Table of Contents
Introduction
Tirzepatide is a medication that has gained major attention in recent years because of its strong effects on blood sugar control and body weight. It works in a unique way by activating two hormones in the body—GIP and GLP-1—that help regulate appetite, digestion, and insulin release. Because of these effects, tirzepatide has become an important option for people with type 2 diabetes, and in some countries, for people who qualify for medical weight management. As interest has grown, so has the number of people trying to understand how to access it safely and legally.
The high demand for tirzepatide has also created confusion about where to get it, who can prescribe it, and how much it may cost. Many people come across online advertisements, social media promotions, telehealth services, and even informal sellers, all claiming to offer tirzepatide or products labeled as “similar.” This can make it difficult to know which sources are trustworthy and which ones could be unsafe. The goal of this guide is to give clear, simple information about how tirzepatide should be accessed, what a safe process looks like, and how pricing and availability work in real-world settings.
This article helps readers understand why tirzepatide requires a prescription in most countries, and why a licensed healthcare provider must evaluate someone before starting this medication. Tirzepatide affects how the body controls sugar, appetite, and digestion. Because of this, doctors need to check medical history, current medications, possible side effects, and health conditions that might change whether tirzepatide is safe or not. A medical professional also helps guide the correct dose over time, monitor progress, and address questions or reactions that may come up. This type of supervision is an important step in keeping patients safe.
Another reason safe access matters is the growing number of counterfeit or unregulated products being sold online. As the demand for weight-related medications has increased, so have online sellers that offer “discount tirzepatide,” “generic tirzepatide,” or “compounded tirzepatide” without proper oversight. These products may look convincing but can contain the wrong dose, harmful ingredients, or no active medication at all. Regulatory agencies around the world, including the U.S. FDA, have issued warnings about these risks. Many unsafe products are sold through social media, private chat groups, or unlicensed websites that offer medications without a prescription. Understanding how to spot these red flags can protect people from serious health risks.
Because many readers want to know the best, safest place to get tirzepatide, this guide explains the main legal access points. These include licensed doctors, nurse practitioners, and physician assistants in traditional healthcare settings. It also covers safe use of established pharmacies—both in-person and online—and regulated telehealth companies that follow medical laws and require a real evaluation. The guide also explains what paperwork or approval steps patients should expect when using a legitimate source, such as a prescription, identity verification, and pharmacy safety checks.
Pricing is another area where people often feel confused or overwhelmed. Tirzepatide can be expensive, and the cost varies depending on insurance, location, pharmacy choice, and the reasons it is prescribed. Some people may qualify for insurance coverage, while others may not. There are also manufacturer savings programs in some regions, and certain telehealth clinics bundle medication costs into subscription plans. This article explains the key factors that influence price without promoting any specific brand or provider.
This guide also helps readers understand the full process of getting a prescription. Many people want to know what to expect during the first appointment, how doctors decide whether tirzepatide is appropriate, and what starting treatment looks like. This includes how doses are increased over time, how follow-up visits work, and how medication is picked up or delivered after it is prescribed.
Finally, this introduction emphasizes why it is important to avoid buying tirzepatide without a prescription. Unregulated products may be dangerous, and bypassing medical oversight puts people at risk of serious side effects or complications. Tirzepatide is a powerful medication that must be used under proper guidance.
Overall, this article serves as a complete and easy-to-understand guide for anyone trying to learn where to get tirzepatide safely. It explains how the medication works, why medical evaluation is necessary, how to find reliable sources, how pricing works, and how to avoid unsafe or illegal products. By the end, readers will have a clear understanding of the safe steps involved in accessing tirzepatide, as well as the questions to ask at each stage of the process.
What Is Tirzepatide and Who Is It For?
Tirzepatide is a prescription medication used to help people manage type 2 diabetes or, in some regions, obesity or overweight when certain health conditions are present. It is part of a group of medicines that help control blood sugar, body weight, and appetite. What makes tirzepatide different from many other medications in its class is that it works on two hormones instead of one. This dual action means it can support better blood sugar control and weight reduction than many older medicines.
To understand who tirzepatide is for and why doctors prescribe it, it helps to look at how the medication works and what the major health systems around the world have approved it for.
How Tirzepatide Works: A Simple Explanation
Tirzepatide belongs to a newer class of medications called GIP/GLP-1 receptor agonists. This means it activates two natural hormones in your body:
- GIP (Glucose-Dependent Insulinotropic Polypeptide)
- GLP-1 (Glucagon-Like Peptide-1)
These hormones help your body manage blood sugar and appetite after you eat. When tirzepatide activates both, it leads to several helpful effects:
- Better control of blood sugar: It helps the pancreas release the right amount of insulin when blood sugar rises.
- Lower appetite: It works in the brain to help reduce hunger.
- Slower digestion: Food moves more slowly through the stomach, helping people feel full sooner and longer.
- Less release of stored sugar: It lowers the amount of sugar the liver releases into the bloodstream.
Because tirzepatide works with the body’s natural systems, it helps many people reach more stable blood sugar levels and achieve weight loss when used along with diet and activity changes.
Approved Uses of Tirzepatide
Depending on the country, tirzepatide is approved under different brand names and for different medical conditions.
In the United States:
- Mounjaro® is approved for type 2 diabetes treatment.
- Zepbound® is approved for chronic weight management in adults meeting certain medical criteria.
In other regions:
Approvals may vary across Europe, Canada, Australia, and other parts of the world. Some countries may approve tirzepatide only for diabetes, while others may approve it for both diabetes and obesity. Because rules differ, people must check local medical guidance or speak with a licensed healthcare professional in their region.
Who Tirzepatide Is For
Tirzepatide is a prescription-only drug, so a healthcare provider must evaluate whether it is appropriate. It is typically prescribed for:
Adults with Type 2 Diabetes
Tirzepatide is often used when:
- Blood sugar is not well-controlled with diet, exercise, or other medications.
- A person needs a treatment that helps with both blood sugar and weight.
- There is a need to reduce the risk of long-term diabetes complications.
Doctors may prescribe tirzepatide alone or along with other diabetes medications, depending on the patient’s health history.
