Oak Longevity lists compounded tirzepatide at $199/mo, and its price stays the same at every dose tier. On our standard escalation model — four weeks at 2.5 mg, four weeks at 5 mg, ten months at 10 mg — a first year costs about $2,388.
Best suited to: Coaching included at a near-floor price.
Trustpilot profile reviewed 5 August 2026: 4.4 out of 5 across 54 reviews, with 89% five-star and 5% one-star. Trustpilot's own profile flags note that the company has not replied to negative reviews and has no recent history of inviting reviews, which makes a small review base less representative than the headline score suggests. The negative reviews that exist describe delivery failures rather than the medicine: a prescription paid for and not delivered across three tracking numbers with a refund eventually issued, a repeat of the same failure on a second order, packages routed by post rather than a courier and left in summer heat, and an account of a correct address being rejected at the shipping stage. One reviewer describes the operation as behaving like a scam; we are recording that as an opinion expressed, not as a finding. This does not meet our suspension threshold, which requires a substantial share of one-star reviews describing the same failure — Oak sits at 5%, against the 23% that triggered our suspension of Embody. We are publishing it because heat exposure and non-delivery are cold-chain failures on a medicine that must not get warm, and because Oak currently holds the cheapest tracked price, which is exactly when a reader most needs to see the other side.
If you have first-hand experience either way, tell us through contact. Service records change, and this one is dated.
Our earlier record carried $130/month for tirzepatide, which appears to have been the semaglutide price. The published tirzepatide figure is $199.
Price at every dose tier
This is the table that matters. The advertised figure applies to the starter dose you will occupy for roughly four weeks; the row you should budget from is 10 mg.
| Dose tier | Per month | Twelve months at this dose |
|---|---|---|
| 2.5 mg · Starter (weeks 1–4) | $199 | $2,388 |
| 5 mg · First treatment dose | $199 | $2,388 |
| 7.5 mg · Escalation | $199 | $2,388 |
| 10 mg · Common maintenance | $199 | $2,388 |
| 12.5 mg · Escalation | $199 | $2,388 |
| 15 mg · Maximum dose | $199 | $2,388 |
Oak Longevity official pricing page → The provider’s own page, not a commercial link. Check the price there against ours — if they differ, ours is wrong and we want to know.
Pricing source: oaklovesyou.com homepage pricing, accessed 2026-08-05: compounded tirzepatide from $199/month and compounded semaglutide from $133/month, with no subscription. Operated by Leaf Longevity Holdings Corp. trading as Oak Longevity.. Last verified 2026-08-05.
| Criterion | Published? | Points |
|---|---|---|
| Price published at all six dose tiers | Yes | 25/25 |
| Price does not rise as the dose escalates | Yes | 20/20 |
| Dispensing pharmacy or prescriber identified by name | Not published | 0/15 |
| No separate recurring membership fee | Yes | 10/10 |
| Prepaid term and its rate published | Yes | 10/10 |
| State availability published | Yes | 10/10 |
| Delivery formats published | Yes | 10/10 |
We have not been able to identify the dispensing pharmacy or a named prescriber from this program's public material. Ask before you enrol.
What works
- Free shipping plus included health coaching
- Aggressive flat pricing
What to check before enrolling
- Smaller public review footprint
Clinical and pharmacy disclosure
| Medication type | Compounded |
|---|---|
| Pharmacy disclosure | 503A partner |
| Formulations | injection |
| Pricing model | Flat at every dose tier |
| Membership fee | None disclosed |
| Shipping | Included |
| State availability | 48 states claimed — confirm yours |
| Semaglutide offered | $133 per month |
| Prices last verified | 2026-08-05 |
Refund mechanics after a shipment leaves the pharmacy, the specific compounding pharmacy where it is not named above, and whether the quoted rate holds at renewal. Ask for all three in writing before you pay. If a program will not answer in writing, that is itself an answer — see our nine-point verification checklist.
