New patients: $100 off your first month · cancel anytime
In-StockGLP-1 · appetite signaling
GIP · the second pathway
B12 in every dose
−16%
avg. loss in trials*
New-patient offer · $100 off
Compounded Tirzepatide (GLP-1/GIP)
A once-weekly GLP-1/GIP injection for weight loss, with B12 in every dose. Prescribed online by licensed U.S. clinicians.
First month
then $299/mo · cancel anytime · $0 until a clinician prescribes.
See If I QualifyPrescribed only if medically appropriate after provider review.
Compounded medications are not FDA-approved. They are prepared by a licensed pharmacy for individual patients when prescribed by a licensed clinician. *Average tirzepatide weight loss, SURMOUNT-1 trial; individual results vary.
One dose. Two pathways.
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.
Works on both GIP and GLP-1 hunger signals, not just one.
Fewer spikes and crashes across the day.
Included in every dose to support energy while your body adjusts.
One small self-injection per week.
Your dose is titrated gradually over several months by your provider, balancing results with comfort as your body adapts.
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 first-month offer work?
New patients get a discount on their first month — $199 for Compounded Tirzepatide + B12, then $299/mo. You continue month-to-month and can cancel anytime, and you’re only charged if a licensed provider prescribes.
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.
Start today
Your first month, $100 off.
Compounded Tirzepatide + B12 — $199 your first month, then $299/mo. Cancel anytime, no membership fees, only charged if prescribed.
- Secure checkout
- HIPAA compliant
- No hidden fees
Prescribed only if medically appropriate after provider review.
