |
| HimsZepbound | From $448 with the $149 membership | Varies by dose | $149/mo $39 the first month | None listed | 24/7 provider messaging |
| RoZepbound | $448–$598 with the $149 membership | $448 to $598 | $149/mo $39 the first month | $74/mo membership, prepaid a year, plus medication | Insurance checks |
Swipe the table sideways to see every column.
Prices from each company’s own site, checked November 1, 2026. Month to month means no prepay. “All in” means medication plus any membership you must pay. Compounded tirzepatide isn’t FDA-approved; Zepbound is, so they’re listed separately. Zepbound’s $449, from 7.5 mg, needs a refill within 45 days.
NexLife Price Match Guarantee†. Already on compounded tirzepatide with another licensed provider, and paying less? We match your regular monthly price. How it works
Method
How do we compare the 10 tirzepatide providers?
We put all 10 through six tests: the all-in monthly price, month two, the price as your dose rises, care between refills, how you leave, and whether it’s a real prescription.
They’re listed by month-to-month price, lowest first. NexLife publishes this guide, so we don’t rank or score ourselves. Our quick picks name the best fit for each need from the other nine, even when that means pointing you elsewhere.
Prices come from each company’s own site, checked November 1, 2026, and each links to its source. We compare month to month with month to month, and prepaid with prepaid. Brand-name Zepbound is FDA-approved and compounded tirzepatide isn’t, so they’re listed separately. Competitors’ Trustpilot ratings were read November 1, 2026; ours on November 1, 2026. No company paid to be included. What a good answer to each test looks like.
The month-two test
What does tirzepatide cost in month two, after the intro price?
Four of the ten charge more in month two at the same dose: Noom goes from $149 to $299 and Remedy Meds from $279 to $399 (every 4 weeks), and Ro’s and Hims’s $39 first month of membership becomes $149. PreventiveMD, Rx.com, LillyDirect, Ondra Health and NexLife charge the same both months; Mochi Health’s month one is $90 at the lowest dose where its $0 first-month membership is offered, then $169 (checked November 1, 2026).
A low first month is easy to advertise. So we compared month one with month two, at the same dose, month to month, all in.
Compounded tirzepatide
Brand-name Zepbound, 2.5 mg
Month two at the same dose as month one, month to month, all in. Ro and Hims charge $39 for the first month of membership, then $149. Remedy Meds bills every 4 weeks. Rx.com and Ondra Health list one month-to-month price at every dose, with no intro price. Checked November 1, 2026.
At NexLife, month two costs what month one did. No intro price to wear off, and no membership that starts charging later.
Price by dose
Which tirzepatide providers charge one price at every dose?
Five of the ten charge one price at every dose: PreventiveMD, Rx.com, Remedy Meds, Ondra Health and NexLife. Brand-name Zepbound rises with the dose: $299 at 2.5 mg to $449 from 7.5 mg at LillyDirect, or $448 to $598 at Ro with its membership; LillyDirect’s $449 needs a refill within 45 days. Mochi Health and Hims price by dose too. Tap a dose to compare.
With FDA-approved tirzepatide, treatment starts at 2.5 mg once a week for four weeks; a clinician can then raise the dose in 2.5 mg steps, at least four weeks apart, up to 15 mg. Your prescriber sets your actual dose, and not everyone needs the highest one.
Month-to-month prices. LillyDirect’s 7.5 to 15 mg prices need a refill within 45 days; otherwise they’re $499 at 7.5 mg and $699 at 10 to 15 mg. Ro’s include its $149 monthly membership. Not charted: Mochi Health and Hims (they price by dose, but we didn’t find every dose listed) and Noom (no prices by dose). Rx.com and Ondra Health list one price at every dose, so their bars don’t move. Checked November 1, 2026.
How to choose
How do you choose a tirzepatide provider online?
Ask six questions of any provider, ours included: what you pay all in each month, what month two costs, whether the price rises with your dose, who follows your care between refills, how you leave, and whether a licensed provider reviews your history before a state-licensed pharmacy fills the prescription. Here’s what a good answer sounds like.
