Home / Best online tirzepatide program

25 programs. Seven tests. One honest pick.

Best online tirzepatide program in 2026: 25 compounded programs, rated

Our pick for the best online tirzepatide program is NexLife, 9.3 out of 10 in our October 2026 rating of 25 programs: $169 a month at every dose, or $139 on a 12-month plan, all in, with named partner pharmacies, a named medical director and real people on call 24/7. Paying less elsewhere? We match it.^† Compounded tirzepatide isn’t FDA-approved.

Seven tests, the same for every program, ours included
Every price checked on the program’s own site on October 13, 2026, with links
No paid placements: no program paid to be on this page

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)

NexLifeOur pick

$169/mo, all-inclusive, same price at every dose

Brand-name Zepbound starts at $299 a month at LillyDirect, medication only

Check my eligibility

About 3 minutes online. A licensed provider decides if treatment is right for you.

Switching? We’ll match the monthly price you pay now.^† How it works

Call (949) 818-8000 Text us

4.8 out of 5 on Trustpilot

5,000+ members served
LegitScript certified
State-licensed 503A pharmacies
Free expedited shipping
HSA and FSA accepted
24/7 support, real people

Yes, we rank ourselves first. NexLife publishes this rating and is one of its 25 programs. That’s why every program faces the same seven tests, every price links to its source and every program’s points are printed below, so you can check our math. 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

Our pick: NexLife, 9.3 out of 10. $169 a month at every dose, all in, or $139 on a 12-month plan. NexLife publishes this rating, so every program’s points are printed below.
Lowest flat month-to-month price we rated: PreventiveMD, $139 at every dose. Ola Health starts lower, at $129, but its price rises with your dose.
Read the fine print: 4 of the 25 programs charge more as your dose rises, 4 add a membership or program fee and 5 have a first-month price that jumps later.
Brand-name Zepbound is $299 to $449 per 28-day supply at LillyDirect, for the medication alone. The $449 price from 7.5 mg needs a refill within 45 days.
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.

Quick picks

The best online tirzepatide program for you

There isn’t one best provider for everyone. Here’s our pick for each common need, using only what each program publishes.

The best online tirzepatide program for each need
If you want	Our pick	Why
The best overall program	NexLife	Top score (9.3/10): $169 a month at every dose, all in, named pharmacies and medical director, 24/7 support from real people. Pay less elsewhere? Matched.†
The lowest flat month-to-month price	PreventiveMD	$139 at every dose (8.9/10), or about $97 a month on a prepaid year ($1,168).
The lowest price at the starting dose	Ola Health	$129 a month at its lowest doses, rising to as much as $279 with dose and pharmacy.
Coaching built into the program	Noom	$149 for the first 4 weeks, then $299 a month, billed every 12 weeks.
The highest Trustpilot score	Ivím Health	4.9 from 39,782 reviews; a $74.99 monthly program fee and no cancellation once a program starts.
Brand-name Zepbound	LillyDirect	$299 at 2.5 mg, $399 at 5 mg and $449 from 7.5 mg if you refill within 45 days, for the medication alone.
Medicare Part D	Medicare GLP-1 Bridge	A $50 monthly copay for the Zepbound KwikPen if you’re eligible, with prior authorization.

The rating

All 25 tirzepatide programs, rated

Sorted by score. Tap a name for its full review. NexLife is highlighted because it’s ours.

25 online tirzepatide programs, rated
Program	Score	Regular monthly price	First month	Lowest plan price	Same price at every dose?	Trustpilot
1. NexLife Our pick · top score	9.3/10	$169 Pay less elsewhere? Matched^†	Same	$139 (12 mo, $1,668)	Yes	4.8 (394)
2. PreventiveMD Lowest flat monthly price	8.9/10	$139	Same	about $97 (12 mo, $1,168)	Yes	4.8 (273)
3. AltRx	7.9/10	$149	Same	—	Yes	Profile removed by Trustpilot
4. Belle	7.9/10	$249	Same	$179 (12 mo, $2,148)	Yes	4.5 (1,467)
5. Cora	7.8/10	$225	Same	$135 (12 mo, $1,620)	Yes	59 reviews
6. Ondra Health	7.2/10	$219	Same	$142 (12 mo, $1,699)	Yes	34 reviews
7. Rx.com No auto-renewal	7.1/10	$285	Same	$149 (12 mo, $1,788)	Yes	4.0 (4)
8. Raeliva	7.0/10	$299	Same	$242 (6 mo, $1,450)	Yes	4.2 (16)
9. Mochi Health	6.9/10	$169	Same	$139 (12 mo, $1,668)	No, rises with dose	4.5 (19,429)
10. BMI MD	6.8/10	$249	Same	$179 (12 mo, $2,148)	Yes	4.5 (875)
11. Ola Health Lowest starting-dose price	6.5/10	$129 to $279	Same	—	No, rises with dose	No Trustpilot profile
12. Refills	6.5/10	$249	Same	$159 (12 mo, $1,908)	Yes	4.2 (1,704)
13. Gala GLP-1	6.2/10	Not published ($199 on a plan)	—	$199 (3 mo, $597)	Yes	4.6 (4,226)
14. Sprout Health	6.1/10	$199 per 4 weeks	Same	$149 (12 mo, $1,788)	Yes	4.2 (207)
15. Alloy	5.8/10	$199	Same	—	Not stated	4.3 (4,042)
16. Shed	5.2/10	$299	Same	$239 (12 mo, $2,868)	Not stated	4.6 (1,137)
17. Shapely	5.0/10	$348 to $398	Same	$265 (3 mo, $795)	No, rises with dose	4.5 (179)
18. Ivím Health Top Trustpilot score	4.9/10	Not published (from $191.66)	—	—	Not stated	4.9 (39,782)
19. CoreAge Rx	4.8/10	Not published ($129 on a plan)	—	$129 (12 mo, $1,548)	Yes	Rating withheld by Trustpilot
20. Noom Most built-in coaching	4.8/10	$299 (billed every 12 weeks)	$149	—	Not stated	4.5 (67,126)
21. Fifty 410	4.7/10	Not published ($133 on a plan)	—	$133 (3 mo, $399)	No, rises with dose	4.8 (6,333)
22. He & She MD	4.6/10	Not published ($289 on a plan)	$199	$289 (6 mo, $1,734)	Not stated	No reviews yet
23. Embody	4.4/10	$349	$129	$119 (12 mo, $1,428)	Yes	3.8 (9,782)
24. Remedy Meds	4.0/10	$399 per 4 weeks	$279	—	Yes	4.6 (13,773)
25. Bodybuilding Health+	2.9/10	$319	$209	$286 (3 mo, $858)	Not stated	No reviews yet

