Gimme tirzepatide is a weekly compounded tirzepatide injection sold through Gimme Care, a cash-pay online program. On October 19, 2026, it cost $199 for one month, $163 a month on a 3-month plan ($489 total), or $149 a month on a 6-month plan ($894 total), the same at every dose. It is not FDA-approved, and it is not Zepbound.
The RX Index is the independent GLP-1 decision resource that scores telehealth providers and treatment paths on clinical legitimacy, care quality, transparency, access, and cost, so readers can choose the path that fits their situation.
Three things can change that answer for you: what you're charged up front, what your plan renews at, and whether your insurance would cover FDA-approved Zepbound instead. (Gimme product page; FDA)
Here's the catch: Gimme says refills ship every 28 days. Its public pages don't settle when you're billed or what your plan renews at. The table below separates the posted price from the payment details you still need.
RX Index Decision Verdict: A low-price compounded option with simple posted rates, but the pharmacy and full bill need to be clear before you commit to a plan you mostly can't return.
- Best for: Cash-pay adults whose clinician has identified a need for a compounded version and who want one flat price with no membership fee.
- Not ideal for: Anyone who wants FDA-approved medication, wants to use insurance, or is counting on a refund if they change their mind.
- The factor that matters most: What you'll pay at renewal, and which pharmacy fills your vial.
Before you commit, use the nine-question Gimme checklist to get the price, pharmacy, and refund terms in writing.
Already a Gimme member? Log in at app.gimme.care or email hi@gimme.care (8 am–8 pm ET). You can cancel or pause in your portal. Need to cancel an order, report a warm or damaged box, or understand a refund? Jump to stopping, refunds, and damaged orders.
How much does Gimme tirzepatide cost?
Gimme lists three plans for compounded tirzepatide: $199 for one month, $163 a month for three months, and $149 a month for six months. Gimme says the price covers the consultation, care, medication, supplies, and shipping, with no membership fee and the same price at every dose. These prices were checked on Gimme's product page on October 19, 2026.
A longer plan means a lower monthly rate, but a bigger commitment. Think of it like a gym that's cheaper per month if you sign up for six. The monthly number looks small. Confirm the full charge at checkout; the monthly rate may not be the amount charged today.
Gimme tirzepatide plans at a glance
Checked October 19, 2026. All three are compounded injection plans. Source: Gimme product page.
| Plan | Listed monthly rate | Calculated plan total | Amount due today |
|---|---|---|---|
| 1 month | $199 | $199 | Confirm at checkout |
| 3 months | $163 | $489 (3 × $163) | Confirm at checkout |
| 6 months | $149 | $894 (6 × $149) | Confirm at checkout |
The plan totals are our math from Gimme's posted rates. We did not place an order, so we haven't seen a checkout screen. Your order summary is the final word on what's charged today and when.
Why a 28-day refill doesn't settle the bill
Gimme says refills are "shipped every 28 days after a short check-in." Fifty-two weeks holds 13 of those 28-day blocks, not 12. That tells you the refill schedule; it doesn't prove there will be 13 charges.
Gimme's terms say the billing schedule is shown at checkout. Ask whether your plan bills every 28 days or by calendar month, what each payment covers, and what happens when a 3- or 6-month plan renews. Those answers decide the annual cost. (Gimme terms)
What's included, and what could cost extra?
Gimme says its price includes your online assessment, review by a licensed provider, unlimited provider messaging, an online portal, supplies, and free shipping. It also says there are "no hidden fees or membership costs."
What we couldn't find on Gimme's public pages: whether labs are ever required, and what they'd cost if they were. If a provider asks for lab work, ask who pays before you order. An unknown fee isn't a free one.
Saw a lower price on Reddit?
Posts in r/gimmecare advertise pharmacy-specific offers through a Gimme-domain intake link. We did not verify those prices or their renewal terms at checkout.
Before you pay with any special link, screenshot two numbers: what's due today, and what it renews at.
Gimme is one way to get tirzepatide, and it isn't the right one for everybody. The best path depends on your state, your insurance and formulary (the list of drugs your plan covers), whether you want FDA-approved or compounded medicine, a shot or a pill, and your budget. The RX Index's Find My GLP-1 Path tool asks a few quick questions and shows the paths and providers that fit you. It's free, takes about 2 minutes, and needs no signup.
