What Changed With Compounded Tirzepatide Access
Compounded tirzepatide is no longer available as of March 19, 2025.
The FDA removed tirzepatide from the drug shortage list. This ended legal access to compounded versions.
Eli Lilly filed lawsuits against online providers. Courts upheld the FDA's decision.
If you're looking for tirzepatide-based weight loss treatment, your options now focus on FDA-approved brand-name medications.
When prescribed by a licensed medical provider, and when clinically appropriate, brand-name tirzepatide remains available under the names Mounjaro and Zepbound.
Understanding Tirzepatide: What It Is and How It Works
Tirzepatide is a dual-action medication that targets two hormone receptors:
• GLP-1 (glucagon-like peptide-1)
• GIP (glucose-dependent insulinotropic polypeptide)
This dual mechanism may help with:
• Appetite regulation
• Blood sugar management
• Weight management when combined with lifestyle changes
Important: Results vary by individual. No weight loss medication guarantees specific outcomes.
The medication comes in injectable form. When prescribed by a licensed medical provider, and when clinically appropriate, treatment includes ongoing medical supervision.
Current Options for Tirzepatide Access
FDA-Approved Brand-Name Medications
Mounjaro is FDA-approved for type 2 diabetes management. Some prescribers may recommend it off-label for weight management.
Zepbound is FDA-approved specifically for chronic weight management in adults with obesity or overweight with weight-related conditions.
Both require:
• Prescription from a licensed healthcare provider
• Meeting specific medical eligibility criteria
• Ongoing medical supervision
When prescribed by a licensed medical provider, and when clinically appropriate, these medications are available through traditional pharmacies and some online weight loss doctor services.
State-by-State Access Notes
California: Brand-name tirzepatide requires California-licensed prescriber. Telemedicine consultations available for eligible patients.
Arizona: Arizona-licensed providers can prescribe. Both in-person and telehealth options exist.
Other States: Most states allow telemedicine prescribing for weight loss medications. State-specific regulations apply.
Check state-specific availability for current options in your area.
How to Get Started: Step-by-Step Process
Step 1: Determine Your Eligibility
Tirzepatide-based medications are generally considered for adults with:
• BMI ≥30 (obesity)
• BMI ≥27 (overweight) with at least one weight-related condition
Weight-related conditions may include:
• High blood pressure
• Type 2 diabetes
• High cholesterol
• Sleep apnea
Note: Individual eligibility varies. A licensed medical provider makes the final determination based on your complete medical history.
Step 2: Schedule a Medical Consultation
You'll need a consultation with a licensed healthcare provider. This can happen:
• In-person at a medical clinic
• Through telemedicine platforms
• Via specialized weight loss services
The consultation typically covers:
• Complete medical history review
• Current medications and supplements
• Weight loss goals and previous attempts
• Any contraindications or risk factors
When prescribed by a licensed medical provider, and when clinically appropriate, the provider will create a treatment plan tailored to your needs.
Step 3: Obtain Your Prescription
If deemed appropriate, your provider will:
• Write a prescription for brand-name tirzepatide
• Submit it to your chosen pharmacy
• Provide dosing instructions
• Schedule follow-up appointments
Prescription timing depends on:
• Medication availability at pharmacies
• Insurance authorization processes
• Prior authorization requirements
Step 4: Fill Your Prescription
Brand-name tirzepatide can be filled at:
• Major retail pharmacies
• Specialty pharmacies
• Mail-order pharmacy services
Pricing considerations:
Brand-name medications typically cost more than compounded versions did. Options to manage costs include:
• Manufacturer savings programs
• Insurance coverage (if applicable)
• Flexible payment plans through some providers
Check with your pharmacy about current pricing and available assistance programs.
Step 5: Begin Treatment With Medical Supervision
Safe treatment includes:
• Starting at the lowest prescribed dose
• Gradual dose increases as directed
• Regular follow-up appointments
• Monitoring for side effects
• Ongoing lifestyle modifications
When prescribed by a licensed medical provider, and when clinically appropriate, your provider will adjust your treatment plan based on your response and tolerance.
Alternative Weight Loss Medication Options
If tirzepatide isn't right for you, other FDA-approved options exist:
Semaglutide-based medications:
• Wegovy (weight management)
• Ozempic (type 2 diabetes, sometimes used off-label)
Learn more about semaglutide for weight loss as an alternative option.
Other GLP-1 medications:
• Saxenda (liraglutide)
• Contrave (naltrexone-bupropion)
Each medication works differently. A licensed provider can help determine which option suits your individual medical needs.
Explore compounded GLP-1 options that may be available during shortage periods for other medications.
What to Expect: Realistic Treatment Outcomes
Weight loss results vary significantly between individuals.
Clinical trial data showed participants lost varying amounts of weight. Individual results depend on:
• Starting weight and BMI
• Adherence to medication schedule
• Lifestyle modifications (diet and exercise)
• Individual metabolism and response
• Duration of treatment
No guarantees exist for specific weight loss amounts.
When prescribed by a licensed medical provider, and when clinically appropriate, treatment includes regular monitoring to assess response and adjust as needed.
Side effects may include:
• Nausea
• Diarrhea
• Constipation
• Decreased appetite
• Fatigue
Most side effects decrease over time. Report any concerning symptoms to your healthcare provider immediately.
Choosing a Legitimate Provider
Look for providers who:
✓ Require real medical consultations (not just questionnaires)
✓ Employ licensed, board-certified physicians
✓ Prescribe only FDA-approved medications (no compounded tirzepatide)
✓ Provide ongoing medical supervision
✓ Clearly state costs and services included
✓ Maintain HIPAA-compliant practices
Red flags to avoid:
• Providers offering compounded tirzepatide after March 2025
• Services guaranteeing specific weight loss amounts
• Sites with no real medical consultation required
• Prescriptions without proper medical evaluation
DrMed Health provides access to licensed medical providers who can evaluate your eligibility for appropriate weight loss medications. Learn how it works.
Take the Next Step
If you're considering tirzepatide or other weight loss medications:
1. Complete a free assessment: Determine if you may qualify for medical weight loss treatment through a brief evaluation.
2. Consult with a licensed provider: Discuss your medical history, goals, and available options with a qualified healthcare professional.
3. Explore current options: Review current tirzepatide treatment options available in your state.
When prescribed by a licensed medical provider, and when clinically appropriate, weight loss medications can be part of a comprehensive approach to weight management that includes nutrition, exercise, and behavioral changes.
Medical Review Statement: This article is for educational purposes only and does not constitute medical advice. Content is based on current regulatory information as of February 2026. Consult with a licensed healthcare provider for personalized medical guidance.
Educational Disclaimer: Individual results vary. No weight loss treatment guarantees specific outcomes. Eligibility for prescription medications depends on individual medical evaluation by a licensed provider. All treatments carry potential risks and benefits that should be discussed with your healthcare provider.
Privacy & Compliance: DrMed Health maintains HIPAA-compliant practices and follows all state and federal regulations for telemedicine services. View our credentials and approach.