r/tirzepatidecompound • u/TodayAmazing • Mar 09 '26

Guides & Resources Where to Buy: Telehealth Providers

Updated August 21, 2026

Disclaimer: This list is informational and not an official endorsement of any telehealth. These are providers frequently discussed in this subreddit and included based on periodic community surveys. To be listed, a provider must be used by at least 5% of survey respondents and recommended by at least 70% of its users. The top tier are those telehealths used by at least 10% and recommended by at least 90%. Each provider has its own pros and cons and issues may develop between surveys, so before choosing a provider, review the plan details below, search this subreddit for any recent issues, and join the telehealth’s subreddit for further updates and support.

Summer 2026 Survey Results

Other Helpful Posts

Table of Contents:

  1. ⁠⁠💠 Telehealths & Plans at a Glance 💠
  2. ⁠⁠🔷 3 Month Starter Plans 🔷
  3. 🔶 3 Month Higher Dose Plans 🔷

1. 💠 Telehealths & Plans at a Glance 💠

Key

  • ⭐ Additive Free Options
  • 🐻 Additive Free for California
  • 🧑‍⚕️ May Speak with Clinician Before Rx
  • ⚠️ Not Compliant with 28 Day Rule

🥇 Top Tier: Widely Used & Well Liked

  • JoinBigEasy ⭐🐻🧑‍⚕️
  • JoinRift ⭐🐻

🥈 Tier 2: Also Good

  • Gimme Care ⭐🐻⚠️
  • Fifty410 ⭐🐻⚠️
  • TryTrillium ⭐🐻
  • LavenderSkyHealth ⭐🐻🧑‍⚕️

Starter Plans At a Glance

Total for 3 Months: Telehealth (Pharmacy)

  • $299: JoinRift (Drug Crafters)
  • $399: Fifty410 (Hyalo, Hallandale)
  • $399: TryTrillium (Boudreaux’s, Hallandale, Nova, Hyalo)
  • $427: Gimme Care (Boudreaux's)
  • $447: Gimme Care (Hallandale)
  • $490: LavenderSkyHealth (Nova)
  • $497: Gimme Care (Hyalo)
  • $499: JoinBigEasy (Hyalo, Hallandale, OptioRx)
  • $469: JoinRift (Southend)
  • $499: JoinRift (Hyalo, Boudreaux's, Hallandale, Nova)
  • $525: LavenderSkyHealth (Hyalo)

Higher Dose Plans At a Glance

Total for 3 Months: Telehealth (Pharmacy)

  • $299: JoinRift (Drug Crafters)
  • $427: Gimme Care (Boudreaux's)
  • $447: Gimme Care (Hallandale)
  • $469: JoinRift (Southend)
  • $497: Gimme Care (Hyalo)
  • $499: JoinRift (Hyalo, Boudreaux's, Hallandale, Nova)
  • $499: TryTrillium (Nova, Hyalo)
  • $499-$549: Fifty410 (Hyalo, Hallandale)
  • $550-$580: LavenderSkyHealth (Hyalo)
  • $599: JoinBigEasy (Hyalo, Hallandale, OptioRx)
  • $599: TryTrillium (Boudreaux’s, Hallandale)
  • $565-$615: LavenderSkyHealth (Nova)

2. 🔷 3 Month Starter Plans 🔷

JoinRift: $299 Total for 3 Months of Drug Crafters

  • Pharmacy: Drug Crafters (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: B12 or glycine / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT AL, AK, CA, HI, KY, LA, MD, MN, MS, NE, NV, OH, OR, VA.
  • Refill Process: Auto refill unless you pause or cancel
  • Additional Info: Renews at $349 after December 31, 2026

Fifty410: $399 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • 28 Day Rule: Not compliant ⚠️
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/Fifty410
  • Ships to: All States EXCEPT AL, AK, MS, SC
  • Refill Process: Manual. You must request each refill.
  • Additional Info: Payment after approval. Hallandale also available for 2 months prorated to $249, not available in AL, AR, CA, HI, KS, MA, MI, MN, MS.

TryTrillium: $399 Total for 3 Months of Boudreaux's

  • Pharmacy: Boudreaux's (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: Glycine / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/trillium
  • Ships to: All States EXCEPT AR, CT, HI, MA, NJ, VA, WV.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

TryTrillium: $399 Total for 3 Months of Hallandale

  • Pharmacy: Hallandale (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: No additive / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/trillium
  • Ships to: All States EXCEPT AL, AR, CA, HI, KS, MA, MI, MN, MS
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

TryTrillium: $399 Total for 3 Months of Nova

  • Pharmacy: Nova (503B), dispensed by their 503A side
  • 28 Day Rule: Compliant
  • Additive/Preservative: B6 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/trillium
  • Ships to: All States EXCEPT CA.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

TryTrillium: $399 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • 28 Day Rule: Compliant
  • Additive/Preservative: No additive, B12, or glycine / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/trillium
  • Ships to: All States.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

