The Bench · annual readout · updated September 2026
The cheapest tirzepatide over twelve months, not over one.
We multiplied every disclosed monthly tirzepatide rate on the bench out to a year. Partners are surfaced first here, as they are everywhere we rank on this site, and every row underneath that split is still ordered strictly by that annual figure. The spread between the cheapest and the dearest year here is $18,372.
Read this before the ranking
Almost everything below is compounded tirzepatide — a medication prepared by a compounding pharmacy that is not an FDA-approved drug. The FDA-approved brand tirzepatide is Zepbound (and Mounjaro for type 2 diabetes), both from Eli Lilly. They are not the same regulatory product, and this page does not blur the two. If you specifically want the brand and what it actually costs, start with the Zepbound cost page instead — this site is the compounded, twelve-month comparison.
Annual readout · tirzepatide
357 priced · sorted by 12-month cost
Partners are listed first as a block — see our disclosure — and every row beneath that split is still ordered strictly by twelve-month compounded-tirzepatide cost, cheapest first within its group. For a single flat monthly rate, ×12 preserves the same order a monthly-only list would show; what it adds is everything below the ranking.
- 01
Collective
Coverage not published · Index 57 C · Tirz $69/mo for the medication, plus the same required $199/year membership · Sema $708/yr · Read review
$828 / 12 mo
- 02
CoreAge Rx
All 50 states · Index 94 A · Tirz $149/mo · Sema $1,188/yr · Read review
$1,788 / 12 mo
- 03
Hello Alpha
Coverage not published · Index 67 C · Tirz $79/mo (brand Mounjaro, plus a separate fee) · Sema $948/yr · Read review
$948 / 12 mo
- 04
WeightRx
Coverage not published · Index 69 C · Tirz $83/mo (term not published, compounded) · Sema $3,000/yr · Read review
$996 / 12 mo
- 05
Rejuve Meds
Coverage not published · Index 65 C · Tirz $85/mo (12-month plan, compounded oral) · Sema $1,020/yr · Read review
$1,020 / 12 mo
- 06
PreventiveMD
36 states · Index 77 C · Tirz $97/mo (as low as, term not published, all-in, compounded) · Sema $996/yr · Read review
$1,164 / 12 mo
- 07
TeleSlim Clinic
6 states · Index 61 C · Tirz $99/mo (plus a separate fee, compounded) · Sema not disclosed · Read review
$1,188 / 12 mo
- 08
Basal Health
All 50 states · Index 60 C · Tirz $99/mo (first-month rate, compounded) · Sema not disclosed · Read review
$1,188 / 12 mo
- 09
RxPepsDirect
28 states · Index 60 C · Tirz $99/mo (starting dose, visit fee and shipping included, compounded) · Sema $948/yr · Read review
$1,188 / 12 mo
- 10
Thryve
Not disclosed · Index 22 C · Tirz $99/mo (drug not specified — site never names semaglutide or tirzepatide) · Sema $1,188/yr · Read review
$1,188 / 12 mo
- 11
Queen RX
45 states · Index 71 C · Tirz $100/mo (bundle, compounded) · Sema $1,200/yr · Read review
$1,200 / 12 mo
- 12
Lean Meds
All 50 states · Index 84 B · Tirz $109/mo month-to-month, flat at every dose (the advertised $95 is the 12-month plan) · Sema $948/yr · Read review
$1,308 / 12 mo
- 13
SnagRx
All 50 states plus Washington D.C. (per Terms) · Index 65 C · Tirz $149/mo (flat at every dose, compounded) · Sema $828/yr · Read review
$1,428 / 12 mo
- 14
Ozari Health
All 50 states · Index 73 C · Tirz $125/mo (3-mo starter plan, new patients only, compounded) · Sema $1,032/yr · Read review
$1,500 / 12 mo
- 15
Mondae
All 50 states · Index 79 C · Tirz $126 every 28 days month-to-month (the advertised $124 is the three-month prepay) · Sema $1,044/yr · Read review
$1,512 / 12 mo
- 16
TRYM Health
Coverage not published · Index 66 C · Tirz $126/mo (all doses, 12 month plan, compounded) · Sema $1,152/yr · Read review
Regulatory note: FDA warning letter issued to TRYM Health, Inc. dba TRYM Health, September 2025.
