Limited offer: start a 6-month plan and save the cost of a month.
In-Stock
Compounded Tirzepatide (GLP-1/GIP)
1-month supply of weekly injections for weight loss — dual power and greater results, with B12 in every dose.
Starting from
*Reflects one month on us, applied to any plan of 3 months or longer.
See if I qualify2-minute check · No insurance needed
Prescribed only if medically appropriate after provider review.
Key Benefits
- Dual-pathway appetite regulation — works on both GIP and GLP-1 hunger signals, not just one.
- Steadier blood-sugar response — fewer spikes and crashes across the day.
- B12 for energy — included in every dose to support energy while your body adjusts.
- A weekly routine, not a daily one — one small self-injection per week.
How It Works
Compounded Tirzepatide + B12 mimics two of your body's natural incretin hormones — GIP and GLP-1. Together, they quiet appetite signals in the brain and slow gastric emptying, so you feel satisfied sooner and stay satisfied longer.
Your dose is titrated gradually over several months by your provider, balancing results with comfort as your body adapts.
Compounded medications are not FDA-approved. They are prepared by a licensed pharmacy for individual patients when prescribed by a licensed clinician.
Product details
Everything you should know.
What Compounded Tirzepatide + B12 does, what comes with your plan, and the safety information your provider will walk you through.
Still have questions? Message our care team 7 days a week — real clinicians, real answers.
What's included
- Online provider evaluation and ongoing clinical care
- Prescription, if medically appropriate after provider review
- Medication and all injection supplies, delivered monthly
- 1-on-1 clinician support
- Unlimited care-team messaging
- Free cold-chain shipping to your door
Safety information
The most common side effects are nausea, constipation, and fatigue — these are often transient and typically ease as your dose is titrated gradually.
This medication is not appropriate for everyone. Do not take it if you have a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or if you are pregnant or planning to become pregnant. Your provider will review your full health history before prescribing.
Read full safety informationCompounded medications are not FDA-approved. They are prepared by a licensed pharmacy for individual patients when prescribed by a licensed clinician.
Billing, cancellation & refunds
Plans renew automatically each cycle and you can pause or cancel anytime from your account — no calls, no fees. If a provider determines the medication isn’t appropriate for you, you receive a full refund. Once medication has shipped, that order can’t be returned or refunded under pharmacy regulations; see our Refund Policy for full details.
FAQ
Get the answers you need
Still have questions? Our care team answers seven days a week at care@rivahealth.co.
Who qualifies for weight-loss medication?
You must be 18 or older. Most members qualify with a BMI of 27 or higher alongside a weight-related condition, or a BMI of 30 or higher. A licensed provider makes the final determination after reviewing your online health evaluation — medication is prescribed only if it’s medically appropriate for you.
What is Compounded Tirzepatide + B12?
It’s a once-weekly injection that pairs tirzepatide — a dual GIP/GLP-1 receptor agonist that helps regulate appetite — with vitamin B12. Each order is prepared for you by a U.S.-licensed compounding pharmacy according to your provider’s prescription.
Compounded medications are not FDA-approved. They are prepared by a licensed pharmacy for individual patients when prescribed by a licensed clinician.
How does the 6-month plan discount work?
When you start a full 6-month plan, we take one month’s cost off your program — applied up front as a one-time promotional discount. It isn’t a recurring free month; it’s a bundle saving for committing to the complete course your provider recommends.
How do I take it?
It’s a once-weekly self-injection with a very small needle. Your shipment arrives with full step-by-step instructions, and your care team is there whenever you want a walkthrough. Your provider titrates your dose gradually over time.
The next evolution of you
Don’t miss the breakthrough.
Thousands almost quit around month two. The ones who committed to the full program are the ones who transformed. Start your 6-month plan, with a month on us.
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- No hidden fees
Prescribed only if medically appropriate after provider review.
