Zepbound
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From my perspective, I go through a Telehealth company to get compounded Tirzepatide from a 503a pharmacy. The only reason is not only is my PCP okay with it due to insurance not covering it, but I also pretty much have 24/7 access to my Telehealth provider and a Nutritionist. And for that kind of access, I'm paying $278 a month. That's $79/month membership and $199/month for the medicine. But I know for a fact my PCP would crap a brick if he knew I was getting Tirzepatide from some website off the internet.
@mrjoshua44 Ignorant yet arrogant PCPs blocking access is another problem, in addition to insurance, PBM, big pharma together extorting and f*** people that added to the RUO boom and public hatred for conventional routes of getting care.
I approached my PCP two years ago for GLP-1 treatment. I was never morbidly obese or diabetic or heart patient, due to my own lifestyle interventions, no thanks to the medical establishment. But I was slowly creeping in that direction with age.
PCP refused to even discuss saying "Insurance won't approve". WTF??? Are they working to provide care for me or insurance company?
I started with a telehealth last year and soon found the RUO wonderland.
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$248.00 for 10/20mg bottles from Nexaph, not sure what her dose is but do the math for her and show her how long this would last. https://nexaph.com/product/nxp-2p-10-vials-kit/
its a no brainer.
$248.00 for 10/20mg bottles from Nexaph, not sure what her dose is but do the math for her and show her how long this would last. https://nexaph.com/product/nxp-2p-10-vials-kit/
its a no brainer.
She's at a 12.5mg. I'm trying to tell her this. I did the math for her to show how much she would be saving. I mean damn, it's $4,800 a year. It should be a no brainer.
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@afkar7 Dang, well, just in case, I wanted you to know.
@randy @pep_researcher Oh yeah, no brainer indeed. I posted a video about it in one of your sections. Real good info. Fortunately, my Dr. will definitely go for it. The only thing in the way is her inept office staff. They don't know shitte from shinola. I'll need heavy duty peps while dealing with them. The Plan will probably want to start me on the usual 2.5 dose; I won't argue, I'll just 'supplement' until I get the dose I want; then, I'll probably supplement some more with other peps. My friend who could afford the Eli Lilly and tried same dose of mine says Lilly's is stronger at the same dose. I can believe it. -
One more question. Has anyone researched NXP-2Pfrom Nexaph and what is your opinion? Her big concern is it won't work as well. But a 10 pack would cover 11 months at a 10th of the current cost.
One more question. Has anyone researched NXP-2Pfrom Nexaph and what is your opinion? Her big concern is it won't work as well. But a 10 pack would cover 11 months at a 10th of the current cost.
Unless someone has taken the Lilly version, they probably can't make the comparison. Your wife would probably have to take a bit more, according to my friend who's done both.
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I have been using NXP-2P from Nexaph (30 mg) since early this year, around January or February. Before that, I used compounded Tirzepatide for 3 months through a telehealth provider, and the name-brand version before that. I don’t notice a nickel’s worth of difference between any of them.
According to Glapp, I’ve lost about 7 lbs per month since January (yes, it’s a little fast, but I have other medical issues that make the weight loss critical).
Full disclosure, I pin 7.5 mg Tirzepatide from Nexaph on Wednesdays and 5 mg Mazdutide from Southern Aminos on Saturdays. So all of the weight loss is not from the Tirzepatide alone.
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One more question. Has anyone researched NXP-2Pfrom Nexaph and what is your opinion? Her big concern is it won't work as well. But a 10 pack would cover 11 months at a 10th of the current cost.
@afkar7
I have an Rx for Zepbound and used the Brand from Lilly Direct for about 6 months before switching to the NXP-2 a couple of months ago. I’ve noticed no difference whatsoever except I’m no longer shelling out $400 monthly because my health insurance stinks. -
One more question. Has anyone researched NXP-2Pfrom Nexaph and what is your opinion? Her big concern is it won't work as well. But a 10 pack would cover 11 months at a 10th of the current cost.
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@afkar7
I have an Rx for Zepbound and used the Brand from Lilly Direct for about 6 months before switching to the NXP-2 a couple of months ago. I’ve noticed no difference whatsoever except I’m no longer shelling out $400 monthly because my health insurance stinks.@christexer
I second this, exact same experience.
