Tirzepatide is a prescription medication that works on two of the body’s natural hormone pathways — GLP-1 and GIP — which are involved in appetite, blood sugar regulation, and metabolism. It is the active ingredient in certain FDA-approved branded medicines. Ascendra’s compounded tirzepatide is prepared by a licensed pharmacy for an individual patient when a licensed provider prescribes it.
Ascendra Wellness offers compounded tirzepatide through a personalized, provider-guided weight-management program, available in 1-month and 3-month supplies. There is no off-the-shelf purchase and no automatic prescription. You complete a medical intake, an independent licensed provider reviews your history and goals, and that provider — not Ascendra — decides whether treatment is appropriate for you and what your dosing plan should be.
Who this program is for
This program is for adults considering a medically supervised weight-management program. It may be an option if you have struggled to manage your weight with lifestyle changes alone and want a physician-guided approach you can follow from home. It is not suitable for everyone: your provider reviews your full medical history, current medications, and allergies before deciding, and may decline treatment, recommend something different, or refer you for in-person care instead.
How it works through Ascendra
Step 1 — Choose the program and complete your medical intake. The intake covers your medical history, current medications and supplements, allergies, and health goals. Answer completely and truthfully — a provider can only make a safe decision with accurate information, and your state of residence determines whether we can serve you.
Step 2 — A licensed provider reviews your case. Intakes are reviewed by independent licensed providers in the Beluga Health provider network. Depending on the program, review may involve a questionnaire, a message-based review, or a live consultation.
Step 3 — Your dosing plan is set by your provider. If treatment is approved, your provider sets your starting dose and adjusts it over time based on your response. Standard-dosing and microdosing options may be available when clinically appropriate.
Step 4 — A licensed pharmacy dispenses and ships your medication. Prescriptions are filled by one of our partner pharmacies, The Pharmacy Hub or WES Digital, both independent licensed pharmacies. The pharmacy ships directly to you; most orders arrive within a few business days of approval.
Step 5 — Ongoing care through your patient portal. Your prescriptions, provider messages, and follow-ups live in your patient portal. Refills are arranged through the portal, and a provider reviews each refill request — treatment continues only while your provider judges it appropriate.
What the program includes
- A medical evaluation by an independent licensed provider
- A dosing plan set and adjusted by that provider
- Medication dispensed by a licensed pharmacy and shipped to you
- Messaging and follow-up through your patient portal
Pricing
Compounded tirzepatide is available in 1-month and 3-month supplies: $199 for 1 month or $550 for 3 months. The program price includes your medical consultation — there is no separate consultation fee — and the full price is shown before you complete your order. You are not charged until a licensed provider has reviewed your information and approved treatment. If a provider does not approve treatment, no payment is taken. Our services are self-pay; we do not bill insurance.
We serve patients in every U.S. state except Alaska and Hawaii.
Frequently asked questions
Is compounded tirzepatide FDA-approved?
No. Compounded medications are not FDA-approved, and the FDA does not review them for safety, effectiveness, or quality before they are marketed. Compounded tirzepatide is prepared by a licensed pharmacy for an individual patient when a licensed provider prescribes it.
Do I need a prescription?
Yes. Every program requires review by a licensed healthcare provider before treatment can be approved. Selecting this program or completing an intake does not guarantee a prescription.
What happens if the provider doesn’t approve me?
The provider may ask for more information, recommend a different treatment, refer you for in-person care, or decline. If treatment is not approved, you are not charged.
How is my dose decided?
Your provider sets and adjusts your dose based on your medical history, goals, and response to treatment. Standard-dosing and microdosing options may be available when clinically appropriate.
Which states can you ship to?
We serve patients in every U.S. state except Alaska and Hawaii. Orders from those states are cancelled and refunded.
Start your intake
If you’re ready to find out whether compounded tirzepatide is appropriate for you, start with the medical intake. A licensed provider will review your information and let you know either way.
Start the Compounded Tirzepatide intake →
Treatment is prescribed only where a licensed provider determines it is appropriate after medical review. Individual results vary, and no outcome is guaranteed. Compounded medications are not FDA-approved; they are prepared by licensed pharmacies when prescribed by a licensed provider. Ascendra Wellness is a telehealth platform, not a medical practice or pharmacy — medical decisions are made by the independent licensed providers who review your case.