
Compounded tirzepatide, prescribed online in North Carolina
- Visit type
- No video visit required
- Licensing
- North Carolina Medical Board
- Updated
- Licensed by
- North Carolina Medical Board
- Telehealth
- No video visit required
- Compounded tirzepatide
- Available
- Insurance
- Not needed, cash-pay
- Shipping
- 2–3 business days
North Carolina adults can be prescribed compounded tirzepatide, a once-weekly GIP and GLP-1 injection, through an online visit reviewed by a clinician licensed in North Carolina, when it's appropriate for you. No video visit is required in North Carolina. The plan is $179 first month, then $299 every 4 weeks, charged once a clinician prescribes. Cancel anytime. A US-licensed pharmacy ships it free to Charlotte, Raleigh, Greensboro and every other North Carolina address.
Compounded tirzepatide price in North Carolina
Compounded tirzepatide costs from $239 a month in North Carolina, depending on the plan. The price is the same in every North Carolina ZIP code and at every dose, and it covers the clinician visit, check-ins, dose adjustments, care-team messaging and shipping, with no membership fee.
| Plan | You pay | Monthly average |
|---|---|---|
| Monthly | $179 first month, then $299 every 4 weeks | $299/mo |
| Quarterly | $837 every 12 weeks | $279/mo |
| 6 months | $1,554 every 24 weeks | $259/mo |
| Annual | $2,868 every 48 weeks | $239/mo |
Longer plans are paid up front for the term and cost less per month. Every plan renews on its own schedule until you cancel.
Is compounded tirzepatide available in North Carolina?
Yes. Compounded tirzepatide is available by prescription to North Carolina residents. Every clinician who treats North Carolina patients holds an active license from the North Carolina Medical Board, and partner pharmacies ship to every North Carolina ZIP code.
Tirzepatide is a dual GIP and GLP-1 receptor agonist: it activates the two gut-hormone signals that lower appetite and slow how quickly the stomach empties. Compounded medications are prepared on a per-patient basis by US-licensed compounding pharmacies, regulated under federal law (FDCA §503A) and by state boards of pharmacy. While these pharmacies are highly regulated, the compounded medications themselves are not FDA-approved, are not generic versions of brand-name drugs, and have not been evaluated by the FDA for safety, efficacy, or quality.
The state’s prescribing rules are on the North Carolina GLP-1 telehealth page.
How to get tirzepatide online in North Carolina
Complete the online intake
About five minutes: your health history, the medications you take and your goals.
A clinician reviews your intake
By secure message in most cases. Approval can be as quick as the same day in some states.
If prescribed, a pharmacy ships it
The pharmacy fills the prescription and ships it free, with tracking, to your North Carolina address, typically in 2–3 business days.
Brand-name pens in North Carolina
Pallas also dispenses the FDA-approved Zepbound® and Mounjaro® pens through US-licensed pharmacies. Zepbound® is approved for chronic weight management. Mounjaro® is approved for type 2 diabetes, and a clinician may prescribe it off-label for weight management. Both are made by Eli Lilly. Cash-pay only; not billed to insurance.
- Zepbound® injectionsFrom $499
- Mounjaro® injections$1,099/mo
More for North Carolina:Compounded semaglutide in North CarolinaSemaglutide and tirzepatide pricesGLP-1 telehealth rules
Tirzepatide injections
Activates both GIP and GLP-1, the two gut hormones that signal fullness, in one weekly dose.
$179first month

Tirzepatide in North Carolina: common questions
Compounded tirzepatide injections are $179 first month, then $299 every 4 weeks, charged once a clinician prescribes. Cancel anytime. Longer plans average as low as $239 a month.
Yes. A North Carolina-licensed clinician reviews your online intake by secure message, and if compounded tirzepatide is appropriate, a pharmacy ships it to you in 2–3 business days.
No. North Carolina allows a licensed clinician to review your intake by secure message and prescribe without a scheduled video call. They may ask for a video visit only if your history calls for it.
Intake takes about 5 minutes, and approval can be as quick as the same day in some states. The pharmacy then ships in 2–3 business days.
No. Your plan costs the same at every dose, from your starting dose to maintenance.
Compounded preparations are generally not covered by Medicaid or private insurance. Pallas is cash-pay and does not bill insurance.
A North Carolina-licensed clinician decides after reviewing your intake. GLP-1s are generally considered at a BMI of 30 or more, or 27 or more with a condition like high blood pressure.
More states
Cities in North Carolina
Pallas serves all of North Carolina online for compounded tirzepatide. Partner pharmacies ship to Charlotte, Raleigh, Greensboro, Durham, Winston-Salem, Fayetteville, Cary, Wilmington, High Point, Asheville, Concord, Greenville and every ZIP code in North Carolina.