Prices from each program’s own site, checked October 13, 2026 (Belle’s month-to-month prices on October 7). Regular monthly price = what you pay after any first-month offer, at the starting dose, with any required membership or program fee. Lowest plan price = the lowest per-month price on a prepaid or committed plan, with its length and total. Trustpilot scores read October 13–14, 2026. 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.

Method

How we rated them

Every program went through the same seven tests, ours included: 100 points, shown as a score out of 10. No program paid to be here.

1. Real monthly price · 35 points
What you pay after any first-month offer, at the starting dose, with any required membership or program fee. $130 a month or less earns all 35, $450 or more earns none, in a straight line between. Billing every 4 weeks counts as 13 charges a year (Noom’s 12-week bills count as three 4-week months). No month-to-month price published: we use its shortest plan and halve the points.
2. Same price at every dose · 15
One price from the first dose to the last, stated on its site: 15. Price rises with dose: 5. Not stated: 3.
3. Fees and fine print · 10
No membership or program fee on top: 5. No first-month price that jumps afterward: 5.
4. Care included · 10
Coaching, dietitian or nutrition support: 5. Ongoing messages or check-ins with your provider: 5.
5. Names who fills and prescribes · 15
Names its pharmacies: 8. Names the physician who leads its care, or its prescribing physicians: 7 (only a medical group, or only non-physician clinicians: 3).
6. Easy to leave · 5
A month-to-month plan: 3. Cancel any time with no notice period: 2 (72 hours’ notice, or terms not stated: 1; 30 days’ notice or no cancellation once a program starts: 0).
7. Patient reviews · 10
Trustpilot TrustScore with 100 or more reviews, scaled from 3.0 (0 points) to 5.0 (10). Under 100 reviews or none: 3. Profile removed or rating withheld by Trustpilot: 0.

Same tests for everyone, NexLife included. NexLife publishes this page and is one of the 25 programs. That’s why the rules and every program’s points are printed here.
Only what programs publish. We read each program’s pricing page, FAQ and About or terms pages on October 13, 2026, and its Trustpilot profile on October 13–14, 2026. If a fact wasn’t on those pages, it doesn’t earn points. The pages we read are linked in each review and in Sources.
No paid placement. No program paid to be on this page, and none of the links earn us a commission.
Corrections, fast. If a program’s price or policy changed, email care@nexlife.us and we’ll recheck it.

Reviews

All 25 programs, reviewed

What each one charges, what it does well and what’s worth knowing before you sign up, taken from its own website.

NexLife

9.3/10 · Our pick · top score

$169Pay less elsewhere? Matched^†

$169 a month at every dose; $159, $149 or $139 a month on 3-, 6- or 12-month plans. $2,028 the first year month to month.

What we like

One price at every dose, all in: $169 a month, or $139 on a 12-month plan. No membership fee.
Names its three partner pharmacies and its medical director, Adam Kennah, MD (NPI 1144260043). Real people answer 24/7 at (949) 818-8000.
Pay less elsewhere? NexLife matches a lower regular monthly price from another licensed U.S. telehealth provider.†

Worth knowing

Month to month, $169 isn’t the lowest flat price we rated. Its 12-month price, $139, matches PreventiveMD’s month-to-month price, but PreventiveMD’s own 12-month plan is about $97 a month.
Plans renew until you cancel, and cancelling takes 30 days’ notice.

Pharmacies: Absolute Pharmacy (Lutz, FL), Premium Compounding (Decatur, AL), Boudreaux’s New Drug Store (Lake Charles, LA)Doctors: Nexlife Medical Group P.C.; medical director Adam Kennah, MD (NPI 1144260043)Cancel: 30 days’ notice (its policy)Trustpilot: 4.8 from 394 reviews

Source: NexLife’s plans, checked October 13, 2026. See its points.

PreventiveMD

8.9/10 · Lowest flat monthly price

$139

$139 a month; $334 for 3 months, $626 for 6 or $1,168 for 12 (about $97 a month), the same at every dose. $1,668 the first year month to month.

