Provider review
PlushCare review
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.
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
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, month to month
$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.
The commitment trap
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.
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.
Checked live on PlushCare's own site at https://plushcare.com/compounded-tirzepatide in August 2026. Prices change without notice — confirm before you buy. Every figure here was read off PlushCare's own public pages on the date shown, not from a third-party comparison table.
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. A prior research pass on this roster found no "compound" language anywhere on the site and marked it out of scope; this round found dedicated compounded-tirzepatide and semaglutide-prescription pages stating "compounded" dozens of times each, with real, disclosed dose-tiered pricing — a genuine correction, not a duplicate finding.
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.
- You want the compounded option explicitly tied to the FDA's own drug-shortage exception, not marketed as an unconditional alternative.
- 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.
- You want a named compounding pharmacy with a stated 503A/503B category — 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 is included
The cheapest headline number in this category is often the one with the least attached to it. Here is what PlushCare bundles in, and what it does not.
Clinician consult
Billed separately: $129 self-pay, or roughly $30 with…
in-network insurance.
Bloodwork / labs
Not stated on the pages checked.
Follow-ups and dose changes
Not stated on the pages checked.
Human support
Not stated on the pages checked.
Injection supplies
Not stated on the pages checked.
Shipping
Not stated on the pages checked.
Who fills it, and who's watching
The pharmacy
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.
Oversight
Billed separately: $129 self-pay, or roughly $30 with in-network insurance. Not stated on the pages checked.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while 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.
Where you can get it
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 was found for "PlushCare" — checked directly, 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 reached.
None of this is unique to PlushCare — the whole category shares it.
How it compares
The providers we rank on our semaglutide 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.
- CBCare Bare RxNames both compounds directly — but two of its four pharmacies carry FDA letters.
- TRTelos RxA specific, sourced state-exclusion list — next to an unconfirmed "compare" price.
- BMBreeze MedsNames the specific compound in its own nav menu — pricing is quiz-gated.
- TRTrimiNames two 503A pharmacies directly, undercut by an annual-prepay headline.
- OAOakA flat, no-subscription price — but no pharmacy is named anywhere on the site.
- Strut HealthAn FDA warning letter over labeling, plus an auto-refill price on every product.
- LTLttlBrands itself "Priced Honestly" — its own headline price is a 12-month prepay rate.
- DMDirect MedsReal flat prices for all three boarded compounds — no pharmacy named anywhere.
104 more providers rank on our semaglutide 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 — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
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, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.