Adults with Obesity or Overweight (Depending on Approval in Their Country)
In areas where tirzepatide is approved for weight management, it may be prescribed for:
- Adults with obesity:
- Body mass index (BMI) of 30 or higher, or
- Body mass index (BMI) of 30 or higher, or
- Adults with overweight and weight-related medical conditions, such as:
- High blood pressure
- High cholesterol
- Type 2 diabetes
- Obstructive sleep apnea
- High blood pressure
In these cases, tirzepatide is used as part of a long-term weight management plan that includes nutrition, physical activity, and lifestyle guidance.
Who Should Not Use Tirzepatide
While tirzepatide helps many people, it is not for everyone. Doctors review each patient’s medical history to make sure it is safe. Reasons someone may not be a good candidate include:
- A personal or family history of medullary thyroid carcinoma (MTC)
- A condition called Multiple Endocrine Neoplasia Syndrome Type 2 (MEN 2)
- A history of severe allergic reaction to tirzepatide
- Certain digestion or gastrointestinal conditions
- Pregnancy or planning to become pregnant (based on current medical guidance)
Only a healthcare provider can decide if tirzepatide is appropriate for an individual’s unique health needs.
Brand Names and Why They Matter
Tirzepatide is sold under different names, depending on the country and the purpose of treatment. The two well-known brands are:
- Mounjaro® – primarily for type 2 diabetes
- Zepbound® – for chronic weight management
Each brand has specific dosing options, instructions, and approved uses. Even though both contain tirzepatide, they are not automatically interchangeable. A doctor or pharmacist will guide patients on which product is right for them and how to use it properly.
Why Safe Access Matters: Avoiding Counterfeit or Unsafe Products
Tirzepatide has become very popular for managing type 2 diabetes and, in some regions, for weight management. Because of this demand, people often look for the quickest or cheapest way to get it. However, not every source is safe. Some online sellers offer products that are not approved, not tested, or not even real tirzepatide. Getting it through unsafe channels can be dangerous for your health. This section explains why safe access matters, how counterfeit medicines can harm you, and what warnings health authorities have shared about unauthorized products.
The Rising Risk of Counterfeit Tirzepatide
When a medication is popular, it becomes a target for counterfeiters. Counterfeit tirzepatide products may look real, but they are not made under the strict rules that apply to legitimate drug manufacturers. These fake versions may contain:
- Too much or too little of the active ingredient
- No active ingredient at all
- Unknown chemicals
- Contaminants such as bacteria, toxins, or impurities
Counterfeit medications are often produced in uncontrolled places without proper sanitation or quality testing. As a result, the product may not work or may cause serious health problems. Since tirzepatide affects blood sugar and hormones, using an unsafe version can lead to nausea, dehydration, stomach problems, pancreatitis, or other complications. In severe cases, contaminated products may cause infections or allergic reactions.
Why Online Markets Are High-Risk
Many people search online for tirzepatide because it can be hard to find or expensive. Unfortunately, a large number of online “pharmacies” are not licensed. Some may claim to sell brand-name medications, but they are actually shipping unknown substances. These sellers often:
- Skip prescription requirements
- Offer unusually low prices
- Avoid giving detailed product information
- Do not list a physical address
- Use international shipping with no temperature control
Tirzepatide must be handled and stored properly. If it gets too warm or too cold, it can break down and become ineffective. Unregulated sellers do not guarantee correct storage, shipping conditions, or quality checks.
Issues With Improper Compounding
Compounded medications are created by compounding pharmacies when a drug is not commercially available or when a patient needs a special variation. However, tirzepatide is commercially available, and regulators have stated that compounded versions may only be allowed in limited situations. Because of shortages in recent years, some compounders have tried to make their own versions.
Not all of these compounded products meet safety standards. Problems may include:
- Use of non-approved raw ingredients
- Incorrect mixing or dosing
- Lack of sterility in injectable forms
- Variations from batch to batch
Regulators have warned that some compounded tirzepatide products are based on research chemicals that are not approved for human use. Without strict testing, there is no guarantee that the medication is stable, safe, or effective.
The Importance of Regulation and Quality Control
Legitimate tirzepatide is manufactured under strict quality rules called Good Manufacturing Practices (GMP). These rules ensure:
- Correct dosage in every vial or pen
- Sterile and safe injection materials
- Accurate labeling
- Safe storage and transport
- Consistent strength and purity
Unauthorized sellers do not follow these standards. Even if the packaging appears real, the product inside may not meet these requirements.
Safety Warnings From Health Authorities
Organizations such as the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA) have issued warnings about illegal versions of tirzepatide. These agencies have reported findings such as:
- Fake packaging copied from real products
- Incorrect chemical ingredients
- Dangerous contaminants
- Products sold without prescriptions
- Online sellers claiming “no doctor needed”
Health authorities remind the public that the safest medication is one obtained through a licensed prescriber and dispensed by a regulated pharmacy.
Why Proper Medical Supervision Matters
Tirzepatide is a prescription medication because it requires medical supervision. A healthcare provider checks your medical history, monitors your blood sugar, and watches for side effects. Without proper oversight, problems can go unnoticed or become severe.
Using an unregulated product removes the safety checks built into the medical system. This increases the chance of receiving a product that does not work or is harmful.
Do You Need a Prescription for Tirzepatide?
Tirzepatide is a prescription-only medication in the United States and in most other countries. This means you cannot legally buy it without approval from a licensed healthcare provider. The reason for this rule is simple: tirzepatide affects important hormone pathways in the body. Because of this, a medical professional must check that it is safe for you and that you meet the clinical requirements before you start treatment.
Why Tirzepatide Requires a Prescription
Tirzepatide works by activating both GIP and GLP-1 receptors, which help control blood sugar, appetite, and digestion. Medicines that affect these systems can change how the body handles food, insulin, and other hormones. While tirzepatide is very effective for many people, it must be used correctly and monitored closely.
A prescription is required to:
- Confirm that tirzepatide is safe for your health history.
Some people have conditions that make tirzepatide unsafe, such as a history of certain thyroid tumors, severe gastrointestinal disease, or pancreatitis. A clinician checks for these risks. - Make sure the dose is right for you.
Tirzepatide must be started at a low dose and increased slowly over several weeks. Too high a dose at the beginning can cause severe nausea, vomiting, or other side effects. - Review other medications you take.
Tirzepatide can interact with some diabetes medicines or change how quickly your stomach empties, which affects how other drugs are absorbed. - Monitor your progress and safety.
Because tirzepatide affects blood sugar and appetite, a doctor needs to track your response, adjust your dose, and watch for side effects.
These steps help protect your health and ensure the treatment works the way it should.
