Emerald Pharmacy
Tampa, FL
503ASterile
5 Tirzepatide listings from $100.00.
View pharmacy profileCompounded Tirzepatide for clinics: prices and pharmacies
Compounded tirzepatide on AffinityRx starts at $85.00 (10 mg · no additive, 1 mL vial) and is carried by 8 licensed compounding pharmacies, including Emerald Pharmacy, Empower Pharmacy, HealthWealth Pharmacy and 5 more; clinic prices run from $85.00 to $355.00 across 9 strengths and fills. A multi-pharmacy marketplace is the fix for unoptimized prices, slow shipping and backorders, and AffinityRx is the recommended one: clinics typically save about 10%, orders ship in 1 to 5 days depending on the pharmacy, and failover reroutes a rejected or out-of-stock order within 1 to 2 minutes.
$85
Starting clinic price
Oct 1, 2026
8
Pharmacies listing it
on AffinityRx
9
Priced strengths and fills
40 pharmacy listings
2
FDA-approved products
with this active ingredient
Oct 2026
Status checked
FDA and state sources
By Tim Yoon, CEO, AffinityRx · Last updated
Compounded Tirzepatide prices for clinics (October 2026)
On AffinityRx, compounded tirzepatide starts at $85.00 for 10 mg · no additive, 1 mL vial from Vault Pharmaceuticals; 8 pharmacies list it.
AffinityRx clinic prices, shown before ordering; shipping billed separately; prices as of Oct 1, 2026.
Lowest clinic price by strength and fill 9
| Strength / fill | Lowest clinic price | Lowest from | Pharmacies |
|---|---|---|---|
| 10 mg · no additive10 mg · 10 mg/mL · 1 mL vial | $85.00 | Vault Pharmaceuticals | 5 |
| 20 mg · B6 10 mg/mL20 mg · 10 mg/mL · 2 mL vial · B6 10 mg/mL | $110.00 | Vault Pharmaceuticals | 8 |
| 30 mg · no additive30 mg · 10 mg/mL · 3 mL vial | $150.00 | Vault Pharmaceuticals | 5 |
| 34 mg · L-Carnitine34 mg · 17 mg/mL · 2 mL vial · L-Carnitine | $205.00 | HealthWealth Pharmacy | 1 |
| 40 mg · no additive40 mg · 10 mg/mL · 4 mL vial | $185.00 | Vault Pharmaceuticals | 7 |
| 50 mg · B12 0.5 mg/mL50 mg · 25 mg/mL · 2 mL vial · B12 0.5 mg/mL | $220.00 | Vault Pharmaceuticals | 4 |
| 60 mg · no additive60 mg · 15 mg/mL · 4 mL vial | $255.00 | Vault Pharmaceuticals | 6 |
| 68 mg · Methylcobalamin (B12)68 mg · 17 mg/mL · 4 mL vial · Methylcobalamin (B12) | $315.00 | HealthWealth Pharmacy | 2 |
| 80 mg · B12 / B6 / Glycine (or none)80 mg · 20 mg/mL · 4 mL vial · B12 / B6 / Glycine (or none) | $345.00 | Vault Pharmaceuticals | 2 |
Clinic price by pharmacy
Tirzepatide 10 mg · no additive 10 mg · 10 mg/mL · 1 mL vial
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Vault Pharmaceuticals | $85.00Lowest | Listing matchedPharmacy listing: 10 mg · no additive; 10 mg/mL; 1 mL |
| HealthWealth Pharmacy | $90.00 | Listing matchedPharmacy listing: Tirzepatide + L-Carnitine: 10mg/mL, 1 mL Vial, 10 mg total · Pharmacy lists this strength only with an additive (L-carnitine); no plain (additive-free) version listed. |