What’s the all-in monthly price?
Medication plus any membership or program fee you must pay. A $90 medication with a $79 membership is $169.
What happens in month two?
Intro prices end. Compare month two, at the same dose, before you compare month one.
What happens when your dose goes up?
Most people start at 2.5 mg and step up. Some programs charge more at every step; others keep one price.
Who’s with you between refills?
A licensed provider who follows your dose, and real people who answer when you have a question, including about your order.
How do you leave?
Through its prepay terms, automatic renewals and notice period, which a clear program states before you sign up.
Is it a real prescription?
A licensed provider should review your health history before prescribing, and a state-licensed pharmacy should fill it. If a site sells tirzepatide with no prescription, or as “research use only,” walk away. Compare legit tirzepatide providers, or see where to buy tirzepatide online safely.
In their words
What do the FDA and the label say that matters when choosing a tirzepatide provider?
Three lines, in their own words.
Most people start at 2.5 mg and step up, so compare each program’s price at the higher doses too.
“The 2.5 mg dosage is for treatment initiation and is not approved as a maintenance dosage.”
Eli Lilly and Company, Zepbound (tirzepatide) prescribing information
This is the sixth test above, “Is it a real prescription?”, in the FDA’s words.
“Patients should obtain a prescription from their doctor and fill the prescription at a state-licensed pharmacy.”
U.S. Food and Drug Administration, FDA’s concerns with unapproved GLP-1 drugs used for weight loss
This holds for every compounded program here, NexLife included, while brand-name Zepbound from LillyDirect is FDA-approved.
“Compounded drugs are not FDA-approved. This means that FDA does not verify the safety, effectiveness or quality of compounded drugs before they are marketed.”
U.S. Food and Drug Administration, Compounding and the FDA: Questions and Answers
Check any program
How do you check a tirzepatide program before you pay?
Ask every program the same six questions, ours included. Here are NexLife’s answers. Copy the questions to ask the others.
| Ask this | NexLife’s answer |
|---|---|
| What’s the all-in monthly price? | $139 a month on the 12-month plan or $169 month to month, with no membership fee. |
| Does the price change in month two, or as my dose rises? | No. There’s no intro price to wear off, and it’s the same at every dose. |
| Who prescribes it, and who fills it? | A licensed provider reviews your health history and decides. One of two named partner pharmacies fills it: Absolute Pharmacy (Lutz, FL) or Boudreaux’s New Drug Store (Lake Charles, LA). |
| Is the program LegitScript-certified? | Yes. NexLife is LegitScript-certified. |
| How do I cancel? | By email. It takes effect 30 days after NexLife receives it. |
| What if I’m not prescribed? | You aren’t charged for medication. |
Reviews
The 10 best places to buy tirzepatide online, reviewed
Month to month, PreventiveMD is lowest of the 10 at $139, and Rx.com doesn’t renew on its own (checked November 1, 2026). LillyDirect sells Zepbound at Lilly’s price, $299 to $449; $449 (7.5 to 15 mg) needs a refill within 45 days, or it’s $499 to $699. Each faces the six tests above and is listed by month-to-month price, lowest first; every price links to the company’s own page.
PreventiveMD
Month to month, no membership fee · Compounded tirzepatide · 4.9 out of 5 on Trustpilot
$139/momonth to month, every dose
Best for month-to-month care with no membership fee ($139/mo at every dose). A low flat price that never changes with your dose, and no consultation or cancellation fees. Provider reviews are asynchronous: there are no live appointments.
Good to know
- $139 a month, month to month, at every dose
- Your card is charged only after a provider approves
- You can choose the pharmacy at checkout
Watch for
- Not available in Arkansas, D.C., Mississippi, New Jersey, New Mexico, South Dakota or West Virginia
- No live visits, and plans renew automatically by default
Source: PreventiveMD’s own site, checked November 1, 2026.