What Healthcare Providers Look At Before Prescribing Tirzepatide
A prescription is not given automatically. Your provider evaluates several factors to decide if tirzepatide is right for you. This includes:
- Your medical history: Any past or current conditions, including diabetes, gastrointestinal issues, gallbladder disease, thyroid problems, or kidney concerns.
- Your current symptoms and health goals: Providers look at whether tirzepatide fits your treatment plan for diabetes or weight-related conditions.
- Your other medications: This includes insulin, sulfonylureas, or medicines that slow stomach emptying.
- Your lab results: Some patients need blood work to check glucose levels, kidney function, and other markers before starting treatment.
- Your eligibility criteria: Depending on the region, tirzepatide may only be approved for type 2 diabetes or for weight management in adults who meet certain BMI or health requirements.
This evaluation ensures the medication is used safely and only by those who will benefit from it.
What Happens During a Typical Appointment
Whether your appointment is in person or through telehealth, most visits follow a similar pattern.
- Health history review:
The provider asks about your medical background, family history, and symptoms. - Medication review:
You discuss what you currently take, including over-the-counter drugs and supplements. - Physical measurements:
Providers often assess weight, blood pressure, or lab values if available. - Discussion of treatment options:
Tirzepatide will be explained alongside other possible options. The clinician ensures you understand the risks, benefits, and expected results. - Plan and instructions:
If tirzepatide is appropriate, the provider gives dosing instructions, explains how to inject the medication, and schedules follow-up.
Why You Should Avoid Buying Tirzepatide Without a Prescription
Some websites or social media sellers offer tirzepatide without needing a doctor’s visit. These sources are unsafe for several reasons:
- The product may be counterfeit or contaminated.
- Doses can be incorrect, or the medicine may not contain tirzepatide at all.
- You may not receive proper instructions, which increases the risk of serious side effects.
- It is illegal to buy or sell prescription medicines without authorization.
- Without medical supervision, dangerous reactions or complications may go unnoticed.
Because tirzepatide directly affects metabolic and hormonal pathways, using it without proper oversight carries real risk.
Tirzepatide requires a prescription. A licensed healthcare provider must determine if it is safe and appropriate for you by reviewing your medical history, current health, and treatment needs. Getting tirzepatide through proper medical channels protects your health, ensures the medication is genuine, and helps you use it correctly. Following the prescription process is the safest and most reliable way to access this medicine.
Where Can You Get Tirzepatide Legally?
Tirzepatide is a prescription-only medication, which means the only safe and legal way to get it is through a licensed healthcare professional and a regulated pharmacy. This section explains every legitimate option in clear detail. It also helps readers understand what each pathway involves, what documents may be required, and how to tell the difference between a trusted source and an unsafe one.
Getting Tirzepatide From Traditional Healthcare Providers
The most common and reliable way to get tirzepatide is through a licensed medical provider you see in person. These may include:
- Primary care doctors
- Endocrinologists (specialists in diabetes and hormones)
- Obesity medicine specialists
- Internal medicine physicians
- Nurse practitioners or physician assistants with prescribing authority
These professionals can evaluate your medical history, current health conditions, and treatment goals. They also make sure tirzepatide is safe for you. During the visit, they will ask about:
- Past medical problems
- Medications you take
- Weight history
- Blood sugar levels
- Family medical history
- Any prior reactions to medications
A physical exam or basic blood tests may also be required.
After deciding tirzepatide is appropriate, the provider sends your prescription to a pharmacy. Seeing a traditional provider has several benefits. You can ask questions face to face, get long-term follow-up care, and easily report side effects or concerns. For many people, this is the safest and simplest option.
Filling Your Prescription at In-Person Pharmacies
Once you have a valid prescription, you can get tirzepatide at:
- Large retail pharmacies (national chains)
- Local independent pharmacies
- Hospital pharmacies
- Medical center outpatient pharmacies
In-person pharmacies follow strict laws for storing, handling, and dispensing prescription medicines. They must verify:
- Your identity
- Your doctor’s credentials
- The accuracy of the prescription
- Whether refills are allowed
Pharmacists may also ask you questions to ensure you understand how to use the medication safely. They can teach you general information about storage, timing, and what to expect from treatment.
Sometimes tirzepatide may be out of stock because demand is high. A pharmacist can help you check nearby branches or place a back-order if available. Even though delays can happen, picking up medication from a local pharmacy gives you direct contact with a licensed professional and guaranteed access to regulated products.
Access Through Legitimate Telehealth Services
A growing number of people get tirzepatide through telehealth. Telehealth means you meet a licensed provider by video call, phone call, or an online medical questionnaire. If the provider decides tirzepatide is safe and medically necessary, they send your prescription to a pharmacy—usually a partner pharmacy that ships the medication to your home.
A legitimate telehealth service must meet all legal requirements. This means:
- A licensed provider reviews your medical history
- The provider practices in your state or country
- You receive a real medical evaluation
- The service keeps your medical records
- The provider can refuse treatment if it is not safe
During a real telehealth appointment, you should expect questions about your health, medications, and symptoms. The provider might also request recent lab results. If a website offers tirzepatide without reviewing your health, it is not a safe or legal source.
Telehealth is useful for people who do not have easy access to in-person clinics. Many patients appreciate the convenience, privacy, and speed. But it is important to choose a regulated service. Look for signs such as license information, a real clinic address, clear patient policies, and customer support you can reach.
What to Expect From Reputable Sources
Whether you choose an in-person provider, a retail pharmacy, or a telehealth service, legitimate sources have things in common. You should always expect:
- A real prescription issued only after a proper medical evaluation
- Verification of your identity
- Licensed pharmacists preparing your medication
- Access to support, including a provider who can answer medical questions
- Official labeling and packaging from the manufacturer
- No pressure to buy, subscribe, or increase your dose
These steps protect patient safety. They also help ensure you receive medication that meets quality standards.
The only safe places to get tirzepatide are licensed medical providers and regulated pharmacies—either in person or through verified telehealth services. Any source that sells tirzepatide without a prescription, skips medical evaluation, or offers unusually low prices should be avoided. Working with legitimate providers helps ensure you receive authentic medication, proper dosing, and ongoing care to support safe use.
Can You Get Tirzepatide Online? How to Identify Legitimate Online Pharmacies
Many people look online when trying to get tirzepatide, especially because demand is high and some pharmacies may not always have it in stock. Online access can be safe, but only when it follows proper medical and legal rules. This section explains how online prescribing works, how to check if a pharmacy is legitimate, and how to avoid dangerous or illegal websites that sell fake or unsafe products.