Was on 5mg Zepbound and have been on 5mg NXP-2 with no issues for months now.I'm just waiting for my 10 vials to run out so I can make the switch to
RetaNXP-3. -
One more question. Has anyone researched NXP-2Pfrom Nexaph and what is your opinion? Her big concern is it won't work as well. But a 10 pack would cover 11 months at a 10th of the current cost.
@afkar7 My 2 cents — if you only want GLP-T you are better off going with a telehealth and a compounding pharmacy.
You will get pep from a certified sterile compounding facility. Nexaph only tests net content, purity, and ID. No endotoxin and sterility. Plus you have to get supplies yourself, H BAC water, noodles, wipes etc and recon yourself. Add those costs to your math. Telehealth GLP-T is usually $3-3.5 per mg all inclusive.
RUOs are best for stuff that's hard to access due to the Eff Dee Aa shenanigans or costs.
If tomorrow Eff Dee Aa shuts down all compounded T and pushes you to $500 pm L Direct, by all means go with Nexaph or other vendors.
Just an advice from someone who did in depth cost analysis for GLP-T during the journey.
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@afkar7 My 2 cents — if you only want GLP-T you are better off going with a telehealth and a compounding pharmacy.
You will get pep from a certified sterile compounding facility. Nexaph only tests net content, purity, and ID. No endotoxin and sterility. Plus you have to get supplies yourself, H BAC water, noodles, wipes etc and recon yourself. Add those costs to your math. Telehealth GLP-T is usually $3-3.5 per mg all inclusive.
RUOs are best for stuff that's hard to access due to the Eff Dee Aa shenanigans or costs.
If tomorrow Eff Dee Aa shuts down all compounded T and pushes you to $500 pm L Direct, by all means go with Nexaph or other vendors.
Just an advice from someone who did in depth cost analysis for GLP-T during the journey.
@afkar7 My 2 cents — if you only want GLP-T you are better off going with a telehealth and a compounding pharmacy.
You will get pep from a certified sterile compounding facility. Nexaph only tests net content, purity, and ID. No endotoxin and sterility. Plus you have to get supplies yourself, H BAC water, noodles, wipes etc and recon yourself. Add those costs to your math. Telehealth GLP-T is usually $3-3.5 per mg all inclusive.
RUOs are best for stuff that's hard to access due to the Eff Dee Aa shenanigans or costs.
If tomorrow Eff Dee Aa shuts down all compounded T and pushes you to $500 pm L Direct, by all means go with Nexaph or other vendors.
Just an advice from someone who did in depth cost analysis for GLP-T during the journey.
This is not untrue.
However, there are certain caveats to consider. You have to make sure you know how to work the system. You won't get the $3-3.50 per mg right away. Unless you have a current prescription and are already taking higher doses, you will get started on the lowest doses and have to work your way up. Those $3-$3.50 amounts are usually for those already taking higher doses. Though it's not impossible to get those prices on lower doses, it is a little trickier. If you don't choose the right telehealth, you could be stuck paying $8 (or more) per mg. Ask me how I know
? Also, if you are able to get vials for the higher doses, but currently take lower doses, you have to be comfortable going beyond the 28 day rule and Beyond Use Date (aka BUD, which is kinda like an expiration date). Most of the big 503B pharmacies are out of the game and the ones left have BUD's only up to 6 months. 503A pharmacies are at 90 day BUD's. NOTE: 503B pharmacies are not necessarily better than 503A pharmacies, they just follow different regulations.
If you look into the telehealths look at Pomegranate Health for some of the best prices. However, their system can be clunky. They won't hold your hand through the process. If you are willing to pay a little more for better service, check out Rift, Trillium, or Big Easy Weight Loss.Hope this helps.
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@afkar7 My 2 cents — if you only want GLP-T you are better off going with a telehealth and a compounding pharmacy.
You will get pep from a certified sterile compounding facility. Nexaph only tests net content, purity, and ID. No endotoxin and sterility. Plus you have to get supplies yourself, H BAC water, noodles, wipes etc and recon yourself. Add those costs to your math. Telehealth GLP-T is usually $3-3.5 per mg all inclusive.
