Precision Telemed offers compounded tirzepatide and semaglutide at a flat monthly rate that stays the same as your dose escalates, alongside a broader menu of hormone and longevity services.
Overview
The dominant frustration with compounded GLP-1 pricing is that the advertised entry price rarely survives titration. Many programs quote an attractive starting rate and then raise it at every dose step, so the patient reaching a maintenance dose pays far more than they budgeted for.
Precision Telemed's answer is a flat rate. Its full tirzepatide program is published at $199 for the first month and $249.99 a month thereafter, and the company states that rate covers the entire dosing schedule from 2 mg through 15 mg. There is also a maintenance microdose plan at $179.99 a month covering 2 mg only, and a three-month supply at $644.99.
Transparency is a strength here relative to the field. Precision Telemed names Rush Pharmacy as its 503A licensed compounding partner, names its medical director, and lists provider credentials. It also publishes availability in all 50 states and states there is no subscription lock-in.
Precision Telemed at a Glance
| Detail | What Precision Telemed Publishes |
|---|---|
| Type of company | Telehealth provider for GLP-1, hormone and longevity care |
| Medications | Compounded tirzepatide and compounded semaglutide, plus NAD+, sermorelin, PT-141 and testosterone |
| Formulation | Compounded only, prepared by a 503A pharmacy |
| Pricing model | Flat rate across all doses, not dose-tiered |
| States served | All 50 states |
| Pharmacy | Rush Pharmacy, a 503A licensed compounding pharmacy |
| Subscription | No lock-in; pause or cancel at any time |
Medications Offered
- Compounded tirzepatide, a dual GLP-1 and GIP agonist, from 2 mg to 15 mg
- Compounded semaglutide
- Microdose tirzepatide on the maintenance plan
- NAD+, sermorelin, PT-141 and testosterone as separate services
- No brand-name Zepbound, Mounjaro, Wegovy or Ozempic
Brand-Name or Compounded?
Compounded only, prepared by Rush Pharmacy, which Precision Telemed identifies as a 503A licensed compounding pharmacy. Compounded medications are not FDA-approved. A 503A pharmacy compounds against individual patient prescriptions, which differs from a 503B outsourcing facility that produces in batches under stricter federal manufacturing oversight.
Consultation Process
Online questionnaire
Complete a brief online health questionnaire covering your history and goals.
Physician review
A physician reviews your submission, often the same day according to Precision Telemed.
Prescription to pharmacy
If approved, the prescription is sent to Rush Pharmacy for compounding.
Shipping and follow-up
Medication ships within 48 hours in plain, unmarked packaging, with month-to-month continuation.
Eligibility
- Adults completing the online health questionnaire
- Eligibility determined by physician review of your submission
- Available to patients in all 50 states
- Specific BMI thresholds are not published on the product page
- Standard GLP-1 contraindications apply as assessed by the prescriber
Provider Involvement and Lab Requirements
Provider Involvement
Precision Telemed lists board-certified physicians and advanced practice nurses, names Dr. Joseph Palumbo, DO as medical director, and lists twelve providers with credentials. Physician review is included in the monthly fee and is described as often same-day.
Lab Requirements
Precision Telemed does not publish a lab requirement on its tirzepatide product page. Ask directly whether baseline labs are required or recommended before starting, particularly if you have not had recent metabolic bloodwork.
Pharmacy Fulfillment and Shipping
Pharmacy Fulfillment
Rush Pharmacy, identified by Precision Telemed as a 503A licensed compounding pharmacy. Naming the pharmacy is meaningful transparency; most compounded GLP-1 providers do not. Note that 503A facilities compound per individual prescription and are regulated primarily by state boards of pharmacy.
Shipping Frequency
Medication ships within 48 hours of approval in plain, unmarked packaging, with free shipping included. Patients can receive monthly vials or opt for a three-month supply.