If Oak Longevity is not the right fit
The cheapest tracked flat-rate program is IVIM Health at $133 per month. For FDA-approved product rather than compounded, LillyDirect self-pay Zepbound vials run $299–$449 depending on strength — see the Zepbound cost breakdown.
Oak Longevity tirzepatide price as your dose climbs
Oak Longevity charges $199 at 2.5 mg and $199 at 10 mg — the same number. Escalating does not reprice you, which means the figure you are quoted in week one is the figure you are still paying in month ten. That is the whole argument for flat pricing, and it is worth more than most entry discounts.
Is Oak Longevity tirzepatide cheap compared with the market?
On our twelve-month model this program ranks 1 of 23 tracked routes at about $2,388. It is the cheapest tracked route on that measure.
| By end of | Paid to date | That month |
|---|---|---|
| Month 1 | $199 | $199 |
| Month 2 | $398 | $199 |
| Month 3 | $597 | $199 |
| Month 6 | $1,194 | $199 |
| Month 9 | $1,791 | $199 |
| Month 12 | $2,388 | $199 |
Seven questions to ask Oak Longevity before you enrol
- What will I pay in total in month six at 10 mg, including every fee?
- Which compounding pharmacy fills the prescription, and what is its state license?
- Is the prescribing clinician licensed in my state, and can I have their name?
- What is the vial concentration, and what is the beyond-use date?
- Does the quoted rate hold at renewal, or does it revert?
- What happens if a shipment arrives warm — who pays for the replacement?
- What notice do I need to give to cancel before the next cycle?
None of these requires clinical training to evaluate, and all of them are answerable in writing. A program that will not answer the pharmacy question has told you what you needed to know. Our verification walkthrough covers how to check the answers against public records.
Oak Longevity tirzepatide cost by maintenance dose and duration
One annual figure assumes one maintenance dose. Nobody knows theirs at intake, so here is what Oak Longevity costs across every plausible outcome, over one, two and three years.
| If you maintain at | Per month | Year 1 | 2 years | 3 years |
|---|---|---|---|---|
| 5 mg maintenance | $199 | $2,388 | $4,378 | $6,368 |
| 7.5 mg maintenance | $199 | $2,388 | $4,378 | $6,368 |
| 10 mg maintenance | $199 | $2,388 | $4,378 | $6,368 |
| 12.5 mg maintenance | $199 | $2,388 | $4,378 | $6,368 |
| 15 mg maintenance | $199 | $2,388 | $4,378 | $6,368 |
Because Oak Longevity holds one price at every strength, the rows above differ only in the small titration effect, not in the maintenance rate. Whether you settle at 5 mg or run to the 15 mg ceiling, a year costs about $2,388 and three years about $6,368. That predictability is the reason to choose a flat programme even when a dose-scaled competitor advertises lower: you are buying a budget you can hold rather than a number that moves under you.
The corollary is that flat pricing is worst value at the starter dose and best value at the ceiling. In month one you are paying a maintenance rate for an initiation dose. If you know in advance that you will hold at 5 mg permanently, a dose-scaled programme may well beat this one — check the per-tier table above rather than assuming flat always wins.
Oak Longevity against the programs priced closest to it
Comparing against the whole market is noise; comparing against the three routes nearest your price point is a decision. These are the programs you are realistically choosing between.
| Program | Model | At 10 mg | 12 months | Disclosure | |
|---|---|---|---|---|---|
| NexLife | flat pricing | $215 | $2,580 | 100/100 | Compare |
| bmiMD | flat pricing | $233 | $2,796 | 85/100 | Compare |
| Join Fridays | flat pricing | $249 | $2,988 | 85/100 | Compare |
Pausing or restarting Oak Longevity
Pausing is more expensive than it looks, and the cost is clinical before it is financial. Stop for a month and appetite returns before the metabolic adaptation to a lower weight does; stop for several and tolerance fades, which means most prescribers restart you low and re-titrate. On Oak Longevity's pricing that re-titration costs you two months back at $199 and $199 respectively, which is the same as your maintenance rate here, so the financial penalty is zero and the penalty is purely in lost time and regained weight.