$1,512 / 12 mo
- 17
NextMeds
All 50 states · Index 74 C · Tirz $129/mo (starting dose, promotional rate, compounded) · Sema $948/yr · Read review
$1,548 / 12 mo
- 18
BiltRx
Coverage not published · Index 72 C · Tirz $129/mo (all doses, compounded) · Sema $1,500/yr · Read review
$1,548 / 12 mo
- 19
Dollar Dad Club
Coverage not published · Index 69 C · Tirz $129/mo · Sema $1,548/yr · Read review
$1,548 / 12 mo
- 20
Cielo
Coverage not published · Index 68 C · Tirz $129/mo (all doses, 6-month plan, compounded) · Sema $1,068/yr · Read review
$1,548 / 12 mo
- 21
NuuVim
Coverage not published · Index 70 C · Tirz $133/mo (all doses, 3-mo plan, new patients only, compounded) · Sema $948/yr · Read review
$1,596 / 12 mo
- 22
Novi
Coverage not published · Index 69 C · Tirz $133/mo (all doses, promotional rate, compounded) · Sema $1,188/yr · Read review
$1,596 / 12 mo
- 23
Primary Clinic (Direct GLP)
WA, NM, AZ, UT, FL, DC, KS, OK, VA, GA · Index 65 C · Tirz $133/mo (1.25-2.5 mg band, membership required, compounded) · Sema $1,020/yr · Read review
$1,596 / 12 mo
- 24
GobyMeds
Coverage not published · Index 62 C · Tirz $133/mo (starting dose, 3-month plan, compounded) · Sema $1,188/yr · Read review
$1,596 / 12 mo
- 25
Fifty 410
Coverage not published · Index 59 C · Tirz $133/mo (starting dose, 3-month plan, compounded) · Sema $2,388/yr · Read review
Regulatory note: FDA warning letter issued to Aspen Aesthetics dba Fifty 410, February 2026.
$1,596 / 12 mo
- 26
Shape Vantage
Coverage not published · Index 52 C · Tirz $133/mo (3-month plan, compounded) · Sema not disclosed · Read review
$1,596 / 12 mo
- 27
FitFlow
Coverage not published · Index 61 C · Tirz $134/mo (compounded) · Sema $1,188/yr · Read review
$1,608 / 12 mo
- 28
OurView Health
Coverage not published · Index 62 C · Tirz $135/mo (starting dose, compounded) · Sema $900/yr · Read review
$1,620 / 12 mo
- 29
Potere Health MD
1 state · Index 59 C · Tirz $135/mo (starting dose, compounded) · Sema $960/yr · Read review
$1,620 / 12 mo
- 30
Good Girl Rx
All 50 states · Index 66 C · Tirz $139/mo (microdose tier, 12-month plan, compounded) · Sema $948/yr · Read review
Regulatory note: FDA warning letter issued to Good Girl LLC dba GoodGirlRX, February 2026.
$1,668 / 12 mo
- 31
NuvaHealth
Coverage not published · Index 66 C · Tirz $139/mo (starting dose, first-month rate, compounded) · Sema $1,068/yr · Read review
$1,668 / 12 mo
- 32
EverSlim
All 50 states · Index 76 C · Tirz $140/mo (compounded) · Sema $1,404/yr · Read review
$1,680 / 12 mo
- 33
Luma Meds
Coverage not published · Index 56 C · Tirz $140/mo (starting dose, compounded) · Sema $1,680/yr · Read review
$1,680 / 12 mo
- 34
NewSelf
All 50 states · Index 87 B+ · Tirz $144/mo · Sema $1,200/yr · Read review
Regulatory note: FDA warning letter issued to NewSelf Limited dba NewSelf, February 2026.
$1,728 / 12 mo
- 35
Alan Meds
All 50 states · Index 84 B · Tirz $145/mo · Sema $1,188/yr · Read review
Regulatory note: FDA warning letter issued to Alan Health Technologies Inc. dba Alan, February 2026.
