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Start Free Assessment Table of contents The August 2024 launch that changed the comparison The regulatory timeline for tirzepatide How Lilly Direct vials work How compounded tirzepatide differs in source and format The dose-by-dose cost comparison Quality control: FDA approval vs 503A pharmacy practice Dose flexibility: where compounding still has an edge Custom formulations and combination products Efficacy comparison: brand trial data and real-world expectations The contrary view: when brand Zepbound is the clear answer Decision framework FAQ Sources The August 2024 launch that changed the comparison Before August 2024, compounded tirzepatide was substantially cheaper than brand Zepbound