What we like

The lowest flat month-to-month price among the programs we rated: $139, the same at every dose, or about $97 a month on a 12-month plan ($1,168 upfront).
Names its four partner pharmacies and lets you choose one at checkout where more than one serves your state.
No membership, consultation or cancellation fees.

Worth knowing

Care is by message: no live visits, coaching or nutrition program.
No named physician lead; its terms name its medical group, LocumTele, LLC.

Pharmacies: Empower Pharmacy, Midwest Compounders Pharmacy, Drug Crafters, Boudreaux’s New Drug StoreDoctors: Its terms name LocumTele, LLC as its medical group; we found no named physician leadCancel: Any time, no notice periodTrustpilot: 4.8 from 273 reviews

Source: PreventiveMD’s site, checked October 13, 2026. See its points.

AltRx

7.9/10

$149

$149 a month, “no price hike, cancel anytime”; the plan length isn’t stated. $1,788 the first year month to month.

What we like

$149 a month, “no price hike,” with shipping included.
Names four partner pharmacies, with addresses and phone numbers.

Worth knowing

Doesn’t say how long the plan runs.
Trustpilot has removed its profile: “The business you’re trying to find goes against our guidelines.”

Pharmacies: RedRock Pharmacy, Health Warehouse, Precision Medicine, Triad RxDoctors: OpenLoop Healthcare Partners, PCCancel: Any time, no notice periodTrustpilot: Profile removed by Trustpilot

Source: AltRx’s site, checked October 13, 2026. See its points.

Belle

7.9/10

$249

$249 a month on its monthly plan (checked October 7); from $179 a month on a 12-month plan (October 13). $2,988 the first year month to month.

What we like

$249 a month on its monthly plan, or from $179 on a 12-month plan, with no membership fee.
Nutrition guidance and nurse support included; names its partner pharmacies.

Worth knowing

Its month-to-month price wasn’t on the product page on October 13; we used our October 7 check.
No named physician lead on the pages we checked.

Pharmacies: Olympia Pharmaceuticals, Hillstone PharmacyDoctors: Names its clinical team (physician assistants, nurse practitioners, nurses, dietitians)Cancel: Not stated on the pages we checkedTrustpilot: 4.5 from 1,467 reviews

Source: Belle’s site, checked October 7, 2026. See its points.

Cora

7.8/10

$225

$225 a month; $199 on 3 months, $175 on 6, $135 on 12 ($1,620), the same at every dose. $2,700 the first year month to month.

What we like

Clear pricing, the same at every dose: $225 month to month, down to $135 on 12 months ($1,620).
Names its pharmacies (Hallandale Pharmacy, VialsRx) and its group medical director.

Worth knowing

No coaching program on the pages we checked.
Only 59 Trustpilot reviews so far.

Pharmacies: Hallandale Pharmacy, VialsRxDoctors: Group medical director Dr. David Wasef, MD (Wasef Health provider network)Cancel: Any time, no notice periodTrustpilot: 59 reviews

Source: Cora’s site, checked October 13, 2026. See its points.

Ondra Health

7.2/10

$219

$219 a month; $183 on a 3-month plan; $142 on a 12-month plan ($1,699), which only some of its pharmacies offer. $2,628 the first year month to month.

What we like

$219 a month, down to $142 on a 12-month plan, with one price across titration doses.
Names its partner pharmacies and its medical director, Dr. David Wasef, MD.

Worth knowing

Which plan lengths you can buy depends on the pharmacy that serves your state.
Only 34 Trustpilot reviews so far.

Pharmacies: Optio RX, Hallandale Pharmacy, Vials RXDoctors: Medical director Dr. David Wasef, MD (Wasef Health, PC), and a named chief medical officerCancel: Not stated on the pages we checkedTrustpilot: 34 reviews

Source: Ondra Health’s site, checked October 13, 2026. See its points.

Rx.com

7.1/10 · No auto-renewal

$285

$285 a month; $795 for 3 months, $1,550 for 6, $1,788 for 12 ($149 a month), the same from 2.5 mg to 15 mg. $3,420 the first year month to month.

What we like

Plans don’t renew on their own: nothing ships or bills until you confirm a refill.
One price from the first dose to the last; $149 a month on a 12-month plan ($1,788).

Worth knowing

Month to month costs $285; the low price needs a 12-month plan ($1,788).
Almost no Trustpilot reviews (4).

Pharmacies: Manifest Pharmacy (Greer, SC)Doctors: Uses MD Integrations; names its assigned physicians in four statesCancel: Any time, no notice periodTrustpilot: 4.0 from 4 reviews

Source: Rx.com’s site, checked October 13, 2026. See its points.

Raeliva

7.0/10

$299

$299 a month; $800 for 3 months ($267 a month) or $1,450 for 6 ($242 a month). $3,588 the first year month to month.

What we like

Names its medical director, its prescribing physicians (with NPI numbers) and five partner pharmacies.
Cancel by email any time, with no fee.

Worth knowing

$299 a month on its monthly plan, and no 12-month plan.
A new name (onlinesemaglutide.org until August 2026), with 16 Trustpilot reviews.

Pharmacies: Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx, Foothills PharmacyDoctors: Medical director Dr. Hirenkumar Italia; prescribing physicians named with NPI numbersCancel: Any time, no notice periodTrustpilot: 4.2 from 16 reviews

Source: Raeliva’s site, checked October 13, 2026. See its points.