$1,740 / 12 mo
- 36
FMmeds
All 50 states · Index 78 C · Tirz $145/mo (all doses, plus a separate fee, compounded) · Sema $1,140/yr · Read review
$1,740 / 12 mo
- 37
boostAGErx
All 50 states · Index 69 C · Tirz $145/mo (billed every 28 days, compounded) · Sema $1,140/yr · Read review
$1,740 / 12 mo
- 38
RxPros
Coverage not published · Index 68 C · Tirz $145/mo (all doses, compounded) · Sema $1,200/yr · Read review
$1,740 / 12 mo
- 39
Citizen Meds
Coverage not published · Index 64 C · Tirz $145/mo (2.5 mg dose, compounded) · Sema $1,500/yr · Read review
$1,740 / 12 mo
- 40
VitaStir
Coverage not published · Index 63 C · Tirz $145/mo (compounded) · Sema $1,500/yr · Read review
$1,740 / 12 mo
- 41
ElitePhysiqMD
Coverage not published · Index 62 C · Tirz $145/mo (starting dose, compounded) · Sema $1,740/yr · Read review
$1,740 / 12 mo
- 42
Luci
Coverage not published · Index 56 C · Tirz $145/mo (starting dose, 12-month plan, compounded) · Sema $1,188/yr · Read review
$1,740 / 12 mo
- 43
Vitara RX
All 50 states · Index 87 B+ · Tirz $149/mo · Sema $1,188/yr · Read review
$1,788 / 12 mo
- 44
Nalena
All 50 states · Index 74 C · Tirz $149/mo (starting dose, compounded) · Sema $1,788/yr · Read review
$1,788 / 12 mo
- 45
Candor Rx
Coverage not published · Index 72 C · Tirz $149/mo · Sema $1,188/yr · Read review
$1,788 / 12 mo
- 46
altRX
Coverage not published · Index 70 C · Tirz $149/mo (all doses, promotional rate, compounded) · Sema $1,068/yr · Read review
Regulatory note: FDA warning letter issued to Trinity HealthCare Supply, LLC dba altRx, June 2026.
$1,788 / 12 mo
- 47
Harbor
Coverage not published · Index 69 C · Tirz $149/mo (starting dose, compounded) · Sema $1,188/yr · Read review
$1,788 / 12 mo
- 48
Factor Health MD
Coverage not published · Index 67 C · Tirz $149/mo (all doses, annual plan, compounded) · Sema $1,188/yr · Read review
$1,788 / 12 mo
- 49
HeliMeds
Coverage not published · Index 67 C · Tirz $149/mo (starting dose, 3-month plan, compounded) · Sema $1,188/yr · Read review
$1,788 / 12 mo
- 50
AbundRX
Coverage not published · Index 65 C · Tirz $149/mo (starting dose, compounded) · Sema $1,188/yr · Read review
$1,788 / 12 mo
- 51
FeelGood
Coverage not published · Index 65 C · Tirz $149/mo (starting dose, compounded) · Sema not disclosed · Read review
$1,788 / 12 mo
- 52
Bayan Health
Coverage not published · Index 64 C · Tirz $149.00/month billed monthly (standard injectable with vitamin B6; same three-month protocol) · Sema $1,548/yr · Read review
$1,788 / 12 mo
- 53
CoraDoc
Coverage not published · Index 63 C · Tirz $149/mo (6-month plan, compounded) · Sema $1,188/yr · Read review
$1,788 / 12 mo
- 54
Lavender Sky Health
All 50 states · Index 63 C · Tirz $149/mo (starting dose, month to month, ReviveRx, compounded) · Sema $1,668/yr · Read review
$1,788 / 12 mo
- 55
Youth & Soul
Coverage not published · Index 61 C · Tirz $149/mo (compounded) · Sema $1,788/yr · Read review
$1,788 / 12 mo
- 56
Trinity Meds
Coverage not published · Index 58 C · Tirz $149/mo (starting dose, compounded) · Sema $1,188/yr · Read review
$1,788 / 12 mo
- 57
Iron Med RX
Coverage not published · Index 54 C · Tirz $149/mo (compounded) · Sema $1,788/yr · Read review
$1,788 / 12 mo
- 58
Pomegranate Health
Coverage not published · Index 54 C · Tirz $149/mo (Starter tier, compounded) · Sema $1,428/yr · Read review
$1,788 / 12 mo
- 59
MANÜ Telehealth
Coverage not published · Index 54 C · Tirz $152/mo (starting dose, compounded) · Sema $1,464/yr · Read review
$1,824 / 12 mo
- 60
Revel RX
Coverage not published · Index 68 C · Tirz $155/mo · Sema $1,068/yr · Read review
$1,860 / 12 mo
Method · Twelve-month figures are the disclosed monthly tirzepatide rate × 12 — the sticker taken at its word, not a quote. Nothing is estimated: dose escalation, first-month promotions, consult and lab fees and separate memberships are not in the number, so read every row as a floor. Partners are placed first; every row is still ordered by annual cost within its group. Assume any provider we list may compensate us — we may earn a commission at no extra cost to you, which we disclose rather than leave you to infer. See the disclosure and methodology.
