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PeptideRank

Merged from 2 independently-verified boards · August 2026

Weight Loss Injections, Compared Across Both Drug Classes

195 providers — 147 of them sell both compounded tirzepatide and compounded semaglutide. This board merges our two single-drug rankings into one: each provider appears once, priced at whichever compound is cheaper, tagged so you know which one that is.

/ The board

Any paid placement here is marked Partner and listed first, as a disclosed commercial position — within that group, and separately within every other row, every provider is still ranked on the criteria printed on this page, never anything else (see disclosure). Full write-ups below.

  1. Care Bare Rx

    Partner

    Good fit if you can live with a starting price and expect to learn your real one during intake.

    PriceFrom $199/mo — Tirzepatide

    Starting-at priceLabs: Not stated on site503A pharmacyNo dietitian

  2. Sesame Care

    Partner

    Good fit if you can live with Sesame's refund caveat: message your provider after the first visit and you give up the refund.

    Price$249/mo — Semaglutide

    Flat priceLabs: Not stated on site503B facilityNo dietitian

  3. SnagRx

    Partner

    Good fit if you're comfortable with a company-wide 503A category claim rather than a single named pharmacy.

    Price$69/mo — Semaglutide

    Starting-at priceLabs: Not stated on site503A pharmacyNo dietitian

  4. Sprout Health

    Partner

    Good fit if you want the pharmacy filling your prescription named, not described as a "partner network."

    Price$149/mo — Semaglutide

    Starting-at priceLabs: Not stated on siteNot disclosedNo dietitian

  5. HealthRX

    Partner

    Good fit if a direct 503A claim and a real, verified LegitScript seal is what you're after.

    Price$190/mo — Semaglutide

    Starting-at priceLabs: Not stated on site503A pharmacyNo dietitian

  6. Breeze Meds

    Partner

    Good fit if you don't mind finishing an intake quiz before you see a price for your compound.

    Price$199/mo — Tirzepatide

    Starting-at priceLabs: Not stated on siteNot disclosedNo dietitian

  7. SkinnyRx

    Partner

    Good fit if you want the option of tirzepatide as a tablet, not just an injection.

    Price$199/mo — Semaglutide

    Starting-at priceLabs: Not stated on site503A pharmacyNo dietitian

  8. Trimi

    Partner

    Good fit if you want an actual pharmacy name and a stated 503A category, not a vague reassurance — Trimi names two.

    Price$235/mo — Tirzepatide

    Prepay requiredLabs: Not stated on site503A pharmacyNo dietitian

  9. Enhance MD

    Partner

    Good fit if you want to see every price tier before you commit, not just the cheapest one.

    Price$249/mo — Semaglutide

    Starting-at priceLabs: Not stated on site503A pharmacyNo dietitian

  10. Collective

    Partner

    Good fit if you want your care fee annual rather than monthly — $199 a year is well under what a monthly membership costs over the same period.

    Price$59/mo + $199/12 mo Collective membership — Semaglutide

    Flat priceLabs: No — it states that no lab work is needed to beginNot disclosedNo dietitian

“Flat price” means one all-in monthly figure with no separate membership or lab fee; any other pricing chip names the mechanic that gets in the way, or that the provider has not stated one. “Labs” is whether bloodwork is required, optional, not used, or not stated on the provider's own site. The pharmacy chip states a facility type (503A pharmacy, 503B facility, or 503A + 503B network where a company names pharmacies in both categories) only where the provider publishes one we could cite; “Not disclosed” means we read their site and they do not say, and “Unverified” means nobody has checked this company's pharmacy sourcing yet — of the 195 providers listed, 52 publish a facility type at all. Every provider here includes the clinician consult. Each row above shows the exact date its price was checked on that provider's own site — prices can change without notice.

Already know your drug? See our tirzepatide-only ranking or our semaglutide-only ranking, each independently verified with no merge logic involved. Or see every provider we track, for every compound, in one sortable table on the cross-board pricing index.

Tirzepatide or semaglutide first?

The two drug classes here are not interchangeable, and the clinical evidence on the gap between them is stronger than most comparison pages let on. SURMOUNT-5 — a real, randomized, head-to-head phase 3b trial of 751 adults with obesity, each drug titrated to its own maximum tolerated dose over 72 weeks — found tirzepatide produced significantly greater weight loss than semaglutide: a least-squares mean of -20.2% versus -13.7% at week 72 (P<0.001). That is a real, randomized finding, not two separate trials stitched together to look like one. It is also evidence about the FDA-approved branded molecules under trial supervision, not a guarantee about what is actually in any specific provider's compounded vial — a distinction our full trial breakdown covers in depth, including the second head-to-head trial (SURPASS-2) and why a compounded provider's vial is a separate question from the molecule's own trial evidence.

