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Complete the online assessment with your history, medications and goals, choose a plan and check out. Submitting a visit does not guarantee a prescription.
Compounded · GLP-1 + GIP injection · Weight loss
Compounded TirzepatideRx
If a licensed provider prescribes it, compounded tirzepatide is prepared by a state-licensed 503A compounding pharmacy and shipped to you. Your provider sets the dose and schedule that fit your individual medical needs.
Once-weekly injectionPrescription only503A compounding pharmacyAvailable in
Prescription only if a licensed provider determines it is clinically appropriate. Not everyone qualifies. Individual results vary. Compounded tirzepatide is not approved by the FDA and is not a generic version of, or equivalent to, any branded medication.
Pricing & plans
One plan. Everything included.
Choose a plan length. The price is the same at every prescribed dose and includes your medication, supplies, provider access and shipping. No separate enrollment, consultation or membership fees.
Same price at every prescribed dose
Payment is collected at checkout, before a licensed provider reviews your file. If treatment is not appropriate for you, nothing is dispensed and your order is refunded in full.
Medication + suppliesYour prescribed dose and the injection supplies that go with it.
Licensed provider careIndividual review of your file and ongoing access to your provider through the patient portal.
Shipping includedOnce compounded, your order ships discreetly to your door in temperature-controlled packaging.
Support along the wayQuestions and dose reviews through your patient portal, answered within .
Compounded medications are not approved by the FDA. The FDA does not review them for safety, effectiveness or quality. Treatment requires an individual evaluation and a prescription. Important Safety Information
Full terms: Subscription Terms · Refund Policy · Shipping Policy.
How it works
A clear path to care.
A provider reviews
A provider licensed in your state reviews your file and decides whether treatment is appropriate. If it is not, you are told why and your order is refunded in full.
Your care continues
If prescribed, your medication is compounded by a state-licensed pharmacy and shipped to you. Check-ins and dose reviews continue through your patient portal.
Understanding your options
A conversation. A personal decision.
How tirzepatide works
Tirzepatide acts on two hormone receptors involved in appetite and blood-sugar regulation (GIP and GLP-1) and slows how quickly the stomach empties, so many people feel satisfied with less food. How much it helps varies from person to person. Your provider weighs your medical history, your other medications and your goals before recommending anything.
Considered when an approved option does not fit
Compounded treatment is meant for cases where an FDA-approved medicine cannot meet a patient's medical needs, as determined by the provider. Compounded tirzepatide is not FDA-approved and is not a generic version of, or equivalent to, any branded medication; the formulation is disclosed before it is prescribed and dispensed.
A dose guided by your provider
Your prescription and your measuring instructions are specific to you. Your provider starts low and increases gradually according to how you tolerate it, and answers questions along the way. Compounded medication is never selected by the patient.
Also exploring your options? Learn about Compounded Semaglutide.
Screening tool
Start with your BMI.
BMI uses your height and weight to estimate whether your weight falls within a healthy range for your height — one of the first things a provider looks at. BMI does not directly measure body fat and may not accurately reflect health for people with high muscle mass, pregnant women, children, older adults and some ethnic groups. It is a screening tool, not a diagnosis, and it does not determine eligibility. Providers generally consider GLP-1 therapy for adults with a BMI of 30 or more, or 27 or more with a weight-related condition.
—BMI
BMI is a screening tool, not a diagnosis, and it does not determine eligibility. Your provider reviews your full health history before recommending any treatment. Submitting an online visit does not guarantee a prescription. Not everyone qualifies.
Pharmacy & compliance
Compounded by a licensed 503A pharmacy.
If a provider prescribes treatment, your medication is prepared by a state-licensed compounding pharmacy operating under Section 503A of the Federal Food, Drug, and Cosmetic Act, and shipped to your door.
Our partner pharmacy is , · · .
Forever Health Rx is not a pharmacy and does not compound, manufacture or dispense medications. Availability of certain medications or formulations can vary by state.
State-licensedCompounding pharmacy
Section 503APatient-specific prescriptions
Licensed providersIndependent medical group
Rx onlyAfter a medical evaluation
Before you begin
Good questions. Clear answers.
A little clarity goes a long way. Also available: Compounded Semaglutide.
How does tirzepatide work?
Tirzepatide acts on two hormone receptors involved in appetite and blood-sugar regulation (GIP and GLP-1) and slows how quickly the stomach empties, so many people feel satisfied with less food. How much it helps varies from person to person. Your provider weighs your medical history, your other medications and your goals before recommending anything.
Is compounded tirzepatide FDA-approved?
No. Compounded tirzepatide is prepared by a U.S. state-licensed pharmacy for an individual patient under a provider's prescription. The FDA does not review or approve compounded drugs for safety, effectiveness or quality, and compounded tirzepatide is not a generic version of, or equivalent to, any branded medication.