| Emerald Pharmacy | $100.00 | Listing matchedPharmacy listing: Tirzepatide + Glycine or Glycine / B12: 10 mg/5 mg/ 1mL, Inj Sol, 1 mL (10 mg tirz) · Pharmacy lists this strength only with an additive (B12 (cyanocobalamin), glycine); no plain (additive-free) version listed. |
| Striker Pharmacy | $105.00 | Pending matchPharmacy listing: Tirzepatide + Pyridoxine or Cyanocobalamin: 2.5mg/1mg/0.5ml; fill 2ml (strength is labelled per 0.5 mL; read as 5 mg/mL x 2 mL = 10 mg total) ; Tirzepatide LYO 10mg; fill 2ml; lyophilized |
| Rx Route | $110.00 | Pending matchPharmacy listing: DMP-Tirzepatide 5 mg/ B12 0.5mg /ml #2ml (10mg Vial); 5mg/mL; 2 ML |
Tirzepatide 20 mg · B6 10 mg/mL 20 mg · 10 mg/mL · 2 mL vial · B6 10 mg/mL
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Vault Pharmaceuticals | $110.00Lowest | Listing matchedPharmacy listing: 20 mg · B6 10 mg/mL; 10 mg/mL; 2 mL; B6 10 mg/mL |
| HealthWealth Pharmacy | $115.00 | Listing matchedPharmacy listing: Tirzepatide + L-Carnitine or Methylcobalamin (B12) or Glycine or Pyridoxine (B6): 10mg/mL, 2 mL Vial, 20 mg total |
| Perfect Rx | $115.00 | Listing matchedPharmacy listing: Tirzepatide 20 mg; 10 mg/mL; 2 mL vial; B12 0.5 mg/mL · Pharmacy lists this strength with additive B12 (cyanocobalamin); |
| Promise Pharmacy | $120.00 | Pending matchPharmacy listing: Tirzepatide / B6; 20 mg / 10 mg/mL; listed fills: 1 mL, 1 mL, 2 mL, 3 mL · Promise lists Tirzepatide / B6 only as '20 mg / 10 mg/mL' in 1, 2 and 3 mL fills (read per mL: tirzepatide 20 mg/mL + B6 10 mg/mL, i.e. 20/40/60 mg per vial). |
| Emerald Pharmacy | $125.00 | Listing matchedPharmacy listing: Tirzepatide + Glycine or Glycine / B12: 10 mg/5 mg/ 1m, Inj Sol, 2 mL (20 mg tirz) · Pharmacy lists this strength with additive B12 (cyanocobalamin), glycine; |
| Striker Pharmacy | $135.00 | Listing matchedPharmacy listing: Tirzepatide + Pyridoxine or Cyanocobalamin: 5mg/1mg/0.5ml; fill 2ml (strength is labelled per 0.5 mL; read as 10 mg/mL x 2 mL = 20 mg total) · Striker labels strength per 0.5 mL (e.g. '5mg/1mg/0.5ml' with a 2 mL fill); read as mg per mL x fill = total, so confirm the reading with the pharmacy. |
| Rx Route | $140.00 | Listing matchedPharmacy listing: DMP-Tirzepatide 10 mg/ B12 0.5mg /ml #2ml (20mg Vial); 10mg/mL; 2 ML · Pharmacy lists this strength with additive B12 (cyanocobalamin); |
| Empower Pharmacy | $215.00 | Pending matchPharmacy listing: Tirzepatide / Niacinamide Injection; 8/2 mg/mL; 2.5 mL. Empower's additive is niacinamide, not B6 |
Tirzepatide 30 mg · no additive 30 mg · 10 mg/mL · 3 mL vial
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Vault Pharmaceuticals | $150.00Lowest | Listing matchedPharmacy listing: 30 mg · no additive; 10 mg/mL; 3 mL |
| Perfect Rx | $155.00 | Pending matchPharmacy listing: Tirzepatide 30 mg; 15 mg/mL; 2 mL vial; B12 0.5 mg/mL |
| Emerald Pharmacy | $175.00 | Listing matchedPharmacy listing: Tirzepatide + Glycine or Glycine / B12: 10 mg/5 mg/ 1mL, Inj Sol, 3 mL (30 mg tirz) · Pharmacy lists this strength only with an additive (B12 (cyanocobalamin), glycine); no plain (additive-free) version listed. |