What that means for shopping this board: a bigger reported effect size is not automatically the right choice for you specifically — tirzepatide's titration schedule runs to a higher maximum dose, tolerability varies person to person, and 147 of the 195 providers ranked here sell both, so switching drug classes without switching providers is often possible if your first choice doesn't suit you. That is the whole reason this page exists as a combined ranking rather than forcing a drug-class decision before you've even seen who's selling either one.

Detailed reviews

Ranked by the same criteria as every board on this site: pharmacy disclosure first, then advertised price, low to high. Every price, pharmacy claim, and pro/con below is unchanged from whichever single-drug board originally verified it — only the merge and the “also sells” note are new to this page. #1 is our top pick on those criteria — filter to see the rest a different way.

Showing our top 10 of 195, by pharmacy disclosure then price

Care Bare Rx

Tells you which drug and which format you are buying, and names all four pharmacies that fill it — more than most will.

Care Bare Rx logo

From $199/mo — Tirzepatide

What this price covers

Medication

Included

Provider visits

Not disclosed

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Not disclosed

Names both drugs and both formats on its product page — semaglutide or tirzepatide, tablet or injection — where many competitors only say "GLP-1 program"

Read the full Care Bare Rx review

Visit Care Bare RxPartner

Sesame Care

A large, well-known telehealth marketplace whose "Success by Sesame" plan is a genuine direct, price-inclusive subscription — but the SAME company's compounded-tirzepatide flow is a referral marketplace where medication cost isn't included, a real same-brand structural split.

Sesame Care logo

$249/mo — Semaglutide

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not confirmed

Lab work

Not confirmed

Coaching

Not confirmed

"Available in all 50 states" is stated directly beneath the price, with no contradicting figure found on the same page

Read the full Sesame Care review

Visit Sesame CarePartner

SnagRx

"Locked-In Flat Pricing for Life" sits beside a live countdown claiming the price is about to increase.

SnagRx logo

$69/mo — Semaglutide

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not confirmed

Lab work

Not disclosed

Coaching

Not disclosed

An unhedged, company-wide "503A compounding pharmacies" claim

Read the full SnagRx review

Visit SnagRxPartner

Sprout Health

Publishes a real, self-consistent 44-state list and names both its pharmacies — but every price is a lowest-dose starting rate, and its own refund page gives three different deadlines for reporting a damaged shipment.

Sprout Health logo

$149/mo — Semaglutide

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not confirmed

Lab work

Not disclosed

Coaching

Not confirmed

Publishes its state coverage twice and consistently — an explicit 6-state exclusion list AND a 44-state enumeration that agree exactly, rarer here than an unqualified "all 50 states" claim

Read the full Sprout Health review

Visit Sprout HealthPartner

HealthRX

Structured, disclosed pricing and a real "503A" claim — but no legal entity is named anywhere on the site.

HealthRX logo

$190/mo — Semaglutide

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not confirmed

Lab work

Not disclosed

Coaching

Not disclosed

Structured, table-disclosed pricing across four plan lengths, with no hidden gap to dig for

Read the full HealthRX review

Visit HealthRXPartner

Breeze Meds

Its own nav menu names Tirzepatide Injection as a real, distinct product — but pricing is quiz-gated to a category-wide "starting at" figure, and no pharmacy category is stated.

Breeze Meds logo

$199/mo — Tirzepatide

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Not confirmed

Names the specific compound directly in its own navigation menu — "Tirzepatide Injection" is a real, distinct product, not a generic "GLP-1" label

Read the full Breeze Meds review

Visit Breeze MedsPartner

SkinnyRx

"$199/mo" for Compounded Injectable Semaglutide — its own site serves its full content only to search-engine crawlers.

SkinnyRx logo

$199/mo — Semaglutide

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Not disclosed

A real, unhedged pharmacy category claim stated directly in its own FAQ

Read the full SkinnyRx review

Visit SkinnyRxPartner

Trimi

Names two regulated compounding pharmacies directly and publishes all four of its own pricing tiers side by side — but the headline figure it advertises most is the 12-month prepay rate, not the $235/mo it actually costs with no commitment.