Which pharmacy and formulation will you get?
Gimme Care is not a pharmacy. It connects you with licensed providers, and a separate compounding pharmacy makes and ships your medicine. Gimme's standard product page doesn't identify the pharmacy for your order. Ask before you pay, then check the label and records for your own order.
That matters because the pharmacy is the one actually mixing your medicine. Gimme's product page says its compounded GLP-1s come "exclusively from U.S. pharmacies." Its page description also says "FDA-registered pharmacy." Registration is not approval. The FDA doesn't approve compounded drugs, and it doesn't approve or license compounding pharmacies. (FDA)
How to check the pharmacy yourself
- Ask Gimme for the dispensing pharmacy's full legal name and address before you pay.
- Look it up with your state's board of pharmacy. The FDA's state-licensed pharmacy lookup links to every state board.
- When your box arrives, make sure the label shows your name, the pharmacy's name, the medicine, and the strength.
Don't assume your pharmacy will match anyone else's.
Ask what's in the vial
A formulation is the exact recipe: which ingredients, and how strong. One Reddit reader reported that an approval and portal listed B12 after they selected a no-additive option. That report doesn't establish what was shipped. Gimme's standard product page doesn't settle the formula for your order.
Ask for the exact prescribed formulation in writing, including every added ingredient and the strength (mg per mL). Strength matters because two vials with different strengths can need different amounts in the syringe for the same dose. If what you picked, what was approved, and what's on the label don't match, stop and ask your provider or the pharmacy before you use it.
Already on tirzepatide? Your next prescription is the provider's call
Gimme's FAQ says people already on a GLP-1 "may request to continue" their current dose. A request isn't a promise. The new provider decides.
Have your current prescription label, when you took your last dose, and any side effects ready. Then confirm what was actually prescribed before you count on a smooth switch. Don't change your own dose because of a review, a Reddit thread, or this page.
One vial, one 28-day limit
The FDA tells patients to throw away a compounded multi-dose vial 28 days after first using it, even if medicine is left and even if the pharmacy's directions say it lasts longer. (FDA)
So on a 3- or 6-month plan, ask how many vials you'll get and how they're split across shipments. Use a new sterile needle and syringe every time.
Is Gimme tirzepatide FDA-approved, and is it legal?
Gimme's tirzepatide is compounded, and compounded drugs are not FDA-approved. That means the FDA does not review them for safety, effectiveness, or quality before they're sold. Zepbound and Mounjaro are the FDA-approved tirzepatide products, made by Eli Lilly, and their study results don't carry over to compounded versions.
Gimme says this plainly on its own site, which is a point in its favor.
What the current rules mean
Compounding pharmacies were allowed to make copies of tirzepatide while it was in short supply. That shortage is over. FDA's shortage-related grace period ended March 19, 2025 for large 503B outsourcing facilities, and March 5, 2025 for 503A pharmacies (the kind that fill one patient's prescription at a time). As of FDA's April 1, 2026 update, tirzepatide is on neither the shortage list nor the 503B bulks list. (FDA)
A 503A pharmacy may compound a changed formulation when the prescriber finds and documents that the change makes a significant difference for an identified patient. The other 503A requirements must also be met; a lower price or an added ingredient alone is not enough. On April 30, 2026, the FDA also proposed not including tirzepatide on the 503B bulks list. We found no final decision in the official sources reviewed as of October 19, 2026.
The FDA has also been watching how companies sell these drugs. On March 3, 2026, it announced warning letters to 30 telehealth companies over compounded GLP-1 marketing. Our compounded GLP-1 enforcement tracker has a broader timeline, and our guide to compounding rules after the shortage explains it in more depth.
What this means for you: a website saying it sells compounded tirzepatide doesn't prove every order meets these rules. And if the rules tighten, supply could change. Gimme's own terms promise a prorated refund for unshipped medicine if it can't fill a plan because of FDA rules or shortages.