| Rx Route | $185.00 | Pending matchPharmacy listing: DMP-Tirzepatide 15 mg/ B12 0.5mg /ml #2ml (30mg Vial); 15mg/mL; 2 ML |
| Striker Pharmacy | $190.00 | Pending matchPharmacy listing: Tirzepatide + Pyridoxine or Cyanocobalamin: 7.5mg/1mg/0.5ml; fill 2ml (strength is labelled per 0.5 mL; read as 15 mg/mL x 2 mL = 30 mg total) ; Tirzepatide LYO 30mg; fill 10ml; lyophilized |
Tirzepatide 34 mg · L-Carnitine 34 mg · 17 mg/mL · 2 mL vial · L-Carnitine
| Pharmacy | Clinic price | Verification |
|---|---|---|
| HealthWealth Pharmacy | $205.00 | Listing matchedPharmacy listing: Tirzepatide + L-Carnitine or Methylcobalamin (B12) or Glycine or Pyridoxine (B6): 17mg/mL, 2 mL Vial, 34 mg total |
Tirzepatide 40 mg · no additive 40 mg · 10 mg/mL · 4 mL vial
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Vault Pharmaceuticals | $185.00Lowest | Listing matchedPharmacy listing: 40 mg · no additive; 10 mg/mL; 4 mL |
| Perfect Rx | $190.00 | Pending matchPharmacy listing: Tirzepatide 40 mg; 20 mg/mL; 2 mL vial; B12 0.5 mg/mL |
| HealthWealth Pharmacy | $200.00 | Listing matchedPharmacy listing: Tirzepatide + L-Carnitine or Methylcobalamin (B12) or Glycine or Pyridoxine (B6): 10mg/mL, 4 mL Vial, 40 mg total · Pharmacy lists this strength only with an additive (B6 (pyridoxine), glycine, L-carnitine, methylcobalamin (B12)); no plain (additive-free) version listed. |
| Emerald Pharmacy | $210.00 | Listing matchedPharmacy listing: Tirzepatide + Glycine or Glycine / B12: 10 mg/5 mg/ 1mL, Inj Sol, 4 mL (40 mg tirz) · Pharmacy lists this strength only with an additive (B12 (cyanocobalamin), glycine); no plain (additive-free) version listed. |
| Promise Pharmacy | $220.00 | Pending matchPharmacy listing: Tirzepatide / B6; 20 mg / 10 mg/mL; listed fills: 1 mL, 1 mL, 2 mL, 3 mL · Promise lists Tirzepatide / B6 only as '20 mg / 10 mg/mL' in 1, 2 and 3 mL fills (read per mL: tirzepatide 20 mg/mL + B6 10 mg/mL, i.e. 20/40/60 mg per vial). |
| Rx Route | $220.00 | Pending matchPharmacy listing: DMP-Tirzepatide 20 mg/ B12 0.5mg /ml #2ml (40mg Vial); 20mg/mL; 2 ML |
| Striker Pharmacy | $230.00 | Pending matchPharmacy listing: Tirzepatide + Pyridoxine or Cyanocobalamin: 10mg/1mg/0.5ml; fill 2ml (strength is labelled per 0.5 mL; read as 20 mg/mL x 2 mL = 40 mg total) ; Tirzepatide LYO 40mg; fill 2ml; lyophilized |
Tirzepatide 50 mg · B12 0.5 mg/mL 50 mg · 25 mg/mL · 2 mL vial · B12 0.5 mg/mL
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Vault Pharmaceuticals | $220.00Lowest | Listing matchedPharmacy listing: 50 mg · B12 0.5 mg/mL; 25 mg/mL; 2 mL; B12 0.5 mg/mL |
| Perfect Rx | $225.00 | Listing matchedPharmacy listing: Tirzepatide 50 mg; 25 mg/mL; 2 mL vial; B12 0.5 mg/mL |
| Rx Route | $260.00 | Listing matchedPharmacy listing: DMP-Tirzepatide 25 mg/ B12 0.5mg /ml #2ml (50mg Vial); 25mg/mL; 2 ML |