Trimi logo

$235/mo — Tirzepatide

What this price covers

Medication

Included

Provider visits

Not disclosed

Shipping

Not disclosed

Lab work

Not disclosed

Coaching

Not disclosed

Names two specific compounding pharmacies directly on its own FAQ page, each with a stated regulatory category: VialsRx, "a 503A community sterile compounding pharmacy licensed by the Texas State Board of Pharmacy," and GreenwichRx

Read the full Trimi review

Visit TrimiPartner

Enhance MD

A clean, unhedged "compounded in accordance with federal Section 503A guidelines" claim on the same product page as the price — but its own FAQ headlines "licensed in all 50 states" and then narrows that, in the same answer, to a 40-state list (plus DC).

Enhance MD logo

$249/mo — Semaglutide

What this price covers

Medication

Included

Provider visits

Included

Shipping

Included

Lab work

Not disclosed

Coaching

Not disclosed

A clean, unhedged claim — "compounded in accordance with federal Section 503A guidelines" — stated directly on the same product page as the price

Read the full Enhance MD review

Visit Enhance MDPartner

Collective

The lowest medication rate here at $59 — plus a $199 membership the headline never mentions.

$59/mo + $199/12 mo Collective membership — Semaglutide

What this price covers

Medication

Included

Provider visits

Included

Shipping

Not confirmed

Lab work

Not disclosed

Coaching

Not confirmed

Two products, two prices, flat at every dose, with no prepay tier and no dose ladder to read

Read the full Collective review

Visit CollectivePartner

How this ranking is built

What determines a row's position is printed below, and nothing else moves it: a commercial relationship can earn a provider a disclosed, labeled placement, but it cannot change the criteria, the verified prices, or the drawbacks we print beside any row. The 4 factors below are what actually move a row up or down — plus the one factor unique to a merged board: which of a provider's two prices gets shown at all.

One provider, one row — priced at its cheaper drug

147 of the 195 providers here sell BOTH compounded tirzepatide and compounded semaglutide. Rather than list a dual-seller twice, this board shows it once, at whichever of its two advertised prices is cheaper — tagged with which drug that price is for, and noting the other compound's own separate price so a reader who wants that one specifically isn't misled by the number showing.

The price shown is real, but it's compound-specific

Every price, pharmacy claim, and trade-off in the "Detailed reviews" section below is copied unchanged from whichever single-drug board actually verified it — this page introduces no new research, only a merge. 52 of 195 providers name their pharmacy and state a regulatory facility category on the specific product page this board priced them from.

How the order is set

Any paid placement is marked Partner and listed first, as a disclosed commercial position — see the disclosure below the board. Within that group, and separately within every other row, the same rule applies: sorted by whether the provider clears the pharmacy-disclosure bar above, then by their own advertised price, low to high, for rows that tie. A provider's placement within its own group is never for sale.

Already know your drug?

Skip the merge entirely: our tirzepatide and semaglutide boards each independently verify their own roster, compound-specific, with no combined pricing logic in the way.

Before you compare prices: every product here is a compounded version of tirzepatide or semaglutide, made by a pharmacy under FDA compounding rules — not Zepbound or Wegovy, the FDA-approved brands. A compounded version can legally be sold only while the corresponding branded drug stays in shortage, and its formulation isn't independently reviewed the way an approved drug's is. What we score here is how honestly and clearly each provider states its price and sourcing for whichever compound it's ranked on — not whether either drug, compounded or otherwise, is the right choice for you. Talk to a licensed clinician about that part.

Tested athletes: both drug classes here sit under WADA monitoring, not a ban

Neither tirzepatide nor semaglutide appears on WADA's Prohibited List. As of 2026, both sit on the Monitoring Program instead — data gets collected on use, but a legitimate prescription for either one is not currently a rule violation. That status can change independently for either drug; confirm whichever compound you're actually taking against the official WADA Prohibited List before you rely on it.

This board is a merge, not new research. Every fact traces back to our tirzepatide comparison or our semaglutide comparison — read either one directly for that drug's own full roster, independent of the other. Looking for a growth-hormone-axis peptide, or a longevity/wellness compound instead? Our sermorelin, NAD+, Glutathione, PT-141, and GHK-Cu boards use the same pharmacy-first method against unrelated rosters.

Nothing on this page is medical advice. Compounded tirzepatide and compounded semaglutide are not FDA-approved products in their own right, and their lawful sale depends on the corresponding branded drug (Zepbound, Wegovy) remaining in shortage under FDA compounding rules — that could change without notice, independently for either drug. This page was built by merging our tirzepatide and semaglutide boards on August 2026; every underlying price and sourcing claim was read directly off each provider's own site by whichever single-drug board verified it — see that board's own page for its exact check date. Providers change prices without telling us, so verify the current number before you buy. Ask a licensed clinician whether a weight-management program of any kind, or either drug class specifically, fits your situation.