If cost is the reason you are considering a pause, price the market before you stop rather than after. The cheapest tracked route, NexLife, runs about $2,580 for a year against $2,388 here. Switching programs is almost always better than interrupting therapy, because the interruption is the thing that undoes the result.
What Oak Longevity publishes, and what it does not
Oak Longevity scores 85/100 on our published criteria. It publishes: price published at all six dose tiers; price does not rise as the dose escalates; no separate recurring membership fee; prepaid term and its rate published; state availability published; delivery formats published. It does not publish: dispensing pharmacy or prescriber identified by name. For context the highest-scoring tracked route is Yucca Health at 100/100.
None of that measures whether the care is good. A program can publish everything and ship late; another can publish nothing and employ excellent clinicians. What disclosure measures is how much you can verify before you hand over money and a medical history — and in a market where the FDA has taken enforcement action against telehealth marketing, being able to verify things beforehand is not a small property.
Oak Longevity availability, formats and shipping
Oak Longevity publishes availability in 48 states. Availability is governed by two licences lining up — the prescriber must hold one in your state and the pharmacy must be registered to ship into it — so gaps in a service map are regulatory rather than commercial. Confirm at checkout rather than relying on any published list, including ours; see tirzepatide by state for what applies where you live.
Delivery formats here: injection. A single format keeps dosing simple: one concentration, one syringe, one instruction set. If injection anxiety is your obstacle, programs offering sublingual or tablet formats exist, with the caveat that published bioavailability evidence for those preparations is limited.
Oak Longevity against the pre-payment checklist
Six checks, all answerable before you pay, none requiring clinical training.
| Pharmacy identified by name | Not published — ask before enrolling |
|---|---|
| Price stated at every dose | Published |
| Price independent of dose | Yes |
| Recurring membership on top of medication | No |
| Prepaid term published | No discounted term published |
| Regulatory status of the product | Compounded — not FDA-approved and not reviewed by FDA before marketing |
A program failing one of these is not disqualified — a dose-scaled price is a commercial choice, not misconduct. A program that will not answer the pharmacy question is a different matter, because it is asking you to inject weekly something it will not identify. Our verification walkthrough covers how to check the answers against state board records and FDA registrations, both of which are free and take minutes.
More on Oak Longevity pricing and terms
Does Oak Longevity price change when my dose goes up?
No. Oak Longevity charges $199 at every strength from 2.5 mg to 15 mg.
What does Oak Longevity cost for a full year?
About $2,388 on the standard escalation to a 10 mg maintenance dose, membership included. If you maintain at 5 mg it is nearer $2,388; at 15 mg, nearer $2,388.
Does Oak Longevity take insurance?
Compounded preparations are effectively a cash market; insurers do not cover them in any meaningful volume. HSA and FSA funds are frequently eligible for a prescribed medication — ask for an itemized receipt separating medication from any platform fee.
How does Oak Longevity compare with the cheapest option?
The cheapest tracked route over twelve months is NexLife at about $2,580, against $2,388 here — a difference of $192.
What happens if I stop Oak Longevity and restart later?
Expect to re-titrate. Tolerance fades during time off, and restarting at your old maintenance dose reliably reproduces initiation-level nausea. The withdrawal data also show substantial weight regain after discontinuation.
Is Oak Longevity available in my state?
Oak Longevity publishes availability in 48 states, but service maps change without notice and the binding answer is at checkout.
What Oak Longevity includes, and what it bills separately
Oak Longevity charges no separate recurring platform fee, so the advertised figure and the figure on your statement are the same thing. That is worth more than it sounds: membership stacking is the mechanism by which a headline number becomes a substantially larger invoice, and it is invisible in most comparison tables because they compare medication prices rather than totals.
