At the maximum 15mg dose, some compounded options actually cost more than the LillyDirect self-pay program when you factor in provider visits and shipping
503A vs 503B Tirzepatide Pharmacy Checklist: What Patients Should Verify in 2026 A practical pharmacy-verification checklist for compounded tirzepatide patients comparing 503A pharmacies, 503B outsourcing facilities, and telehealth providers
Important safety considerations include: Contraindications: Personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 Pancreatitis risk: Patients should be monitored for persistent severe abdominal pain and tirzepatide discontinued if pancreatitis is suspected Hypoglycemia: Increased risk when combined with insulin or insulin secretagogues
Patients with certain medical conditions, including MEN2, medullary thyroid carcinoma, or pregnancy, may not be eligible
Since refrigerated shipping is included in every program, arrival without proper cold packaging would be a shipping error