What the safety data says
As of May 31, 2026, the FDA had received more than 730 reports of side effects or other problems linked to compounded tirzepatide. These are reports about compounded tirzepatide generally, not a Gimme-specific count. A report isn't proof the drug caused the problem, and the FDA says these reports are likely undercounted. (FDA)
Get medical help right away for trouble breathing or swelling of the face, tongue, or throat. Contact your clinician right away for severe belly pain that doesn't go away, vomiting that won't stop, or signs of dehydration. (Zepbound Medication Guide)
When to talk to your own clinician first
Some situations call for a conversation with a clinician who knows your history before you compare programs. That includes being under 18, being pregnant or planning a pregnancy, having type 1 diabetes, or having a history of an eating disorder.
The FDA-approved Zepbound label says Zepbound must not be used by people with a personal or family history of medullary thyroid carcinoma (a type of thyroid cancer), with MEN 2 (an inherited gland condition), or with a serious allergy to tirzepatide or any ingredient in Zepbound. It warns that Zepbound may harm an unborn baby. For people taking hormonal birth control pills, the label advises using a nonoral method or adding a barrier method for four weeks after starting and four weeks after each dose increase. Ask your clinician how this applies to you. That label covers Zepbound, not any compounded product. More: GLP-1 hard contraindications and GLP-1s, pregnancy, and birth control.
If you're an adult whose clinician says GLP-1 treatment is right for you and "not FDA-approved" is the part you can't get past, you have real options now. FDA-approved Zepbound sells for cash starting at $299 for the starting dose. If you have commercial insurance, it might be covered.
Ro's free insurance checker checks coverage for the Zepbound autoinjector pen, Wegovy pen, and Ozempic pen. That check gives you a report; it doesn't submit a prescription or a prior authorization request. Ro's paid Body program includes help with prior authorization paperwork (your insurer's review before it pays). Membership is separate from the medicine: $39 the first month, then $149 a month. Medicaid and some other government plans are not eligible for Ro's Body program. (Ro pricing; Ro insurance)
If you need a prescriber and want that support, Ro's next step is its treatment intake.
Paid link: Explore Ro's GLP-1 options
How do cancellation and refunds work?
Stopping your next renewal, canceling an order already in progress, and getting a refund are three different things at Gimme. You can cancel or pause in your portal, but your purchase terms set the cutoff for stopping the next charge. Once a medicine is dispensed or shipped, it can't be canceled or returned. Always ask for written confirmation of what's been stopped.
| Your situation | Gimme's current rule | What to do |
|---|---|---|
| Stop your next renewal | Cancel or pause in the portal before the cutoff shown when you purchased. Changes made through support must come at least 3 business days before renewal. | Do it early. Ask for the cancellation date in writing. |
| Cancel an order in progress | Full refund only if canceled before the pharmacy dispenses or ships it. | Email hi@gimme.care right away and ask whether it has been dispensed yet. |
| Your order says "sent to pharmacy" | That status alone doesn't tell you whether it's been dispensed. | Ask support directly, the same day. |
| Box arrives damaged or defective | Email within 48 hours of delivery with photos of the medicine and packaging. If confirmed, Gimme sends a replacement; a refund is available if replacement is not possible. | Keep the packaging. Don't use medicine that arrived warm. |
| Gimme can't fill your plan (shortage, FDA rules) | Prorated refund for the unshipped part of a prepaid plan. You may choose account credit instead. | Ask how it applies to your remaining months. |
| You change your mind on a long plan | No general refund for unused months. Refund requests are reviewed "in limited situations." | Don't buy six months unless you're ready for six months. |
Sources: refund policy, shipping policy, terms of service, checked October 19, 2026. Note: 3 business days is not the same as 72 hours.
Shipping, and what to do if it arrives warm
Gimme says approved orders typically ship 5–7 business days after clinician review, once the pharmacy has prepared the prescription. They then travel by two-day air in insulated packaging with ice packs. So "two-day shipping" doesn't mean two days from sign-up. Gimme doesn't ship to P.O. boxes or military APO/FPO addresses, and some boxes need a signature.
The FDA says not to use an injectable GLP-1 that arrives warm or without enough cooling. Contact the pharmacy and Gimme support before using it.