Mochi Health
Obesity-medicine doctors · Compounded tirzepatide · 4.5 out of 5 on Trustpilot
$169/moat the lowest dose
Best for care from obesity-medicine providers, with insurance help for brand-name medicines (from $169/mo at the lowest dose). Video visits with board-certified obesity-medicine providers and registered dietitians. Medication is priced by dose, on top of a membership.
Good to know
- $79 monthly membership, or $49 a month on a 12-month plan
- Compounded tirzepatide from $90 a month, shipping included
- Insurance support, including prior authorizations
Watch for
- Medication costs more as your dose rises
- The $169 is the lowest dose, month to month
Source: Mochi Health’s own site, checked November 1, 2026. · Mochi Health costs and alternatives
NexLife
Publisher of this guide · Compounded tirzepatide · 4.8 out of 5 on Trustpilot
$139/mo on 12 months12-month plan · $169 month to month
Our plan: one all-in price from 2.5 mg to 15 mg, with no membership fee, care that doesn’t stop at the prescription and our Price Match Guarantee†.
Good to know
- $139 a month on a 12-month plan, or $169 month to month, at every dose
- A licensed provider, a personalized nutrition plan and a 1:1 coaching call
- Real people 24/7 by call or text, and we handle the pharmacy for you
- Named partner pharmacies and a named medical director
Watch for
- Compounded tirzepatide isn’t FDA-approved
- No brand-name Zepbound, and no insurance billing
Source: Our pricing page, checked November 1, 2026.
Ondra Health
Plan lengths from 1 to 12 months · Compounded tirzepatide · 37 reviews on Trustpilot
$219/momonth to month, every dose
Best for choosing a plan length, from month to month up to 12 months ($219/mo month to month at every dose). One price across titration doses, with named partner pharmacies and a named medical director. Which plan lengths you can buy depends on the pharmacy that serves your state.
Good to know
- $219 a month, month to month, at every dose
- $183 a month on a 3-month plan ($549), $167 on 6 months, or $142 on 12 months ($1,699 upfront)
- Names its partner pharmacies: Optio RX, Hallandale Pharmacy and Vials RX
- Medical director Dr. David Wasef, MD (Wasef Health, PC), and a named chief medical officer
Watch for
- 6- and 12-month plans only through some of its pharmacies, depending on your state
- Only 37 Trustpilot reviews so far, and cancellation terms aren’t stated on the pages we checked
Source: Ondra Health’s own site, checked November 1, 2026.
Rx.com
No automatic renewals · Compounded tirzepatide · 4.1 out of 5 on Trustpilot (6 reviews)
$285/momonth to month, every dose
Best for control over refills, with no automatic renewals ($285/mo at every dose). One price from 2.5 mg to 15 mg, and nothing ships or bills until you confirm a refill. Longer plans bring the monthly price down.
Good to know
- $285 a month, month to month, at every dose
- $265 a month on a 3-month plan, $258 on 6 months, or $149 on 12 months ($1,788 upfront)
- Cancel any time, with no notice period
- Filled by Manifest Pharmacy (Greer, SC); doctors through MD Integrations, which names its assigned physicians in four states
Watch for
- The $149 rate needs a 12-month plan, paid upfront
- Not available in Alaska, Louisiana or Mississippi, and almost no Trustpilot reviews yet (6)
Source: Rx.com’s own site, checked November 1, 2026.
LillyDirect
Zepbound at Lilly’s price · Brand-name Zepbound, FDA-approved
$299–$449per 28-day supply ($449, from 7.5 mg, needs a refill within 45 days; otherwise $499–$699)
Best for brand-name, FDA-approved Zepbound at Lilly’s self-pay price ($299–$449 per 28-day supply; the $449, from 7.5 mg, needs a refill within 45 days). Eli Lilly’s own self-pay pharmacy for Zepbound vials and KwikPens, with free home delivery or Walmart pickup. You need a prescription first, and your prescriber’s fees, if any, are separate.