Mochi Health

6.9/10

$169

Medication from $90 a month by dose, plus a $79 monthly membership ($49 a month if you prepay a year): $169 at the lowest dose. $2,028 the first year month to month if your dose stayed at the lowest level.

What we like

$169 a month at the lowest dose, including the $79 membership; registered dietitians and health coaches included.
4.5 on Trustpilot from 19,429 reviews, and 24/7 phone support.

Worth knowing

Medication is priced by dose, so the monthly cost climbs as your dose does.
The membership is on top of medication ($49 a month if you prepay a year).

Pharmacies: Not named on the pages we checkedDoctors: Names its physicians on its About pageCancel: Not stated on the pages we checkedTrustpilot: 4.5 from 19,429 reviews

Source: Mochi Health’s site, checked October 13, 2026. See its points.

BMI MD

6.8/10

$249

$249 a month; $229, $189 or $179 a month on 3-, 6- or 12-month plans ($2,148 for 12), the same at every dose. $2,988 the first year month to month.

What we like

One price at every dose: $249 a month, down to $179 on a 12-month plan.
Unlimited messaging with your provider and nutrition guidance; a refund if you’re not eligible.

Worth knowing

Its page says prices went up for new members on August 4, and some comparison sites still list older, lower prices.
Doesn’t name its pharmacies or doctors on the pages we checked.

Pharmacies: Not named on the pages we checkedDoctors: Refers to “doctor networks of U.S.-licensed clinicians” without naming themCancel: Not stated on the pages we checkedTrustpilot: 4.5 from 875 reviews

Source: BMI MD’s site, checked October 13, 2026. See its points.

Ola Health

6.5/10 · Lowest starting-dose price

$129 to $279

$129 to $279 a month, depending on dose and pharmacy ($129 at its lowest doses through Drug Crafters). $1,548 the first year month to month if your dose stayed at the lowest level.

What we like

Starts at $129 a month at its lowest doses, the lowest starting price we found.
Publishes a dose-by-dose price table and names its partner pharmacies.

Worth knowing

The price rises with dose and pharmacy, up to $279 a month.
Keeps a $50 consultation fee if a provider finds you ineligible. No Trustpilot profile.

Pharmacies: Drug Crafters, ReviveRX, White Label/Nova, Mountain CareDoctors: No named physician or medical group on the pages we checkedCancel: Not stated on the pages we checkedTrustpilot: No Trustpilot profile

Source: Ola Health’s site, checked October 13, 2026. See its points.

Refills

6.5/10

$249

$249 a month (shown against $349); $209, $179 or $159 a month on 3-, 6- or 12-month plans. $2,988 the first year month to month.

What we like

$249 a month, the same every month, down to $159 on 12 months.
Names its partner pharmacies.

Worth knowing

The price is shown against a struck-through higher one.
No coaching, and no named doctors on the pages we checked.

Pharmacies: Hallandale Pharmacy, Perfect Rx PharmacyDoctors: No named physician or medical group on the pages we checkedCancel: Not stated on the pages we checkedTrustpilot: 4.2 from 1,704 reviews

Source: Refills’ site, checked October 13, 2026. See its points.

Gala GLP-1

6.2/10

Not published ($199 on a plan)

$199 a month on a 3-month plan; it also advertises “start for $179/mo”; no monthly price published. No month-to-month price to total.

What we like

Every dose included at one price, plus an app, a care team 7 days a week and provider messaging.
4.6 on Trustpilot from 4,226 reviews.

Worth knowing

No month-to-month price published: $199 a month on a 3-month plan, and a “start for $179/mo” offer without a stated term.
Doesn’t name its pharmacies.

Pharmacies: Not named on the pages we checkedDoctors: OpenLoop-affiliated medical groupsCancel: Any time, no notice periodTrustpilot: 4.6 from 4,226 reviews

Source: Gala GLP-1’s site, checked October 13, 2026. See its points.

Sprout Health

6.1/10

$199 per 4 weeks

$199 every 4 weeks (13 charges a year); $149 a month on a 12-month plan ($1,788 upfront). $2,587 the first year month to month.

What we like

The same price at any dose, with the provider visit, medication and shipping included.
$149 a month on a 12-month plan ($1,788 upfront).

Worth knowing

Billed every 4 weeks, so 13 charges a year: about $2,587 month to month.
No coaching, and no named pharmacies or doctors on the pages we checked.

Pharmacies: Not named on the pages we checkedDoctors: No named physician or medical group on the pages we checkedCancel: Not stated on the pages we checkedTrustpilot: 4.2 from 207 reviews

Source: Sprout Health’s site, checked October 13, 2026. See its points.

Alloy

5.8/10

$199

Medication from $100 a month plus the $99 monthly Weight Care fee: $199 at the lowest dose; higher doses not published. $2,388 the first year month to month.

What we like

Built for women in midlife: a menopause-specialized doctor, unlimited messaging and dose adjustments.
Names its chief medical advisor, Dr. Sharon Malone.

Worth knowing

A $99 monthly Weight Care fee on top of medication: $199 at the lowest dose.
Higher-dose prices aren’t published.

Pharmacies: Not named on the pages we checkedDoctors: Dr. Sharon Malone, MD, chief medical advisorCancel: Not stated on the pages we checkedTrustpilot: 4.3 from 4,042 reviews

Source: Alloy’s site, checked October 13, 2026. See its points.