What the Gimme Progress Promise requires
The Progress Promise is a claim process in Gimme's terms. First-time members who stay on the program for four months and don't make "measurable progress" may get back what they paid in those four months. Gimme says it is not a guarantee of results, and refunds aren't automatic.
| When | What Gimme requires | If you miss it |
|---|---|---|
| Sign-up | You must be a first-time member. | Not eligible |
| Within 14 days of your first prescription | Upload a continuous, unedited video: you in appropriate clothing on a scale on a hard floor, reading clearly visible, saying your name and the date. | Claim can be denied |
| Months 1–4 | Stay enrolled four months in a row, follow your provider's medication instructions, and keep your account in good standing. | Claim can be denied |
| Around month 4 | Provide a second weight verification; another scale video is one option. | Claim can be denied |
| Within 14 days after month 4 | Email hi@gimme.care with the subject Gimme Progress Promise Claim. Include your account email and your four-month weight verification through the claim form linked in Gimme's terms. Provide any further information requested to confirm eligibility. | Window closes |
| After review | Gimme "may" refund what you paid in months 1–4, usually within 30 days of approval. One refund per member. | — |
| Any time | Filing a chargeback with your bank cancels your Promise eligibility. | No Promise refund |
Source: Gimme terms of service, checked October 19, 2026.
Say you get your first prescription on March 3. Your baseline video is due by March 17. Your claim window opens around July 3 and closes about two weeks later. Put both dates in your phone the day you sign up.
Progress is judged on weight change, following your medication plan, provider notes, and how much you took part. And one important line: never keep taking a medicine against your provider's advice just to protect a refund.
Is Gimme Care legit?
Gimme Care is a real, operating telehealth company, legally named Start Gimme, LLC, with published terms, refund, and shipping policies. On October 19, 2026, its Trustpilot page showed a 4.3 out of 5 TrustScore from 1,945 reviews; Gimme has claimed the profile and invites customers to leave reviews. Legit means real and operating. It doesn't mean FDA-approved, and it doesn't mean complaint-free.
Recent Trustpilot reviews praise the easy sign-up and helpful staff. Reddit includes price-offer posts and a thread titled "WARNING: Do not use Gimme!".
Reviews are useful for one thing: spotting what to ask before you pay. They can't tell you whether a medicine is safe or will work for you. We did not place an order, so we can't speak to shipping speed or service from our own experience.
Gimme vs. other ways to get tirzepatide
Gimme lists $149 a month on its 6-month plan, but its public pages don't establish the annual bill. FDA-approved Zepbound from LillyDirect starts at $299 per 28-day supply, with higher doses priced at $399 or $449 under its current offer. The trade is FDA approval and a known manufacturer versus a lower posted price. Insurance can change that comparison.
Checked October 19, 2026. Zepbound "month" = 28 days, per LillyDirect. Gimme's billing schedule still needs to be confirmed.
| Path | FDA-approved? | Posted price | Longer-term cost | What to know |
|---|---|---|---|---|
| Gimme, 1-month plan | No (compounded) | $199 a month | Annual charge not established | Included costs are Gimme's claim; no insurance |
| Gimme, 6-month plan | No (compounded) | $149 a month ($894 calculated plan total) | Confirm billing and renewal | Longest commitment; amount due today is unverified |
| Embody | No (compounded) | Advertises $119 a month "flat rate" | Not calculated | Its written terms list other price schedules; confirm due today and renewal |
| Zepbound single-dose vials via LillyDirect | Yes | $299 (2.5 mg), $399 (5 mg), $449 (7.5–15 mg) under the purchase offer | $5,637 medication-only illustration below | You still need a prescriber; keeping the $449 price requires a refill purchase within 45 days of receiving the previous supply |
| Zepbound KwikPen via Ro | Yes | $299 / $399 / $449 for medicine under the applicable offer, plus membership: $39 first month, then $149/month, or $888 prepaid for the next 12 months | Depends on prescribed dose, offer eligibility, and membership plan | Medicine is separate; free checker and paid program are different services; Medicaid not eligible for Body |
| Zepbound with commercial insurance that covers it | Yes | Depends on your plan | Varies | Check coverage first; it can beat a cash price |
Sources: LillyDirect and its full offer terms, Ro pricing, Ro insurance, Embody and its written terms.
For a price illustration, one $299 fill, one $399 fill, and eleven $449 fills total $5,637 for 13 fills covering 52 weeks. This assumes LillyDirect's single-dose-vial prices stay unchanged and each fill qualifies. It excludes prescriber fees, injection supplies, and any taxes or fees. Your clinician decides your doses.