Good to know
- FDA-approved Zepbound
- $299 at 2.5 mg, $399 at 5 mg, $449 at 7.5 to 15 mg with a refill within 45 days
- Free home delivery or Walmart Pharmacy pickup
Watch for
- Refill later than 45 days and 7.5 mg is $499, 10 to 15 mg $699
- The price rises with your dose
Source: LillyDirect’s own site, checked November 1, 2026.
Noom
Most coaching · Compounded tirzepatide · 4.5 out of 5 on Trustpilot (all of Noom)
$299/moafter a $149 first month
Best for coaching: compounded tirzepatide inside a behavior-change program ($299/mo after a $149 first month). It includes 1:1 coaching, daily lessons, food logging and clinician care in one price.
Good to know
- Medication, clinician care and the full Noom program included
- FSA and HSA eligible
- Cancel any time, per Noom
Watch for
- $299 a month, billed $897 every 12 weeks
- Not available in Alabama, Louisiana or Mississippi; for a BMI of 25 or higher
Source: Noom’s own site, checked November 1, 2026.
Remedy Meds
Unlimited clinician access · Compounded tirzepatide · 4.6 out of 5 on Trustpilot
$399every 4 weeks
Best for unlimited clinician access by video or chat ($399 every 4 weeks). One price at every dose, and what it advertises as a 365-day weight-loss program on month-to-month plans (terms apply).
Good to know
- The price stays $399 as your dose rises
- Unlimited clinician access and free 48-hour cold-chain delivery
- HSA and FSA eligible
Watch for
- Billed every 4 weeks: 13 charges a year
- The $279 price is for the first 4 weeks only
Source: Remedy Meds’s own site, checked November 1, 2026. · Remedy Meds review
Hims
24/7 provider messaging · Brand-name Zepbound, FDA-approved
From $448with the $149 membership
Best for brand-name Zepbound plus 24/7 messaging with licensed providers (from $448 with the $149 membership). Zepbound KwikPen or vial from $299 a month, plus the Hims membership, with a smart scale and generic Zofran if it’s prescribed.
Good to know
- FDA-approved Zepbound, pen or vial
- 24/7 messaging with licensed providers
- Generic Zofran included if prescribed
Watch for
- A $149 monthly membership, billed separately and not HSA or FSA eligible
- Canceling the membership cancels your medication plan
Source: Hims’s own site, checked November 1, 2026. · Hims costs and alternatives
Ro
Insurance checks · Brand-name Zepbound, FDA-approved
$448–$598with the $149 membership
Best for checking whether insurance covers Zepbound ($448–$598 in cash, with the $149 membership). A free insurance check and an insurance concierge for Zepbound. Paying cash, you pay Lilly’s self-pay price for the medication plus Ro’s membership.
Good to know
- FDA-approved Zepbound KwikPen
- A free insurance check; Ro handles the paperwork
- Membership is $39 the first month, or $74 a month prepaid for a year
Watch for
- A $149 monthly membership on top of the medication
- No compounded option, and the price rises with your dose
Source: Ro’s own site, checked November 1, 2026. · Ro costs and alternatives
By state: Tirzepatide providers in California · Florida · Georgia · Illinois · New York · North Carolina · Ohio · Pennsylvania · Texas · Washington. Other states: our state-by-state guide
The trade-offs
Where NexLife falls short
No program fits everyone, ours included. If one of these matters most to you, another program here may suit you better.
- Compounded only. Through NexLife, providers prescribe compounded tirzepatide, not brand-name Zepbound. For Zepbound, LillyDirect sells it at Lilly’s self-pay price, $299 to $449 per 28-day supply; $449 (7.5 to 15 mg) needs a refill within 45 days, or it’s $499 to $699.
- No insurance billing. NexLife doesn’t bill insurance: you pay the monthly price yourself, and HSA and FSA cards, Affirm, Klarna and Afterpay are accepted. If your plan might cover Zepbound, Ro checks your coverage for free, and Mochi Health helps with prior authorizations.
