Tirzepatide Compound: What You Need to Know in 2025
Word is out that you can buy Tirzepatide compound – the generic or off-brand Mounjaro/Zepbound for a much more affordable price.
While that is true, the rules have changed for compounded Tirezepatide and we are giving you the low down about what you need to know about these changes in 2025.
Understanding Compounded Tirzepatide: Safety, Legality, and 2025 FDA Updates
If you’re looking at tirzepatide compound as a more affordable option compared to brand names like Mounjaro or Zepbound, you’re not alone. In 2025, there are growing questions about legality, safety, availability, and pricing.

With the FDA increasing restrictions and pharmacies changing how they offer these compounds, many people are asking if they can still get compounded tirzepatide and whether it’s a smart choice. Here’s what you need to know before making your next move.

How is Tirzepatide Compound Different from Name Brand Mounjaro and Zepbound?
The difference between compounded tirzepatide and name brands like Mounjaro and Zepbound comes down to manufacturing, regulation, and availability. Mounjaro and Zepbound are FDA-approved medications produced by Eli Lilly.
Compounded tirzepatide, on the other hand, is a custom-made version typically prepared by compounding pharmacies. These versions are often made in response to shortages or price concerns, but they are not FDA-approved and may vary in quality, ingredients, and consistency.
As of 2025, the FDA has started restricting access to compounded tirzepatide due to the end of official shortages, which may affect availability and legality in many states.
Did you see our list of helpful Tirezepatide tips? These tips will help whether you are using generic or compound.

Is Compounded Tirzepatide Legal in 2025?
Tirzepatide compounded is only legal under specific conditions in 2025. The FDA allows compounding when a drug is on the shortage list, but tirzepatide is no longer considered in shortage, limiting compounding access.
Reference: FDA Drug Shortages – Tirzepatide

Can I Still Get Tirzepatide from a Compounding Pharmacy?

As of 2025, finding a Tirzepatide compounding pharmacy has become more difficult. Many compound pharmacies have stopped offering tirzepatide due to updated FDA guidance. Access now depends on state regulations and whether the provider qualifies for exemptions.
Check with your local compounding pharmacy and doctor to see if they are dispensing compound Tirezepatide. While the FDA has created rules to push consumers to purchasing the name brand over generic.
Some compound pharmacies are remaining in compliance by creating custom dosages and compounding the tirezepatide with additives such as B-12.
Reference: FDA Compounding & Shortages Guidance

Why is the FDA Cracking Down on Compounded Tirzepatide?
The FDA is increasing enforcement because brand-name tirzepatide (Mounjaro and Zepbound) is now widely available, and compounded versions are not FDA-approved. Concerns include safety, potency, and consistency of unregulated copies.

How Much does Compounded Tirzepatide Cost in 2025 Compared to Mounjaro or Zepbound?
Compounded tirzepatide cost can cost between $250–$450 per month, while brand-name Mounjaro or Zepbound may exceed $1,000 monthly without insurance.
Do note – insurance may cover name brands but not compounded versions.
Eli Lilly does offer discounts / coupons for Zepbound and Mounjaro bringing the price down significantly, but still not as affordable as the compound tirezepatide.
As you can see there have been many changes in getting your hands on compound Tirzepatide due to FDA rulings in 2025.
What to Do Before You Talk to Your Doctor About Compounded Tirzepatide
If you are wanting to avoid the name brand Mounjaro or Zepbound, this is what you will want to do before you see your doctor.
Note, some doctors may only want to work with the name brand since the FDA ban. Though, from our community we are hearing that many doctors are indifferent and are fine with the compound version.

You will want to find a compound pharmacy that still dispenses Tirzepatide compounded. Before getting a prescription you will need a pharmacy to give to your doctor. Here’s what we suggest.
Call around to different local compounding pharmacies and talk to their pharmacist. Explain your situation and what exactly you are looking for. Find out the Tirzepatide pricing, availability and quantity.
Typically when using compound pharmacy, you will receive your script in a Tirzepatide vial. This actually is beneficial as you can adjust your dosage – per your doctor.
Final Thoughts on Tirezpatide Compound Changes
Talk to your doctor to decide what the best avenue for you is. These changes made by the FDA are frustrating to many people who are actively using and losing weight with Tirzepatide. Know you are not alone in your frustrations!
We hope this information helps you better understand the latest Tirzepatide compound rules.
We’ve been longtime users and supporters of Tirzepatide / Mounjaro / Zepbound here at Keto Dirty. While we wholeheartedly believe in the low-carb keto lifestyle, there are circumstances and benefits that Tirezepatide can bring especially when combining the two.
This information is for educational use only. Any medical advice should be discussed specifically between you and your medical professional. Information provided here is not
We are excited to expand our keto content to include other solutions our community is using to achieve optimal health. While we understand that this may not be for everyone, we do know that people are seeking information about obesity as a disease and solutions, such as Wegovy, Ozempic / Semaglutide and Mounjaro / Tirzepatide / Zepbound.
Please direct any questions in regards to personal use with your doctor and any questions in regards to coupons, etc should be discussed with your pharmacy or with the pharmaceutical customer service.