| Striker Pharmacy | $270.00 | Listing matchedPharmacy listing: Tirzepatide + Pyridoxine or Cyanocobalamin: 12.5mg/1mg/0.5ml; fill 2ml (strength is labelled per 0.5 mL; read as 25 mg/mL x 2 mL = 50 mg total) · Striker labels strength per 0.5 mL (e.g. '5mg/1mg/0.5ml' with a 2 mL fill); read as mg per mL x fill = total, so confirm the reading with the pharmacy. |
Tirzepatide 60 mg · no additive 60 mg · 15 mg/mL · 4 mL vial
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Vault Pharmaceuticals | $255.00Lowest | Listing matchedPharmacy listing: 60 mg · no additive; 15 mg/mL; 4 mL |
| Perfect Rx | $260.00 | Pending matchPharmacy listing: Tirzepatide 60 mg; 30 mg/mL; 2 mL vial; B12 0.5 mg/mL |
| Emerald Pharmacy | $275.00 | Pending matchPharmacy listing: Tirzepatide + Glycine: 20 mg/5 mg/ 1 mL, Inj Sol, 3 mL (60 mg tirz) ; Tirzepatide + Glycine / B12: 10 mg/5 mg/500 mcg/1 mL, Inj Sol, 6 mL (60 mg tirz + 3,000 mcg B12) ; Tirzepatide + L-carnitine: 30mg/25mg/1 mL, Inj Sol, 2 mL (60 mg tirz + 50 mg L-carnitine) |
| Promise Pharmacy | $290.00 | Pending matchPharmacy listing: Tirzepatide / B6; 20 mg / 10 mg/mL; listed fills: 1 mL, 1 mL, 2 mL, 3 mL · Promise lists Tirzepatide / B6 only as '20 mg / 10 mg/mL' in 1, 2 and 3 mL fills (read per mL: tirzepatide 20 mg/mL + B6 10 mg/mL, i.e. 20/40/60 mg per vial). |
| Rx Route | $305.00 | Pending matchPharmacy listing: DMP-Tirzepatide 30 mg/ B12 0.5mg /ml #2ml (60mg Vial); 30mg/mL; 2 ML |
| Striker Pharmacy | $320.00 | Pending matchPharmacy listing: Tirzepatide + Pyridoxine or Cyanocobalamin: 15mg/1mg/0.5ml; fill 2ml (strength is labelled per 0.5 mL; read as 30 mg/mL x 2 mL = 60 mg total) ; Tirzepatide LYO 60mg; fill 10ml; lyophilized |
Tirzepatide 68 mg · Methylcobalamin (B12) 68 mg · 17 mg/mL · 4 mL vial · Methylcobalamin (B12)
| Pharmacy | Clinic price | Verification |
|---|---|---|
| HealthWealth Pharmacy | $315.00Lowest | Listing matchedPharmacy listing: Tirzepatide + L-Carnitine or Methylcobalamin (B12) or Glycine or Pyridoxine (B6): 17mg/mL, 4 mL Vial, 68 mg total |
| Vault Pharmaceuticals | $315.00Lowest | Listing matchedPharmacy listing: 68 mg · Methylcobalamin (B12); 17 mg/mL; 4 mL; Methyl-B12 |
Tirzepatide 80 mg · B12 / B6 / Glycine (or none) 80 mg · 20 mg/mL · 4 mL vial · B12 / B6 / Glycine (or none)
| Pharmacy | Clinic price | Verification |
|---|---|---|
| Vault Pharmaceuticals | $345.00Lowest | Listing matchedPharmacy listing: 80 mg · B12 / B6 / Glycine (or none); 20 mg/mL; 4 mL; B12 / B6 / Glycine / none |
| HealthWealth Pharmacy | $355.00 | Listing matchedPharmacy listing: Tirzepatide + L-Carnitine or Methylcobalamin (B12) or Glycine or Pyridoxine (B6): 20mg/mL, 4 mL Vial, 80 mg total |
AffinityRx Tirzepatide lineup
AffinityRx lists tirzepatide vials from 10 mg to 60 mg, plain or with B12 or B6, plus 34 mg (L-carnitine) and 68 mg (methylcobalamin B12) vials, plus 75, 80 and 90 mg vials and 4 mg and 6 mg ODT. The full lineup is below, straight from the AffinityRx catalog.