- Plans renew until you cancel. You can cancel by email. If you’d rather approve each refill, Rx.com doesn’t renew on its own.
- A smaller review record. NexLife has 407 Trustpilot reviews (4.8 out of 5, read November 1, 2026). Remedy Meds, for one, has 13,973 (read November 1, 2026). See NexLife reviews and ratings.
- Want to pick your own specialist? Mochi Health lets you choose a board-certified obesity-medicine provider and meet by video. Its price rises with your dose.
Vial math
How many units is your tirzepatide dose?
It depends on your vial’s strength. Here are the label’s doses at one example strength, with the math to check your own.
| Dose | mL at 25 mg/mL | Units (U-100) | On the label |
|---|---|---|---|
| 2.5 mg | 0.1 mL | 10 units | Starting dose, for 4 weeks |
| 5 mg | 0.2 mL | 20 units | A maintenance dose |
| 7.5 mg | 0.3 mL | 30 units | A step up |
| 10 mg | 0.4 mL | 40 units | A maintenance dose |
| 12.5 mg | 0.5 mL | 50 units | A step up |
| 15 mg | 0.6 mL | 60 units | The maximum, and a maintenance dose |
The math: mL = dose ÷ strength (mg per mL), and units = mL × 100. At 25 mg/mL, 10 mg is 10 ÷ 25 = 0.4 mL, or 40 units.
25 mg per mL is an example only: it’s the strength of the 15 mg multi-dose vial on Zepbound’s label (15 mg per 0.6 mL). Read the strength on your own vial’s label; your provider sets your dose, in steps at least 4 weeks apart. Every step: the tirzepatide dosage chart.
What would you pay with NexLife?
Tap where you are now. We’ll show your NexLife price next to it, or tell you we’ll match it.
Pick one above to see your price.
Prices from each provider’s own site, checked November 1, 2026. Brand-name and compounded medications are different products: compounded medications aren’t FDA-approved, and a provider prescribes one only when it offers a significant difference for you. Price Match Guarantee† terms apply.
What does NexLife cost?
One flat price at every dose.
No membership fee. Provider care, a nutrition plan, coaching and shipping are included. Paying less with another licensed provider? We match your regular monthly price.†
GIP + 12-month plan $139/mo
Tirzepatide
Weekly and dual-action. Care, coaching and shipping included. On a 12-month plan; $169/mo month to month.
Check my eligibilityCompounded, not FDA-approved · Not prescribed? No charge for medication
12-month plan $119/mo
Semaglutide
Weekly
Compounded, not FDA-approved · Not prescribed? No charge for medication
Compounded, not FDA-approved. A licensed provider prescribes it only when it offers a significant difference for you. Vials shown are illustrations. Always use the strength on your pharmacy’s label. Every plan and price · Price Match Guarantee† terms
The NexLife Price Match Guarantee†
Paying less elsewhere?
Keep your price. Upgrade your care.
Already on compounded tirzepatide or semaglutide? Pay less with another licensed U.S. telehealth provider or clinic, and we match your regular monthly price for as long as your plan stays active.† Plus a provider who follows your dose, a nutrition plan, a coaching call and real people 24/7.
- 1Send a receipt from the last 60 days
- 2A NexLife provider reviews your prescription
- 3Pay your matched price, at every dose
Locked while your plan is activeSame price at every doseNo membership fee
†Terms: see the Price Match Guarantee† details below. Compounded medications aren’t FDA-approved; a provider prescribes one only when it offers a significant difference for you.
Tirzepatide providers: your questions, answered
Fair questions about NexLife
- Will my price go up with my dose?
- No. You pay the same at every dose.
- What if I’m not prescribed?
- You aren’t charged for medication.
- Can I cancel?
- Yes, by email. It takes effect 30 days after we receive it. Plans renew until you cancel; our cancellation policy has the details.
- Do I need insurance?
- No. Pay with an HSA or FSA card, or with Affirm, Klarna or Afterpay at checkout.
