Belle Compounded Tirzepatide Review (2026): Flat $249 Pricing, Four-Day Shipping, and Three-Click Canceling
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This article is part of the GLP Winner provider review series. At the time of writing, the provider reviewed here, Belle, is a GLP Winner partner, which means we have a commercial relationship with them. The review itself was written by a real patient who went through Belle's full process, from intake through prescription, and who received their GLP-1 medication under a clinician's care.
Some details about the reviewer are not shared to protect their privacy. GLP Winner pays the reviewer for their time. Belle did not pay for this review, did not see it before publication, and did not direct the reviewer's conclusions. We also review non-partner providers, including direct competitors of our partners, because the point of the series is to help you make a better decision for your own situation, not to push you toward any one company.
Have questions or concerns? Reach out to the team here.
Who Is Reviewing
I am a man in my 40s who has been on compounded tirzepatide for nine months and is at a 5 mg dose. I found Belle while comparing providers on GLPWinner.com. Nine months in, I am not really shopping for a program anymore. I am shopping for refills. What I care about is a price that does not move, no membership fee stacked on top of the medication, and an easy process for support and ordering. This is a review of my experience with Belle in my own words.
TL;DR
Belle sells compounded tirzepatide and semaglutide, MIC+B12, and a small shop of longevity and skincare add-ons. Pricing is flat by dose. Compounded tirzepatide is $249 a month whether you are at 2.5 mg or 5 mg, and there is no membership charge sitting on top of it. With the GLPWINNER code for 5% off, I paid $236.55 for a monthly plan.
The thing I did not expect was the size of the vial. Belle shipped a 4 mL multiple dose vial at 10 mg/mL, which is 40 mg of tirzepatide. My dose is 5 mg, or 50 units, so that is eight weekly doses sitting in one bottle. It is sold and billed as a one month supply and it renews monthly. I went back into the portal to make sure I was reading it right, and I was. This is by a wide margin the largest volume anyone has shipped me so far.
Everything else was quick. I ordered on August 22, a physician signed the prescription the same day, and UPS delivered on August 26. My vial was compounded by BPI Labs in Largo, Florida and dispensed by The Pharmacy Hub 2 LLC in Davie, Florida, both of which are printed plainly on the label. Canceling is three clicks inside the portal and does not require a phone call or message.
If you want only the pharmacy side of this shipment on its own with no review of the Belle experience, including the cooler, the storage card, and every label on the vial, we broke that out into a companion piece: Inside a Belle Shipment: How The Pharmacy Hub and BPI Labs Pack Compounded Tirzepatide.
This is the Belle listing on GLP Winner where I started, $249 a month for compounded tirzepatide and the GLPWINNER code already showing the 5% off.
What Is the Belle Intake and Timeline Like?
Belle's intake starts with what you want rather than with your numbers. The first screen asks for your area of focus, weight loss or longevity, and you can pick both. Then it shows you the three treatments and asks which ones interest you: Compounded Tirzepatide, Compounded Semaglutide, and MIC+B12, which Belle is careful to describe as a fat burning add-on that works alongside a GLP-1 rather than a replacement for one.
The three treatment cards on the Belle intake. I liked that MIC+B12 is labeled as an add-on and not a substitute for the GLP-1.
After that it asks how much weight you want to lose, and I picked the 10 to 25 pound band. Then it asks what excites you most about the change, with options like feeling confident, having more energy, fitting into clothes, and improving your health. Belle asked about my height and weight, my state, whether I had ever taken a GLP-1 before and whether it was branded, my current medications, and my allergies. It asked specifically about allergies to B12, B6 and choline, which makes sense once you know the vial has vitamin B6 in it.
Right before checkout Belle asked whether I would like a call with the medical team before treatment begins. I said no because I have done this before. I liked that it was offered as a plain yes or no, to offer additional support to people who want it without bothering those who don't.
Then you pick your plan length: every month, every two months, or every six months. I took the monthly plan. Belle offers Zofran as a $30 add-on at that point, which is a sensible place to put it, because nausea is the thing most people are worried about at exactly that moment.
Belle's compounded tirzepatide plan pricing: $249 monthly, $219 a month on the two month plan, $199 a month on the six month plan.
The semaglutide and MIC+B12 pricing further down the same screen. I did not buy either, but here is what they cost.