If you miss the 45-day purchase window, the higher-dose prices are $499 for 7.5 mg and $699 for 10, 12.5, or 15 mg. KwikPen savings cards have separate terms: the current self-pay card allows up to 11 fills per calendar year and expires December 31, 2026. The vial example is not a quoted annual KwikPen price.
For Ro's membership alone, the first 12 monthly charges total $1,678 ($39 + 11 × $149). Its annual option is $74 a month paid as $888 up front after the $39 introductory month: $927 paid for 13 membership months. Medication costs extra.
Which path fits you?
| If this sounds like you | Your next step |
|---|---|
| Your clinician has identified a need for compounded tirzepatide, and you're considering Gimme | Run the checklist below with Gimme before paying. |
| You have an order problem right now | Email hi@gimme.care and see the refund table. |
| You have a doctor and want FDA-approved Zepbound for cash | Ask your doctor to send it to LillyDirect. See LillyDirect vial vs insurance price. |
| You have commercial insurance | Check coverage first. See does insurance cover Zepbound for weight loss. |
| Your clinician has identified a need for compounded medicine, and you want to compare another program | Compare Embody's due-today and renewal terms with Gimme's. See our Embody review. |
| You'd rather take a pill | Gimme's tirzepatide is an injection. See the best FDA-approved GLP-1 pill. |
| You have Medicare or Medicaid | Start with your plan's own rules and your doctor. Gimme won't bill these programs. |
| You're not sure yet | Use Find My GLP-1 Path. |
If your clinician has identified a need for compounded medicine and you're comparing costs, get a second quote before you commit to six months. Put Embody's due-today and renewal amounts next to Gimme's plan totals, and pick the one whose written terms you're comfortable with.
Paid link: See Embody's current pricing
For a wider look, see our best online tirzepatide providers and cheapest tirzepatide without insurance.
Before you pay: the Gimme checklist
No web page, this one included, can tell you whether Gimme will approve you. A licensed provider decides that. Get written answers to these nine questions to check the offer before you pay. Copy them into an email to hi@gimme.care.
- What is my full charge today, and what will I be charged on my next billing date?
- Does my plan bill every 28 days or once a calendar month?
- If I'm using a special or Reddit link, does that price renew, or only the first bill?
- When is the last day I can cancel or change before my next renewal?
- What is the dispensing pharmacy's legal name, and is it licensed in my state?
- What exact formulation was prescribed, including any added ingredients, and what strength (mg per mL)?
- How many vials will I get, how will they be split across shipments, and what are the storage instructions?
- Will I need any labs, and who pays for them?
- If I stop early, which charges can be refunded under my plan?
If you live in Kansas, Louisiana, Mississippi, New Mexico, or West Virginia, add one more: when is my required video or audio visit? Gimme says it serves all 50 states and Washington, D.C., but those five states need a brief visit before you start.
What we actually verified
Checked October 19, 2026: Gimme's product page, homepage, terms of service, refund policy, and shipping policy; Gimme's Trustpilot profile; LillyDirect pricing and offer terms; Ro's pricing, insurance, and free checker pages; and Embody's homepage offer and written terms; FDA's compounding policy and safety pages; and the Zepbound prescribing information. What's provider-stated, not tested by us: the costs included in Gimme's posted price, shipping times, cold packaging, and availability in all 50 states. What we couldn't confirm: the pharmacy and formula for a specific order, the amount due today, renewal prices, current Reddit checkout prices, whether billing follows the 28-day refill cycle, and any required lab fees. What we didn't do: place an order, take the medicine, or test shipping.
This page uses an RX Index Decision Verdict. See how we evaluate providers.
Gimme tirzepatide FAQ
Is $199 for one month?
Yes. Gimme's 1-month plan is $199. The 3-month plan is $163 a month ($489 for the plan) and the 6-month plan is $149 a month ($894 for the plan), checked October 19, 2026. Refills ship every 28 days, so confirm whether billing follows that cycle.
Does the price go up at higher doses?
No, according to Gimme. Its product page says "same price at every dose." Confirm it on your order summary before you pay.
Is Gimme Care legit?
