We order, open the box, and look up which pharmacy filled it. Seven providers, ranked by what you actually get. Pick by what you want, not by the coupon.
By the NNC editorial teamUpdated September 24, 2026We may earn a commission. It does not change the order.A member of our editorial team also works with Peak Wellness as a health coach; that person did not score this page.
LegitScript certified siteWe order and testPharmacy named when we can
Compounded tirzepatide is made by a pharmacy, not by Eli Lilly, and is not FDA-approved. Zepbound is the FDA-approved brand-name product. All of these require a prescription from a licensed clinician who decides if it is right for you. Common side effects include nausea, vomiting, diarrhea, constipation, and stomach pain. Talk to your provider about any symptom.
1 Our top choice for ongoing support
Peak Wellness
Our pick for people who want guidance getting started, and someone to turn to throughout treatment. One-on-one coaching, weekly group sessions, and seven-day support are included, with no price increase when your dose goes up.
One-on-one health coach, a weekly group call, and real humans seven days a week, all included.
Our test message got a reply in about four hours. A cancellation we sent was confirmed by a person in four minutes.
Same price at every dose. Your bill does not go up when your dose does.
Filled by Emerald Compounding, Tampa, FL, a named 503A pharmacy, and you are not charged until a physician approves you.
Free next-day air, tracked. Order Monday morning, at your door by Wednesday afternoon. No signature required.
Things to know: compounded injections only, no insurance billing. The six-month savings require upfront payment.
Keep your doseDiscounted first month · free shipping
Our top choice, recapped
Peak Wellness
The one provider on this page that names its pharmacy, holds the price at every dose, waits for a physician before charging you, ships next-day air, and answers with a person seven days a week. Buy 4 months, get 2 free, or $70 off your first month.
ClearFlorida pharmacy license PH35337, no discipline, no complaints
CertifiedLegitScript status for trypeak.com: pharmacy and telemedicine
99.7%Tirzepatide potency after 14 days at 104°F, third-party lab
5,102Patients treated, per Peak. Trustpilot 4.8, all five-star
See what a Peak order looks like
Order in about 90 secondsShort online intake. No video call. Your card is pre-authorized, not charged.
A physician approves youUsually within four hours. If not approved, nothing is charged.
Emerald fills it, lab-testedNamed 503A pharmacy in Tampa. Potency and sterility certificates on file.
Next-day air to your doorOrder Monday morning, at your door by Wednesday afternoon. Coaching starts the same week.
5,102 patients have started with Peak Wellness
How we ranked them
Who fills itThree companies touch your order. We name the pharmacy when we can find it.
Price at 10mgMost "starting at" prices are the 2.5mg starter dose. We looked at month four.
ShippingWhat they promise, and what reviewers say arrived, and when.
SupportHow they answer, how fast, and whether it is a person.
Before you pick
How do I choose the right provider?
Start with what you want around the vial, not the number on the ad. The lowest advertised price in this category usually needs a prepaid year, bills every 21 days instead of monthly, or climbs with your dose, so the $89 you clicked on is rarely the $89 you pay. Then ask four things: who fills the prescription, what the price is at 10mg, how fast the box actually arrives, and whether a person answers when something goes wrong. If you know your dose and only want the medication, the cheapest lane is here and it will work. If this is your first time, or you have quit a plan before because nobody answered, pay for the care.
How we score
We order. A real plan, our own card, no press account.
It is delivered. We track the box to the door and record what arrived, how cold, and how it was packed.
We review. We look up the pharmacy license and disciplinary record, the DEA registration, the provider network, and the LegitScript status. We test support with a real question and time the reply. We read the refund and billing terms. We read Trustpilot, BBB, and Reddit.
Then we rank by who each provider is best for, not by who paid us the most. Commissions do not change the order.
Which provider meets every check?
Only one did. Peak Wellness is the only provider on this page that:
✓ Names its pharmacy, and the pharmacy has a clear license with no discipline and no complaints on file
✓ Names its provider network and medical director
✓ Holds the same price at every dose
✓ Does not charge your card until a physician approves you
✓ Ships next-day air on every order
✓ Answers with a real person, seven days a week, and includes a coach
✓ Has no one-star reviews on its public profile, and publishes third-party lab certificates
Others do several of these well. None did all of them.
Is compounded tirzepatide the same as Zepbound?
Same active ingredient, different product. Compounded tirzepatide is made by a pharmacy under a prescription and is not FDA-approved. Zepbound is Lilly's FDA-approved pen.
Can I switch and keep my dose?
Peak and Wellmedr both start switchers at their current dose when the clinician agrees. Ro prescribes brand name according to the label.
What if I want to stop?
Peak is cancel anytime. Wellmedr's low price needs a prepaid year. Ro is a monthly membership. Read the cancellation page before you prepay a year anywhere.