Shed

5.2/10

$299

$299 a month; $269 a month on 6 months or $239 on 12. $3,588 the first year month to month.

What we like

Health coaching and unlimited provider follow-ups.
4.6 on Trustpilot from 1,137 reviews.

Worth knowing

Cancel at least 72 hours before billing; longer plans have a minimum term.
Its product page doesn’t say whether the price holds at every dose.

Pharmacies: Not named on the pages we checkedDoctors: No named physician or medical group on the pages we checkedCancel: At least 72 hours before billingTrustpilot: 4.6 from 1,137 reviews

Source: Shed’s site, checked October 13, 2026. See its points.

Shapely

5.0/10

$348 to $398

Medication $249 a month at low to mid doses, $299 at high doses, plus a $99 monthly membership: $348 to $398. $4,176 the first year month to month if your dose stayed at the lowest level.

What we like

Monthly video visits and dietitian visits; names its medical director, Ana Lisa Carr, MD.
Can also help you use insurance for brand-name GLP-1 medicines.

Worth knowing

A $99 monthly membership on top of medication, and a higher price at high doses: $348 to $398.
Serves only California, Florida, New York and Texas.

Pharmacies: Not named on the pages we checkedDoctors: Medical director Ana Lisa Carr, MD; founder Dr. Justin ZaghiCancel: Not stated on the pages we checkedTrustpilot: 4.5 from 179 reviews

Source: Shapely’s site, checked October 13, 2026. See its points.

Ivím Health

4.9/10 · Top Trustpilot score

Not published (from $191.66)

Medication from $116.67 a month plus a $74.99 monthly program fee ($191.66); 1-, 2-, 4- or 6-month programs. No month-to-month price to total.

What we like

Weekly check-ins and dose adjustments, plus coaching and holistic consults.
4.9 on Trustpilot from 39,782 reviews, the highest score we saw.

Worth knowing

A $74.99 monthly program fee on top of medication, and no month-to-month price published.
No cancellation once a program starts.

Pharmacies: Not named on the pages we checkedDoctors: Founded by Dr. Taylor KantorCancel: Not once a program startsTrustpilot: 4.9 from 39,782 reviews

Source: Ivím Health’s site, checked October 13, 2026. See its points.

CoreAge Rx

4.8/10

Not published ($129 on a plan)

$129 a month when paid annually (its October 6 announcement); its monthly price isn’t published. No month-to-month price to total.

What we like

$129 a month when you prepay a year, the same at every dose.
No membership fees.

Worth knowing

No monthly price published: the low price needs a year paid upfront.
Trustpilot shows “This company’s rating is unavailable due to a breach of our guidelines” and says it removed fake reviews.

Pharmacies: Not named on the pages we checkedDoctors: “US board-certified physicians,” not namedCancel: Not stated on the pages we checkedTrustpilot: Rating withheld by Trustpilot

Source: CoreAge Rx’s site, checked October 13, 2026. See its points.

Noom

4.8/10 · Most built-in coaching

$299 (billed every 12 weeks)

$149 for the first 4 weeks, then $299 a month, billed $897 every 12 weeks. $3,737 the first year month to month.

What we like

Coaching and a psychology-based program built in, plus a named chief medical officer.
4.5 on Trustpilot from 67,126 reviews.

Worth knowing

$149 for the first 4 weeks, then $299 a month, billed every 12 weeks.
Not available in Alabama, Louisiana or Mississippi.

Pharmacies: Not named on the pages we checkedDoctors: Chief medical officer Dr. Jeffrey EglerCancel: Any time, no notice periodTrustpilot: 4.5 from 67,126 reviews

Source: Noom’s site, checked October 13, 2026. See its points.

Fifty 410

4.7/10

Not published ($133 on a plan)

3-month programs only: $399 starter ($133 a month), $499 mid dose ($166) or $549 high dose ($183). No month-to-month price to total.

What we like

You pay only if you’re prescribed; free refrigerated shipping.
4.8 on Trustpilot from 6,333 reviews.

Worth knowing

Tirzepatide comes only in 3-month programs priced by dose tier: $399, $499 or $549.
Doesn’t name its pharmacies or doctors on the pages we checked.

Pharmacies: Not named on the pages we checkedDoctors: No named physician or medical group on the pages we checkedCancel: Not stated on the pages we checkedTrustpilot: 4.8 from 6,333 reviews

Source: Fifty 410’s site, checked October 13, 2026. See its points.

He & She MD

4.6/10

Not published ($289 on a plan)

Shown “from $159 a month to start”; its fine print says $199 a month for the first 6 months, then $1,734 every 6 months ($289 a month). No month-to-month price to total.

What we like

Names its chief medical officer and its partner pharmacies; GLP-1 coaching in its app.
You’re charged only if you’re prescribed.

Worth knowing

Intro pricing that resets: $199 a month for the first 6 months, then $1,734 every 6 months ($289 a month).
Doesn’t ship GLP-1s to Louisiana, and has no Trustpilot reviews yet.

Pharmacies: Jungle Jim’s Pharmacy (F&F Pharmacies), GoGoMeds (Specialty Medical Drugstore)Doctors: Chief medical officer Dr. Ozita Cooper, MD; clinical providers through Wasef Health, PCCancel: Not stated on the pages we checkedTrustpilot: No reviews yet

Source: He & She MD’s site, checked October 13, 2026. See its points.

