Ranked above it
Care Bare Rx
Tells you exactly what you're buying — but $199 is a starting point, not a rate.
#1 on our tirzepatide provider ranking, above PlushCare at #119.
Read the Care Bare Rx review →
Provider review
PlushCare cost: From $399/mo tirzepatide
Homepage says all 50 states; compounded tirzepatide covers 38.
PlushCare's homepage states, "Appointments are available in all 50 states," but its own dedicated compounded-tirzepatide page states the compounded product specifically is "limited to residents in the following states" — a real, specific 38-state-plus-DC list, notably narrower than the nationwide claim on the same site.
Verified August 2026
Reviewed by Marcus Webb
Transparency scorecard
2 of 4 disclosed openly
What PlushCare discloses about itself, read from its own pages — not estimated.
Pharmacy named & regulated
Not disclosed
Does not name a pharmacy or state a regulatory category anywhere on its own site.
State coverage published
Disclosed
Publishes which states it actually serves.
A real price is published
Disclosed
A real dollar figure is published on its own site, not estimated.
No hidden commitment trap
Not disclosed
The advertised price requires a prepay, auto-refill, or other commitment we found and named.
This review's stake, stated plainly — some of the outbound links on this site are affiliate links; start a program through one and we may earn a commission at no extra cost to you. Straight about the rest, too: the write-ups say what each provider is actually worth, and a commission does not change a word of them. Full disclosure here.
On this page
What it actually costs
- TirzepatideFrom $399/mo
- SemaglutideFrom $149/mo
What this price covers
Medication
Included
Provider visits
Not confirmed
Shipping
Not disclosed
Lab work
Not disclosed
Coaching
Not disclosed
The catch — A separate $19.99/mo membership fee and a $129 (or ~$30 with insurance) visit fee stack on top of the dose-tiered medication price, with no single all-in total shown anywhere on the site.
See plans at PlushCarePrices read from PlushCare's own site · August 2026
What they advertise
Compounded tirzepatide: $399/mo (1 vial), $599/mo (2 vials), $749/mo (3 vials). Compounded semaglutide: $149/$299/$499/mo by dose. A separate $19.99/mo membership (first month free) and a $129 self-pay visit fee (often ~$30 with insurance) apply on top of either.
What you actually pay
$399/mo is PlushCare's own stated standing rate for the smallest tirzepatide tier, not a promotional figure — but the true all-in first cost also stacks a separate $19.99/mo membership and a one-time visit fee, none of which are shown added together anywhere on the site.
Money you will meet later
- A $19.99/mo membership fee (first month free), stated as not required for medical care itself, per PlushCare's own Terms.
- A $129 self-pay visit fee, or roughly $30 with in-network insurance.
The bottom line
PlushCare (plushcare.com, legal entity PlushCare, Inc., a Fabric Labs, Inc. subsidiary as of 2026-07-31) is a large, established general telehealth company that also sells compounded tirzepatide and compounded semaglutide as a shortage-driven alternative when the FDA-approved brand is unavailable. This review previously recorded PlushCare as out of scope on the grounds that the word "compounded" appeared nowhere on its site. That was wrong: PlushCare runs dedicated compounded-tirzepatide and semaglutide-prescription pages that use the word dozens of times each, with dose-tiered pricing disclosed on them.
PlushCare appears on our tirzepatide provider ranking, our semaglutide provider ranking and our combined weight loss injections ranking. Nothing on this page is a performance claim.
Who it is for, and who it is not
A good fit if
- You want a large, well-known, long-operating telehealth brand with real insurance in-network relationships.
- The compounded option explicitly tied to the FDA's own drug-shortage exception, not marketed as an unconditional alternative is worth something to you.
- You want dose-tiered pricing disclosed directly on the product page, not gated behind a quiz.
Look elsewhere if
- You want a single, all-in headline price — PlushCare's membership, visit fee, and medication cost are three separate line items never added together.
- A named compounding pharmacy with a stated 503A/503B category matters — PlushCare names neither.
- You need certainty that compounded product will be available at the moment you sign up — it's only offered when the brand-name drug is on the FDA shortage list.
What PlushCare offers
Tap any compound to read our plain-English guide — what the evidence shows, how it is dosed, and what it costs elsewhere.
Who fills your prescription
No category stated
PlushCare does not name the pharmacy that fills your prescription.
What its own site says
Unknown. PlushCare's own compounded-tirzepatide page states medication is prepared by "our preferred state-licensed sterile compounding pharmacy partner" — a real compounding relationship, but no specific pharmacy is named and no 503A/503B category is stated.
What's the difference between 503A and 503B?
A 503A pharmacy compounds for one named patient; a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Compounded peptides are not FDA-approved.
Where you can get it
Published state list
List published. PlushCare's own compounded-tirzepatide page limits the compounded product to a specific 38-state-plus-DC list — narrower than the "all 50 states" claim on its own homepage for general telehealth appointments.
The honest cons
The part they would rather you skipped
PlushCare's homepage states, "Appointments are available in all 50 states," while its own compounded-tirzepatide page limits the compounded product specifically to a 38-state-plus-DC list — a real, same-company nationwide-vs-narrower contradiction a reader would only find by reading both pages. No FDA warning letter names "PlushCare" — clean.
- Its homepage's "all 50 states" claim does not match its own compounded-tirzepatide page's narrower 38-state-plus-DC list.
- The true all-in first cost stacks three separate line items with no single headline total shown.
- No specific pharmacy is named and no 503A/503B category is stated anywhere.
None of this is unique to PlushCare — the whole category shares it.
How it compares
The providers we rank on our tirzepatide provider ranking — the most specific board PlushCare sits on — in the order that board ranks them. It sells into other categories too; see the boards listed above under the bottom line.
- Care Bare RxTells you exactly what you're buying — but $199 is a starting point, not a rate.
- SnagRx"Locked-In... for Life" pricing sits beside a countdown claiming otherwise.
- Breeze MedsNames the exact compound in its nav — then hides the price behind a quiz.
- Sprout HealthNames both pharmacies and a real 44-state list — but every price is a starting floor.
- TrimiNames its two pharmacies outright — then headlines a price that needs a year upfront.
- HealthRXStructured, disclosed pricing — but no legal entity is named anywhere on the site.
- SkinnyRxInjectable and oral tirzepatide — but the advertised price is a floor, not what you pay.
- Enhance MDHonest pricing and a real 503A claim — but it isn't in all 50 states, whatever it says.
149 more providers rank on our tirzepatide provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all. The evidence below is where that gets settled.
Ready to get started?
Prices and plans in this category change often — check PlushCare's current pricing before you decide. Ours was read from their own site in August 2026.
Facts on this page reflect PlushCare's own public disclosures when we last checked them, in August 2026. Prices and terms change without notice — confirm on PlushCare's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved. See our disclosure and editorial policy.
PlushCare
2 compounds, From $149/mo