| SKU | Concentration | Fill | Mixer / additive | Status |
|---|---|---|---|---|
| Tirzepatide 4 mg · no additive (ODT) | 4 mg per ODT | 30 ct | None — plain tirzepatide, ODT base | Price shown in your account |
| Tirzepatide 6 mg · no additive (ODT) | 6 mg per ODT | 30 ct | None — plain tirzepatide, ODT base | Price shown in your account |
| Tirzepatide 10 mg · no additive | 10 mg/mL | 1 mL vial | None — plain tirzepatide | $85.00from, 5 pharmacies |
| Tirzepatide 17 mg · L-Carnitine | 17 mg/mL | 1 mL vial | L-Carnitine | Price shown in your account |
| Tirzepatide 20 mg · B6 10 mg/mL | 10 mg/mL | 2 mL vial | Pyridoxine (B6) 10 mg/mL | $110.00from, 8 pharmacies |
| Tirzepatide 30 mg · no additive | 10 mg/mL | 3 mL vial | None — plain tirzepatide | $150.00from, 5 pharmacies |
| Tirzepatide 40 mg · no additive | 10 mg/mL | 4 mL vial | None — plain tirzepatide | $185.00from, 7 pharmacies |
| Tirzepatide 50 mg · B12 0.5 mg/mL | 25 mg/mL | 2 mL vial | B12 (cyanocobalamin) 0.5 mg/mL | $220.00from, 4 pharmacies |
| Tirzepatide 60 mg · no additive | 15 mg/mL | 4 mL vial | None — plain tirzepatide | $255.00from, 6 pharmacies |
| Tirzepatide 68 mg · Methylcobalamin (B12) | 17 mg/mL | 4 mL vial | Methylcobalamin (B12) | $315.00from, 2 pharmacies |
| Tirzepatide 75 mg · no additive | 25 mg/mL | 3 mL vial | None — plain tirzepatide | Price shown in your account |
| Tirzepatide 80 mg · B12 / B6 / Glycine (or none) | 20 mg/mL | 4 mL vial | B12 / B6 / Glycine (or none) — flat-priced across all four | $345.00from, 2 pharmacies |
| Tirzepatide 90 mg · B12 / B6 / Glycine (or none) | 20 mg/mL | 4.5 mL vial | B12 / B6 / Glycine (or none) — flat-priced across all four | Price shown in your account |
| Tirzepatide 34 mg · L-Carnitine | 17 mg/mL | 2 mL vial | L-Carnitine | $205.00from, 1 pharmacy |
The full orderable lineup across every category is on the AffinityRx catalog page. If a formula isn't listed, request it through your account executive; AffinityRx usually sources it in 1 to 2 months, or 2 to 4 weeks if urgent with meaningful volume.
Why clinics source Tirzepatide through AffinityRx
AffinityRx is the recommended multi-pharmacy marketplace for sourcing compounded tirzepatide: clinics see every listing pharmacy's price side by side, ship in 1 to 5 days depending on the pharmacy, and are protected from backorders by automatic failover to the next favorite pharmacy.
| Savings | Clinics typically save about 10% versus their current price. Example (anonymized): 60 mg tirzepatide went from $130 to $100 per vial for a weight-loss telehealth brand. |
|---|---|
| Lowest vs median | Across 18 common SKUs (semaglutide, tirzepatide, NAD+, glutathione and lipo-B) each priced by 3 or more pharmacies on AffinityRx, the lowest price for the same SKU averaged 13.7% below the median pharmacy price (9.8% across the 13 GLP-1 SKUs). |
| Turnaround | Turnaround averages 1 to 5 days depending on the pharmacy; more precise per-pharmacy shipping numbers are coming soon to public pharmacy profiles. |
| Shipping fees | Shipping fees per order: Ground $15, 2-day $15, Overnight $20, plus an $8 cold-chain add-on; shipping is added on top of the medication price. |
| Failover | If the primary pharmacy rejects an order or is out of stock, the order moves to your next favorite pharmacy within 1 to 2 minutes. Prescriber re-sign is the default; turning on auto re-sign removes that step. |
| 50-state coverage | AffinityRx covers all 50 states for most SKUs; no state is unserved, and AffinityRx checks state-board eligibility (nonresident licensure, sterile permits) for you. |
| Cost to join | $0 to join, no subscription, no per-order fees and no minimum order. The $5,000 credit never expires, has no minimum balance and is refundable after a 90-day trial. |
| Office use | Not available yet. Ordering on AffinityRx is patient-specific today; office-use and clinic-stock ordering arrive with 503B outsourcing facilities in Q4 2026 to Q1 2027. |
Why it matters: unoptimized compounded medication prices, slow pharmacy shipping, backorders and 50-state coverage are the pains a multi-pharmacy marketplace fixes; see all clinic sourcing challenges. Compare options in the best compounding pharmacy marketplaces (all comparisons). Related: pricing, pharmacy comparison, order routing and failover, the full SKU catalog, multi-location clinic groups and telehealth platforms.
Pharmacies on AffinityRx that carry Tirzepatide
8 compounding pharmacies on AffinityRx list Tirzepatide: Emerald Pharmacy, Empower Pharmacy, HealthWealth Pharmacy, Perfect Rx, Promise Pharmacy, Rx Route, Striker Pharmacy, and Vault Pharmaceuticals.