Embody

4.4/10

$349

$129 the first month (a one-month sale), then $349; its terms list $399 a month from month two. $1,428 for 12 months. $3,968 the first year month to month.

What we like

Low prepaid prices: $119 a month on a 12-month plan ($1,428 upfront).
Free 1:1 care coaching.

Worth knowing

The $129 first month is a one-month sale; then $349. Its terms list $399 from month two.
3.8 on Trustpilot from 9,782 reviews; cancel at least 72 hours before billing.

Pharmacies: Not named on the pages we checkedDoctors: Its terms refer to independent medical groups without naming themCancel: At least 72 hours before billingTrustpilot: 3.8 from 9,782 reviews

Source: Embody’s site, checked October 13, 2026. See its points.

Remedy Meds

4.0/10

$399 per 4 weeks

$279 for the first 4 weeks, then $399 every 4 weeks (13 charges a year). $5,067 the first year month to month.

What we like

4.6 on Trustpilot from 13,773 reviews; cancel any time.
A “price lock guarantee” on its page.

Worth knowing

Billed every 4 weeks: $399 after a $279 first month, about $5,067 a year.
Doesn’t name its pharmacies or doctors on the pages we checked.

Pharmacies: Not named on the pages we checkedDoctors: No named physician or medical group on the pages we checkedCancel: Any time, no notice periodTrustpilot: 4.6 from 13,773 reviews

Source: Remedy Meds’ site, checked October 13, 2026. See its points.

Bodybuilding Health+

2.9/10

$319

$209 the first month, shown against $319; $286 a month on a 3-month bundle. $3,718 the first year month to month.

What we like

One account for GLP-1s plus longevity and sexual-health medicines.

Worth knowing

$209 the first month, shown against $319; $286 a month on a 3-month bundle.
No Trustpilot reviews yet, and no named pharmacies or doctors on the page we checked.

Pharmacies: Not named on the pages we checkedDoctors: “Contracted physicians,” not namedCancel: Not stated on the pages we checkedTrustpilot: No reviews yet

Source: Bodybuilding Health+’s site, checked October 13, 2026. See its points.

Show your work

The points behind every score

The points behind every tirzepatide score
Program	Price (35)	Same at every dose (15)	Fees (10)	Care (10)	Names who fills and prescribes (15)	Easy to leave (5)	Reviews (10)	Score (/10)
1. NexLife	30.7	15	10	10	15	3	9.0	9.3
2. PreventiveMD	34.0	15	10	5	11	5	9.0	8.9
3. AltRx	32.9	15	10	5	11	5	0.0	7.9
4. Belle	22.0	15	10	10	11	4	7.5	7.9
5. Cora	24.6	15	10	5	15	5	3.0	7.8
6. Ondra Health	25.3	15	10	0	15	4	3.0	7.2
7. Rx.com	18.0	15	10	5	15	5	3.0	7.1
8. Raeliva	16.5	15	10	5	15	5	3.0	7.0
9. Mochi Health	30.7	5	5	10	7	4	7.5	6.9
10. BMI MD	22.0	15	10	10	0	4	7.5	6.8
11. Ola Health	35.0	5	10	0	8	4	3.0	6.5
12. Refills	22.0	15	10	0	8	4	6.0	6.5
13. Gala GLP-1	13.7	15	10	10	3	2	8.0	6.2
14. Sprout Health	25.6	15	10	0	0	4	6.0	6.1
15. Alloy	27.5	3	5	5	7	4	6.5	5.8
16. Shed	16.5	3	10	10	0	4	8.0	5.2
17. Shapely	11.2	5	5	10	7	4	7.5	5.0
18. Ivím Health	14.1	3	5	10	7	0	9.5	4.9
19. CoreAge Rx	17.5	15	10	5	0	1	0.0	4.8
20. Noom	13.8	3	5	10	7	2	7.5	4.8
21. Fifty 410	17.3	5	10	5	0	1	9.0	4.7
22. He & She MD	8.8	3	5	10	15	1	3.0	4.6
23. Embody	11.0	15	5	5	0	4	4.0	4.4
24. Remedy Meds	1.9	15	5	5	0	5	8.0	4.0
25. Bodybuilding Health+	14.3	3	5	0	0	4	3.0	2.9

Points out of 100, divided by 10 for the score. The rules for each test are above.

Not rated

Checked, but not rated

We also looked at these tirzepatide programs on October 13, 2026. Their prices were unclear, contradicted each other or weren’t published, so we couldn’t score them fairly.

TrimRx. Its own landing page lists three different tirzepatide prices ($249, $279 and $449 a month, with a $279 first month) and three for semaglutide ($149, $179 and $199). Ask for your price in writing. Trustpilot: 3.8 from 5,389 reviews.
Fridays. Advertises $117 (semaglutide) and $198 (tirzepatide) a month with promo codes, next to “$279/mo” and “$389/mo with an annual plan.” We couldn’t confirm a regular monthly price. Trustpilot: 4.1 from 4,938 reviews.
SkinnyRx. Its product pages didn’t load prices for us. Trustpilot: 4.7 from 5,443 reviews.
IvyRx. Shows “GLP-1 $77” and “Microdose $69” without saying per week or per month. Trustpilot: 4.7 from 7,510 reviews.
ReflexMD. No prices on its site; you book a call with a “wellness advisor.” Trustpilot: 4.6 from 3,195 reviews.
MyStart Health. “Starts at $299/month, excluding any discounts,” without saying which medication; the price doesn’t rise with dose. Trustpilot: 4.1 from 326 reviews.
MEDVi. Compounded tirzepatide price not shown on the pages we checked. Trustpilot: 4.3 from 15,004 reviews.
Henry Meds. Tirzepatide as an oral tablet only: $1,047 for 3 months ($891 if paid in full). Trustpilot: 4.4 from 12,535 reviews.