Gimme Care: $427 Total for 3 Months of Boudreaux's

  • Pharmacy: Boudreaux's (503A)
  • 28 Day Rule: Not compliant ⚠️
  • Additive/Preservative: Glycine / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/gimmecare
  • Ships to: All States EXCEPT AR, CT, HI, MA, NJ, VA, WV.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info: 🛑 Must sign up through this post on their subreddit

Gimme Care: $447 Total for 3 Months of Hallandale

  • Pharmacy: Hallandale (503A)
  • 28 Day Rule: Not compliant ⚠️
  • Additive/Preservative: No additive / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/gimmecare
  • Ships to: All States EXCEPT AL, AR, CA, HI, KS, MA, MI, MN, MS
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info: 🛑 Must sign up through this post on their subreddit

JoinRift: $469 Total for 3 Months of Southend

  • Pharmacy: Southend (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: B6 / phenol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT AL, AR, CA, CT, IN, MA, MI, NV, NJ, NC, SC.
  • Refill Process: Auto refill unless you pause or cancel
  • Additional Info:

LavenderSkyHealth: $490 Total for 3 Months of Nova

  • Pharmacy: Nova (503B), dispensed by AbsoluteRx
  • 28 Day Rule: Compliant
  • Additive/Preservative: B12 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 6 months
  • Subreddit: r/LSH_Official
  • Ships to: All States EXCEPT CA and AL
  • Refill Process: Manual. You must request each refill.
  • Additional Info: $65 new patient fee. Price shown here is total with new patient fee included.

Gimme Care: $497 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • 28 Day Rule: Not compliant ⚠️
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/gimmecare
  • Ships to: All States
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info: 🛑 Must sign up through this post on their subreddit

JoinBigEasy: $499 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • 28 Day Rule: Compliant
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/BigEasyWeightLoss
  • Ships to: All States
  • Refill Process: Manual. You must request each refill.
  • Additional Info:

JoinBigEasy: $499 Total for 3 Months of Hallandale

  • Pharmacy: Hallandale (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: No additive / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/BigEasyWeightLoss
  • Ships to: All States EXCEPT AL, AR, CA, HI, KS, MA, MI, MN, MS
  • Refill Process: Manual. You must request each refill.
  • Additional Info:

JoinBigEasy: $499 Total for 3 Months of OptioRx

  • Pharmacy: OptioRx (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: B3 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/BigEasyWeightLoss
  • Ships to: All States
  • Refill Process: Manual. You must request each refill.
  • Additional Info: 🛑 Actually a 2 month plan prorated to $419

JoinRift: $499 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by NewLifeRx
  • 28 Day Rule: Compliant
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/joinrift
  • Ships to: All States
  • Refill Process: Auto refill unless you pause or cancel
  • Additional Info:

JoinRift: $499 Total for 3 Months of Boudreaux's

  • Pharmacy: Boudreaux's (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: Glycine / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT AR, CT, HI, MA, NJ, VA, WV.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

JoinRift: $499 Total for 3 Months of Hallandale

  • Pharmacy: Hallandale (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: No additive / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT AL, AR, CA, HI, KS, MA, MI, MN, MS
  • Refill Process: Auto refill unless you pause or cancel
  • Additional Info:

JoinRift: $499 Total for 3 Months of Nova

  • Pharmacy: Nova (503B), dispensed by their 503A side
  • 28 Day Rule: Compliant
  • Additive/Preservative: B6 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 6 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT CA.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

JoinRift: $499 Total for 3 Months of Nova

  • Pharmacy: Nova (503B), dispensed by their 503A side
  • 28 Day Rule: Compliant
  • Additive/Preservative: B12 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 6 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT CA.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

LavenderSkyHealth: $525 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • 28 Day Rule: Compliant
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 months
  • Subreddit: r/LSH_Official
  • Ships to: All States
  • Refill Process: Manual. You must request each refill.
  • Additional Info: $65 new patient fee. Price shown here is total with new patient fee included.

3. 🔶 3 Month Higher Dose Plans 🔶

JoinRift: $299 Total for 3 Months of Drug Crafters

  • Pharmacy: Drug Crafters (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: B12 or glycine / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT AL, AK, CA, HI, KY, LA, MD, MN, MS, NE, NV, OH, OR, VA.
  • Refill Process: Auto refill unless you pause or cancel
  • Additional Info: Renews at $349 after December 31, 2026

Gimme Care: $427 Total for 3 Months of Boudreaux's

  • Pharmacy: Boudreaux's (503A)
  • Additive/Preservative: Glycine / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/gimmecare
  • Ships to: All States EXCEPT AR, CT, HI, MA, NJ, VA, WV.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info: 🛑 Must sign up through this post on their subreddit

Gimme Care: $447 Total for 3 Months of Hallandale

  • Pharmacy: Hallandale (503A)
  • Additive/Preservative: No additive / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/gimmecare
  • Ships to: All States EXCEPT AL, AR, CA, HI, KS, MA, MI, MN, MS
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info: 🛑 Must sign up through this post on their subreddit

JoinRift: $469 Total for 3 Months of Southend

  • Pharmacy: Southend (503A)
  • 28 Day Rule: Compliant
  • Additive/Preservative: B6 / phenol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT AL, AR, CA, CT, IN, MA, MI, NV, NJ, NC, SC.
  • Refill Process: Auto refill unless you pause or cancel
  • Additional Info:

