Key takeaways
- Compounded semaglutide starts at $119 a month, or $259 for a 12-week starter plan (about $86 a month). Compounded tirzepatide starts at $139 a month, or $349 for a 12-week starter plan. Those are starting-dose prices and the whole numbers. The provider visit, the medication and shipping are inside them.
- The price follows your dose. Every dose has its own listed price, shown below and on the product page before you pay.
- There is no membership fee and no subscription. You order when you want to. Nothing renews on its own.
- If a provider decides treatment is not right for you, you are refunded in full. There is no consultation fee and no visit fee kept back.
- Most of the confusing prices in this category come from three habits: a membership on top of the medication, a price that climbs with the dose, and an introductory number that changes after month one. This page shows you how to read all three.
Cost is the first question most people have about compounded GLP-1 treatment, and the hardest one to get a straight answer to. Prices in this category are often split into pieces, shown for the lowest dose only, or hidden until after you have filled in a health form. So here is ours, all of it, on one page.
Before you compare prices anywhere, it is worth checking the seller is real. We cover how in where to buy tirzepatide legally and safely.
Our prices, in one table
| Treatment | 1 month supply | 3 month supply | Membership |
|---|---|---|---|
| Compounded semaglutide | From $119 | From $249 (about $83 a month) | None |
| Compounded tirzepatide | From $139 | From $299 (about $100 a month) | None |
Prices follow the dose your provider prescribes, because higher doses use more medication. Here is every dose. Prices are in US dollars and were correct on 7 October 2026. If they ever change, the product page is the number that counts.
Compounded semaglutide, by weekly dose
| Weekly dose | 1 month | 12 weeks, same dose |
|---|---|---|
| 0.25 mg | $119 | $249 |
| 0.5 mg | $119 | $259 |
| 1 mg | $129 | $269 |
| 1.5 mg | $139 | $279 |
| 2.5 mg | $139 | $319 |
Compounded tirzepatide, by weekly dose
| Weekly dose | 1 month | 12 weeks, same dose |
|---|---|---|
| 2.5 mg | $139 | $299 |
| 5 mg | $159 | $349 |
| 7.5 mg | $179 | $389 |
| 10 mg | $199 | $429 |
| 12.5 mg | $199 | $479 |
| 15 mg | $209 | $529 |
The 12-week supply also comes as a step-up plan, where the dose rises across the three blocks of four weeks. A new patient’s step-up plan is $259 for semaglutide (0.25 to 0.5 to 1 mg) and $349 for tirzepatide (2.5 to 5 to 7.5 mg). The lowest 12-week prices, $249 for semaglutide (about $83 a month) and $299 for tirzepatide (about $100 a month), are for staying on the starting dose for all 12 weeks.
What the price includes
Three things, and they are the three things you actually need.
- The provider review. A licensed provider in your state reads your intake and decides whether the treatment is appropriate for you. That visit is part of the price, not a line on top of it.
- The medication. If the provider prescribes it, a US 503A compounding pharmacy prepares it against your prescription and ships it to you. We wrote a plain-English guide to what 503A means if you want to know who makes your vial.
- Shipping. Free on every order, including refills. Most orders arrive 48 to 72 hours after your provider approves the prescription. There is no paid shipping option and no handling fee at checkout.
What is never added on top
This list matters more than the price table, because it is where the surprises usually live.
- No membership fee. Some services charge a monthly fee just to be a patient, and the medication is billed on top. We do not.
- No subscription. A one-time purchase is what is selected at checkout. Nothing renews unless you place another order.
- No consultation or visit fee. Not at the start, and not if the answer is no.
- No dose increase fee. Your provider decides your dose. Your price stays where it is.
- No shipping or handling fee. Covered above, but worth repeating, because it is a common add-on elsewhere.
What happens to your money if a provider says no
You are charged when you place the order, before a provider has reviewed you. That is how the process works everywhere in this category, and it is worth being honest about it.
The part that differs is what happens next. If the provider decides the treatment is not right for you, you get a full refund. Not a refund minus a visit fee. Not a credit. The full amount, back to the card you paid with. The details are in our refund policy. For the whole process from questionnaire to delivery, see how an online GLP-1 prescription works.
Monthly or three months at a time
Both options exist for both medications, and the three-month supply is cheaper per month. For a new patient on semaglutide, the 12-week step-up plan is $259, about $86 a month, against $367 for the same three doses bought one month at a time, which is $108 less. On tirzepatide it is $349, about $116 a month, against $477, which is $128 less.