Checkout was $249 for the month, less the 5% GLPWINNER code, so $236.55. The GLP Winner listing rounds that to $237 on the comparison page, and $236.55 is what actually hit the card. There was no membership line, no consultation fee, and no shipping charge. The order confirmed immediately and offered to sign me into the portal. There was no password, which confused me for a second. Belle emails you a code instead and you use that to get in.
Once I was inside, the portal told me a clinician was reviewing my health questionnaire and would prescribe soon, with most reviews finishing within one business day. It also had one action item waiting: Belle wanted a photo of my current medication so the care team could verify it.
The Belle portal right after checkout: pending clinician review, plus the request for a photo of my current medication.
My prescription was signed the same day, August 22. I learned the clinician's name after the script was approved. The plan flipped from PENDING REVIEW to ACTIVE and two order lines appeared, one paid and one scheduled for the renewal.
Treatments page on my phone while the script was still pending. Two order lines already showing, one paid and one scheduled, with Pause and Cancel right there in the More menu.
How Fast Does Belle Ship?
Belle was the fastest provider I have ordered from. I placed the order on Friday, August 22, the prescription was signed the same day, and UPS delivered the box on Tuesday, August 26. Four days, door to door, with tracking visible in the portal.
That speed is the part of Belle I would actually pay for. Nine months in, the only real emergency in this whole process is running out, and four days means I can order the week I notice the vial getting low instead of the month before.
The Fidelity Freeze insulated shipper as it landed on my table. Perishable, insulated, and labeled temperature sensitive.
The outer box is a Fidelity Freeze insulated shipper. Inside that is a molded ProPak foam cooler with a lid, and inside the cooler is a Fidelity Freeze gel pack and the medication padded UPS envelope inside a smaller Belle branded bag.
Lid off. The ProPak foam cooler with the gel pack down one side and the padded envelope holding the medication.
Belle includes a printed card that tells you what the medication tolerates, and it's very specific: keep refrigerated, but the product has been tested and showed stability at room temperature for 60 days, at 95 degrees for 15 days, and at 104 degrees for 5 days. The same card says outright that the ice pack may be melted and no longer cold by the time it reaches you, and that the medication is still stable and good if it is.
The Fidelity Freeze gel pack. It was soft by the time it got to me, which the storage card says to expect.
The Tirzepatide + Vitamin B6 Injectable card with the temperature table on one side and a use checklist on the other.
The medication itself is inside a resealable Belle branded pouch with a QR sticker on it. Open that and you get a white prescription bottle, and the glass vial is inside the bottle.
Inside the Belle pouch: a QR code to get started and the white prescription bottle with the vial inside.
The pharmacy label on the bottle names The Pharmacy Hub 2 LLC, 2750 Bridge Way Bldg 2, STE 180, Davie FL 33314, with a phone number. It reads Tirzepatide+B6 - BPI 10mg / 10mg / ml - 4ml, quantity 4 mL, with directions to inject 50 units (5 mg) subcutaneously once weekly. My name and home address are on it, so those are blurred here. There is a fill date and a discard date printed on the right side of that label, with the BUD being 12/31/26.
The Pharmacy Hub 2 LLC label with the Davie, Florida address and phone number. My details are blurred.
The other side of the label: Tirzepatide+B6 - BPI 10mg / 10mg / ml - 4ml, inject 50 units (5 mg) once weekly.
Back of the vial. BPI Labs, LLC in Largo, Florida as the manufacturer, store between 36 and 46 degrees, do not freeze.
What Came in the Belle Box?
- One 4 mL multiple dose vial of tirzepatide with vitamin B6, 40 mg/4 mL, compounded by BPI Labs
- A white prescription bottle with The Pharmacy Hub label, holding the vial
- A resealable Belle branded pouch
- 10 insulin syringes, 1 cc, 31G, 5/16 inch short needle
- 10 alcohol prep pads
- A Tirzepatide + Vitamin B6 Injectable card with storage conditions and a use checklist
- A written offer to counsel from The Pharmacy Hub, with two phone numbers for speaking to a pharmacist
- A Fidelity Freeze gel pack, a ProPak foam cooler and the insulated outer shipper
The supplies: 1 cc 31G syringes, Pharmacist's Choice alcohol pads, the storage card, and the Belle pouch.