How Online Prescribing Works When Done Safely
In most countries, tirzepatide is a prescription-only medication. This includes brand names such as Mounjaro or Zepbound. Because of this, you cannot legally buy it online without a medical evaluation. Safe online services follow the same laws that apply to in-person doctors.
A legitimate online process usually includes the following steps:
- Creating an account on a regulated telehealth platform
You should be able to see the company’s full name, business address, and contact information. Transparent companies make this information easy to find. - Completing a medical questionnaire
A safe service will ask about your medical history, past diagnoses, medications, allergies, and goals. If a website does not ask for this information, it is not following medical standards. - Meeting with a licensed healthcare provider
This can be a video visit, phone call, or secure messaging consultation depending on local rules. The provider should identify themselves by name and credential (for example, MD, DO, NP, or PA). You should be able to verify their license. - Receiving a prescription only if medically appropriate
A professional will review your health information and decide if tirzepatide is safe and suitable for you. Reputable clinicians will not approve the medication automatically. - Filling your prescription through a licensed pharmacy
The telehealth provider may send it to a pharmacy of your choice or may use a partner pharmacy. You should receive tracking, receipts, and full labeling just as you would with a local pharmacy.
A safe online process always includes medical oversight. If a site offers tirzepatide “without a prescription,” “no medical visit needed,” or “instant approval,” it is almost always illegal and unsafe.
How to Check If an Online Pharmacy Is Legitimate
When you buy any prescription medication online, it is important to protect your health by confirming that the pharmacy is licensed. Here are the main signs of a trustworthy pharmacy:
It requires a valid prescription
A legitimate pharmacy will never ship tirzepatide without receiving a prescription from a licensed provider.
It shows licensing information clearly
Most countries have a database where you can look up pharmacy licenses. Reputable online pharmacies link to these databases or display their credentials openly.
It provides real contact information
You should be able to find:
- A physical address
- A working phone number
- Customer support hours
Scam sites often hide or fake this information.
It uses secure payment and website protections
Check for:
- “https” in the website address
- Verified payment processors
- Clear privacy policies
These signs show that your personal and medical data are protected.
It uses professional packaging and labeling
A safe pharmacy includes:
- Your name
- The prescribing provider’s name
- The dose form
- Lot number and expiration date
- Usage instructions provided by the pharmacist
If any of these details are missing, the product may not be legitimate.
Red Flags That Signal an Unsafe Online Seller
Many unsafe websites try to look real but have warning signs. Avoid websites that show any of the following:
- They offer tirzepatide without a prescription
This is the strongest sign of illegal or counterfeit products. - They claim “100% authentic,” “secret formula,” or “special access”
Reputable pharmacies do not use dramatic marketing language. - Prices that are extremely low compared to typical pharmacy costs
While prices vary, very cheap tirzepatide is often fake or improperly made. - No medical evaluation
Any online seller that skips health screening is unsafe. - They sell “research chemicals” or “peptides for laboratory use”
Tirzepatide sold this way is not pharmaceutical-grade and may be dangerous. - They ship internationally without following local laws
Prescription drug shipments must follow strict rules. Websites that ship anywhere with no checks are usually unsafe. - They communicate only through text messages or social media
Professional pharmacies do not operate through direct message apps or social platforms.
Why Verifying Legitimacy Matters
Using unregulated online sources can expose you to serious risks such as:
- Incorrect ingredients
- Wrong dose strength
- Contamination
- Products that have not been stored properly
- Harmful additives
- No medical supervision
- Illegal importation
These risks can lead to severe health problems and make safe treatment harder.
You can get tirzepatide online safely, but only through a regulated telehealth provider and a licensed pharmacy. Any website that skips the steps of medical evaluation, prescription review, and proper pharmacy standards should be avoided. Always take time to check licenses, look for clear contact information, read the pharmacy’s policies, and confirm that a real healthcare professional is involved.
Understanding Compounded Tirzepatide: What Patients Should Know
Compounded tirzepatide has become a common topic as demand for brand-name tirzepatide has increased. Many people search for lower prices or faster access and come across compounded versions offered by certain pharmacies or telehealth services. While compounding can play an important role in healthcare, it is also an area where patients need to be very careful. This section explains what compounded tirzepatide is, when it may be allowed, and how to tell if a compounding pharmacy is operating legally and safely.
What Compounded Tirzepatide Is
Compounded tirzepatide is not the same as the brand-name medication made by the original manufacturer. Instead, it is a version made by a licensed compounding pharmacy. These pharmacies mix or prepare drugs from base ingredients to meet the needs of a specific patient when there is a medically valid reason to do so.
For example, a compound may be made if a patient cannot take a drug in its standard form due to an allergy to an ingredient or because a needed formulation is not commercially available. Compounding is meant to fill gaps—not replace approved medications during normal supply.
Compounded tirzepatide is not FDA-approved. This means the FDA has not reviewed its safety, strength, quality, or effectiveness. Because of this, patients should be cautious and only use compounded versions when appropriate and under the direction of a licensed healthcare professional.
Regulatory Limits on Compounded Tirzepatide
In the United States and many other countries, compounding pharmacies may only create a compounded medication under certain conditions. These rules protect patients and make sure that compounding is used responsibly. Here are the key limits:
- Compounding is allowed only when there is a legitimate medical need
A prescription must come from a licensed healthcare provider who has determined that a compounded version is necessary for a specific patient. - Compounded drugs cannot copy an approved drug unless there is a shortage
Pharmacies are not allowed to make copies of mass-produced medications unless the approved version is unavailable or in documented shortage. - Bulk ingredients must meet strict quality standards
The raw drug ingredients must come from FDA-registered or appropriately regulated suppliers and meet purity standards. - Pharmacies must follow compounding laws and quality controls
Compounding pharmacies must be licensed at the state level and may also be overseen by organizations such as the Pharmacy Compounding Accreditation Board (PCAB).
These rules are important because they help prevent unsafe products, contamination, incorrect dosages, or the use of unverified ingredients.