RUOs are best for stuff that's hard to access due to the Eff Dee Aa shenanigans or costs.
If tomorrow Eff Dee Aa shuts down all compounded T and pushes you to $500 pm L Direct, by all means go with Nexaph or other vendors.
Just an advice from someone who did in depth cost analysis for GLP-T during the journey.
This is not untrue.
However, there are certain caveats to consider. You have to make sure you know how to work the system. You won't get the $3-3.50 per mg right away. Unless you have a current prescription and are already taking higher doses, you will get started on the lowest doses and have to work your way up. Those $3-$3.50 amounts are usually for those already taking higher doses. Though it's not impossible to get those prices on lower doses, it is a little trickier. If you don't choose the right telehealth, you could be stuck paying $8 (or more) per mg. Ask me how I know
? Also, if you are able to get vials for the higher doses, but currently take lower doses, you have to be comfortable going beyond the 28 day rule and Beyond Use Date (aka BUD, which is kinda like an expiration date). Most of the big 503B pharmacies are out of the game and the ones left have BUD's only up to 6 months. 503A pharmacies are at 90 day BUD's. NOTE: 503B pharmacies are not necessarily better than 503A pharmacies, they just follow different regulations.
If you look into the telehealths look at Pomegranate Health for some of the best prices. However, their system can be clunky. They won't hold your hand through the process. If you are willing to pay a little more for better service, check out Rift, Trillium, or Big Easy Weight Loss.Hope this helps.
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@afkar7 My 2 cents — if you only want GLP-T you are better off going with a telehealth and a compounding pharmacy.
You will get pep from a certified sterile compounding facility. Nexaph only tests net content, purity, and ID. No endotoxin and sterility. Plus you have to get supplies yourself, H BAC water, noodles, wipes etc and recon yourself. Add those costs to your math. Telehealth GLP-T is usually $3-3.5 per mg all inclusive.
RUOs are best for stuff that's hard to access due to the Eff Dee Aa shenanigans or costs.
If tomorrow Eff Dee Aa shuts down all compounded T and pushes you to $500 pm L Direct, by all means go with Nexaph or other vendors.
Just an advice from someone who did in depth cost analysis for GLP-T during the journey.
This is not untrue.
However, there are certain caveats to consider. You have to make sure you know how to work the system. You won't get the $3-3.50 per mg right away. Unless you have a current prescription and are already taking higher doses, you will get started on the lowest doses and have to work your way up. Those $3-$3.50 amounts are usually for those already taking higher doses. Though it's not impossible to get those prices on lower doses, it is a little trickier. If you don't choose the right telehealth, you could be stuck paying $8 (or more) per mg. Ask me how I know
? Also, if you are able to get vials for the higher doses, but currently take lower doses, you have to be comfortable going beyond the 28 day rule and Beyond Use Date (aka BUD, which is kinda like an expiration date). Most of the big 503B pharmacies are out of the game and the ones left have BUD's only up to 6 months. 503A pharmacies are at 90 day BUD's. NOTE: 503B pharmacies are not necessarily better than 503A pharmacies, they just follow different regulations.
If you look into the telehealths look at Pomegranate Health for some of the best prices. However, their system can be clunky. They won't hold your hand through the process. If you are willing to pay a little more for better service, check out Rift, Trillium, or Big Easy Weight Loss.Hope this helps.
@Nuncles Yeah the BUD thing is what I didn't include. BUD for lyophilized is YEARS and YEARS
unless you put water in them. But I assumed that OP wants to use them right away so compounded short BUDs are okay.Actually telehealth prices are indeed way down and it hasn't remained that hard to get $3-3.5mg without paying the higher price for starter doses. There's a very active sub on Reddit which does these price and service and BUD comparison. If @afkar7 is interested and if it's allowed I can link it here.
I had created all the backup options if insurance gave any trouble (thankfully they didn't).
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@afkar7 My 2 cents — if you only want GLP-T you are better off going with a telehealth and a compounding pharmacy.
You will get pep from a certified sterile compounding facility. Nexaph only tests net content, purity, and ID. No endotoxin and sterility. Plus you have to get supplies yourself, H BAC water, noodles, wipes etc and recon yourself. Add those costs to your math. Telehealth GLP-T is usually $3-3.5 per mg all inclusive.
