KosherMedications

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Do you have any medication allergies? ( if none type n/a)* This field is required.
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ORDER SUMMARY
Total costUSD
Compounded Tirzepatide 1-Month Program
One month supply - Each program includes 4 prefilled syringes per month (1 per week), shipping, supportive Rx, AI support team, and unlimited messaging with your provider.Billed upfront, shipped monthly. Same price any dose! No surprise pricing. FREE SHIPPING FOR LIFE. 2-3 BUSINESS DAY PROCESSING.
$349.00Edit
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Compounded Tirzepatide 3-Month Program
3-Month Program – Save 14%Get consistent results and save compared to monthly.💰 $299/month – Billed upfront $897✔️ Save 14% vs 1-month plan✔️ Includes medication in prefilled syringes (4 per month)✔️ Shipped monthly (4 syringes per month)✔️ Includes supportive Rx, AI support team, and unlimited messaging with your provider Billed upfront, shipped monthly.Same price any dose! No surprise pricing. FREE SHIPPING FOR LIFE. 2-3 BUSINESS DAY PROCESSING.
$897.00Edit
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Compounded Tirzepatide 6-Month Program
6-Month Program – Save 20%🚀Stay on track and enjoy deeper savings with ongoing support.💰 $279/month – Billed upfront $1,674✔️ Save 20% vs 1-month plan✔️ Includes medication in prefilled syringes (4 per month)✔️ Shipped monthly for 6 months auto ship✔️ Includes supportive Rx, AI support team, and unlimited messaging with your providerFree Shipping Same Price Every Dose Guarantee.
$1,674.00Edit
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Compounded Tirzepatide 12-Month Program
12-Month Program – Save 37%Your best value for year-round results and long-term success.💰 $219/month – Billed upfront $2,628✔️ Save 37% vs 1-month plan✔️ Includes medication in prefilled syringes (4 per month)✔️ Shipped monthly once monthly autoship✔️ Includes supportive Rx, AI support team, and unlimited messaging with your providerFree ShippingSame Price Every Dose Guarentee.
$2,628.00Edit
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H&P Certification.* This field is required. Before obtaining your prescription, please review your Health & Physical (H&P) Certification. These statements outline the required self-assessment used to determine prescription eligibility and safety. You can view the full certification details at the link below before completing your purchase.
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Let’s get to know you…* This field is required.“You need to carefully review each statement below and confirm that you agree. If you have any questions, a licensed provider will contact you after checkout.” ⸻ Compounded Tirzepatide Declaration I agree, in the form of a declaration given under oath and penalty of perjury, that I: General Information • am 18 years or older, completing this attestation for myself voluntarily, and have provided accurate demographic information, including my full name, address, IP address, and physical location from which I am visiting this website, as well as my accurate sex assigned at birth, height, and weight. • will only use this service to seek a prescription for myself, will take the medication as prescribed, and will not share, sell, or distribute any medication I receive. • understand that this attestation will be reviewed by a physician licensed in my state (the “Telehealth Provider”) who will make an independent prescribing decision based on my medical history and state regulations. • understand that prescribing compounded medications via telehealth is at the discretion of the Telehealth Provider, who will determine clinical appropriateness, dosing, and refill frequency in accordance with applicable law. • agree that a valid physician–patient relationship is being established via this asynchronous telehealth platform, which may be supplemented by video or phone communication if the provider deems it necessary. • acknowledge that I have reviewed and accept the Consent to Telehealth and Terms & Conditions located at https://koshermedications.com/terms. ⸻ Consent to Telehealth • understand that telehealth services provided through KosherMedications.com are intended as a convenient and supplemental mode of care, and should not replace in-person visits or regular care with my primary healthcare provider. • acknowledge that the Telehealth Provider cannot continuously monitor my medical condition, lab results, or side effects, and that I assume any risks associated with this model of care. • understand that once my prescription is issued, the physician–patient relationship concludes unless otherwise stated or a follow-up visit is required. • understand that compounded Tirzepatide is a custom-made medication prepared by a licensed compounding pharmacy using FDA-registered ingredients, but it is not FDA-approved. • consent to the secure transmission of my medical and personal information to the Telehealth Provider and compounding pharmacy for the purpose of fulfilling my prescription in compliance with HIPAA regulations. • hold harmless KosherMedications.com, the Telehealth Provider, and the pharmacy for technical interruptions or data transmission issues inherent to electronic communication. ⸻ Clinical Information About Me (Specific to Compounded Tirzepatide) I declare that I: • am seeking compounded Tirzepatide as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management. • understand that compounded Tirzepatide is a non-branded formulation and is not FDA-approved, but is prepared in a licensed compounding facility using high-quality, FDA-registered ingredients. • understand that Tirzepatide is a dual GIP and GLP-1 receptor agonist that can lower blood sugar levels and promote weight reduction, and will use it only under physician supervision. • have no personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2). • have not had any hypersensitivity reactions to Tirzepatide or any of its components. • am not currently using another GLP-1 or GIP receptor agonist medication. • understand that Tirzepatide may slow stomach emptying, potentially affecting absorption of other oral medications. • understand and will monitor for possible side effects, including nausea, vomiting, diarrhea, constipation, fatigue, or abdominal pain, and will contact my healthcare provider if these persist or worsen. • understand that Tirzepatide may increase the risk of gallbladder issues, pancreatitis, or kidney problems, and will report symptoms such as severe abdominal pain, dark urine, yellowing of the skin or eyes, or persistent vomiting. • will monitor for changes in mood, depression, or suicidal thoughts, and notify a healthcare provider immediately if these occur. • understand that injection devices or vials must not be shared with others to prevent contamination or infection. ⸻ My Health Status and Medical History • am in generally good health apart from the condition for which I am seeking treatment. • am not pregnant or breastfeeding. • have accurately disclosed my medical history, allergies, and all current medications and supplements. • understand that the Telehealth Provider may request additional medical history, lab results, or a video consultation to determine eligibility before prescribing this medication. ⸻ General Information About Prescription Drugs • understand that compounded Tirzepatide, like all compounded medications, has not undergone FDA review for safety or efficacy, and this form may not include all potential side effects or precautions. • understand that I can find additional safety information at www.fda.gov and information about drug interactions at www.drugs.com/drug_interactions.html. • agree to read and understand all educational materials provided with my prescription before beginning treatment. • agree to consult my primary care provider with any questions about drug interactions, long-term safety, or additional monitoring. ⸻ Pharmacy Information • understand that KosherMedications.com works with licensed U.S. compounding pharmacies to fulfill prescriptions written by Telehealth Providers. • understand that the Telehealth Provider and the compounding pharmacy are independent entities, and that KosherMedications.com facilitates but does not directly provide medical advice or pharmacy services. • consent to receive all prescription details, refill notifications, and medication education materials electronically. ⸻ Emergency Information • understand that neither KosherMedications.com nor the Telehealth Provider provides emergency or crisis medical services. • in the event of a medical emergency, allergic reaction, or severe side effect, I will immediately call 911 or go to the nearest emergency room. ⸻ I agree that all statements above are true and accurate, and that my physician visit is complete.
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