BiltRx Compounded Tirzepatide
US telehealth platform dispensing compounded tirzepatide at $129 per month through licensed 503A pharmacies.
Buy tirzepatide online from verified telehealth providers. Two licensed options compared on pricing, pharmacy credentials, consultation process and shipping.
US telehealth platform dispensing compounded tirzepatide at $129 per month through licensed 503A pharmacies.
We look for a batch-level certificate of analysis published by the merchant.
Purity percentage and milligrams per vial as stated on the product page.
Clear research-use labeling, lot numbers and storage instructions.
Vials compared on price per milligram, not on sticker price.
US telehealth platform dispensing compounded tirzepatide at $129 per month through licensed 503A pharmacies.

Dose-tiered compounded tirzepatide with glycine and B12 from $199.99 per month, free consultation and free shipping included.
| Product | Monthly | Rx | Pharmacy | Form | Price |
|---|---|---|---|---|---|
| BiltRx BiltRx Compounded Tirzepatide | $129 | Required | US 503A | Injectable | $129/mo |
| Arc-1 Arc-1 Compounded Tirzepatide + Glycine + B | - | Required | - | - | From $199.99 |
Two verified telehealth platforms let you buy tirzepatide online with a prescription: BiltRx at $129 per month and Arc-1 from $199.99. Both use licensed US 503A compounding pharmacies and require a medical consultation before dispensing. We evaluated each on pricing, pharmacy credentials, consultation process and shipping. Below is what we found.
We reviewed dozens of online tirzepatide sellers. Most failed basic verification: no pharmacy license on file, no prescription requirement, or products labeled "research use only." Two passed every check. BiltRx and Arc-1 are both LegitScript certified, use US-licensed 503A pharmacies, and require a provider consultation before dispensing compounded tirzepatide.
Our review checks four criteria: LegitScript certification status, state pharmacy licensing, whether a medical consultation is mandatory, and whether pricing is published transparently. A provider that fails any one of these does not appear on this site. We re-verify these credentials quarterly.
BiltRx offers compounded tirzepatide at a flat $129 per month regardless of dose. The platform also provides access to brand-name Mounjaro ($1,499/mo) and Zepbound ($1,499/mo) for patients who prefer FDA-approved formulations or whose insurance covers them. Consultation and shipping fees apply separately; BiltRx does not publish exact amounts for either on its website.
The consultation is conducted by licensed US providers who review your medical history, screen for contraindications and set your starting dose. BiltRx does not publish specific dose tiers publicly. Your provider determines the concentration and adjusts it over time. For a full breakdown, see our BiltRx review.
Arc-1 compounds tirzepatide at 10 mg/mL with glycine (5 mg/mL) and vitamin B12 (500 mcg/mL). Pricing varies by prescribed dose: $199.99 for 2.5 mg, $249.99 for 5 mg, $399.99 for 7.5 mg. Consultation and expedited shipping are both free. The platform offers a 30-day satisfaction guarantee on eligible purchases.
Arc-1 does not ship to five states: California, Arkansas, Indiana, Minnesota and South Carolina. If you live in one of these states, BiltRx or a brand-name prescription through your local pharmacy are the available alternatives. Read our Arc-1 review for the full product breakdown.
| Feature | BiltRx | Arc-1 |
|---|---|---|
| Monthly Price | $129 (all doses) | $199.99 - $399.99 |
| Consultation Fee | Separate | Free |
| Shipping | Separate | Free expedited |
| Formulation | Tirzepatide only | Tirzepatide + Glycine + B12 |
| Dose Tiers | Provider-set | 2.5 / 5 / 7.5 mg |
| LegitScript | Yes | Yes |
| Prescription Required | Yes | Yes |
| State Restrictions | Varies (not published) | CA, AR, IN, MN, SC |
| Brand-Name Options | Mounjaro, Zepbound | No |
| Satisfaction Guarantee | Not published | 30-day |
Buying tirzepatide online is not like ordering a supplement. Three requirements must be met before any legitimate provider will ship medication to you.
Both platforms require completion of a health intake form followed by provider review. The provider evaluates your BMI, medical history and current medications. If clinically appropriate, they write the prescription. If not, they explain why and may suggest alternatives. You cannot skip this step.
Telehealth prescribing and pharmacy shipping regulations vary by state. Arc-1 explicitly does not serve California, Arkansas, Indiana, Minnesota or South Carolina. BiltRx says availability varies but does not list specific exclusions. Confirm your state is covered before starting the consultation.
Compounded tirzepatide is typically not covered by insurance because it is not FDA-approved. Both providers accept standard payment methods. BiltRx mentions that insurance coverage varies by plan but does not guarantee coverage. HSA and FSA eligibility depends on your specific plan; neither provider makes a definitive statement about acceptance. Brand-name Zepbound and Mounjaro through BiltRx may be covered by some commercial insurance plans with prior authorization.
No. Both BiltRx and Arc-1 sell compounded tirzepatide directly to patients without requiring insurance. Insurance may help cover brand-name Zepbound or Mounjaro if your plan includes GLP-1 medications, but compounded versions are typically paid out of pocket.
Yes, but the switch requires a new prescription. BiltRx offers both compounded and brand-name tirzepatide (Mounjaro, Zepbound) through the same platform. Arc-1 offers only compounded tirzepatide. Discuss any switch with your prescribing provider to ensure proper dose transition.
Arc-1 offers free expedited shipping but does not publish a specific delivery window. BiltRx does not disclose shipping timelines on its product page. In general, compounded medications ship within a few business days after the pharmacy receives the prescription. Cold-chain shipping adds handling time.
It is safe when the platform requires a prescription, uses licensed prescribers, fills through a US-licensed 503A pharmacy and holds LegitScript certification. Both providers on this site meet all four criteria. Buying from any platform that skips the prescription step or labels product as "research use" is not safe. Our safety guide explains how to tell the difference.

Prices, sizes and ratings side by side, updated when the merchant pages change.
Get Tirzepatide