What is the best online tirzepatide provider in 2026?
It depends on what you need. Of the 10 we tested, PreventiveMD has the lowest month-to-month price ($139 at every dose), LillyDirect sells brand-name Zepbound at Lilly’s price, and Ro checks your insurance (checked November 1, 2026). NexLife, which publishes this guide, is $139 a month on the 12-month plan, the same at every dose.
What’s the best place to buy compounded tirzepatide online?
A licensed telehealth provider that reviews your health history before prescribing, has a named, state-licensed pharmacy fill it and shows one all-in price. Walk away from any site that sells tirzepatide without a prescription or as “research use only” (how research peptides differ). At NexLife, one of two named, state-licensed 503A partner pharmacies fills each prescription.
Which online tirzepatide provider is cheapest?
Of the 10, PreventiveMD has the lowest month-to-month price: $139 at every dose, with no membership fee (checked November 1, 2026). On a 12-month plan, Cora’s $135 a month is the lowest in our
Does tirzepatide cost more as the dose goes up?
At many programs, yes. Ro’s Zepbound runs from $448 a month at 2.5 mg to $598 at 7.5 mg and up, membership included, and Mochi Health prices compounded tirzepatide by dose. Five of the ten list one price at every dose: PreventiveMD, Rx.com, Remedy Meds, Ondra Health and NexLife.
Which tirzepatide programs charge a membership fee?
Of the ten, Ro and Hims charge $149 a month after a $39 first month, plus medication, and Mochi Health charges $79 a month (less on longer plans), plus medication. PreventiveMD, Rx.com, Remedy Meds, Ondra Health and NexLife don’t list a separate membership fee, and Noom’s $299 includes its program.
Is compounded tirzepatide the same as Zepbound?
No. Zepbound is FDA-approved and made by Eli Lilly. Compounded tirzepatide is prepared by a state-licensed pharmacy for an individual prescription. It isn’t FDA-approved, and the FDA hasn’t reviewed it for safety, effectiveness or quality. A provider prescribes it only when it offers a significant difference for you compared with an FDA-approved medicine.
How do I know an online tirzepatide provider is legit?
A legitimate provider requires a prescription from a provider licensed in your state, names the state-licensed pharmacy that fills it, shows an all-in price and has a real person you can reach. NexLife does all four: a licensed provider reviews your health history first, our partner pharmacies are named on this page, our price is all in and real people answer 24/7 by call or text. We’re also LegitScript certified.
What is the best online provider for Zepbound?
For Zepbound at Lilly’s own self-pay price, LillyDirect: $299 to $449 per 28-day supply by dose; $449 (7.5 to 15 mg) needs a refill within 45 days, or it’s $499 to $699. Ro checks your coverage for free; in cash, it’s $448 to $598 a month with its membership (checked November 1, 2026).
What is the best compounded tirzepatide?
Compounded tirzepatide isn’t a brand, so you’re choosing the provider and pharmacy behind it: a licensed provider who reviews your history, a named, state-licensed 503A pharmacy and an all-in price at your dose. Of the 10 here, Ondra Health and Rx.com name who fills their prescriptions and keep one price at every dose. NexLife does too.
Who are the top tirzepatide providers online?
The 10 we tested for 2026 are PreventiveMD, Mochi Health, Rx.com, LillyDirect, Ro, Hims, Noom, Remedy Meds, Ondra Health and NexLife (prices checked November 1, 2026). Each faced the same six tests, from the all-in price and month two to how you leave. NexLife publishes this guide: $139 a month on the 12-month plan.
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
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
† NexLife Price Match Guarantee: for new NexLife members switching from a licensed U.S. telehealth provider or clinic with an active prescription for compounded tirzepatide or semaglutide. We match your regular all-in monthly price there (medication plus any required membership, program or visit fee, on a month-to-month plan); first-month offers, coupons, referral credits and prepaid multi-month rates aren’t matched. Proof from the last 60 days required. A licensed provider must determine that treatment is right for you. Not open to people with Medicare, Medicaid or TRICARE coverage. Full terms.