Everything laid out in the cooler: the vial, the prescription bottle, the storage card, alcohol pads, and the Belle pouch.
Belle also runs a shop inside the portal. There is Sermorelin at $357 quarterly, Glutathione at $238 every two months, Zofran at $30 as a one time purchase, and two skincare items listed as coming soon, a Copper Peptide Cream at $199 a month and a Skin Glow Complex at $149 a month. Every product image carries a line saying the image is for illustration only and that Belle is not the compounding pharmacy or manufacturer. I did not buy any of it. If you are the kind of person who wants the longevity stack in the same place as the GLP-1, it is there.
The Belle shop: Sermorelin, Glutathione, and Zofran, each with the "Belle is not the compounding pharmacy" line under the picture.
The two skincare items listed as coming soon, $199 and $149 a month.
Why Does a One Month Belle Shipment Hold Eight Weekly Doses?
My Belle vial is 4 mL at 10 mg/mL. That is 40 mg of compounded tirzepatide in the bottle. My dose is 5 mg once a week, which the label and the portal both expressed as 50 units on an insulin syringe, or 0.5 mL. Divide it out and there are eight weekly doses in there.
Belle sells that as a one month supply. My plan is the monthly plan, my next renewal is September 16, and the site describes what I bought as one month. Back when I first started my compounded medication journey, I thought the vial had not been filled properly, because the amount of liquid at the bottom of a 2 mL vial looks like nothing. I reached out to support from the provider for my first dose and learned it's normally a small amount. Either way, the order from Belle is more medication than I have been shipped by anyone else at this price, but your experience may vary.
The Treatments screen: 5 mg (50 units) once a week, the syringe drawn to 50, and the signed prescription available to download for HSA/FSA.
How Does the Belle Portal and Support Work?
The Belle portal lives at the main Belle website and it works in a browser. There is no app to download, which I appreciated.
On a phone the bottom bar has four items: Home, My Plan, Shop and Tracker. On a desktop the left sidebar opens up into Home, Treatments, Tracker, Shop and Messages, with a second group underneath for your care team, Contact us, Community and the Help Center, plus a Refer a friend panel.
The Home screen greets you by name, shows your plan status, and puts your current dose right at the top, 5 mg (50 units), with a drawing of an insulin syringe and a mark showing where 50 units falls on the barrel. Underneath that is your next renewal date, the status of your shipment, and your care team, which for me listed a registered dietitian who covers GLP-1 nutrition.
I do not need the syringe diagram at this point in my GLP-1 journey. Nine months in I could draw 50 units in the dark. It is a genuinely good piece of design for month one though, because "5 mg" and "50 units" are the two numbers people mix up, and Belle puts them next to each other on the home screen instead of in a PDF.
The desktop Home screen: active plan, current dose, next renewal, the syringe diagram, shipment status, and the care team all in one view.
You can view or download the prescription itself from inside the portal, signed and dated, and Belle notes you can use it for HSA or FSA reimbursement. That is a small thing that saved me a support ticket.
Canceling is three clicks: Treatments, then More, then Cancel plan. There is no phone number to call and no chat queue to sit in, and Pause plan sits right next to it, which is the option most people actually want.
Treatments, More, Cancel plan. Pause plan and Change plan length live in the same menu.
Support runs through Contact us in the portal for questions about your protocol, doses or side effects, and there is a Help Center alongside it. The pharmacy is reachable separately: the counseling insert in the box gives two numbers for speaking directly with a pharmacist at The Pharmacy Hub, in person or by phone.
Belle also runs a community called Belle Circle, and it is hosted on the Circle community platform rather than bolted into the portal. There are groups for GLP-1 and peptides and for perimenopause and menopause, and channels for GLP-1 education, peptide education, managing side effects, nutrition, fitness and muscle health, questions and support, wins and success stories, a community lounge, a replay library and a schedule of Belle Wellness events. The pinned welcome post is from Belle's director of patient experience.
Belle Circle on the Circle platform. The channel list runs from GLP-1 education through side effects, nutrition, fitness, and a replay library.
What Do Belle's Reviews, Ratings, and FDA Warning Letter Say?