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.

Brand-name

If you want brand-name Zepbound

Zepbound is FDA-approved and made by Eli Lilly. Online, you pay the self-pay price for the medication, plus any program fee.

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.

Before you pay

Seven questions to ask any program before you pay

What will I pay in month two, and at my maintenance dose? Ask for the regular all-in price, not the first-month price.
Is there a membership or program fee on top? Add it to the medication price.
Which pharmacy fills my prescription? A program should name it so you can look it up with your state’s board of pharmacy.
Who is the doctor responsible? Look for a named medical director or prescribing physicians, and check them in the NPI Registry.
How do I cancel, and how much notice do you need? Get the answer in writing before you pay.
Does a prepaid plan get refunded if I stop? Most don’t refund medication that has shipped.
Can I reach a person? Side effects and shipping problems don’t wait for business hours.

Safety

Red flags

Walk away if you see any of these.

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.

Our verdict

Why NexLife comes out on top

We rank ourselves first, so we hold that claim to a higher bar. Here’s what the seven tests rewarded, and where other programs lost points.

What lost points elsewhere

A price that climbs with your dose
A membership or program fee on top of the medication
A first-month price that jumps in month two
No named pharmacy or doctor
A low price that needs a year paid upfront

What NexLife scored on

$169 a month from 2.5 mg to 15 mg
No membership fee, ever
Provider, nutrition plan and a 1:1 coaching call included
Named partner pharmacies and a named medical director with an NPI you can look up
One number, 24/7: (949) 818-8000. We follow up with the pharmacy for you

When we’re not your best fit: if you want FDA-approved Zepbound, or help getting insurance to cover it, choose a brand-name route from the table above.

One number for everything.

A question about your vial, a package that arrived warm, a dose that feels wrong: call or text us 24/7 at (949) 818-8000. Real people answer. We follow up with the pharmacy for you and get back to you. You never have to chase anyone.

Call (949) 818-8000 Text us

The best online tirzepatide program: your questions

What is the best online tirzepatide provider in 2026?

Our pick is NexLife, the top score (9.3 out of 10) in our October 2026 rating of 25 programs: $169 a month at every dose, all in, or $139 on a 12-month plan, with named partner pharmacies, a named medical director and real people on call 24/7. Paying less with another licensed U.S. telehealth provider? We match your price. NexLife publishes this rating, so it prints every program’s points.

Which tirzepatide provider is cheapest online?

Among the programs we rated, the lowest flat month-to-month price is PreventiveMD’s $139 at every dose, the same as NexLife’s price on a 12-month plan. Ola Health starts at $129 at its lowest doses but rises to as much as $279. Prepay a year and PreventiveMD works out to about $97 a month ($1,168 upfront). Embody’s $129 is a one-month sale; then it’s $349.

How did you rate the programs?

Seven tests, 100 points: real monthly price (35), the same price at every dose (15), fees and fine print (10), care included (10), naming its pharmacies and doctors (15), how easy it is to leave (5) and Trustpilot reviews (10). We used only what each program publishes, checked October 13, 2026.

Is it fair for NexLife to rate itself?

We publish this page and NexLife is one of the programs, so we hold ourselves to the same seven tests, link every price to its source, print every program’s points and say when another program is cheaper. NexLife loses points for its 30-day cancellation notice. Corrections: care@nexlife.us.

Which tirzepatide programs charge the same price at every dose?

15 of the 25 programs say so on their sites, including NexLife, PreventiveMD, AltRx, Belle, Cora, Ondra Health, Rx.com, Raeliva, BMI MD and 6 more. These price by dose: Mochi Health, Ola Health, Shapely, Fifty 410.

Which tirzepatide programs charge a membership or program fee?

Mochi Health ($79 a month); Alloy ($99 a month); Shapely ($99 a month); Ivím Health ($74.99 a month). Brand-name programs such as Ro and Hims add a $149 monthly membership. NexLife has no membership fee.

Which programs have a first-month price that jumps?

Noom ($149, then $299); Embody ($129, then $349); Remedy Meds ($279, then $399); Bodybuilding Health+ ($209, then $319). He & She MD’s intro pricing resets after 6 months. Always ask for the regular monthly price.

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, isn’t FDA-approved and hasn’t been reviewed by the FDA for safety, effectiveness or quality.

How do I know an online tirzepatide provider is legit?

Look for a provider licensed in your state, a named pharmacy you can verify with your state’s board of pharmacy, a named doctor you can look up in the NPI Registry, a published all-in price and a real person to call. Check its Trustpilot profile for warnings. NexLife is LegitScript-certified.

What does brand-name Zepbound cost online?