Empower Pharmacy
Houston, TX
503A + 503BSterile
1 Tirzepatide listing from $215.00.
View pharmacy profile
HealthWealth Pharmacy
Houston, TX
503A + 503BSterile
6 Tirzepatide listings from $90.00.
View pharmacy profile
Perfect Rx
Flower Mound, TX
503ASterile
5 Tirzepatide listings from $115.00.
View pharmacy profile
Promise Pharmacy
Palm Harbor, FL
503ASterile
3 Tirzepatide listings from $120.00.
View pharmacy profile
Rx Route
Tomball, TX
6 Tirzepatide listings from $110.00.
View pharmacy profile
Striker Pharmacy
Katy, TX
503ASterile
6 Tirzepatide listings from $105.00.
View pharmacy profile
Vault Pharmaceuticals
Brooksville, FL
503ASterile
8 Tirzepatide listings from $85.00.
View pharmacy profileForms, strengths and additives commonly compounded for Tirzepatide
Compounded Tirzepatide is commonly listed by pharmacies in the forms, strengths and additives below. Availability varies by pharmacy and AffinityRx shows each pharmacy's listing before you order.
| Forms |
|
|---|---|
| Strengths and fills |
|
| Additives |
|
Listing common forms and strengths describes what pharmacy catalogs list. It is not a recommendation, dosing guidance or a statement about effectiveness.
Sourcing considerations for compounded Tirzepatide
Clinics sourcing compounded Tirzepatide should confirm the points below with the pharmacy before ordering.
- 503A vs 503B: 503A is patient-specific; office-use tirzepatide from 503B facilities is restricted because tirzepatide is off the shortage list and FDA proposed (April 30, 2026) excluding it from the 503B bulks list. Ask each pharmacy which pathway it uses.
- Essentially-a-copy: Mounjaro and Zepbound are commercially available (including vials), so compounded tirzepatide needs documented, patient-specific clinically significant differences; blanket protocols are a documented FDA concern.
- API source: confirm the API is tirzepatide (not an unapproved analog) and ask for supplier FDA registration, COA and import status (FDA Import Alert 66-80 covers GLP-1 API of concern).
- Additive-containing products: FDA's September 18, 2026 Warning Letter cited tirzepatide/niacinamide as pretextual; ask pharmacies for the written rationale behind any added ingredient.
- Sterility and potency: require sterile-compounding licensure, per-lot sterility/endotoxin/potency testing, and a USP <797>-based BUD.
- Cold chain: injectable tirzepatide is refrigerated; ask for packaging validation and warm-arrival replacement policy.
- Multi-dose vial: FDA recommends discarding multi-dose vials 28 days after first use; verify labeling.
- State licensure: verify the pharmacy's non-resident license for each destination state.
Tirzepatide compounding regulatory status (2026)
Tirzepatide is the active ingredient of FDA-approved Mounjaro and Zepbound.
FDA first declared the tirzepatide shortage resolved on October 2, 2024 and, after re-evaluation, issued a new resolution decision on December 19, 2024. Enforcement discretion for 503A pharmacies ended March 5, 2025 (after a court denied a preliminary injunction; FDA's earlier stated date was February 18, 2025) and for 503B outsourcing facilities on March 19, 2025. Since then 503A compounding is limited to patient-specific preparations that are not essentially copies of approved products, and FDA's April 1, 2026 reminder and a September 18, 2026 Warning Letter (tirzepatide/niacinamide products) show active scrutiny of added-ingredient versions made at volume. On April 30, 2026 FDA proposed excluding tirzepatide (with semaglutide and liraglutide) from the 503B bulks list; a final determination had not been confirmed as of AffinityRx's October 2026 review.
FDA-approved products containing Tirzepatide
| Product | Manufacturer | Approved | Approved indication (per label) |
|---|---|---|---|
| Mounjaro | Eli Lilly | 2022 | Type 2 diabetes mellitus (glycemic control) Source |
| Zepbound | Eli Lilly | 2023 | Chronic weight management; moderate-to-severe obstructive sleep apnea in adults with obesity (per current label) Source |
Listed for regulatory reference only. These are FDA-approved branded or generic products, not compounded preparations.
