Verbatim response from Claude
Compounded Tirzepatide Availability
This is a nuanced situation that's been changing rapidly. Here's the honest picture:
The Short Answer: It's very limited now
The FDA removed tirzepatide (Zepbound/Mounjaro) from its shortage list in late 2024, which effectively ended legal compounding for most pharmacies in early 2025.
What's Still Potentially Legitimate:
- 503A compounding pharmacies can still compound for specific patients with a documented clinical need/allergy (very limited cases)
- 503B outsourcing facilities faced a hard stop deadline
Reputable Telehealth Platforms to Ask Directly:
- Hims & Hers – was offering compounded versions; check current status
- LifeMD / Rocky – similar situation
- Sesame Care – connects to licensed providers
- Your local compounding pharmacy – call and ask directly
Important Cautions:
- ⚠️ Many websites still selling "compounded tirzepatide" may be operating illegally
- Watch for salt forms (tirzepatide acetate/HCl) being marketed as legitimate — the FDA has flagged these
- Stick to platforms requiring actual prescriptions and provider consultations
Best advice: Consult a licensed obesity medicine physician who can navigate current options, including brand-name Zepbound savings programs (Eli Lilly offers significant discounts).