About NexLife. NexLife is a telehealth and care-coordination platform. Care is delivered through affiliated, physician-owned medical groups, and licensed providers decide whether treatment is right for you. NexLife doesn’t make or compound medication: state-licensed partner pharmacies fill each prescription, and we coordinate the rest. Available only in states where our affiliated providers are licensed.
Who wrote and medically reviewed this page?
Leads the NexLife Medical Team, which writes and medically reviews NexLife’s guides, including this one.
Prices checked November 1, 2026.
- How we checked. Every provider went through the same six tests, ours included: the all-in month-to-month price, month two, the price as your dose rises, who’s with you between refills, how you leave, and whether it’s a real prescription filled by a licensed pharmacy. Prices are what each company publishes on its own site, checked November 1, 2026 (Trustpilot ratings on November 1, 2026; Rx.com’s 3- and 6-month plans and Ondra Health’s 6-month plan re-checked November 1, 2026). “All in” means medication plus any membership or program fee you must pay. We compare month-to-month prices with month-to-month prices, and prepaid with prepaid. Brand-name Zepbound is FDA-approved and compounded tirzepatide isn’t, so we list them separately. How we compare: all 10 face the same six tests and are listed by month-to-month price, lowest first; NexLife, the publisher, isn’t ranked. No company paid to be included. NexLife publishes this guide and is one of the ten; we earn revenue when people join NexLife.
- Every fact, sourced. Each price and rule links to the page it comes from.
- How we make money. NexLife is a telehealth and care-coordination platform. 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.
Paying less elsewhere? We match it.†
Same price at 2.5 mg and at 15 mg.
$139 a month on a 12-month plan, or $169 month to month, all in, with no membership fee. A licensed provider decides if tirzepatide is right for you.
4.8 out of 5 on Trustpilot · Medical director Adam Kennah, MD (NPI 1144260043) · LegitScript-certified
Compounded medications aren’t FDA-approved. A provider prescribes one only when it offers a significant difference for you.
Sources
- PreventiveMD: compounded tirzepatide prices. Checked November 1, 2026.
- PreventiveMD: FAQs (states, pharmacies, billing). Checked November 1, 2026.
- Mochi Health: FAQs (membership and medication prices). Checked November 1, 2026.
- Rx.com: compounded tirzepatide prices and plans. Checked November 1, 2026; 3- and 6-month plans re-checked November 1, 2026.
- LillyDirect: Zepbound self-pay prices. Checked November 1, 2026.
- Ro: weight loss program pricing. Checked November 1, 2026.
- Hims: Zepbound KwikPen. Checked November 1, 2026.
- Hims: weight loss membership and HSA/FSA. Checked November 1, 2026.
- Noom:
GLP-1Rx Plus program. Checked November 1, 2026. - Remedy Meds: compounded tirzepatide. Checked November 1, 2026.
- Ondra Health: compounded tirzepatide prices and plans. Checked November 1, 2026; 6-month plan re-checked November 1, 2026.
- NexLife:
GLP-1 price index. Checked November 1, 2026. - FDA: concerns with unapproved
GLP-1 drugs used for weight loss. - Zepbound (tirzepatide) Prescribing Information, Eli Lilly.
- FDA: FDA approves new medication for chronic weight management (Zepbound).
- Jastreboff AM, et al. Tirzepatide once weekly for the treatment of obesity (SURMOUNT-1). N Engl J Med. 2022.
- NexLife on Trustpilot.
- NexLife on LegitScript.
- Hims: Wegovy pill and pen, with membership. Checked November 1, 2026.
- Rx.com: compounded semaglutide prices. Checked November 1, 2026.
- Remedy Meds on Trustpilot. Read November 1, 2026.
- U.S. Food and Drug Administration. Locate a State-Licensed Online Pharmacy.
- U.S. Food and Drug Administration. Compounding and the FDA: questions and answers.