System Labs review video: Who Makes Its Tirzepatide, and What a Year Costs

0:00System Labs review: $99, then $179

$99 for your first month of compounded tirzepatide. But look closer... there's a $179, struck through, right next to it. The $99 is the first month only. From month two, it's $179... every month. So let's work out what a year really costs, who makes the drug, and what to check before you pay. Quick note: this isn't medical advice, and prices change, so check glp1.health for the latest. Our verdict first: 8.2 out of 10.

Good. The price and every fee are on a public page. No membership fee, no consultation fee, no shipping fee. And System Labs has no FDA warning letter on file. The weak spot? The care itself. We couldn't find a check-in schedule, a lab policy for this drug, or the name of anyone who prescribes.

0:54What System Labs is

So what is System Labs? It's a telehealth company, System Laboratories, Inc., that sells compounded treatments online. Its homepage sells peptides: NAD+, glutathione, sermorelin, and a vitamin B12 shot. The GLP-1 program isn't on that menu. It has a landing page of its own. One drug: compounded tirzepatide, which System calls GLP-1/GIP. A weekly injection, at one price for every dose. No semaglutide plan in our sign-up, and no brand-name pen.

Who's behind it? Press reports from September 2026 name Adam Steinle as founder and chief executive, and say the company raised $20 million. System says it serves all 50 states, though treatment depends on each state's telehealth and pharmacy rules.

1:44The sign-up

We walked the sign-up on November 4, as a new patient in Texas. It opens with quick questions. Does the weight refuse to budge? Have you tried a GLP-1 before? Do cravings follow a full meal? Then your sex and date of birth, your height and weight, your address, your email and your phone. One thing to watch: the box for text messages, marketing texts included, comes ticked. Untick it if you don't want them.

Then you get one plan. We saw no questions about your health history or your medications before checkout. The checkout says you can pay before you upload your photo ID... and the clinical review starts once your intake and ID are complete.

2:23The checkout and what a year costs

Here's the checkout. One plan: compounded GLP-1/GIP, medication plus 24/7 doctor chat, billed monthly. Monthly subscription: $179. A first-month discount, 45% off: minus $80. Shipping is free. Total today: $99. One oddity. The badge under it says total savings: $100. But the discount line is $80... and we couldn't find what the other $20 is. So what does a full year cost? Month one: $99. Then 11 months at $179... that's $1,969.

A first year comes to $2,068. About $172 a month. And if you stop after three months? $99, plus two months at $179... is $457. So budget for $179, not $99. Against the market, $179 a month ranks 22nd of the 45 compounded programs we track... right at the median, $179.67. The rest of the bill is simple. No membership fee, no consultation fee, no shipping fee. The medication and the injection supplies are in the price, and it's the same price at every dose. There's no 3-month or 12-month plan to prepay. And System Labs doesn't bill insurance: it's cash pay. By the way, if price is all you care about, we rank the cheapest compounded tirzepatide programs on one page.

The link is in the description.

4:00Who makes the tirzepatide: The Pharmacy Hub

So who makes the drug? System's terms name the pharmacy: The Pharmacy Hub, in Miami, Florida. The same sentence says System has no ownership, control, or operational oversight of it. So we looked The Pharmacy Hub up. Its own site calls it a national prescription fulfillment partner for telehealth brands... with your brand on every box. The federal NPI registry lists The Pharmacy Hub LLC, in Miami, registered in May 2022, as a community and retail pharmacy.

It isn't on the FDA's list of registered 503B outsourcing facilities, updated October 29. And we couldn't find System or the pharmacy stating which type it is. The pharmacy's trust page says it holds pharmacy licenses across all fifty states... then shows 49 of 50. Kentucky isn't on the list. It lists USP 795 and 800, the standards for non-sterile compounding and hazardous drugs. We couldn't find USP 797, the standard for sterile compounding, which covers injections, on its pages.

System also says its medications are third-party lab tested... for potency, sterility, pH and endotoxins. We couldn't find a lab named, or a published test result... not on System's site, and not on The Pharmacy Hub's, on November 6.

5:22Is System Labs safe? FDA record

Now, safety. System Labs has no FDA warning letter on file, and no open flag on its record. That doesn't mean the FDA has reviewed its medication. LegitScript certifies systemlabs.com. And The Pharmacy Hub appears in none of the FDA warning letters we hold. The bigger question with any compounded program is the drug itself. Compounded GLP-1s are prepared by a pharmacy to a prescription. They are not FDA-approved: the FDA doesn't review their safety, effectiveness or quality before they're sold, and they are not the same as Wegovy or Zepbound. Formulas can differ from one pharmacy to the next, and some add ingredients such as vitamin B12.

Compounding pharmacies are licensed and inspected by state boards of pharmacy. Outsourcing facilities, called 503B, also register with the FDA and are inspected by it. Compounded semaglutide and tirzepatide have no label of their own. Their safety information comes from the labels of Wegovy and Zepbound, including a Boxed Warning about thyroid C-cell tumors.

6:27How the care works

After checkout, you finish the intake and upload your photo ID. A licensed provider reviews it. The FAQ says you're then offered a telemedicine consultation with a provider licensed in your state, and the checkout says you'll meet a doctor within 24 hours. After that, there's 24/7 chat with your doctor, and refills arrive automatically, on your schedule. The FAQ says some therapies need baseline labs, but we couldn't find whether the GLP-1 program is one of them, or a check-in schedule.

Its providers, the FAQ says, are US physicians, nurse practitioners and physician assistants. We couldn't find a name for any of them. Their backgrounds show in the patient portal, after you sign up.

7:09Cancelling, refunds and reviews

Canceling: there's no contract and no minimum term. The checkout says you can cancel any time, as long as no order is already being processed by a pharmacy. The GLP-1 page says from your dashboard. The FAQ says to email support, with a self-service billing portal "available soon". Refunds: if your medication isn't approved and prescribed, the checkout promises your money back. Cancel before your prescription goes to the pharmacy, and you're not billed. But once the pharmacy has processed and shipped your order, the sale is final. So here's the simple rule: to stop, cancel before your next refill goes to the pharmacy.

And if you have side effects, talk to your provider. What do customers say? System publishes ten reviews on its homepage. They praise quick answers, fast shipping and cold packaging. None of them mentions tirzepatide or weight loss... so they tell you little about the GLP-1 program.

8:05Who it's for + 3 alternatives

So, who's System Labs for? It suits you if you want compounded tirzepatide at one price for every dose... if you want every fee at zero, with free 2-day shipping... and if you want to pay month by month, and stop any month. It's not for you if you want compounded semaglutide or a brand-name pen... if you want to know the check-in schedule, and who prescribes, before you pay... if you want a lower price for a longer plan...

or if you don't want injections, or don't feel comfortable injecting yourself. Here are three alternatives. YourEra scores 9.3. Compounded tirzepatide is $129 a month, month to month, for new patients, with no membership. Enhanced scores 9.1. $169 a month, month to month, and it names its partner pharmacies. Lttl scores 9.0. $149 for each 4-week supply, and it names its four pharmacies, with an address for each.

And to compare them all, we rate every compounded tirzepatide program on one page. The link is in the description.

9:11Three things to remember

So, three things to remember. One: $99 is the first month only. From month two, it's $179. Two: a first year comes to $2,068, with no fees on top. Three: once the pharmacy ships an order, there's no refund. To stop, cancel before your next refill. The full review, with every source, is one tap away. The link is right below, in the description... or scan the code on your screen. This video is educational, and it's not medical advice.

Talk to a licensed clinician before you start, stop, or change a medication. Thanks for watching.