The three-month supply is a single vial, prepared and shipped once, which is where the saving comes from. Your provider still sets the dose and the schedule. If you are new to treatment, the one-month supply is the usual starting point, because a provider will often want to see how you do on a starting dose before anything longer is prescribed.
A refill is a new order and a new provider review. That is a legal requirement, not a sales step. It also means nothing is charged to you automatically between orders.
How to read any GLP-1 price you see online
We looked at how compounded GLP-1 pricing is usually presented across the category. Three patterns come up again and again, and once you can spot them, every price page is easier to read. None of these are illegal or even unusual. They are just easy to misread.
Pattern one: the membership plus the medication
The headline says the medication is “as low as” one number, and a separate monthly membership is listed somewhere else. The amount that leaves your account each month is the sum of the two. When you compare services, always add the membership back in before you compare anything.
Pattern two: the price that climbs with the dose
Some services price by dose. The number you see is the starting dose. Most people on these medications move up from the starting dose over the first few months, so the number you were sold is rarely the number you end up paying. Ask what the highest dose costs before you sign up, and whether that increase is automatic.
Pattern three: the introductory month
A first month at a low price, then a higher regular price from month two. The low number is real, and so is the higher one. Read for the phrase “first month” or “new patients” near any price that looks unusually low.
A fourth habit is not a pricing pattern so much as a missing one: some services do not publish a price at all until you have completed a health questionnaire. There can be good reasons for that, since availability varies by state. But it does make comparison impossible, so it is fair to see an unpublished price as a question to ask, not a bargain to assume.
Why our two medications cost different amounts
Compounded tirzepatide costs more than compounded semaglutide because the ingredient costs the pharmacy more. That is the whole reason. The provider review, the shipping and the rest of the process are the same for both.
Which one is appropriate for you is a clinical decision, not a price decision. Your provider makes it based on your intake, and they can change it. If you are not sure which to choose, the short intake asks the questions a provider needs, and you can pick “not sure yet” at the first step.
Where we stand
We are not always the lowest headline number out there, and we would rather say that plainly than dress it up. What we are is upfront: every dose has a listed price, with nothing on top. You pay once, and that includes the visit, the medication and the delivery. If a provider says no, all of it comes back.
If you want the numbers on the pages where you actually buy, they are on the compounded semaglutide and compounded tirzepatide pages, and the full picture of how treatment works is on our weight loss treatments page.
Frequently asked questions
How much does compounded semaglutide cost at Happy Care Meds?
From $119 for a one-month supply (the starting dose) up to $139 at the highest dose, or from $249 for a 12-week supply. Every price includes the provider review, the medication from a US 503A compounding pharmacy, and shipping. There is no membership fee.
How much does compounded tirzepatide cost at Happy Care Meds?
From $139 for a one-month supply (the starting dose) up to $209 at the highest dose, or from $299 for a 12-week supply. Every price includes the provider review, the medication and shipping. There is no membership fee.
Is there a membership fee or subscription?
No. There is no membership fee, and a one-time purchase is what is selected at checkout. Nothing renews on its own. Every refill is a new order that you place yourself.
Does the price go up when my dose goes up?
Yes, a little. Higher doses use more medication, so they cost more. Semaglutide runs from $119 to $139 a month and tirzepatide from $139 to $209 a month. Your provider sets the dose, and you see the price before you pay.
What if the provider decides not to prescribe?
You receive a full refund. There is no consultation fee or visit fee kept back. You are charged at the time of ordering, before the review, and the full amount is returned if the provider decides treatment is not appropriate for you.
Is shipping included?
Yes. Shipping is free on every order, including refills, with no handling fee at checkout. Most orders arrive 48 to 72 hours after your provider approves the prescription.
Does insurance cover compounded GLP-1 medication?
Generally no. Compounded medications are not approved by the FDA, and insurance plans do not usually cover them. Our prices are cash prices. Whether an HSA or FSA card can be used depends on your plan’s rules, so check with your plan administrator.
Why do other services show a lower price?
Often because the number shown is one piece of the total: the medication without the membership, the starting dose without the higher doses, or an introductory month. Add the membership back in, ask what the highest dose costs, and check whether the price is for the first month only. Then compare.
Compounded products are not approved nor evaluated for safety, effectiveness, or quality by the FDA. Prices correct as of 29 September 2026 and shown in US dollars.