When Compounded Tirzepatide May Be Allowed
A compounded version may be permitted only in certain circumstances, such as:
- When the approved drug is on official shortage lists
If tirzepatide is unavailable and a licensed provider determines a patient needs treatment, a compounding pharmacy may prepare an alternative until the shortage ends. - When a patient requires a form that does not exist commercially
This is less common with tirzepatide because it is typically given as an injection in a specific dose design. Still, compounding could be allowed if the prescriber identifies a need. - When a physician makes a clinical decision that a compounded version is medically appropriate
This decision must be based on the patient’s specific health situation.
Patients should avoid compounding services that advertise mass production or “no-prescription needed” access. This goes against the purpose of compounding and may signal unsafe practices.
How to Verify That a Compounding Pharmacy Is Legitimate
Because compounded tirzepatide is not FDA-approved, choosing a safe pharmacy is essential. Patients can look for these signs of a reputable operation:
- State pharmacy license
The pharmacy should be licensed in the state where it operates. Most states have online tools to check this. - Certification or accreditation
Voluntary programs like PCAB accreditation show that the pharmacy meets higher standards for quality and safety. - Clear prescription requirement
A legitimate pharmacy will require a valid prescription from a licensed healthcare professional. They will not offer “instant” prescriptions or sell medication without proper review. - Transparent communication
Reputable pharmacies explain how they prepare medications, what quality checks they use, and how sterility is maintained. - No claims that copy the brand product exactly
Compounded tirzepatide is not the same as brand-name versions, and pharmacies should not claim that it is identical. - Secure packaging and labeling
Medications should arrive with clear labels, instructions, storage information, batch numbers, and contact information for the pharmacy.
Why Safety Matters
Compounding involves mixing active ingredients by hand or through specialized equipment. While many compounding pharmacies follow strict standards, mistakes can happen if the facility lacks proper oversight. Risks include:
- Incorrect dosage
- Contamination
- Use of non-approved ingredients
- Medication that does not work as expected
- Serious health complications
These risks are why professional supervision and licensed pharmacies are so important.
How Much Does Tirzepatide Cost? Pricing, Insurance, and Savings Options
Understanding the cost of tirzepatide can be confusing because prices vary widely. Costs depend on where you live, whether you have insurance, which pharmacy you use, and whether you are receiving a brand-name or compounded version. This section explains each factor in clear terms so you can better understand what influences your total cost and what you may expect during the process.
Why Tirzepatide Prices Vary
Tirzepatide is a branded prescription medication. Brand-name medicines usually cost more because they require years of research, clinical trials, and regulatory review. These development costs are reflected in the retail price. The price may also differ between pharmacies due to supply agreements, regional pricing rules, and distribution fees.
Other reasons cost can vary include:
- Dose strength: Higher doses usually cost more because they contain more medication.
- Insurance coverage: Some plans may cover tirzepatide, while others may not cover it at all.
- Pharmacy type: Retail pharmacies, specialty pharmacies, and online pharmacies can each have different prices.
- Manufacturer or pharmacy discounts: Some offer coupons or savings programs that lower the cost for eligible users.
- Supply shortages: When demand is high and supply is low, prices may increase at certain locations.
All these factors mean that even two people in the same city may pay very different amounts.
Insurance Coverage and What It Affects
Insurance coverage is one of the biggest factors affecting cost. Some insurance plans cover tirzepatide for type 2 diabetes but may not cover it for weight management unless specific requirements are met. Coverage usually depends on:
- Diagnosis: Insurance often requires proof that you meet medical criteria.
- Prior authorization: Many plans ask your doctor to submit paperwork showing that the medication is medically necessary.
- Step therapy rules: Some insurers want patients to try other treatments first before approving tirzepatide.
- Plan type: Employer plans, state plans, and private plans all have different rules.
If your insurance covers tirzepatide, you may only pay a co-pay or a percentage of the price. If your insurance does not cover it, you may need to pay the full retail cost, which can be high. Because of this, it is important to check your insurance benefits before getting a prescription.
Manufacturer Savings Programs
Manufacturers sometimes offer savings cards or discount programs. These programs may reduce the out-of-pocket cost for people with commercial insurance, but they usually cannot be used by people who receive government-funded insurance such as Medicare or Medicaid. Each program has its own rules about who qualifies.
Savings programs may help lower:
- Monthly co-pays
- Total out-of-pocket cost
- Costs during coverage gaps
However, savings programs do not replace insurance coverage. They simply help reduce the remaining cost for eligible patients. These programs typically require activation and verification through an official website or pharmacy.
Pharmacy Discounts and Price Shopping
Many pharmacies offer different retail prices, even for the same medication. Price differences may be due to:
- Negotiations between the pharmacy and medication suppliers
- Whether the pharmacy is large or small
- The pharmacy’s location and operating costs
Some pharmacies also allow you to use discount cards or online coupons. These may reduce the price, but they often cannot be used together with insurance. When comparing prices, always make sure you are looking at licensed, reputable pharmacies.
Telehealth Pricing Models
Telehealth services have become a popular way to access tirzepatide. These companies may have different pricing structures:
- Subscription models: You pay a monthly fee that may include telehealth visits, medication management, and pharmacy access.
- All-inclusive pricing: Some services list a single price that covers consultation and medication.
- Pay-per-visit models: You pay for each medical appointment separately.
Telehealth pricing may look simpler than traditional insurance billing, but it is important to confirm that the service uses licensed clinicians and legitimate pharmacies.
Why Compounded Tirzepatide May Cost Less
Compounded tirzepatide is sometimes priced lower than brand-name products. This is because compounded medications are made by a compounding pharmacy, not by the original manufacturer. Compounded versions can vary in formulation, and they are not FDA-approved. Prices may appear lower, but patients should weigh cost savings against safety risks, regulatory limits, and quality concerns. Compounded products should only be obtained from licensed pharmacies following legal rules.
The cost of tirzepatide depends on your insurance, the pharmacy you choose, the dose you are prescribed, and whether you use savings programs. Telehealth services and compounded products may offer different price structures, but safety and legitimacy should always come first. Checking insurance coverage, reviewing pharmacy options, and speaking with your healthcare provider can help you find safe and affordable access to tirzepatide.
What to Expect During the Prescription Process
Getting a prescription for tirzepatide usually follows a clear and structured process. This process helps make sure the medication is safe and appropriate for you. It also ensures you receive the correct dose and ongoing medical support. Understanding each step ahead of time can make the experience easier and help you know what questions to ask your provider.
Initial Medical Evaluation
The first step is a full medical evaluation. This can take place in person with your doctor or through a licensed telehealth service. The provider’s goal is to learn about your health background and decide whether tirzepatide is a safe and effective option.