Can I start on a higher dose?
Usually not. Providers start low and increase gradually, because most side effects appear when starting or raising the dose. If you are switching from another provider, share your current medication and dose in the online visit; your provider takes it into account.
What are the common side effects?
Nausea, diarrhea, vomiting, constipation, stomach pain, headache and tiredness are the most common, mostly when starting or increasing the dose. Serious side effects are rare but possible: read the Important Safety Information on this page before starting.
Semaglutide or tirzepatide — which one is right for me?
Semaglutide acts on one hormone receptor (GLP-1); tirzepatide acts on two hormone receptors (GIP and GLP-1). Your provider recommends one, or neither, based on your health history, goals and any medication you already take.
Which pharmacy fills my prescription?
If prescribed, your medication is prepared and shipped by our partner pharmacy, ( · ), a state-licensed compounding pharmacy operating under Section 503A. Certain medications, formulations or fulfillment options may vary by state. Forever Health Rx is not a pharmacy. See Pharmacy & Compliance.
What happens if I'm not approved for the medication?
If the licensed provider decides that treatment is not appropriate for you, you are notified with the reason and no medication is dispensed. Any amount you have already paid is refunded in full. Not everyone qualifies, and the provider may recommend a different path.
Compounding and side effects
Compounded tirzepatide is not approved by the FDA, and the FDA does not review it for safety, effectiveness or quality. The most common side effects are nausea, vomiting, diarrhea, constipation and abdominal discomfort, mostly when starting or increasing the dose.
Important risks
Serious risks include pancreatitis, gallbladder disease, dehydration-related kidney injury, vision changes in people with type 2 diabetes and severe allergic reactions. Tirzepatide labeling carries a boxed warning about thyroid C-cell tumors based on animal studies; the risk in humans is unknown. Do not use with a personal or family history of medullary thyroid carcinoma or MEN 2.
Talk with your provider
Review every medication you take and any plans for pregnancy with your provider before starting. Seek urgent care for severe or persistent stomach pain, vomiting, signs of an allergic reaction or any symptom that worries you. In an emergency, call 911.
Forever Health Rx does not provide emergency medical care. Call 911 or go to the nearest emergency department if you are experiencing a medical emergency. For urgent questions about a serious side effect, message your care team through the patient portal and seek in-person care if symptoms are severe.
Get started
Find out if you qualify.
The visit is free and takes about ten minutes. You only pay if a licensed provider prescribes a plan for you.
Have a question before you start? Call our support team:
Individual results vary.
Read before starting
Important Safety Information — Compounded Tirzepatide Rx
Compounded drug notice
Compounded tirzepatide is prepared for an individual patient by a U.S. pharmacy licensed in the state where it dispenses, under a prescription from a licensed provider. Federal law permits compounded drugs to be prescribed, but they are not FDA-approved, and the FDA does not review them for safety, effectiveness or manufacturing quality. Compounded tirzepatide is not a generic version of, or equivalent to, any branded medication. Prescription required. Not everyone qualifies. Individual results vary.
Warning: risk of thyroid C-cell tumors
In rodent studies, tirzepatide caused thyroid C-cell tumors, including thyroid cancer. It is not known whether tirzepatide causes thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in people. Do not use tirzepatide if you or any of your family have ever had MTC, or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your provider right away if you get a lump or swelling in your neck, hoarseness, trouble swallowing or shortness of breath.
What is tirzepatide used for?
Tirzepatide is a dual GIP and GLP-1 receptor agonist. When prescribed for weight management it is used together with a reduced-calorie diet and increased physical activity in adults with obesity, or with overweight and at least one weight-related medical condition. Whether it is appropriate for you is decided by your licensed provider after reviewing your health history. It has not been studied in combination with other GLP-1 medicines and is not for people with type 1 diabetes.
Do not use tirzepatide if you
- or any of your family have ever had medullary thyroid carcinoma (MTC);
- have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2);
- have had a serious allergic reaction to tirzepatide or any of its ingredients;
- are pregnant, planning to become pregnant or breastfeeding;
- are already taking another GLP-1 receptor agonist medicine.
How is tirzepatide taken?
Once a week, on the same day each week, as a subcutaneous injection under the skin of the abdomen, thigh or upper arm, with or without food. Your provider starts at a low dose and increases it gradually according to how you tolerate it. Use a new needle for every injection and never share vials, pens or needles with another person. Store and dispose of the medication as instructed by the dispensing pharmacy.