Yes, Gimme Care is a real company (legal name Start Gimme, LLC) with published policies. Its Trustpilot TrustScore was 4.3 out of 5 from 1,945 reviews on October 19, 2026. Legit doesn't mean FDA-approved; its tirzepatide is compounded.
What pharmacy does Gimme use?
Gimme's standard product page doesn't identify the pharmacy for your order, and Gimme says it is not a pharmacy itself. Ask for the dispensing pharmacy's legal name before you pay, then check its license with your state board of pharmacy.
Does Gimme's tirzepatide have B12 or other add-ins?
The standard product page doesn't settle your order's formula. One reader reported B12 in their approval records after selecting no additives; that doesn't confirm what was shipped. Ask for your exact prescribed formulation in writing.
Can I cancel if my order says "sent to pharmacy"?
That status alone doesn't settle it. A standard cancellation qualifies for a full refund only before the order is dispensed or shipped. Email hi@gimme.care right away, ask whether it's been dispensed, and ask whether your next renewal is stopped too.
Can I keep my current dose if I switch to Gimme?
You can ask. Gimme's FAQ says people already on a GLP-1 may request to continue their current dose, but the provider decides. Confirm what's actually prescribed before relying on it.
Is Gimme tirzepatide the same as Zepbound or Mounjaro?
No. It's compounded tirzepatide, which is not FDA-approved and isn't reviewed by the FDA for safety, effectiveness, or quality. Zepbound and Mounjaro are FDA-approved products made by Eli Lilly.
Is compounded tirzepatide still legal in 2026?
Not as a routine copy of Zepbound. The shortage that allowed widespread copies ended, and FDA's grace periods closed in early 2025. A 503A pharmacy may compound a changed formulation when the prescriber documents that the change makes a significant difference for that individual patient and the other 503A requirements are met.
Does Gimme take insurance, HSA, or FSA?
Gimme doesn't take insurance. Whether your HSA or FSA card works at checkout, and whether the expense qualifies, are separate questions for Gimme and your account administrator. See our guide on compounded tirzepatide and HSA/FSA.
Do I need a video visit?
Not in most states. Gimme says a brief video or audio visit is required before starting in Kansas, Louisiana, Mississippi, New Mexico, and West Virginia.
Will I get unused months back if I stop?
Don't count on it. Gimme's policies don't offer a general refund for unused months on a longer plan. The exceptions include a cancellation before dispensing or shipping, confirmed damage that cannot be resolved with a replacement, Gimme being unable to fill your plan, or an approved Progress Promise claim.
Is Gimme tirzepatide a pill?
No. Gimme's tirzepatide is a weekly injection. If you want a pill, see our FDA-approved GLP-1 pill guide.
Sources
All checked October 19, 2026, unless noted.
- Gimme Care, Compounded tirzepatide product page
- Gimme Care, Terms of Service
- Gimme Care, Refund policy
- Gimme Care, Shipping and delivery
- Trustpilot, Gimme reviews
- FDA, Concerns with unapproved GLP-1 drugs used for weight loss
- FDA, Policies for compounders as GLP-1 supply stabilizes (latest update April 1, 2026)
- FDA, Proposal to exclude tirzepatide from the 503B bulks list (April 30, 2026)
- FDA, Warning letters to 30 telehealth companies (March 3, 2026)
- Federal Register, 503B proposal comment-period extension (June 26, 2026; comments extended through July 30, 2026)
- FDA, What telehealth companies must know when promoting compounded drugs
- FDA, Locate a state-licensed online pharmacy
- Eli Lilly, Zepbound prescribing information and Medication Guide (revised August 2026)
- Eli Lilly, LillyDirect Zepbound pricing and full offer terms
- Ro, Weight loss pricing, insurance, and free insurance checker
- Embody, homepage offer and written terms
- Reddit, pharmacy-specific offer post, reader report of an approval-record mismatch, and "WARNING: Do not use Gimme!" thread (reports and advertised offers, not verified checkout prices or product tests)
- The RX Index, Compounded GLP-1 enforcement tracker (tracker last verified September 3, 2026; link checked October 19, 2026)
Still not sure which GLP-1 path fits you? Take The RX Index's free Find My GLP-1 Path quiz — about 2 minutes, no signup.