Health History Review
Your provider will ask questions about:
- Your current medical conditions
- Past diagnoses
- Medications you are taking
- Any history of thyroid disease, pancreatitis, or gallbladder problems
- Family history of certain endocrine conditions
These questions help your provider rule out conditions that may make tirzepatide unsafe.
Eligibility Criteria
Depending on your location, tirzepatide may be approved for:
- Adults with type 2 diabetes
- Adults with obesity or overweight with specific health risks
Your provider may check your BMI, blood pressure, and other markers to confirm you meet the approved criteria.
Physical Exam and Baseline Measurements
Some healthcare providers may perform or request:
- Height and weight
- Blood pressure measurement
- Heart rate
- Waist circumference
- A review of your overall physical health
Telehealth providers may ask you to provide recent measurements from a clinic, home monitor, or pharmacy.
These baseline numbers help track your progress over time.
Laboratory Testing
Before starting tirzepatide, your provider may order lab tests to ensure your body is healthy enough for treatment. Common tests include:
- A1C or fasting glucose (for diabetes management)
- Liver function tests
- Kidney function tests
- Lipid panel
- Thyroid function tests, depending on your history
Not every patient will need all of these tests, but many providers prefer to review updated labs before prescribing.
Discussion of Treatment Plan
If your provider decides tirzepatide is appropriate, they will explain:
- Why you qualify
- Expected benefits
- Possible risks
- Common side effects
- Rare but serious side effects
- What dose you will start with
- How dosing changes over time
This is your chance to ask questions and understand what treatment will look like.
Dosing and Titration Schedule
Tirzepatide is usually started at a low dose to reduce side effects. Then the dose is increased slowly over several months.
Typical dosing plan includes:
- A starting dose (lower than therapeutic doses)
- Step-up increases every several weeks
- A target maintenance dose chosen by your provider based on your body’s response
This gradual schedule helps your body adjust to the medication.
Your provider will give you clear instructions on:
- How often to inject
- Where to inject
- How to store the medication
- What to do if you miss a dose
Follow-Up Appointments
Regular follow-up is an important part of safe treatment. These visits may take place every 4–12 weeks, depending on your progress and the provider’s plan.
During follow-up visits, the provider may:
- Check your weight or blood sugar
- Ask about side effects
- Review any changes in your health
- Adjust your dose
- Renew your prescription
Follow-up visits help ensure your treatment stays safe, effective, and tailored to your needs.
Pharmacy Pickup or Delivery
Once the prescription is approved, your provider will send it to a licensed pharmacy.
You may have two main options:
In-Person Pharmacy
- You pick up the medication from a local pharmacy.
- A pharmacist can answer questions about storage and injection technique.
Mail-Order or Telehealth Pharmacy
- Medication is shipped directly to your home.
- This can be more convenient, especially if doses are on back order locally.
No matter which pharmacy you use, always make sure it is properly licensed.
Ongoing Monitoring and Support
Even after starting tirzepatide, your provider will continue to monitor:
- Side effects
- Weight changes
- Blood glucose trends
- How well you tolerate dose increases
You should report any unusual symptoms or concerns promptly. Early communication helps your provider manage side effects and keep you safe.
What Are the Legal and Safety Risks of Obtaining Tirzepatide Without a Prescription?
Tirzepatide is a prescription medicine. This means you must get it from a licensed healthcare provider who can check your health, confirm that the medicine is right for you, and monitor you during treatment. Trying to buy tirzepatide without a prescription—especially online—can be unsafe and may even be illegal. This section explains the key legal rules, the most common safety risks, and why getting tirzepatide without a prescription can put your health at risk.
Legal Restrictions on Prescription Medicines
In most countries, including the United States, tirzepatide is regulated as a prescription-only medication. This rule exists to ensure safe and supervised use. Buying tirzepatide without a prescription breaks these regulations because:
- Selling prescription medicines without proper authorization is illegal.
Only licensed pharmacies and authorized healthcare providers are allowed to supply tirzepatide. - Importing prescription medicines from other countries without approval is often against the law.
Customs agencies regularly intercept unapproved drug shipments. - Possessing prescription medicines without a valid prescription can be a violation of local or federal regulations.
These laws help protect the public from fake or harmful products. They also ensure that patients receive proper care, monitoring, and follow-up. If a website, seller, or social media page offers tirzepatide without requiring a prescription, it is usually an immediate sign of illegal activity.
Health Risks of Unsupervised Tirzepatide Use
Tirzepatide affects blood sugar, the digestive system, and appetite. It also has a slow, step-by-step dosing plan that must be followed. Using the medication without medical guidance may lead to:
- Incorrect dosing
Starting with too high a dose can cause severe nausea, vomiting, diarrhea, or dehydration. Too low a dose may have no effect, leading users to take more without knowing the risks. - Serious side effects becoming harder to detect
A healthcare provider knows what symptoms to watch for, such as signs of pancreatitis, gallbladder problems, or strong gastrointestinal reactions. - Drug interactions
Tirzepatide may interact with other medicines, including diabetes drugs that lower blood sugar. Without medical supervision, the risk of dangerous low blood sugar events increases. - Lack of medical follow-up
Regular monitoring of weight, blood sugar, and overall health helps confirm that the medication is working and safe. Skipping these checks can hide problems until they become serious.
Risks From Counterfeit or Unregulated Products
One of the biggest dangers of buying tirzepatide without a prescription is the high chance of receiving counterfeit or contaminated products. Many illegal online sellers use packaging that looks real but contains unsafe or unknown ingredients. Risks include:
- Fake or diluted medication
These products may not contain tirzepatide at all, or may contain only small amounts that will not work. - Unsafe additives
Some counterfeit products have been found to contain bacteria, impurities, or unrelated drugs. - Improper preparation
Real tirzepatide comes in specific, validated devices. Unregulated versions may be mixed or stored incorrectly, making them dangerous. - No quality testing
Approved pharmacies follow strict rules for safety and cleanliness. Illegal sellers do not meet these standards.
Using a fake or contaminated product may lead to infections, severe side effects, allergic reactions, or hospitalization.
Dangers of Buying From Social Media, Informal Sellers, or Online Marketplaces
Social media platforms and online marketplaces sometimes advertise “discount tirzepatide,” often claiming fast shipping or low prices. These sources are unsafe for several reasons:
- They do not require a prescription.