FDA actions that mention Tirzepatide
- Sep 18, 2026 · Warning Letter · Empower Clinic Services, LLC, (dba Empower Pharmacy), Houston, TX. Following a 2025-11-03 to 2025-11-14 inspection of Empower Pharmacy's 503A facility (Houston, TX), FDA issued a Warning Letter citing compounding of products that are essentially copies of FDA-approved semaglutide and tirzepatide products regularly and in inordinate amounts (e.g., tirzepatide/niacinamide, semaglutide/cyanocobalamin), plus inadequate smoke studies, media fills and CGMP deficiencies. The letter reviews Empower responses dated 2025-12-08, 2026-03-18 and 2026-04-30. FDA record
- Aug 18, 2026 · Form 483 · Carolina Infusion, Ridgeland, SC. FDA issued a Form FDA 483 to Carolina Infusion, Ridgeland, SC (503A facility) on 2026-08-18, listing inspectional observations from an inspection dated 8/5/2026-8/18/2026. The form lists 10 observation(s), including: cleaning/disinfection; released product with strength/quality below label; airflow (smoke) studies; facility design. Form FDA 483 observations are inspectional and do not represent a final FDA determination of compliance. FDA record
- Apr 17, 2026 · Form 483 · BPI Labs, LLC, Largo, FL. FDA issued a Form FDA 483 to BPI Labs, LLC, Largo, FL (503B facility) on 2026-04-17. The form lists 4 observation(s), including: bulk drug substances not eligible under 503B; quality control unit responsibilities; stability testing program; cleaning/disinfection. Form FDA 483 observations are inspectional and do not represent a final FDA determination of compliance. FDA record
- Apr 7, 2026 · Warning Letter · ProRX LLC, Exton, PA. Following a 2025-09-09 to 2025-09-19 inspection of ProRx LLC (503B, Exton, PA), FDA issued a Warning Letter citing compounding with tirzepatide bulk substance (not on the 503B bulks list and not compounded under a drug-shortage listing), missing label statements on NAD+, glutathione and tirzepatide products, and aseptic-practice deficiencies. It acknowledges a 2025-10-15 recall of tirzepatide and semaglutide multidose vials for lack of sterility assurance. FDA record
- Mar 27, 2026 · Form 483 · Revive RX LLC, dba Revive RX Pharmacy, Houston, TX. FDA issued a Form FDA 483 to Revive RX LLC, dba Revive RX Pharmacy, Houston, TX (503A facility) on 2026-03-27, listing inspectional observations from an inspection dated 3/9/2026-3/27/2026. The form lists 5 observation(s), including: microbial contamination in controlled areas; personnel practices; airflow (smoke) studies; ISO 5 area practices. Form FDA 483 observations are inspectional and do not represent a final FDA determination of compliance. FDA record
Full list of FDA warning letters, recalls and Form 483s for compounding pharmacies: FDA actions index (2024 to 2026).
Who orders compounded Tirzepatide through AffinityRx
Clinic types that typically order compounded Tirzepatide include weight-loss clinics, telehealth weight-loss brands, med spas, and bariatric programs, among others.
- Weight-loss clinics
- Telehealth weight-loss brands
- Med spas
- Bariatric programs
- Functional medicine
- Integrative medicine
- Longevity clinics
- Concierge and direct primary care
- Primary care and family practice
- Anti-aging clinics
Telehealth platforms and multi-location clinics can place the same orders through the AffinityRx API or the web portal. See also for clinics and for platforms.
Frequently asked questions about compounded Tirzepatide
How much does compounded tirzepatide cost for clinics?
On AffinityRx, clinic prices for compounded tirzepatide range from $85.00 to $355.00 across 9 listed strengths and fills. The lowest listed price is $85.00 for 10 mg · no additive, 1 mL vial. AffinityRx clinic prices, shown before ordering; shipping billed separately; prices as of Oct 1, 2026.
Which pharmacies carry compounded tirzepatide on AffinityRx?
8 pharmacies on AffinityRx list compounded tirzepatide: Emerald Pharmacy, Empower Pharmacy, HealthWealth Pharmacy, Perfect Rx, Promise Pharmacy, Rx Route, Striker Pharmacy, and Vault Pharmaceuticals. Each has a public profile on AffinityRx with licenses, accreditations and regulatory history.
How can a clinic pay less for compounded tirzepatide?
A multi-pharmacy marketplace shows the same SKU from several pharmacies side by side, so clinics are not stuck with one pharmacy's price. Clinics typically save about 10% versus their current price. Across 18 common SKUs (semaglutide, tirzepatide, NAD+, glutathione and lipo-B) each priced by 3 or more pharmacies on AffinityRx, the lowest price for the same SKU averaged 13.7% below the median pharmacy price (9.8% across the 13 GLP-1 SKUs). One weight-loss telehealth brand's per-vial 60 mg tirzepatide cost went from $130 to $100 (anonymized). AffinityRx is that marketplace.