Shouldn't I just pick the cheapest price?
You can. It is on this page. Before you do, here is what the $49 to $99 ads look like from the inside, and what patients posted after they paid. Brand names are covered, because the pattern matters more than the name.
Five "different" companies. Spot the difference.
Five of the cheapest GLP-1 brands running ads this month: different names, different colors, different domains. Look at how each one sells.
Real checkout pages, captured the same week. Names, logos, and domains removed. Swipe on mobile.
I spya fake countdown. "Price increases in 04 : 09 : 38." Reload the page and the clock starts over. The deadline was never real.
I spya fake discount. "Was $299." It never was $299. It is an anchor invented so $69 feels like a rescue.
I spya fake starting price. The "$49/mo" gets you in the door. Ask what the real ongoing price is, and when, exactly, it changes.
I spythe same page, over and over. Same card, same countdown, same bullets, same stock model pulling open the same oversized jeans.
Before you trust the ad, search the name.
This is the kind of thing that comes up. We covered the brand. Try it yourself.
rReddit · r/Semaglutide · 3 months ago
Don't use brand, just a fair warning ⚠️
Brand is a bait and switch ripoff. Ended up charging $288/month. I cancelled before they could rip me off again. Customer support is …
rReddit · r/tirzepatidecompound · 3 months ago
Brand Scam : r/tirzepatidecompound
Brand says that once the intake has been processed, even before they ship the medication you are liable for the cost. No matter if your …
rReddit · r/tirzepatidecompound · 1 month ago
Wish I would have read reviews, brand is horrible
This company may help you lose weight, but the customer service and overall experience were terrible. My order arrived 8 days late after I …
★Trustpilot
brand
⚠ Warning
brandname
This company's rating is unavailable due to a breach of our guidelines.
⚠ Breach of guidelines
We've removed a number of fake reviews for this company.
A real Reddit search and a real Trustpilot status notice, brand names covered. You can reproduce both in your browser.
What the $99 actually buys.
Every quote below is a real, publicly posted review. We hid the brand. The experience speaks for itself.
1Charged before you ever speak to a doctor
JA
J. AshTrustpilot · brand
★★★★★
"Warning! Charged my account before I spoke to a clinician. Bait and switch tactics. Will not refund money even though they advertise a 15mg when they do not have it."
T
Verified patientReddit · brand
★★★★★
"They say that once the intake has been processed, even before they ship the medication, you are liable for the cost. No matter what."
2The $95 wasn't the $95
R
Verified patientReddit · brand
★★★★★
"Bait and switch ripoff. Ended up charging $288/month. I cancelled before they could rip me off again."
D
Verified patientReddit · brand
★★★★★
"I paid $432 for a 3-month supply after being approved. How stupid of me! They are a scam. Calling my bank tomorrow."
3It never arrived, and they wouldn't refund
KL
KierraTrustpilot · brand
★★★★★
"My first order arrived completely empty. I contacted customer service over 20 times asking for a refund, and they never processed it. I contacted my bank to dispute the charge."
SK
Shaun K.Trustpilot · brand
★★★★★
"3 weeks after approval still no medication. They keep pushing delivery out and were ready to withdraw next month's cost before I've received the first. BUYER BEWARE."
4There was no real doctor
SL
SLGTrustpilot · brand
★★★★★
"Medicine showed up, no appointment was scheduled, couldn't schedule on their web app, had NO instructions. No one has gotten back to me or resolved anything."
O
Verified patientReddit · brand
★★★★★
"Completely ghosted with no real doctors. They do not provide actual telehealth care. Please stay away."
5Did I even get real medicine?
C
Verified patientReddit · brand
★★★★★
"If the meds from the other pharmacy work, that'll prove the cheap ones are garbage. I really think I spent $600 on plain B12."
G
Verified patientReddit · brand
★★★★★
"50 lbs on the brand-name shot, 0 on the compound for 5 months. Never named the pharmacy. Turned out to be one I'd never heard of."
Ratings you can check yourself: one of these brands had its Trustpilot rating removed for a "breach of guidelines" (fake reviews); another sits at 75% one-star across 607 reviews; another at 1.9★.
The names change. The colors change. The playbook doesn't. The Terms of Service usually name the company behind each brand, and it is worth a read before you hand one your card. Peak is the only provider on this page that names its pharmacy and its clinician network, publishes its lab certificates, and holds your payment as a pre-authorization until a provider approves you. That is what the price difference buys.
Order in about 90 secondsShort online intake. No video call. Your card is pre-authorized, not charged.
A physician approves youUsually within four hours. If not approved, nothing is charged.
Emerald fills it, lab-testedNamed 503A pharmacy in Tampa. Potency and sterility certificates on file.
Next-day air to your doorOrder Monday morning, at your door by Wednesday afternoon. Coaching starts the same week.