Belle carries an overall score of 4.5 out of 5 across 1,446 reviews on GLP Winner, and 4.5 stars from 1,370 reviews on Trustpilot as of August 26, 2026. The Trustpilot profile was claimed in August 2025, Belle pays for a Trustpilot subscription, and it has replied to 100% of its negative reviews. On the Better Business Bureau, Belle Health, LLC of Draper, Utah carries an A+ rating and is not BBB accredited, with the business listed as starting in February 2017. Ratings and review counts move, so check them yourself before you buy.
One more thing belongs here, because you will find it if you search. The FDA issued Belle Health LLC a warning letter dated February 20, 2026, saying that the compounded semaglutide and tirzepatide products pictured on Belle's website showed "Belle" on the label, which suggested Belle was the compounder when it is not, and that this made the products misbranded. I can only tell you what showed up at my door six months later. The vial in my box named BPI Labs as the manufacturer and The Pharmacy Hub as the dispensing pharmacy, both printed clearly, and the Belle branding was on the pouch and the box rather than on the drug. On my order, the thing the FDA objected to is not what I received.
My Take
Who Belle Would Be Good For
Belle is a good fit for someone who already knows their dose and wants the medication to arrive without a lot of ceremony. The price is flat, so moving from 2.5 mg to 5 mg does not change what you pay, and there is no membership fee sitting underneath the medication price. Four days from order to delivery is the fastest I have had. Canceling and pausing are both three clicks in the portal.
It is a great option for beginners too. The dose is shown as milligrams and units side by side with a syringe diagram, the community has weekly Q&As with clinicians, an optional call with the medical team is offered before you start, and the storage card in the box actually explains what heat the medication tolerates instead of leaving you to guess when the ice pack arrives soft.
If volume per dollar is what you are optimizing for, Belle is the most I have been shipped, though your experience could vary. A 4 mL vial at 10 mg/mL is 40 mg of compounded tirzepatide for $236.55 with the code, which at my dose is eight weekly draws out of something billed as one month.
Who Belle Would Be a Bad Fit For
Belle would be a bad fit for those price shopping for the lowest priced option. It is not the cheapest monthly plan out there, and if the number on the checkout page is the only thing you are comparing, other providers will beat it. Beyond that, I am not sure it is a bad fit for anyone. It felt like a very comprehensive telehealth program to me, and I could see how many people would be very happy in their program, especially being able to engage as much or as little as they wanted with the community. You are paying a bit more, but you do get a lot of extras for it.
If you want to see how Belle stacks up against other providers on price, pharmacy, and shipping, run your own numbers through the GLP Winner comparison tool.
Final Takeaway
Belle delivered the three things I was shopping for as a refill customer: a flat $249 price that does not climb with my dose, no membership fee hiding under it, and a four-day turnaround from order to my front door. The 4 mL vial was a surprise in the best way, the pharmacy and compounder are both printed on the label, and canceling or pausing is three clicks with no phone call. The FDA warning letter from February is real and worth reading, but what arrived in my box was labeled the way it should be. If you already know your dose and want the medication to just show up, Belle is one of the easiest experiences I have had. If you are brand new, the syringe diagram, the optional medical call, and the community give you more hand-holding than most providers at this price.
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Frequently Asked Questions
Is Belle legit?
Belle is a real telehealth provider operating as Belle Health, LLC out of Draper, Utah, listed with the Better Business Bureau as starting in February 2017 and carrying an A+ BBB rating while not being BBB accredited. My intake was reviewed by a licensed physician who signed the prescription, my medication was compounded by BPI Labs, LLC in Largo, Florida and dispensed by The Pharmacy Hub 2 LLC in Davie, Florida, and both are printed on the packaging. Belle did receive an FDA warning letter dated February 20, 2026 about website images that implied Belle compounded its own products, which is worth reading before you decide.
How much does Belle cost?
I paid $236.55 for my first month of compounded tirzepatide, which is Belle's $249 monthly price less the 5% GLPWINNER discount code. There is no membership fee and no consultation fee. Compounded tirzepatide runs $249 monthly, $219 a month on the two month plan ($438), and $199 a month on the six month plan ($1,194). Compounded semaglutide runs $199 monthly, $135 a month on the two month plan ($270), and $119 a month on the six month plan ($714). MIC+B12, which Belle describes as a fat burning add-on rather than a replacement for a GLP-1, is $99 a month or $65 a month on a three month plan ($195). Zofran is a $30 add-on.