Zepbound through LillyDirect costs $299 at 2.5 mg and $399 at 5 mg. From 7.5 mg to 15 mg it’s $449 if you refill within 45 days, or $499 to $699 if you don’t, for the medication alone; Lilly counts a month as 28 days. Ro and Hims charge $448 or more with their $149 membership. On Medicare Part D, the GLP-1 Bridge can bring the Zepbound KwikPen to a $50 copay with prior authorization.

Can I switch programs and keep my price?

If you’re switching from a licensed U.S. telehealth provider with an active compounded prescription, NexLife matches your regular all-in monthly price. Send a receipt from the last 60 days. A NexLife provider reviews your history and current dose first.

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, plans and policies on October 13, 2026, and Trustpilot on October 13–14, 2026.

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.

Pay less elsewhere? We match it.

25 programs rated. One flat price.

Start online in about 3 minutes. A licensed provider decides if treatment is right for you.

Start with tirzepatide, $169/mo Start with semaglutide, $139/mo

Call (949) 818-8000 Text us

1
Tell us about you
A short online health assessment, about 3 minutes.
2
A licensed provider reviews it
You’re prescribed only if treatment is right for you.
3
We ship it, then stay with you
Our partner pharmacy usually ships within 1 to 2 business days. Free shipping, 24/7 support.

Sources

NexLife. Tirzepatide prices and plans. Checked October 13, 2026.
PreventiveMD. Tirzepatide prices and plans. Checked October 13, 2026.
AltRx. Tirzepatide prices and plans. Checked October 13, 2026.
Belle. Tirzepatide prices and plans. Checked October 7, 2026.
Cora. Tirzepatide prices and plans. Checked October 13, 2026.
Ondra Health. Tirzepatide prices and plans. Checked October 13, 2026.
Rx.com. Tirzepatide prices and plans. Checked October 13, 2026.
Raeliva. Tirzepatide prices and plans. Checked October 13, 2026.
Mochi Health. Tirzepatide prices and plans. Checked October 13, 2026.
BMI MD. Tirzepatide prices and plans. Checked October 13, 2026.
Ola Health. Tirzepatide prices and plans. Checked October 13, 2026.
Refills. Tirzepatide prices and plans. Checked October 13, 2026.
Gala GLP-1. Tirzepatide prices and plans. Checked October 13, 2026.
Sprout Health. Tirzepatide prices and plans. Checked October 13, 2026.
Alloy. Tirzepatide prices and plans. Checked October 13, 2026.
Shed. Tirzepatide prices and plans. Checked October 13, 2026.
Shapely. Tirzepatide prices and plans. Checked October 13, 2026.
Ivím Health. Tirzepatide prices and plans. Checked October 13, 2026.
CoreAge Rx. Tirzepatide prices and plans. Checked October 13, 2026.
Noom. Tirzepatide prices and plans. Checked October 13, 2026.
Fifty 410. Tirzepatide prices and plans. Checked October 13, 2026.
He & She MD. Tirzepatide prices and plans. Checked October 13, 2026.
Embody. Tirzepatide prices and plans. Checked October 13, 2026.
Remedy Meds. Tirzepatide prices and plans. Checked October 13, 2026.
Bodybuilding Health+. Tirzepatide prices and plans. Checked October 13, 2026.
Trustpilot. Company profiles of the programs above. Read October 13–14, 2026.
U.S. Food and Drug Administration. FDA’s concerns with unapproved GLP-1 drugs used for weight loss.
U.S. Food and Drug Administration. Compounding and the FDA: questions and answers.
U.S. Court of Appeals for the Fifth Circuit. Outsourcing Facilities Association v. FDA, No. 25-10600 (Aug. 27, 2026).
CMS NPI Registry. Adam Kennah, MD (NPI 1144260043).
LegitScript. Certification lookup for nexlife.us.
The New England Journal of Medicine. Tirzepatide once weekly for the treatment of obesity (SURMOUNT-1), 2022.
Eli Lilly and Company. Zepbound (tirzepatide) prescribing information.
Novo Nordisk. Wegovy (semaglutide) prescribing information.
NexLife. Compounded semaglutide plans.

Key takeaways

The best online tirzepatide program for you

All 25 tirzepatide programs, rated

How we rated them

1. Real monthly price · 35 points

2. Same price at every dose · 15

3. Fees and fine print · 10

4. Care included · 10

5. Names who fills and prescribes · 15

6. Easy to leave · 5

7. Patient reviews · 10

All 25 programs, reviewed

NexLife

What we like

Worth knowing

PreventiveMD

What we like

Worth knowing

AltRx

What we like

Worth knowing

Belle

What we like

Worth knowing

Cora

What we like

Worth knowing

Ondra Health

What we like

Worth knowing

Rx.com

What we like

Worth knowing

Raeliva

What we like

Worth knowing

Mochi Health

What we like

Worth knowing

BMI MD

What we like

Worth knowing

Ola Health

What we like

Worth knowing

Refills

What we like

Worth knowing

Gala GLP-1

What we like

Worth knowing

Sprout Health

What we like

Worth knowing

Alloy

What we like

Worth knowing

Shed

What we like

Worth knowing

Shapely

What we like

Worth knowing

Ivím Health

What we like

Worth knowing

CoreAge Rx

What we like

Worth knowing

Noom

What we like

Worth knowing

Fifty 410

What we like

Worth knowing

He & She MD

What we like

Worth knowing

Embody

What we like

Two medications.
One flat price each.

Your dose goes up.
Your price doesn’t.

Keep your price.
Upgrade your care.