RUOs are best for stuff that's hard to access due to the Eff Dee Aa shenanigans or costs.
If tomorrow Eff Dee Aa shuts down all compounded T and pushes you to $500 pm L Direct, by all means go with Nexaph or other vendors.
Just an advice from someone who did in depth cost analysis for GLP-T during the journey.
This is not untrue.
However, there are certain caveats to consider. You have to make sure you know how to work the system. You won't get the $3-3.50 per mg right away. Unless you have a current prescription and are already taking higher doses, you will get started on the lowest doses and have to work your way up. Those $3-$3.50 amounts are usually for those already taking higher doses. Though it's not impossible to get those prices on lower doses, it is a little trickier. If you don't choose the right telehealth, you could be stuck paying $8 (or more) per mg. Ask me how I know
? Also, if you are able to get vials for the higher doses, but currently take lower doses, you have to be comfortable going beyond the 28 day rule and Beyond Use Date (aka BUD, which is kinda like an expiration date). Most of the big 503B pharmacies are out of the game and the ones left have BUD's only up to 6 months. 503A pharmacies are at 90 day BUD's. NOTE: 503B pharmacies are not necessarily better than 503A pharmacies, they just follow different regulations.
If you look into the telehealths look at Pomegranate Health for some of the best prices. However, their system can be clunky. They won't hold your hand through the process. If you are willing to pay a little more for better service, check out Rift, Trillium, or Big Easy Weight Loss.Hope this helps.
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@afkar7 @nuncles
nuncles is absolutely right about the caveats, but if you can get good connections listed above, it might pay off. I hate the cyanocobalamin and glycine they put in it though. Unmethylated B12 is pretty much worthless and sometimes they'll leave the glycine out of it if you ask them. Been there, done that. -
Gimme Care too. My friend used them and was dirt cheap and got high dose 3 months without much trouble although he was not on high dose before.
@afkar7 While Gimme Care is cheap, you often have to take 2 injections to get the full dose. I still have some Tirz left from Gimme. For a 12.5mg, their pharmacies reconstitute for a pull of 125mg AND they add the B12 & glycine.
If it really is a cost incentive, get the Nexaph or whatever, buy some syringes; 100's for about $50, buy a $1 bottle of isopropyl alcohol at Walmart and some regular swabs (also $1) and go to town! It's not that expensive.
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@Nuncles Yeah the BUD thing is what I didn't include. BUD for lyophilized is YEARS and YEARS
unless you put water in them. But I assumed that OP wants to use them right away so compounded short BUDs are okay.Actually telehealth prices are indeed way down and it hasn't remained that hard to get $3-3.5mg without paying the higher price for starter doses. There's a very active sub on Reddit which does these price and service and BUD comparison. If @afkar7 is interested and if it's allowed I can link it here.
I had created all the backup options if insurance gave any trouble (thankfully they didn't).
@pep_researcher Truth. Always good to have backup. The lyophilized is my backup. Currently working through the compounded stuff as it will go bad way before the lypho.
I hadn't used Gimme but heard they were kinda the go-to for awhile. They seem to be falling out of grace lately in the Reddit subs. The telehealth companies seem to be like some of the RUO vendors. They are good until they are not. I know there are some telehealths that don't require a previous RX. You just tell them what you dose is (or whatever you say it is) and they go from that. I don't know which ones they are though.
All of this to say that I personally believe that both RUO and Telehealth compounding pharmacies have their place. I'm just starting the RUO journey so I'm basically utilizing both methods. It seems to boil down to two comfort levels. "What are you comfortable paying?" And "What is you risk comfort?"
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@afkar7 @nuncles
nuncles is absolutely right about the caveats, but if you can get good connections listed above, it might pay off. I hate the cyanocobalamin and glycine they put in it though. Unmethylated B12 is pretty much worthless and sometimes they'll leave the glycine out of it if you ask them. Been there, done that.@Eleanor Excellent point in mentioning the additives. Some people don't like them. I've only tried B6. I didn't notice any difference in efficacy but it definitely is messing with my sleep. It's partially what led me down the research path. Going to research DSIP and Sermorelin for the first time tonight.
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