$18,372 separates the cheapest tirzepatide year from the dearest
Collective anchors the bottom of the ranking at $69/mo for the medication, plus the same required $199/year membership — about $828 across a year. At the other end, Modern Age runs $19,200 for the same twelve months of the same molecule. That gap does not come from the drug — it comes from the program wrapped around it.
Collective serves Coverage not published — a price you cannot legally buy in your state is not a price. Among providers publishing an all-50-state footprint the cheapest tirzepatide year is Basal Health at $1,188, and that is the number most readers should actually compare against.
What monthly-only lists don't show: the sema-to-tirz premium
For a flat monthly rate, multiplying by 12 keeps the same order a monthly list already shows — we won't pretend otherwise. Where this site earns its keep is the number no sticker-price list computes: at the 341 providers in our ranking that disclose both molecules, tirzepatide costs more than semaglutide over a year at every one of them except where the two are priced identically. The premium ranges from $-3,600 a year (as low as Nurx) to $8,400 a year (at Modern Age), averaging about $859. 34 providers on that list — Found and Curex and Amble and Aspen and Nalena and He & She MD and Amazon One Medical and Clume Health and Queen RX and Dollar Dad Club and Hello Alpha and Rejuve Meds and CaliberRx and Next Vial and ElitePhysiqMD and Lemonaid Health and Youth & Soul and AVArx and June Health and Layla and MaxLife and Sumbare Wellness and Vitalex Health and ARSYNL Rx and ElleS and Injectco and Luma Meds and Mint Medical Clinic and Iron Med RX and Ryze Rx and Heros Health and Bloom MD and Meto and Thryve — charge the same price for both molecules.
| Provider | Sema / yr | Tirz / yr | Annual premium |
|---|---|---|---|
| Nurx | $16,548 | $12,948 | +$-3,600 |
| WeightRx | $3,000 | $996 | +$-2,004 |
| Navio MD | $4,140 | $2,268 | +$-1,872 |
| Rex MD | $6,888 | $5,088 | +$-1,800 |
| Try Ageless | $3,348 | $2,388 | +$-960 |
| Fifty 410 | $2,388 | $1,596 | +$-792 |
| VevaRX | $2,268 | $1,860 | +$-408 |
| Found | $2,388 | $2,388 | Same price |
| Curex | $2,388 | $2,388 | Same price |
| Amble | $2,148 | $2,148 | Same price |
| Aspen | $2,148 | $2,148 | Same price |
| Nalena | $1,788 | $1,788 | Same price |
| He & She MD | $2,388 | $2,388 | Same price |
| Amazon One Medical | $3,588 | $3,588 | Same price |
| Clume Health | $3,108 | $3,108 | Same price |
| Queen RX | $1,200 | $1,200 | Same price |
| Dollar Dad Club | $1,548 | $1,548 | Same price |
| Hello Alpha | $948 | $948 | Same price |
| Rejuve Meds | $1,020 | $1,020 | Same price |
| CaliberRx | $2,388 | $2,388 | Same price |
| Next Vial | $2,988 | $2,988 | Same price |
| ElitePhysiqMD | $1,740 | $1,740 | Same price |
| Lemonaid Health | $2,976 | $2,976 | Same price |
| Youth & Soul | $1,788 | $1,788 | Same price |
| AVArx | $2,388 | $2,388 | Same price |
| June Health | $2,388 | $2,388 | Same price |
| Layla | $16,788 | $16,788 | Same price |
| MaxLife | $2,028 | $2,028 | Same price |
| Sumbare Wellness | $2,388 | $2,388 | Same price |
| Vitalex Health | $2,388 | $2,388 | Same price |
| ARSYNL Rx | $2,796 | $2,796 | Same price |
| ElleS | $2,148 | $2,148 | Same price |
| Injectco | $1,872 | $1,872 | Same price |
| Luma Meds | $1,680 | $1,680 | Same price |
| Mint Medical Clinic | $3,588 | $3,588 | Same price |