Before starting, tell your provider if you
- have or have had problems with your pancreas, kidneys or gallbladder;
- have type 2 diabetes or take insulin or a sulfonylurea;
- have a history of diabetic retinopathy;
- have severe stomach problems such as slowed emptying of the stomach (gastroparesis) or problems digesting food;
- have a history of depression, suicidal thoughts or mental health problems;
- are scheduled for surgery or a procedure with anesthesia;
- take any other prescription or over-the-counter medicines, vitamins or supplements, including oral medications whose absorption may be affected.
Pregnancy and breastfeeding
Tirzepatide should not be used during pregnancy and may harm an unborn baby. If you plan to become pregnant, stop tirzepatide at least two months beforehand, as it stays in the body for a long time. It is not known whether tirzepatide passes into breast milk; discuss feeding options with your provider. Tirzepatide may reduce the effectiveness of oral birth control pills; your provider may recommend a non-oral or barrier method for four weeks after starting and for four weeks after each dose increase.
Serious side effects — get medical help right away
- Inflammation of the pancreas (pancreatitis). Stop using tirzepatide and contact your provider right away if you have severe pain in your stomach area that will not go away, with or without vomiting.
- Gallbladder problems, including gallstones. Tell your provider if you get pain in the upper stomach, fever, yellowing of the skin or eyes, or clay-colored stools.
- Low blood sugar (hypoglycemia), especially if you also take insulin or a sulfonylurea. Signs include dizziness, sweating, confusion, shakiness, fast heartbeat and blurred vision.
- Kidney problems (kidney failure). Vomiting or diarrhea can cause dehydration, which may worsen kidney problems.
- Serious allergic reactions. Get medical help right away for swelling of the face, lips, tongue or throat, trouble breathing or swallowing, a severe rash or itching, or a very rapid heartbeat.
- Changes in vision in people with type 2 diabetes.
- Increased heart rate.
- Depression or thoughts of suicide. Pay attention to any sudden changes in mood, behavior, thoughts or feelings.
- Severe stomach problems, including stomach paralysis (gastroparesis) or intestinal blockage (ileus).
- Aspiration during surgery. Food may remain in the stomach longer; tell any provider planning a procedure with anesthesia that you use tirzepatide.
Common side effects
Nausea, diarrhea, vomiting, constipation, stomach pain, headache, tiredness, upset stomach, dizziness, feeling bloated, belching, gas, heartburn, hair loss and injection-site reactions. Digestive symptoms are most common when starting or increasing the dose and often ease over time. These are not all the possible side effects. Contact your provider for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Prescription only. Compounded tirzepatide is available only after an online visit with a licensed provider, who determines whether treatment is appropriate for you. This summary does not replace the full prescribing information and is not medical advice. Discuss every risk and benefit with your licensed provider before starting or changing treatment. If you experience a serious side effect, contact your provider; in an emergency, call 911. Individual results vary.
Important safety & regulatory information
Please read before you start.
- Forever Health Rx is a healthcare technology platform operated by . Forever Health Rx is not a pharmacy and does not practice medicine. Medical services are provided by independent, state-licensed healthcare providers of , who exercise their own clinical judgment. Prescriptions are issued only after a provider reviews your information and determines that treatment is appropriate for you. Not everyone qualifies, and no treatment, outcome or eligibility is guaranteed.
- Medications referenced on this site are compounded preparations prepared by U.S. pharmacies licensed in the state where they dispense. Compounded drugs are not approved by the FDA and are not evaluated by the FDA for safety, effectiveness or quality. They are not generic versions of, or equivalent to, any branded medication.
- GLP-1 receptor agonists carry risks, including but not limited to nausea, vomiting, diarrhea, constipation, pancreatitis, gallbladder disease and, in animal studies, thyroid C-cell tumors. Discuss your full medical history, including any personal or family history of medullary thyroid carcinoma or MEN 2, with your provider. Product-specific risks, contraindications and side effects are listed in the Important Safety Information for each medication.
- This website does not provide medical advice and is not a substitute for consultation with a qualified clinician. In an emergency, call 911. To report a side effect, contact your provider through the patient portal or the FDA MedWatch program at 1-800-FDA-1088.
- Weight figures, timelines and projections shown anywhere on this site are illustrative and drawn from published clinical literature, not from Forever Health Rx patient outcomes. Individual results vary.
- Your provider confirms the plan and its cost after review. Payment collected at checkout is refunded in full if a prescription is not issued, and nothing is dispensed. The final amount is always shown at checkout before you authorize payment.
- This website collects no protected health information; your online visit, prescriptions and messages take place inside the secure patient portal, covered by our HIPAA Privacy Policy.
- People pictured on this site are illustrative images, not Forever Health Rx patients. They do not describe anyone's treatment experience and do not depict the results of any medication. Product images are illustrative; actual packaging may vary.