- They often ship from unknown locations or hide the origin.
- Their products are not checked by regulators.
- Sellers may disappear after purchase, leaving no way to trace the product or report problems.
Many of these listings use photos of real packaging to appear legitimate, but the contents are unverified.
Why Prescription Rules Protect You
The prescription process is designed to keep patients safe. Healthcare providers:
- Review your medical history
- Check for allergies or medication interactions
- Ensure you meet the health criteria for tirzepatide
- Start you at the correct dose
- Adjust the dose slowly based on your body’s response
- Monitor you for side effects
- Help you manage long-term treatment goals
These steps cannot be replaced by a seller offering the medicine without supervision. Proper prescribing ensures that tirzepatide is used safely and effectively.
Practical Checklist for Safe Tirzepatide Access
Getting tirzepatide safely depends on making sure every step—prescribing, dispensing, and receiving the medication—is done through legitimate and licensed channels. This section provides a clear, simple checklist to help you stay safe and avoid counterfeit or unregulated products. Each point explains what to look for and why it matters.
How to Verify a Healthcare Prescriber
Before accepting a prescription, confirm that the person prescribing tirzepatide is a licensed professional. Safe prescribing always includes a real medical evaluation and follow-up care.
What to check:
- Valid medical license
Every prescriber must be licensed in your state or country. Their name, degree (MD, DO, NP, PA), and license number should be easy to find. Most regions have online look-up tools where you can confirm their credentials. - A complete evaluation
A proper appointment—whether in person, video, or phone—should include questions about your medical history, current medicines, allergies, lifestyle, and health goals. A provider who rushes or avoids asking about your health is not practicing safely. - Clear explanation of the treatment plan
The prescriber should explain how tirzepatide works, the starting dose, how the dose will change over time, possible side effects, and how long the treatment may last. - Follow-up care and monitoring
Safe treatment includes check-ins to review your progress, adjust the dose if needed, and monitor for side effects. A provider who does not offer follow-up is a warning sign.
If you can receive tirzepatide without a medical review, the source is not legitimate.
How to Verify a Pharmacy
The pharmacy is your final layer of protection. A licensed pharmacy ensures you receive the correct medication, stored properly and packaged correctly.
Signs of a safe and legitimate pharmacy:
- Active pharmacy license
The pharmacy should show its license number on its website or inside the store. Many countries offer online pharmacy-verification programs. - A real, verifiable address
The pharmacy should provide a physical address and working phone number. Avoid pharmacies that hide their location or operate only through messaging apps or social media. - Access to a licensed pharmacist
You should be able to speak with a pharmacist about storage, dosing, and side effects. No access to a pharmacist is a red flag. - A requirement for a prescription
Safe pharmacies will not sell tirzepatide without a valid prescription. Any pharmacy offering it without one is unsafe. - Proper packaging and labeling
Medication should include lot numbers, expiration dates, and tamper-proof seals. Labels should list your name, the prescriber, the pharmacy, and dosing instructions.
If a pharmacy cannot provide this information, do not use it.
Documentation You Should Always Receive
Legitimate care always includes proper records and paperwork. Missing details are a sign that the provider or pharmacy may not be following the law.
You should receive:
- A written prescription with full details.
- A visit summary from the prescriber.
- A labeled medication package with storage instructions, expiration date, and lot number.
- A receipt from the pharmacy.
- Shipping details if the medication is mailed to you.
These documents protect you and help confirm the medication is authentic.
Warning Signs of Unsafe Sellers
Certain red flags should immediately alert you that the source is unsafe:
- Offers to sell tirzepatide through social media, private messages, or online marketplaces.
- Claims that a prescription is not needed.
- Prices that seem unusually low compared to normal pharmacy pricing.
- Websites with no contact information, no license numbers, or no medical evaluation.
- Medication shipped in unlabeled vials, plastic bags, or containers without manufacturer markings.
- Sellers who ask for payment through cash apps, cryptocurrency, or wire transfers.
- Products described as “research chemicals,” “peptides,” or “non-medical tirzepatide.”
Any of these signs suggests the product may be counterfeit or unsafe.
Key Steps to Take Before Starting Treatment
To stay safe and well-informed, follow these essential steps:
- Confirm your prescriber’s medical license through an official registry.
- Use only licensed pharmacies for filling prescriptions.
- Keep all documentation from the prescriber and pharmacy.
- Make sure you understand how to use and store the medication.
- Know who to contact if you have side effects or questions.
- Review the full dosing schedule and follow-up plan provided by your clinician.
- Verify that the medication packaging is sealed, labeled, and consistent with what the manufacturer provides.
These steps help ensure that the tirzepatide you receive is authentic and that your treatment is monitored responsibly.
Conclusion
Accessing tirzepatide safely requires clear information, careful planning, and guidance from trained medical professionals. As demand for this medication grows, many people look for the fastest or cheapest way to obtain it. However, the safest path is always through a legal prescription and a licensed pharmacy. This protects your health, ensures the medicine is real, and allows your healthcare provider to monitor how you respond to treatment. Tirzepatide is a strong medication that affects blood sugar, digestion, and appetite, so professional supervision is important from the very beginning. A licensed provider can check whether the medication is right for your medical history, review your current medicines, and make sure that any risks are addressed early.
Safe access also means knowing where you should not get tirzepatide. The rise of online marketplaces, social media sellers, and unofficial clinics has made it easier for counterfeit or unsafe products to appear. These unregulated sources may offer products that look similar to the real medication but do not meet quality or safety standards. Some may contain the wrong dose, harmful ingredients, or no active ingredient at all. Others may be shipped without temperature control or sterile handling. Choosing these sources can put your health at serious risk. This is why checking for proper licensing, pharmacy accreditation, and legitimate medical supervision is essential when looking for tirzepatide.
Understanding the prescribing process also helps you prepare for safe and effective treatment. A proper medical evaluation should include a review of your health conditions, a discussion of symptoms, and an assessment of whether tirzepatide fits your treatment goals. The steps may feel detailed, but each part protects your safety. Your provider may discuss dosing plans, how your body may react, and how to handle possible side effects. They may set follow-up appointments to track your progress. These steps are not barriers—they are standard medical care designed to help you succeed with treatment and avoid complications.