| Iron Med RX | $1,788 | $1,788 | Same price |
| Ryze Rx | $2,388 | $2,388 | Same price |
| Heros Health | $2,388 | $2,388 | Same price |
| Bloom MD | $3,540 | $3,540 | Same price |
| Meto | $2,388 | $2,388 | Same price |
| Thryve | $1,188 | $1,188 | Same price |
| BiltRx | $1,500 | $1,548 | +$48 |
| Lavender Sky Health | $1,668 | $1,788 | +$120 |
| Collective | $708 | $828 | +$120 |
| EllieMD | $2,748 | $2,868 | +$120 |
| WePeptideRx | $2,268 | $2,388 | +$120 |
| Nova | $2,376 | $2,520 | +$144 |
| PreventiveMD | $996 | $1,164 | +$168 |
| Vytora Health | $2,148 | $2,388 | +$240 |
| Recovery Delivered | $2,388 | $2,628 | +$240 |
| YOURx Health | $2,028 | $2,268 | +$240 |
| Citizen Meds | $1,500 | $1,740 | +$240 |
| Bayan Health | $1,548 | $1,788 | +$240 |
| VitaStir | $1,500 | $1,740 | +$240 |
| AZ Health | $2,148 | $2,388 | +$240 |
| RxPepsDirect | $948 | $1,188 | +$240 |
| TelePeptide | $2,388 | $2,628 | +$240 |
| EverSlim | $1,404 | $1,680 | +$276 |
| Jyra Health | $2,100 | $2,388 | +$288 |
| Nova MD | $2,100 | $2,388 | +$288 |
What the annual figure leaves out
Every number above is the disclosed monthly rate multiplied by twelve — we invent no cost the ranking does not record. That multiplier also does not tell you where you can legally buy the price. Of the 357 providers in this priced ranking, 259 do not publish an all-50-state footprint:
- Collective — Coverage not published
- Hello Alpha — Coverage not published
- WeightRx — Coverage not published
- Rejuve Meds — Coverage not published
- PreventiveMD — 36 states
- TeleSlim Clinic — 6 states
- RxPepsDirect — 28 states
- Thryve — Not disclosed
- Queen RX — 45 states
- TRYM Health — Coverage not published
- BiltRx — Coverage not published
- Dollar Dad Club — Coverage not published
- Cielo — Coverage not published
- NuuVim — Coverage not published
- Novi — Coverage not published
- Primary Clinic (Direct GLP) — WA, NM, AZ, UT, FL, DC, KS, OK, VA, GA
- GobyMeds — Coverage not published
- Fifty 410 — Coverage not published
- Shape Vantage — Coverage not published
- FitFlow — Coverage not published
- OurView Health — Coverage not published
- Potere Health MD — 1 state
- NuvaHealth — Coverage not published
- Luma Meds — Coverage not published
- RxPros — Coverage not published
- Citizen Meds — Coverage not published
- VitaStir — Coverage not published
- ElitePhysiqMD — Coverage not published
- Luci — Coverage not published
- Candor Rx — Coverage not published
- altRX — Coverage not published
- Harbor — Coverage not published
- Factor Health MD — Coverage not published
- HeliMeds — Coverage not published
- AbundRX — Coverage not published
- FeelGood — Coverage not published
- Bayan Health — Coverage not published
- CoraDoc — Coverage not published
- Youth & Soul — Coverage not published
- Trinity Meds — Coverage not published
- Iron Med RX — Coverage not published
- Pomegranate Health — Coverage not published
- MANÜ Telehealth — Coverage not published
- Revel RX — Coverage not published
- VevaRX — 36 states
- Injectco — Coverage not published
- Blis MD — Coverage not published
- Center for Medical Weight Loss (CMWL) — Coverage not published
- Vita Bella — 46 states
- Luma Health Co — 30 states
- Somi Health — Coverage not published
- Brello Health — 35 states
- Shapely — 4 states
- HelloWellness — Coverage not published
- Alternate Health Club — Coverage not published
- MaxLife — Coverage not published
- Reset Solutions — 1 state
- Bon Health — Coverage not published
