Tirzepatide-specific questions for your compounder
Request a full titration ladder in writing: per-vial cost at every tirzepatide step your protocol uses, not a single mid-range quote. Ask whether your pharmacy stocks the full strength range or only a subset, because catalog gaps force protocol changes that affect margin. Confirm cold-chain rules separately from semaglutide if your compounder prices GLP-1s differently by molecule.
If patients switch between semaglutide and tirzepatide, model margin on both SKUs independently. A competitive semaglutide portal rate does not imply competitive tirzepatide economics.