Oak Longevity commitment terms in practice
No discounted prepaid term is published, which means Oak Longevity is not asking you to put money at risk before you know whether you tolerate the drug — and is not offering a lower rate for accepting that risk either. For a first three months that is the safer structure; for a stable long-term patient it leaves a discount on the table that some competitors offer.
Who should not choose Oak Longevity
Anyone who expects to hold a low maintenance dose permanently, because flat pricing is worst value at the bottom of the ladder — you would be paying a maintenance rate for a starter dose. Anyone who needs an FDA-approved product, since this is a compounded preparation that FDA does not review for safety, effectiveness or quality before marketing. And anyone who cannot get a straight answer to the pharmacy question, whatever the price.
How Oak Longevity fits the wider market
Entry pricing across the 21 tracked compounded programs runs $133 to $399 a month for the identical molecule from the same category of licensed pharmacy, and the cheapest route holds a 10 mg maintenance dose at $199. Oak Longevity sits at $199 at that dose. Nothing about the medicine differs across that spread; what differs is overhead, clinical wrap, pharmacy sourcing and margin. Use the projector to price your own maintenance dose across all of them rather than accepting any single program's framing, including this page's.
What would change our record of Oak Longevity
Four things. A published price we can verify at a dose tier currently blank. A named dispensing pharmacy with a checkable state licence. A change to the pricing model, in either direction. Or a correction from a reader or from the program itself with a source we can check. All four are logged with the date they changed, and the underlying record is in the open dataset rather than locked inside a page.
We do not accept payment to change any of it, and no program has editorial input into what appears here. Where a program disputes a figure, the fastest route is to publish the correct one publicly — at which point we record it, date it and move on.
Oak Longevity and the compounded-versus-brand decision
This is a compounded route. FDA does not approve compounded drugs and does not review them for safety, effectiveness or quality before marketing, which is the honest reason it costs a fraction of the brand price. What you retain is a licensed pharmacy under a state board, a prescriber who can decline, and at good operations batch sterility and potency testing you can ask about.
Neither choice is obviously right. What is wrong is making it without knowing which one you are buying, and the marketing in this market frequently blurs exactly that line — which is why every page here states the regulatory status plainly rather than in a footer.
Using Oak Longevity well if you do enrol
Fix a weekly injection day and keep it. Record the dose, the date and the injection site each week. Photograph any shipment that arrives warm before opening it further. Diary the renewal date if there is an introductory rate. And re-price the market annually at your actual maintenance dose — no program tells its existing patients when a competitor drops below it, and the cheapest tracked route currently holds maintenance at $199 a month, about $2,388 for a year.
Oak Longevity tirzepatide: what patients get wrong most often
Four mistakes recur, and all four are expensive. Judging the drug on the first month, when the starter dose is not a treatment dose and a flat scale predicts nothing. Comparing programs on the advertised price, which describes four weeks of a twelve-month course. Treating a plateau as failure rather than as the expected shape of the trial curves. And stopping for cost without pricing the market first, when the spread between the cheapest and dearest route to the identical molecule runs from $133 to $399 a month at entry.
The fifth, less common but more serious, is buying outside the licensed channel because a price looked unbeatable. Research-labelled peptide sold without a prescription is a different market with no clinical oversight and no accountability if something goes wrong, and the disclaimer that it is not for human consumption exists so the seller can say you were told.
Oak Longevity tirzepatide: the three-year view
Current evidence treats obesity pharmacotherapy as ongoing while it remains effective, tolerated and appropriate, and the withdrawal data show substantial regain after stopping. That makes three years a more honest planning horizon than twelve months. At the cheapest tracked route, holding a 10 mg maintenance dose for three years costs roughly $7,164; at the dearest compounded route it is several times that for the same molecule. Deciding on a first-month price is deciding on the least representative number available.