- NuviaRx — Coverage not published
- JumpstartMD — 1 state
Dose escalation, a promotional first month that resets, and consult, lab or membership fees are also not in the number — the method is the same one behind the true monthly cost of GLP-1, and the cost calculators will run your own numbers.
Cheapest tirzepatide, answered
- What is the cheapest tirzepatide provider over a full year?
- At its disclosed monthly rate, Collective carries the lowest twelve-month tirzepatide cost we track — $69/mo for the medication, plus the same required $199/year membership works out to about $828 a year. It serves Coverage not published, which is the catch. Among providers publishing an all-50-state footprint, the lowest twelve-month figure is Basal Health at about $1,188.
- Is the cheapest tirzepatide compounded or brand-name Zepbound?
- Compounded, on every row of the providers here. Zepbound is Eli Lilly's FDA-approved brand tirzepatide, and it is not what most of this site sells — compounded tirzepatide is a different, non-FDA-approved product from a compounding pharmacy. If you specifically want the brand, start at /best/zepbound-cost rather than here.
- How much more does tirzepatide cost than semaglutide at the same provider?
- Across the 341 providers in our ranking that disclose both molecules, the annual premium for tirzepatide over semaglutide ranges from $-3,600 to $8,400 a year, averaging about $859. 34 providers on that list price both molecules identically.
- Does multiplying the monthly rate by 12 change which provider is cheapest?
- No — for a single flat monthly rate, multiplying by 12 preserves the same order a monthly list would show. What can move a row on the page you're looking at is placement: partners are surfaced first, as they are on every ranking on this site (see our disclosure), and every row is still ordered strictly by twelve-month cost within its group. The dollar figure next to each provider is never adjusted either way.
- What does the twelve-month tirzepatide figure leave out?
- It is the disclosed monthly tirzepatide rate multiplied by twelve — the sticker taken at its word, nothing added and nothing estimated. It does not model dose escalation into a higher price tier, a promotional first month that resets, one-time consultation or lab fees, or a membership charged alongside the medication. Every one of those pushes the real figure up, never down.
The other rankings
- Cheapest semaglutide over 12 months — the molecule-first answer if semaglutide, not tirzepatide, is what you're actually pricing.
- Zepbound cost — for the brand-name answer first, if FDA-approved tirzepatide is what you actually want.
- Compounded tirzepatide, plainly explained — what compounded tirzepatide is and its FDA status, plus a top-picks version of this same ranking.
- Cheapest GLP-1 providers that are actually worth it — value-ranked on the Cost-Efficiency Index across both molecules, not price alone.
- Cheapest GLP-1 for a full year — the same annual method as this page, applied to semaglutide, which is usually the cheaper molecule.
Related reading: compounded vs brand-name GLP-1 cost, is compounded medication legit and safe, semaglutide vs tirzepatide value, or line two finalists up side by side.
Prices are each provider's public disclosures at last check and move fast — confirm before you buy. Compounded medications are not FDA-approved. Not medical advice; see our medical disclaimer.