PreventiveMD

What it is

Compounded semaglutide and tirzepatide are filled by named 503A compounding pharmacies (Empower, Midwest Compounders, Drug Crafters, Boudreaux's).

Brand-name options are offered for a monthly fee plus the cost of the medication.

Cash pay only; HSA/FSA accepted and a letter of medical necessity is available on request.

Prescribes: Compounded semaglutide and tirzepatide; brand-name Wegovy, Zepbound and Foundayo.

What it costs

Insurance: Does not bill insurance; HSA/FSA accepted.

Prices change often. Check preventivemd.com before you sign up.

Pros and cons

What users say

Common themes in public posts on Reddit, Trustpilot, the Better Business Bureau and app stores, summarised and linked. Individual experiences vary.

• PreventiveMD became one of the most-discussed new compounded tirzepatide telehealths in r/tirzepatidecompound from July 2026, with many posts describing same-day approval and delivery within a few days, and a choice of pharmacies.345
• Members point to its flat price regardless of dose (about $139 for one month or $334 for three months of tirzepatide in July 2026) as a reason to switch from other providers.67
• Smaller complaints include a patient portal that does not handle auto-refill pausing or billing details well, and syringes that arrived loose rather than individually sealed.438
• Trustpilot reviewers mention quick ordering, fast delivery and cold, well-packed shipments.2
• A few reviewers report weekend carrier delays, warm items and oversized packaging.2