Direct Meds Tirzepatide Cost: Injection and Sublingual Prices
Compounded tirzepatide · injection and sublingual · prices rechecked November 8, 2026
Direct Meds sells two forms of compounded tirzepatide. The sublingual drops are listed at $299 per 30-day bottle regardless of strength. The weekly injection is harder to price because Direct Meds’ own pages disagree: its product page shows $399 a month for a 90-day supply billed monthly, while a support article lists $497 per bottle.
Over a three-month starter shipment that is $1,197 against $1,491. Direct Meds also advertises tirzepatide “from $119,” without publishing the payment schedule behind it. Use the table to see which figure applies to the offer you are viewing, and confirm the three-payment total at checkout.
Every published Direct Meds tirzepatide price
| Offer | Listed price | Supply and billing | Included | Source |
|---|---|---|---|---|
| Injection, product page | $399 per month | 90-day supply shipped at once, billed monthly: $1,197 over three payments | Medication, supplies, doctor review, shipping | Product page |
| Injection, support article | $497 per bottle | 30-day bottle, or three bottles shipped together and paid in three $497 payments: $1,491 | Free shipping; same price at any dose. The article’s pricing heading says semaglutide. | Support article |
| Sublingual drops | $299 per bottle | 30-day supply (1 bottle), any strength. The product page also shows a 90-day shipment billed monthly. | Provider review, prescription, dosing supplies such as a dropper, customer-service support; free shipping | Support article |
| Advertised starting offer | From $119 | Payment schedule, upfront charge and renewal not published on the campaign page | Not stated | Campaign page |
The injection, sublingual and article figures were rechecked on November 8, 2026; the $119 campaign was last read on November 6, 2026. We did not complete a checkout or create a patient account, so none of these is a verified personal total.
1, 2, 3, 4First charge, later charges and cancellation
A 90-day injection shipment does not mean one payment covers all three months. Both the product page and the support article describe monthly installments for a shipment that arrives at once, so budget for each payment rather than only the first.
Direct Meds’ terms describe turning off auto-refill at least 48 hours before processing, while its U.S. help article says to contact Patient Services to change a subscription. Cancellation is described as available only before an order is submitted to the pharmacy for shipping, with approved refunds returned in three to five business days. The refill interval is given as both 28 and 30 days in different places, so check your account’s next processing date.6
Injection or sublingual: what you are comparing
These are compounded preparations, not Zepbound or Mounjaro, and they are not FDA-approved. Direct Meds says its tirzepatide injections contain vitamin B12 and that B12-free versions are not offered. Sublingual drops are a different delivery route from the injection and have less published evidence behind them, so compare prices only within the same form.
In September 2025 the FDA sent Direct Meds a warning letter saying its marketing implied its compounded semaglutide and tirzepatide matched FDA-approved products. Our Direct Meds review covers that record and how the company responded.7
State availability and who can order
Direct Meds says it does not serve Louisiana and Mississippi for weight-loss medication. It treats adults 18 and older, and requires you to be in the state where the medication ships during your consultation. A clinician decides whether tirzepatide is appropriate; the public pages do not publish a full list of eligibility rules.5
Compounded tirzepatide prices at other providers
| Provider | Published price | Source |
|---|---|---|
| HealthRX | $39 first month, then $214/month | Price page · checked |
| Sprout Health | $199 every 4 weeks; $149/mo equivalent on annual plan | Price page · checked |
| TelePep | $249 monthly or $2,568 for 12 months ($214/month effective) | Price page · checked |
| GobyMeds | $399 for 3 months ($133/mo) | Price page · checked |
| TeloMeds | $349/mo; annual option $1,788 prepaid | Price page · checked |
| Found Health | Cash pay $199 first cycle, then $339 per 28-day cycle | Price page · checked |
| Wellorithm | $279 first month; $399/month thereafter | Price page · checked |
| Direct Meds | $399/month product page · $497/bottle help article | Price page · checked |
Oral tirzepatide prices at other providers
| Provider | Published price | Source |
|---|---|---|
| Wellorithm | Current price not verified | |
| TeloMeds | Oral-specific price confirmed before payment | Price page · checked |
| Direct Meds | $299 per 30-day bottle · confirm shipment commitment | Price page · checked |
| MadeMed | From $199/month advertised promotional price | Price page · checked |
Frequently asked questions
How much does Direct Meds tirzepatide cost per month?
Sublingual drops are $299 per 30-day bottle. For the injection, Direct Meds’ product page shows $399 a month and a support article shows $497 per bottle. Confirm which applies to your order.
Does Direct Meds charge all three months of tirzepatide at once?
Not according to its pages. A three-month injection shipment arrives together but is billed in three monthly payments, $1,197 in total at the product-page rate or $1,491 at the support-article rate.
Does the Direct Meds tirzepatide price include the doctor visit?
Direct Meds says the injection price includes medication, supplies, doctor review and shipping, and the sublingual price includes provider review, the prescription, dosing supplies and customer-service support.
Is Direct Meds tirzepatide the same as Zepbound?
No. Zepbound is the FDA-approved brand. Direct Meds supplies compounded tirzepatide through partner pharmacies, which is not an FDA-approved drug.
Sources and check dates
- Direct Meds tirzepatide injection product page · Checked
- Direct Meds injectable tirzepatide pricing article · Checked
- Direct Meds sublingual tirzepatide pricing article · Checked
- Direct Meds advertised $69 and $119 starting offers · Checked
- Direct Meds U.S. state availability · Checked
- Direct Meds order cancellation and refund timing · Checked
- FDA warning letter to directmeds.com, September 9, 2025 · Checked