The same compounded drug comes with different added ingredients depending on the pharmacy, at quite different prices. Here is each version side by side.
Prices re-checked daily · last check November 9, 2026Compounding pharmacies often add a vitamin or amino acid to tirzepatide or semaglutide. This page lists which pharmacy makes which version and what each costs through Lavender Sky Health. It does not judge whether an added ingredient does anything. That is a question for your prescriber.
| Added to the tirzepatide | Pharmacy | Smallest tier plan | Largest tier plan | Lowest price per mg | Shelf life |
|---|---|---|---|---|---|
| B6 | Southend | $19518 mg | $349132 mg | $2.64 | up to 90 days |
| B12 | Nova (via AbsoluteRx) | $19934 mg | $335136 mg | $2.46 | up to 180 days |
| B6 | ReviveRx | $20520 mg | $325120 mg | $2.71 | up to 90 days |
| Nothing added | Hallandale | $21920 mg | $349120 mg | $2.91 | up to 90 days |
| Levocarnitine | Vios | $23520 mg | $395120 mg | $3.29 | up to 90 days |
| Niacinamide | OptioRX | $24925 mg | $599141 mg | $4.25 | up to 90 days |
| Glycine B12 | Strive | $27920 mg | $579120 mg | $4.83 | up to 90 days |
| B12, or Glycine | Red Rock | $27917 mg | $519136 mg | $3.82 | up to 90 days |
| Niacinamide | Empower | $30040 mg | $595136 mg | $4.38 | up to 70 days |
| Levocarnitine | Alchemist | $37040 mg | $725120 mg | $6.04 | up to 90 days |
| B12 | South Lake | $37040 mg | $725120 mg | $6.04 | up to 90 days |
| Added to the semaglutide | Pharmacy | Smallest tier plan | Largest tier plan | Lowest price per mg | Shelf life |
|---|---|---|---|---|---|
| B6 | ReviveRx | $1955 mg | $26020 mg | $13.00 | up to 90 days |
| B6 | Southend | $19910 mg | $30930 mg | $10.30 | up to 90 days |
| Nothing added | Hallandale | $21910 mg | $24920 mg | $12.45 | up to 90 days |
| B12 | Nova (via AbsoluteRx) | $2255 mg | $30520 mg | $15.25 | up to 180 days |
| B12 | Empower | $2355 mg | $39525 mg | $15.80 | up to 70 days |
| Niacinamide | OptioRX | $23910 mg | $36925 mg | $14.76 | up to 90 days |
| B12, or Glycine | Red Rock | $2495 mg | $32925 mg | $13.16 | up to 90 days |
| Glycine B12 | Strive | $2695 mg | $34920 mg | $17.45 | up to 90 days |
| Levocarnitine | Alchemist | $27510.6 mg | $43021.2 mg | $20.28 | up to 90 days |
| Levocarnitine | Vios | $2756 mg | $38020 mg | $19.00 | up to 90 days |
The price calculator shows the full yearly cost at any dose, brand name or compounded, with every fee counted.