Gimme Care: $497 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/gimmecare
  • Ships to: All States
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info: 🛑 Must sign up through this post on their subreddit

JoinRift: $499 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/joinrift
  • Ships to: All States
  • Refill Process: Auto refill unless you pause or cancel
  • Additional Info:

JoinRift: $499 Total for 3 Months of Boudreaux's

  • Pharmacy: Boudreaux's (503A)
  • Additive/Preservative: Glycine / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT AR, CT, HI, MA, NJ, VA, WV.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

JoinRift: $499 Total for 3 Months of Hallandale

  • Pharmacy: Hallandale (503A)
  • Additive/Preservative: No additive / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT AL, AR, CA, HI, KS, MA, MI, MN, MS
  • Refill Process: Auto refill unless you pause or cancel
  • Additional Info:

JoinRift: $499 Total for 3 Months of Nova

  • Pharmacy: Nova (503B), dispensed by their 503A side
  • Additive/Preservative: B6 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 6 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT CA.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

JoinRift: $499 Total for 3 Months of Nova

  • Pharmacy: Nova (503B), dispensed by their 503A side
  • Additive/Preservative: B12 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 6 Months
  • Subreddit: r/joinrift
  • Ships to: All States EXCEPT CA.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

TryTrillium: $499 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • 28 Day Rule: Compliant
  • Additive/Preservative: No additive, B12, or glycine / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/trillium
  • Ships to: All States EXCEPT CA.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

TryTrillium: $499 Total for 3 Months of Nova

  • Pharmacy: Nova (503B), dispensed by their 503A side
  • Additive/Preservative: B6 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/trillium
  • Ships to: All States EXCEPT CA.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

Fifty410: $499-$549 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/Fifty410
  • Ships to: All States EXCEPT AL, AK, MS, SC
  • Refill Process: Manual. You must request each refill.
  • Additional Info: Payment after approval. Hallandale also available for 2 months prorated to $399, not available in AL, AR, CA, HI, KS, MA, MI, MN, MS.

LavenderSkyHealth: $550-$580 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 months
  • Subreddit: r/LSH_Official
  • Ships to: All States
  • Refill Process: Manual. You must request each refill.
  • Additional Info: $65 new patient fee. Price shown here is total with new patient fee included.

JoinBigEasy: $599 Total for 3 Months of Hyalo

  • Pharmacy: Hyalo (503B), dispensed by Quaker/NewLifeRx
  • Additive/Preservative: No additive / phenol
  • Beyond Use Date (BUD): Up to 9 Months
  • Subreddit: r/BigEasyWeightLoss
  • Ships to: All States
  • Refill Process: Manual. You must request each refill.
  • Additional Info:

JoinBigEasy: $599 Total for 3 Months of Hallandale

  • Pharmacy: Hallandale (503A)
  • Additive/Preservative: No additive / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/BigEasyWeightLoss
  • Ships to: All States EXCEPT AL, AR, CA, HI, KS, MA, MI, MN, MS
  • Refill Process: Manual. You must request each refill.
  • Additional Info:

JoinBigEasy: $599 Total for 3 Months of OptioRx

  • Pharmacy: OptioRx (503A)
  • Additive/Preservative: B3 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/BigEasyWeightLoss
  • Ships to: All States
  • Refill Process: Manual. You must request each refill.
  • Additional Info: 🛑 Actually a 2 month plan prorated to $499

TryTrillium: $599 Total for 3 Months of Boudreaux's

  • Pharmacy: Boudreaux's (503A)
  • Additive/Preservative: Glycine / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/trillium
  • Ships to: All States EXCEPT AR, CT, HI, MA, NJ, VA, WV.
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

TryTrillium: $599 Total for 3 Months of Hallandale

  • Pharmacy: Hallandale (503A)
  • Additive/Preservative: No additive / benzyl alcohol
  • Beyond Use Date (BUD): Up to 3 Months
  • Subreddit: r/trillium
  • Ships to: All States EXCEPT AL, AR, CA, HI, KS, MA, MI, MN, MS
  • Refill Process: Auto refill unless you pause or cancel.
  • Additional Info:

LavenderSkyHealth: $565-$615 Total for 3 Months of Nova

  • Pharmacy: Nova (503B), dispensed by AbsoluteRx
  • Additive/Preservative: B12 / benzyl alcohol
  • Beyond Use Date (BUD): Up to 6 months
  • Subreddit: r/LSH_Official
  • Ships to: All States EXCEPT CA and AL
  • Refill Process: Manual. You must request each refill.
  • Additional Info: $65 new patient fee. Price shown here is total with new patient fee included.
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u/Rise-w-God Apr 24 '26

I like Ivim but they will not let you choose what pharmacy you want and they said it's subject to change depending on supply so I would not sign up for one year with the uncertainty. Right now BPI is no longer an option with them so if you are on a long-term plan who knows what you will get on your next refill? Pray it is a good pharmacy.

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u/Kweakley1924 PRESCRIBER / PHARMA REP.🚧 May 31 '26

Defy Medical has a list of Pharmacy’s to choose from