Tirzepatide Compound Summer 2026 Survey

We're back to the more comprehensive survey with some updates and new questions.

You will need to sign in to your google account before being able to answer but your email is not shared with me.

Survey closes July 15th, results likely July 25th.

I've added LOTS of new info including BMI eligibility criteria and maintenance policies, microdosing, pharmacy updates, and more! I still need help to fill in the missing gaps, especially who is or isn't compliant with 28 day vial use. TIA!

Google Drive link to Numbers spreadsheet (for Apple): https://drive.google.com/file/d/1MhpDFzkaNfD4psxfW_4QRKblptz0tIlm/view?usp=drive_link

Google Drive link to Excel spreadsheet: https://docs.google.com/spreadsheets/d/1stHAq9DRz0DTF7-Ql2NGw9JaNkx7wpw9/edit?usp=drive_link&ouid=106014527248635015330&rtpof=true&sd=true

Google Drive link to PDF: https://drive.google.com/file/d/1cWKKqOc5oNqmsEojSvpBZf-ednhHyX7O/view?usp=sharing

Kindly let me know if anything looks incorrect, and let me know if the excel version looks OK!

Original post (edited):

This is a quick glance resource to help everyone make informed decisions about what telehealth providers, pharmacies, and formulas to use. These are (mostly) the popular pharmacies & telehealths talked about in our sub, including those in our subs' Where to Buy megathread (pinned at top of the sub).

All info came from user-uploaded pictures of vials on this sub, speaking with pharmacists & the telehealth providers directly, or their websites.

For more info on the most recommended/popular pharmacies, tele providers, pricing, etc., please visit the "Where to Buy: Telehealth Providers" post pinned at the top of this sub.

Single-dose Zep vials and autoinjectors remain preservative-free.

Thank you to everyone who helped gather this info!

I do not work for/am not affiliated with any pharmacy or telehealth provider, nor do I receive any form of compensation from anyone for this project. I am just someone who likes to compile information for the sake of transparency and to help people make informed decisions ❤️

So...if anyone with a current Rx would be willing to call and ask for ingredient info, it would be appreciated!

Google Drive link to PDF: https://drive.google.com/file/d/1cWKKqOc5oNqmsEojSvpBZf-ednhHyX7O/view?usp=sharing

Kindly let me know if anything looks incorrect.

Original post (edited):

This is a quick glance resource to help us make informed decisions about what telehealth providers, pharmacies, and formulas to use. These are (mostly) the popular pharmacies & telehealths talked about in our sub, including those in our subs' Where to Buy megathread (pinned at top of the sub).

All info came from user-uploaded pictures of vials on this sub, speaking with pharmacists & the telehealth providers directly, or their websites.

For more info on the most recommended/popular pharmacies, tele providers, pricing, etc., please visit the "Where to Buy: Telehealth Providers" post pinned at the top of this sub.

Single-dose Zep vials and autoinjectors remain preservative-free.

Thank you to everyone who helped gather this info!

I do not work for/am not affiliated with any pharmacy or telehealth provider, nor do I receive any form of compensation from anyone for this project. I am just someone who likes to compile information for the sake of transparency and to help people make informed decisions ❤️

>SHORT TELEHEALTH & PHARMACY SURVEY
by u/TodayAmazing in tirzepatidecompound

• What do you all think about this? I'm trying to compile the most pertinent info we care about most and just making it a little easier on the eyes.
• I'll include brief explanations of the major headings.
• Anything else that you would want to see 'at a glance' when comparing telehealth companies, such as 'lets you choose the pharmacy'? (other than pricing- that's just a step too far right now, lol, but maybe in the future). Keep in mind, to be the most helpful, it needs to be able to fit on a page.
• Of course, I'll likely start with a shorter list of just the telehealth companies that make it on the survey, and maybe the more well known ones, but can expand later.

Thank you!

**New update 5/3/26**:

*Please note that while 503a pharmacies are able to add ANY additional API to compounds (as they are filling patient-specific prescriptions), this may incur additional cost and the tele provider/prescriber may limit the choices available.*

TBH, I've been distracted this week, so I've paid zero attention to Reddit until today and haven't contacted any pharmacies. I'll continue to try to stay as up to date as possible as pharmacy and state availability announcements are made, and keeping the pdf on Google Drive updated in between any posts I make here.

Kindly let me know if anything looks incorrect.

Google Drive link to pdf: https://drive.google.com/file/d/1cWKKqOc5oNqmsEojSvpBZf-ednhHyX7O/view?usp=sharing

Original post (edited):

This is a chart of ingredients used in the tirz compounds from popular pharmacies including those in our subs' Where to Buy megathread (pinned at top of the sub), and a few others that are discussed or were requested.

Please note, allergic reactions can be caused by any ingredient, but some tend to be more problematic than others. Also, over time, many people develop antibodies to tirz and this can be a factor as well.

All info came from user-uploaded pictures of vials on this sub, speaking with the pharmacists directly, or the telehealth providers.

For more info on the most recommended/popular pharmacies, tele providers, pricing, etc., please visit the "Where to Buy: Telehealth Providers" post pinned at the top of this sub.

All multi-dose injection tirzepatide (incl. Zep MDV & KwikPen) has some preservative(s) to help keep bacteria/microbes from growing in the medication. Single-dose Zep vials and autoinjectors remain preservative-free.

Thank you to everyone who helped gather this info!

