Is compounded tirzepatide still available anywhere legitimate?

No, legitimate compounded tirzepatide is generally no longer available for widespread use because the FDA has determined the tirzepatide shortage is resolved, ending the legal basis for pharmacies to widely compound it.

• The FDA set deadlines for pharmacies to phase out compounded tirzepatide injections, and those grace periods have since ended [1].
• Pharmacies are now only allowed to compound tirzepatide in limited circumstances involving a specific medical need, not as a regular practice [1].
• Any provider selling tirzepatide without a prescription or claiming it is "research-grade" is not legitimate and poses serious health risks due to potential counterfeit or unauthorized products [1][3].
• While some online platforms (e.g., Amble, Mochi Health, Lavender Sky Health, Peak Wellness) still list compounded options [3][5][6], these may be operating in legal uncertainty or offering formulations that fall outside strict FDA definitions of "essential replicas," potentially exposing them to legal risks [3].

Recommendation: If you need tirzepatide, the only legitimate and FDA-approved options are Mounjaro or Zepbound, which you can obtain through a licensed healthcare provider who will send a prescription to a pharmacy [1]. Avoid purchasing from sources that do not require a prescription.