Support Services
- Physician review included in the monthly fee, often same-day
- Month-to-month flexibility with no lock-in
- Free shipping in discreet packaging
- Broader hormone and longevity services available on the same platform
- No coaching or dietitian program published as included
Pricing
Precision Telemed's defining feature is that the monthly rate does not change as your dose increases. The company states the flat rate covers the full 2 mg to 15 mg range.
| Plan or Medication | Published Price | What It Covers |
|---|---|---|
| Full tirzepatide program | $199 first month, then $249.99 per month | All doses from 2 mg to 15 mg at a flat rate |
| Maintenance microdose plan | $179.99 per month | Covers the 2 mg dose only |
| Three-month tirzepatide supply | $644.99 | All doses from 2 mg to 15 mg |
| Platform entry pricing | From $139.99 per month | Precision Telemed's published starting price across its service menu |
Pricing reflects what Precision Telemed published at the time of review and can change without notice. Confirm current pricing directly with the provider before enrolling.
Membership Fees
None published. Precision Telemed states that no subscription is required and that consultation is included in the monthly fee, with no enrolment or membership charge listed.
Medication Fees
Medication and physician review are bundled into the monthly rate. The full tirzepatide program is $199 for the first month and $249.99 a month thereafter, and Precision Telemed states this is a flat rate every month regardless of dose progression.
Cancellation and Refund Policy
Cancellation
Precision Telemed publishes no lock-in and states patients can pause or cancel at any time with no penalties. Billing is month-to-month unless you buy the three-month supply.
Refunds
A refund and returns policy exists on the site, but the specific terms are not detailed on the product page. As with all dispensed compounded medication, assume shipped product is non-returnable and confirm the written policy before ordering.
Insurance, HSA and FSA
Insurance
Precision Telemed states that insurance coverage for compounded medications is rare and that it does not bill insurance by design, in order to avoid prior authorization delays. This is a self-pay service.
HSA / FSA
Precision Telemed states that HSA and FSA payments are accepted. Confirm substantiation requirements with your plan administrator.
For a fuller explanation of how these accounts work with GLP-1 care, see our GLP-1 insurance, HSA and FSA guide.
Who Precision Telemed May Be Best For
- You expect to titrate to a higher maintenance dose and want predictable cost
- You want the compounding pharmacy named rather than described generically
- You want month-to-month flexibility without an annual commitment
- You value knowing the medical director and provider credentials
- You want tirzepatide specifically rather than semaglutide
- Entry cost is higher than the cheapest compounded programs
- Lab requirements are not published
- 503A rather than 503B pharmacy sourcing
- No coaching, dietitian or behavioural support included
- Refund terms are not spelled out on the product page
Alternatives to Consider
CoreAge Rx
Our top pick, with 503B pharmacy sourcing and lower entry pricing.
NexLife
Also prices the same at every dose, with named pharmacy partners and a money-back guarantee.
Fifty 410
Cheaper tirzepatide entry pricing, though it tiers by dose rather than staying flat.
LillyDirect
FDA-approved Zepbound direct from the manufacturer if you want brand-name tirzepatide.
You can also compare the whole field in our GLP-1 provider comparison and best online GLP-1 providers roundups.
Frequently Asked Questions
Does the price go up as my dose increases?
No. Precision Telemed states the $249.99 monthly rate is flat and covers all doses from 2 mg through 15 mg. That is the main reason to consider it over programs that raise the price at each titration step.
Which pharmacy compounds the medication?
Precision Telemed names Rush Pharmacy, which it identifies as a 503A licensed compounding pharmacy. Naming the pharmacy is unusual transparency in this market.
Is Precision Telemed available in my state?
Precision Telemed publishes availability in all 50 states.
What is the microdose maintenance plan?
It is a $179.99 per month plan covering the 2 mg dose only. It is aimed at patients maintaining on a low dose rather than titrating upward. Whether microdosing suits you is a clinical decision for your prescriber.
Does Precision Telemed require labs?
The tirzepatide product page does not publish a lab requirement. Ask directly, especially if you have not had recent metabolic bloodwork.
Can I cancel any time?
Yes. Precision Telemed states there is no lock-in and that you can pause or cancel at any time without penalties, unless you have purchased a three-month supply upfront.
Medical Disclaimer
This review is for general information only and is not medical advice, a diagnosis, or a treatment recommendation. GLP-1 medications are prescription drugs with real risks and contraindications. Only a licensed clinician who knows your history can decide whether any medication is appropriate for you. Never start, stop, or change a prescription based on this page. If you have a medical emergency, call 911.
Details on this page describe what Precision Telemed published at the time of review. Programs, pricing, pharmacy partners, and policies change; verify everything directly with the provider before enrolling. See our full medical disclaimer.
Date reviewed: August 24, 2026