I do not work for/am not affiliated with any pharmacy or telehealth provider, nor do I receive any form of compensation from anyone for this project. I am just someone who likes to compile information for the sake of transparency and to help people make informed decisions (because I do that for myself as well) ❤️

We’ve reached out to our pharmacy partners and have been told we have BPI inventory still on hand and will have for the foreseeable future!

Most of our members are seeing their orders ship within 2-days if not the same day.

You can view BPI (with a six-month shipped up front option), Apothecary, Hallandale and other pharmacy options below:

BPI - Compounded Tirzepatide with B6 (503b) - $185 p/m; $447 quarterly

- 1 month: $185
- 3 month: $447

- 6 months: $897

Link (Reddit only): https://get.gimme.care/start-online-visit/reddit
Important: must use this link to receive this pricing.

• BUD: up to 1 year
• Any dose
• Ships to all 50 states
• 180 mgs – 3 vials of (20mg/ml - 3ml vials)
• Price per mL on doses 13.5 and higher: $2.48 m/l

Some notes on BPI: If you notice the concentration difference between Hallandale and BPI, you will see BPI is higher. Based on your provider's recommendation, you may have to inject fewer units than with other concentrations. Always speak with your provider, but I just wanted to call this out since it is a new-to-us formulation. Your provider determines which option is appropriate for your prescription, and fulfillment may vary based on state and availability.

Apothecary Pharmacy - Non-additive Compounded Tirzepatide formulation:

• 1 month: $199
• 3 month: $497
• 216 mg total (3 vials @ 72 mg)
  • Cost per mg: $2.30
• Non-additive formulation
• Ships to all 50 states
• 6-month BUD
• Any dose

Link (Reddit only): https://get.gimme.care/start-online-visit/reddit
Important: must use this link to receive this pricing.

Hallandale Pharmacy (non-additive)- $185 p/m or $447 quarterly

Hallandale - Compounded Tirzepatide with no additives (503a)
- 1 month: $185
- 3 month: $447

Link (Reddit only): https://get.gimme.care/start-online-visit/reddit
Important: must use this link to receive this pricing.

• BUD: ~90 days
• Any dose
• Does not ship to: AL, AR, CA, HI, KS, MI, MN, MS, MA
• 180 mgs – 3 vials of (15mg/ml - 4ml vials)
• Price per mL on doses 13.5 and higher: $2.48 ml

Some notes on Hallandale: The quarterly plan can come with all three vials, or only two vials, with a second vial being shipped depending on BUDs. Because this is a 503(a), they can only list 90 BUDs. Their formulary hasn’t changed since last year, when the BUDs were one year, but because of new regulations, they can only list 90 days on the vials.

What this means for you: If you order a quarterly plan, and you only receive TWO vials, you will receive a third one before the end of your treatment. You do not have to do anything additional; it will ship when their next batch of treatments is ready to go. Not all quarterlies will come with two vials, some will come with all three vials. It just depends on the pharmacy’s batch date and the date of your order. If 90-day BUDs are available at the time you order your quarterly plan, you will get all three. If the BUDs of the current batch do not reach the end of your medically necessitated treatment plan, Hallandale will ship your final vial before you reach the third month.

Apothecary Pharmacy Delays
If you placed an Apothecary order within the last 10 days, I wanted to share a quick update. Their fulfillment partner, Quaker Pharmacy, temporarily ran out of inventory, which created a delay on some pending shipments. They’ve let us know that shipping is expected to begin again on Wednesday, and those delayed orders should start moving out as inventory is restored.

I know delays like this are frustrating, especially when you’re trying to stay on schedule, and I really appreciate everyone’s patience while this gets sorted out. We’re staying close to the pharmacy on these orders and will keep pushing for clean, fast follow-through as they resume fulfillment.

Sync States Visits and Why Some Patients Get Their Orders Faster
Some patients are seeing delays and some are not because state telehealth rules are different, and that changes how quickly a provider can authorize treatment.
In some states, a provider has to complete a live synchronous visit before a prescription can be authorized. That adds an extra step and can slow things down compared with states where async intake or follow-up is allowed.

Here’s the breakdown:

Sync required for both intake and follow-ups:
DC, Louisiana, Mississippi, Puerto Rico

Sync required for intake only, but async follow-ups allowed:
Arkansas, Georgia, New Mexico, Tennessee, Virginia, West Virginia, North Dakota

What that means in practice is that two patients can submit around the same time and still move at different speeds. If one patient is in a state where a live provider visit is required, their order may take longer than someone in a state where the provider can review and authorize asynchronously.

So when you see some orders moving faster than others, it’s not always a pharmacy issue or a queue issue. A lot of the time, it comes down to the rules in that patient’s state and whether a sync visit is required before the prescription can move forward.

I am working my way through the inbox every day, and if you haven’t heard back you will soon! With all of the pharmacy panic, my inbox for DMs is over 100 every morning but I am trying to get it down tonight!

Thank you guys!
Chloe

---
Necessary disclaimer and notices

Prescription required. A licensed healthcare provider will review your medical questionnaire and determine whether treatment is medically appropriate based on your individual needs. Any prescription is issued solely at the discretion of the provider.
Gimme Care is not a pharmacy and does not manufacture, compound, dispense, or prescribe medications. We provide access to these treatments by connecting patients with licensed healthcare professionals and independent pharmacy partners.

All medical decisions, including medication selection, formulation, dosing, and treatment plan, are made by your provider. Pharmacy fulfillment is based on the provider’s prescription and may vary depending on state regulations and availability.