Does Belle charge a membership fee?
No. This is one of the clearer things about Belle. What you see is the medication price, and there was no separate membership line at checkout or on my renewal.
Does the Belle price change when your dose goes up?
No. Belle's compounded tirzepatide is $249 a month at 2.5 mg and $249 a month at 5 mg. That was the single biggest reason I was comfortable answering the dose question honestly during the intake.
Was Belle signup fast?
Yes. The whole intake took me under ten minutes, including reading the plan options. The order confirmed immediately, and a clinician had signed my prescription the same day.
How fast does Belle ship?
Four days for me. I ordered on August 22, the prescription was signed August 22, and UPS delivered on August 26. Tracking was visible in the portal the whole way.
Does Belle require labs before prescribing?
No labs were requested for my order. Belle's intake asked about kidney health, liver health, diabetes, gastric surgery and family history through a series of statement lists, and it asked for a photo of my current medication, but nothing was required from a lab.
Is the Belle portal easy to navigate?
Yes, and it is one of the simpler ones I have used. The Belle portal runs in a browser at portal.joinbelle.com with no app to install. On a phone the bottom bar is Home, My Plan, Shop and Tracker. On a desktop the sidebar is Home, Treatments, Tracker, Shop and Messages, with your care team, Contact us, Community and the Help Center below it. Your current dose, next renewal date and shipment status are all on the Home screen. The one thing to know going in is that there is no password, so every login means fetching an emailed code.
Which pharmacy fills your Belle prescription, and is it named?
Mine was filled by The Pharmacy Hub 2 LLC in Davie, Florida, and the drug itself was compounded by BPI Labs, LLC in Largo, Florida. Both are printed on the packaging, and the counseling insert gives two phone numbers for speaking to a pharmacist directly. Worth knowing: this can vary. The earlier GLP Winner review of Belle was filled by Striker Pharmacy in Texas, not by The Pharmacy Hub, so read the pharmacy name off your own box rather than assuming it will be the one in this review.
What is actually in the Belle vial?
Compounded tirzepatide with vitamin B6. My label reads Tirzepatide and Vitamin B6 Injection, NDC 54288-848-01, 40 mg/4 mL, which is 10 mg per mL, in a 4 mL multiple dose vial for subcutaneous use, compounded by BPI Labs. That is why the intake asks specifically about a B6 allergy.
Is the Belle one month supply really one month?
It is billed and renewed as one month, and at my 5 mg dose it holds eight weekly doses. Belle's site marks it as a one month supply and my plan renews monthly. Before you count on the extra as a second month, check the discard date printed on your own pharmacy label, because a multiple dose vial is only usable up to that date no matter how much liquid is left in it.
Does Belle include syringes and alcohol pads?
Yes, both came in the box. The syringes are 1 cc insulin syringes with a 31G, 5/16 inch short needle, and the alcohol pads are Pharmacist's Choice. Nothing extra was charged for either.
Can you cancel Belle easily?
Yes, and this was one of the easiest cancellations I have seen. Inside the Belle portal you go to Treatments, open the More menu, and choose Cancel plan. Pause plan and Change plan length sit in the same menu, and there is no phone call or chat queue involved.
Does Belle have a community or support group?
Yes. Belle Circle is hosted on the Circle community platform and is free to join, with groups for GLP-1 and peptides and for perimenopause and menopause, channels covering GLP-1 education, side effects, nutrition and fitness, a wins and success stories channel, a replay library, and weekly Q&As with Belle's clinical team.
Is Belle good for beginners?
Better than I expected. The dose is displayed in milligrams and units together with a syringe diagram on the home screen, an optional call with the medical team is offered before treatment starts, the storage card in the box is written in plain language, and the community has regular clinical Q&As.
Does Belle offer a discount code?
Yes. The GLPWINNER code took 5% off my order, applied at checkout, which brought $249 down to $236.55. Belle also runs a referral program inside the portal that gives your friend 5% and gives you $75.
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Provider ReviewsProvider reviews are real patients who are paid for their time by GLP Winner. They purchase medications as a patient and write about their experience from start to finish, and share their perspective of their buying experience. Your own experience may vary from theirs, and providers reviewed are never given the opportunity to review the article prior to posting. Providers do not pay for the review or the opportunity to be reviewed.