Price is another important part of getting tirzepatide safely. This medication can be expensive, and the cost can vary based on your pharmacy, insurance plan, or whether a savings program is available to you. Even though these prices may feel confusing, it is important not to turn to unsafe sellers who claim to offer large discounts. Instead, a licensed provider or pharmacist can help you explore legitimate cost-saving options. These may include insurance reviews, manufacturer savings programs, or approved online services that offer transparent pricing. When reviewing these options, remember that lower cost should never replace safety. Authentic medication from a regulated source ensures you receive the product and dose intended by your healthcare provider.
Compounded tirzepatide is another area where patients must be cautious. While compounding pharmacies can legally prepare medications under certain conditions, not all compounded products meet the same quality standards as FDA-approved versions. Some compounded versions may not be made from the correct active ingredient or may not follow strict production rules. Because of these concerns, it is important to use compounding pharmacies only when they are properly licensed and when your provider confirms it is appropriate. Always check credentials, ask questions, and verify that the pharmacy follows state and federal regulations.
In the end, safe access to tirzepatide depends on a few core principles: work with a licensed medical provider, use a legitimate pharmacy, avoid unregulated sellers, and make sure your treatment is part of a well-monitored medical plan. Protecting your health should always come before convenience. With clear guidance, honest communication with your provider, and careful attention to where you get your medication, you can use tirzepatide safely and with confidence. This careful approach supports better results, reduces risk, and ensures that your treatment is based on reliable medical care rather than unsafe shortcuts.
Research Citations
Rosenstock, J., Wysham, C., Frías, J. P., Kaneko, S., Lee, C. J., Fernández Landó, L., Mao, H., Cui, X., Karanikas, C. A., & Thieu, V. T. (2021). Efficacy and safety of a novel dual GIP and GLP-1 receptor agonist tirzepatide in patients with type 2 diabetes (SURPASS-1): A double-blind, randomised, phase 3 trial. The Lancet, 398(10295), 143–155. DOI: 10.1016/S0140-6736(21)01324-6
Frías, J. P., Davies, M. J., Rosenstock, J., Pérez Manghi, F. C., Fernández Landó, L., Bergman, B. K., Liu, B., Cui, X., & Brown, K. (2021). Tirzepatide versus semaglutide once weekly in patients with type 2 diabetes. The New England Journal of Medicine, 385(6), 503–515. DOI: 10.1056/NEJMoa2107519
Ludvik, B., Frias, J. P., Tinahones, F. J., Wadden, T. A., Auerbach, P., Jacob, S., Jensen, C., López, J., Cui, X., & Robins, D. A. (2021). Once-weekly tirzepatide versus once-daily insulin degludec as add-on therapy (SURPASS-3). The Lancet, 398(10300), 583–598. DOI: 10.1016/S0140-6736(21)01443-4
Jastreboff, A. M., Aronne, L. J., Ahmad, N. N., Wharton, S., Connery, L., Alves, B., Kiyosue, A., Zhang, S., Liu, B., Bunck, M. C., & Kelly, T. (2022). Tirzepatide once weekly for the treatment of obesity (SURMOUNT-1). The New England Journal of Medicine, 387(3), 205–216. DOI: 10.1056/NEJMoa2206038
Garvey, W. T., Batterham, R. L., Bhatta, M., Buscemi, S., Christensen, R. H., Frias, J. P., Hernández-Filio, C., Inoue, K., Jensen, C., Kiyosue, A., et al. (2023). Tirzepatide once weekly for obesity in type 2 diabetes (SURMOUNT-2). The Lancet, 402(10399), 613–626. DOI: 10.1016/S0140-6736(23)01200-X
Wadden, T. A., Tronieri, J. S., Sugimoto, D., Garvey, W. T., Batterham, R. L., et al. (2023). Tirzepatide after intensive lifestyle intervention in adults with obesity or overweight. Nature Medicine. DOI: 10.1038/s41591-023-02597-w
Krüger, N., Krumholz, H. M., de Lemos, J. A., Sattar, N., Linetzky, B., et al. (2025). Cardiovascular outcomes of semaglutide and tirzepatide in adults with elevated cardiovascular risk. Nature Medicine. DOI: 10.1038/s41591-025-04102-x
Liu, L., Shi, H., Xie, M., Sun, Y., & Nahata, M. C. (2025). The efficacy and safety of tirzepatide in patients with diabetes and/or obesity: Systematic review and meta-analysis of randomized clinical trials. Pharmaceuticals, 18(5), 668. DOI: 10.3390/ph18050668
Bergman, B. K., Frias, J. P., Nevarez, J., Fernández Landó, L., Brown, K., et al. (2025). Time spent in glycaemic control with sustained body weight reduction with tirzepatide: Post hoc analysis of the SURPASS clinical trials. Diabetes, Obesity and Metabolism. DOI: 10.1111/dom.16337
Rosenstock, J., Sugimoto, D., Nevarez, J., Fernández Landó, L., Brown, K., et al. (2024). Early-onset type 2 diabetes and tirzepatide treatment: A SURPASS programme analysis. Diabetes Care. DOI: (exact number to be inserted from journal)
Questions and Answers: Tirzepatide Where to Get
Tirzepatide is a prescription medication used for type 2 diabetes management and, in some countries, for chronic weight management under specific brand names.
Yes. Tirzepatide is available only with a valid prescription from a licensed healthcare provider.
You can obtain tirzepatide at licensed retail pharmacies, mail-order pharmacies, or specialty pharmacies once you have a prescription.
Yes, but only through legitimate, licensed online pharmacies that require a prescription. Avoid websites offering it without medical evaluation.
No. Getting tirzepatide without a prescription is unsafe and illegal.
Doctors, nurse practitioners, and physician assistants who are licensed to prescribe medications in your region can prescribe tirzepatide.
Look for pharmacy accreditation, require a prescription, have a verifiable physical address, and provide licensed pharmacist support.
Compounded versions are not FDA-approved and may vary in quality. Use only FDA-approved products from licensed pharmacies unless your clinician determines a compounded version is medically necessary.
Some may offer it, but regulations vary by country, and importing prescription medications can violate local laws. Always follow your local medical and legal requirements.
Start by speaking with your primary care provider or endocrinologist, who can guide you on legitimate prescribing and pharmacy options.
Dr. Judith Germaine
Dr. Jude (Germaine-Munoz) Germaine, MD is a family physician in Springfield, New Jersey. She is currently licensed to practice medicine in New Jersey, New York, and Florida. She is affiliated with Saint Josephs Wayne Hospital.