Oak Longevity tirzepatide: what would change this page
New trial evidence, a change in the labelling, a shift in the compounding framework, or a correction from a reader. Clinical statements here follow the prescribing information and the published trial program; price figures carry a verification date and sit in a downloadable dataset. Where the evidence is genuinely limited — long-term data beyond the trial horizon, bioavailability of compounded oral preparations, the human relevance of the rodent thyroid finding — this site says so rather than filling the gap with confident language, and updates rather than defends when better evidence arrives.
Oak Longevity: common questions
How much does Oak Longevity cost per month?
$199 at the 2.5 mg starter dose and $199 at a 10 mg maintenance dose, the same figure because pricing is flat at every strength. A first year on the standard escalation comes to about $2,388, membership included. Verified 2026-08-05.
Is Oak Longevity the cheapest option?
Yes, on our twelve-month model it is currently the cheapest tracked route.
Is Oak Longevity FDA-approved?
No. This program dispenses a compounded preparation. Compounded drugs are not FDA-approved and are not reviewed by FDA for safety, effectiveness or quality before marketing.
What should I ask before enrolling?
At minimum: the total cost in month six at 10 mg, the name and license of the compounding pharmacy, the prescriber's name and state licensure, the vial concentration and beyond-use date, and whether the quoted rate holds at renewal.
People also ask about Oak Longevity tirzepatide
Is Oak Longevity legit?
Oak Longevity dispenses through a licensed pharmacy with a prescriber review, and scores 85/100 on our disclosure criteria — a measure of what it publishes before you pay, not of clinical quality. Verify the pharmacy name and prescriber licensure yourself before enrolling; our checklist covers how.
How much is Oak Longevity tirzepatide at 10 mg?
$199 per month at the 10 mg maintenance dose, the same as its starter price because pricing is flat at every strength.
Does Oak Longevity charge a membership fee?
No separate recurring membership fee is charged on top of the medication price.
Can I cancel Oak Longevity?
Cancellation terms vary and compounded medication is generally not refundable once it has shipped. Ask what notice is required before the next billing cycle, and get the answer in writing before you pay for any multi-month term.
How much does Oak Longevity tirzepatide cost per month in 2026?
Compounded tirzepatide runs from $133 per month at the entry dose across the 21 compounded programs we track. At a 10 mg maintenance dose the cheapest tracked route is Oak Longevity at $199 per month, or about $2,388 for a first year on the standard escalation. Brand Zepbound through manufacturer self-pay sits well above that and pharmacy retail well above again. Verified 2026-08-05.
Is Oak Longevity tirzepatide FDA-approved?
Brand tirzepatide (Zepbound and Mounjaro) is FDA-approved. Compounded tirzepatide is not: FDA does not approve compounded drugs and does not review them for safety, effectiveness or quality before they are marketed. The active molecule is the same; the regulatory review is not.
Primary sources
Clinical, dosing and regulatory statements on this page rest on the documents below. Links go to the publisher, not to a summary of it. Prices are not sourced here — they carry a verification date instead, and the reason is set out in the source ledger.
- ZEPBOUND (tirzepatide) full prescribing information — DailyMed, US National Library of Medicine. Dose ladder, contraindications, warnings, storage.
- FDA’s concerns with unapproved GLP-1 drugs used for weight loss — US Food and Drug Administration. Compounded GLP-1 risks, API import alert, cold-chain complaints.
- FD&C Act provisions that apply to human drug compounding — US Food and Drug Administration. Why a compounded preparation is lawful without being FDA-approved.
- Tirzepatide once weekly for the treatment of obesity (SURMOUNT-1) — N Engl J Med 2022;387:205-216. Registration NCT04184622. The weight-reduction and adverse-event figures used across this site.
- The full source ledger — every primary source, what it supports, the date we read it, and the claims we deliberately do not source.