Last updated 25 August 2026.
Compounded medications are not FDA-approved. They are prepared by a licensed pharmacy for an individual patient on the prescription of a licensed clinician, and are not reviewed for safety, effectiveness or quality before being dispensed. This page describes a prescription service. It is not medical advice, and whether any treatment is appropriate for a particular person is a decision for a state-licensed clinician after reviewing that person’s medical history.
Tirzepatide is a prescription medication. It cannot lawfully be supplied without one. This page explains how the process works and what to look for in a provider.
How it works
- 1. Health assessment. You complete a medical intake covering your history, current medications, conditions and goals. This is what a clinician uses to decide whether treatment is appropriate for you.
- 2. Clinician review. A US state-licensed clinician reviews your information. They may request bloodwork, ask follow-up questions, or decide treatment is not appropriate.
- 3. Prescription, or not. If the clinician decides treatment is appropriate, they write a prescription. If they decide it is not, they do not.
- 4. Dispensing. A licensed pharmacy prepares and ships the medication.
- 5. Follow-up. You stay in contact with the clinical team while on treatment.
Step three is what separates a medical service from a shop. A provider where everyone who pays receives a prescription is not really doing step two.
What you need
- To be 18 or over
- To be physically located in a state where the provider operates
- A complete and honest medical history, including all current medications
- Bloodwork, if the reviewing clinician requires it
What a legitimate provider will not do
- Supply without a consultation. No prescription, no medication.
- Promise you a prescription in advance. Nobody can commit to that before a clinician has reviewed your history.
- Be vague about whether a product is compounded.
- Refuse to say which pharmacy prepares the medication.
- Hide the price until you have handed over your details. Ours are on the cost page.
Buying without a prescription
Sites supplying tirzepatide without a prescription, shipping from outside the US, or selling vials labelled for research use are not operating within US law, and there is no way for you to verify what is in the vial. Adverse events, some requiring hospitalisation, have been linked to dosing errors with compounded injectable products of this kind.
What to ask before you commit
| Question | Why it matters |
|---|---|
| Which pharmacy prepares this, and is it licensed in my state? | You are entitled to know who prepares your medication. |
| Is the price I see the full price? | Consultation, shipping and follow-up are sometimes billed separately. |
| Is bloodwork required, and who pays? | Some providers require labs and do not mention it until after payment. |
| What if the clinician says no? | Ask whether the assessment fee is refunded. It is a fair question. |
| Can I cancel, and how? | Find the terms before subscribing, not after. |
Important safety information
Tirzepatide carries a boxed warning stating that it causes thyroid C-cell tumours in rats, and that whether it does so in humans is unknown. It is contraindicated in people with a personal or family history of medullary thyroid carcinoma, in people with Multiple Endocrine Neoplasia syndrome type 2, and in people with known serious hypersensitivity to the ingredient.
Reported adverse reactions include nausea, diarrhoea, vomiting, constipation, abdominal pain, indigestion, injection site reactions and fatigue.
This is why the intake matters, and why answering every question on it honestly is in your own interest.
What we offer
We are a telehealth platform working with US state-licensed clinicians and licensed compounding pharmacies, and we are LegitScript certified. Our prices are on the cost page and the main pricing page, and you do not need to complete an intake form to see them.
What we will not tell you is whether tirzepatide is right for you. That is not something a website can decide.
Common questions
Can I get tirzepatide online?
By prescription, from a provider that runs a genuine clinical review, yes. Without a prescription, no.
How long does it take?
It depends on how quickly you complete the intake, whether the clinician requests bloodwork, and shipping. A provider promising same-day dispensing is promising to skip something.
Do I need insurance?
No. Compounded medications are generally not covered, and the published price is what you pay.
Is there a subscription?
Plans are monthly or three-month. Both are on the cost page.
What if I am not eligible?
A clinician will tell you, and that is the system working rather than failing.
Related
The product this process leads to is Injectable Tirzepatide, prescribed only if a licensed clinician decides it is appropriate.
Describes a prescription service and general information about a category of medication. Not medical advice, not a recommendation to take any medication, and not a claim about the effectiveness of any product. Prescription decisions are made by state-licensed clinicians.
