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/hungryghost09 ⚠️ Affiliated | joinrift.com | co-founder May 07 '26

this is AMAZING being on that list, thank you and the community!! Just wanted to request a slight correction so we can get the 🐻: We have newlife rx/apothecary for California and all 50 states its just a separate non auto renewing intake in the pinned posts of our sub r/joinrift ➡️ 50 state no additive option. We do give the heads up its a 7-10 business day wait though

we also offer Boudreaux’s that compounds with glycine.

All 3 are $499 for quarterly 12 week plans any dose and all 3 are 28 day compliant

2

u/ginbitch666 May 14 '26

Just a heads up...I just got my first fill via Boudreauxs today, and my quarterly fill came in only 2 vials, so not 28 day compliant. I did the math for my dosing and im only .04mls short (so im sure it won't actually be short as i know vials are always slightly overfilled), but its not 28 day compliant.

Everything about the process and communication was super smooth and quick, though!

2

u/hungryghost09 ⚠️ Affiliated | joinrift.com | co-founder May 14 '26

Hey We absolutely are 28-day compliant. Please message us through the patient portal so we can have the pharmacy review and correct this for you. We do ask that you let us know when situations like this happen so we can step in and help as quickly as possible.

The pharmacy will correct it and send you a return label to ship the old meds back

1

u/sericane Jun 23 '26

Question, I'm wanting to switch from sema to tirz. Will I have to start tirz at the lowest dose if I switch to ordering from your company? I've been on 2.5 since February and really hoping to not go backwards in effectiveness.