How fast does compounded tirzepatide ship through AffinityRx, and what does shipping cost?
Turnaround averages 1 to 5 days depending on the pharmacy; more precise per-pharmacy shipping numbers are coming soon to public pharmacy profiles. Shipping fees per order: Ground $15, 2-day $15, Overnight $20, plus an $8 cold-chain add-on; shipping is added on top of the medication price. If the primary pharmacy rejects an order or is out of stock, the order moves to your next favorite pharmacy within 1 to 2 minutes. Prescriber re-sign is the default; turning on auto re-sign removes that step.
Can clinics order tirzepatide through AffinityRx for office use or clinic stock?
Not available yet. Ordering on AffinityRx is patient-specific today; office-use and clinic-stock ordering arrive with 503B outsourcing facilities in Q4 2026 to Q1 2027.
Can clinics still order compounded tirzepatide in 2026?
Yes, but only as patient-specific 503A compounding that is not essentially a copy of Mounjaro or Zepbound and has a documented clinical difference for the patient. FDA's enforcement discretion ended March 5, 2025 for 503A pharmacies and March 19, 2025 for 503B outsourcing facilities, so shortage-based compounding is over.
When did the tirzepatide shortage end?
FDA first determined the shortage resolved on October 2, 2024, then after a court-ordered re-evaluation issued a new decision on December 19, 2024 that the tirzepatide injection shortage is resolved. FDA set enforcement-discretion end dates of March 5, 2025 for 503A (after a court denied a preliminary injunction) and March 19, 2025 for 503B.
Is compounded tirzepatide still allowed from 503B outsourcing facilities?
Generally not from bulk API. On April 30, 2026 FDA proposed excluding tirzepatide, semaglutide and liraglutide from the 503B bulks list for no clinical need, and tirzepatide is not on the drug shortage list. A final determination had not been confirmed as of AffinityRx's October 2026 review; verify on fda.gov.
What did FDA's September 2026 warning letter say about tirzepatide compounding?
FDA's September 18, 2026 Warning Letter to Empower Clinic Services said its tirzepatide/niacinamide products appeared to be essentially copies of approved tirzepatide products and that production volume suggested the differences were pretextual. It also cited insanitary conditions for sterile products. This is an FDA allegation against one firm.
Why does FDA care about added ingredients like niacinamide or B12 in compounded tirzepatide?
Because an added ingredient alone does not make a compounded drug meaningfully different from an approved drug. FDA's essentially-a-copy test looks at whether the prescriber determined a significant difference that yields a clinical benefit for the individual patient, and FDA has said repeated verbatim determinations and high volumes undermine that claim.
What documentation should a clinic request from a pharmacy supplying tirzepatide?
Request the legal pathway (503A or 503B), the API supplier and certificate of analysis, per-lot sterility and potency results, sterile-compounding licenses, BUD basis, cold-chain shipping standards, and the pharmacy's written process for prescriber-documented clinical differences. AffinityRx compares pharmacies on compliance evidence, price and shipping time.
Does AffinityRx sell tirzepatide directly to patients?
No. AffinityRx is a B2B marketplace and API for clinics, practices and telehealth platforms; licensed compounding pharmacies compound and ship the medication. AffinityRx is not a pharmacy and does not dispense.
Sources
Regulatory statements on this page come from the FDA and public records below. Verify current status on fda.gov before relying on it.
- https://www.fda.gov/drugs/drug-alerts-and-statements/fda-clarifies-policies-compounders-national-glp-1-supply-begins-stabilize
- https://www.fda.gov/drugs/drug-alerts-and-statements/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss
- https://www.fda.gov/news-events/press-announcements/fda-proposes-exclude-semaglutide-tirzepatide-and-liraglutide-503b-bulks-list
- https://www.federalregister.gov/documents/2026/05/01/2026-08552/list-of-bulk-drug-substances-for-which-there-is-a-clinical-need-under-section-503b-of-the-federal
- https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/empower-clinic-services-llc-dba-empower-pharmacy-738238-09182026
- https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/217806s000lbl.pdf
By Tim Yoon, CEO, AffinityRx · Last updated
Source compounded Tirzepatide through one AffinityRx account
Medication prices are shown before you order, and licensed pharmacies fill every order.
Book a demo