Tirzepatide · dual GIP/GLP-1 · verified 2026-08-05
Tirzepatide pricing: the number you were quoted is the 2.5 mg price.
Tirzepatide is priced by dose almost everywhere. You spend four weeks at the starter dose and ten months at maintenance — so the number that matters is what you pay at 10 mg, not what the homepage says. We track 44 programs at all six dose tiers.
2.5 5 7.5 10 12.5 15 MG
What you actually pay at your dose
Advertised prices usually quote the 2.5 mg starter tier. Pick the dose you expect to maintain.
Prices verified 2026-08-05 and include any separate membership fee. Dose-scaled programs are modeled across their published range. Confirm your quote in writing before enrolling — how we verify.
Ranked using only prices verified at the provider
Most tables in this market mix a provider's own published pricing with third-party figures nobody re-checked. We separate them. Of 23 priced programs, 14 have been read at the provider, the manufacturer or a named editorial source with a stated date — and every time we have checked one, the number moved.
The full ranking, both bases → How verification is recorded →
Cheapest, most predictable, most disclosed
Computed from the dataset, not chosen editorially. Each card links to the working.
Lowest twelve-month cost
$2,388
Oak Longevity
Over a standard escalation to a 10 mg maintenance dose, membership fees included.
Most predictable pricing
$199/mo all-in, flat
Oak Longevity
The same price at 2.5 mg and at 15 mg. No repricing when your dose steps up.
Most disclosed
100/100
NexLife
Scored on what a program publishes — pricing at every dose, the pharmacy behind it, the terms. Two programs tie at the top; this is the cheaper of them. Formula and inputs are public.
Cheapest that names its pharmacy
$215/mo all-in
NexLife
Only 3 of 23 priced programs will tell you which pharmacy compounds your medicine. This is the cheapest of them.
Tirzepatide pricing at every dose tier
The right-hand column is the one that decides your year: four weeks at 2.5 mg, four weeks at 5 mg, then ten months at 10 mg. That is what a realistic first year looks like.
How this price is stated. All-in monthly price: medication plus any recurring membership or platform fee, at the stated dose tier, before tax and before any prepaid-term discount. Figures here are quoted at 10 mg. Prepaid rates and brand self-pay tiers are shown separately where they apply, never blended into the headline. Verified 2026-08-05. How we verify prices.
Every price on this site carries one of three verification levels, and they are not the same claim. 14 records are verified at source; 9 carry a third-party figure we have not confirmed with the provider; the rest publish no price at all.
- verified at source — Price read from the provider's own site, the manufacturer, or a named editorial source with a stated verification date.
- third-party figure — Price recorded from a third-party review supplied to us, not confirmed against the provider's own published material. Treat as indicative and confirm before enrolling.
- no price published — No figure we could interpret or verify. We publish nothing rather than estimate.
Levels are published per record in the open dataset. Where we verified a figure directly, seven times out of seven the correction changed the number.
| Program | 2.5 mg | 5 mg | 7.5 mg | 10 mg | 12.5 mg | 15 mg | 12-month |
|---|---|---|---|---|---|---|---|
| IVIM Health dose-scaled | $208 | $231 | $255 | $278 | $302 | $325 | $3,219 |
| Oak Longevity flat pricing | $199 | $199 | $199 | $199 | $199 | $199 | $2,388 |
| Mochi Health flat pricing | $278 | $278 | $278 | $278 | $278 | $278 | $3,336 |
| ShedRx dose-scaled | $199 | $229 | $259 | $289 | $319 | $349 | $3,318 |
| NexLife flat pricing | $215 | $215 | $215 | $215 | $215 | $215 | $2,580 |
| bmiMD flat pricing | $233 | $233 | $233 | $233 | $233 | $233 | $2,796 |
| Eden dose-scaled | $348 | $368 | $388 | $408 | $428 | $448 | $4,796 |
| Join Fridays flat pricing | $249 | $249 | $249 | $249 | $249 | $249 | $2,988 |
| Yucca Health flat pricing | $258 | $258 | $258 | $258 | $258 | $258 | $3,096 |
| Direct Meds flat pricing | $280 | $280 | $280 | $280 | $280 | $280 | $3,360 |
| Zealthy flat pricing | $346 | $346 | $346 | $346 | $346 | $346 | $4,152 |
| SkinnyRx flat pricing | $299 | $299 | $299 | $299 | $299 | $299 | $3,588 |
| LillyDirect (Zepbound) dose-scaled | $299 | $299 | $449 | $449 | $449 | $449 | $5,088 |
| MyStart Health flat pricing | $299 | $299 | $299 | $299 | $299 | $299 | $3,588 |
| Gala Health flat pricing | $299 | $299 | $299 | $299 | $299 | $299 | $3,588 |
| Sprout Health flat pricing | $299 | $299 | $299 | $299 | $299 | $299 | $3,588 |
| Willow flat pricing | $299 | $299 | $299 | $299 | $299 | $299 | $3,588 |
| Found flat pricing | $398 | $398 | $398 | $398 | $398 | $398 | $4,776 |
| Strut Health flat pricing | $325 | $325 | $325 | $325 | $325 | $325 | $3,900 |
| TrimRx flat pricing | $349 | $349 | $349 | $349 | $349 | $349 | $4,188 |
| OnlineSemaglutide.org flat pricing | $349 | $349 | $349 | $349 | $349 | $349 | $4,188 |
| MEDVi flat pricing | $399 | $399 | $399 | $399 | $399 | $399 | $4,788 |
| LifeMD flat pricing | $548 | $548 | $548 | $548 | $548 | $548 | $6,576 |
Programs marked dose-scaled raise their price as your prescription escalates. flat pricing programs charge one rate at every tier. Why this is the costliest detail in the market →
Three answers most people need first
IVIM Health at $278/mo all-in
The verified floor for compounded tirzepatide, plus what each program actually charges once you reach a working dose.
20.2% vs 13.7%
SURMOUNT-5 compared the two molecules directly over 72 weeks. Here is what it found and who should still choose semaglutide.
2.5 mg → 15 mg
The full four-week-step schedule, what each dose delivers, missed-dose rules, and where escalation stops paying off.
Ranked by twelve-month cost at a maintenance dose
Not by the advertised entry price. Sorted by what you would actually spend over a first year on the escalation curve most people follow.
Every dose has its own page
What that dose does, what it costs at each program, what side effects cluster there, and when to move on.
2.5 mg tirzepatide
From $199/mo across tracked programs.
5 mg tirzepatide
From $199/mo across tracked programs.
7.5 mg tirzepatide
From $199/mo across tracked programs.
10 mg tirzepatide
From $199/mo across tracked programs.
12.5 mg tirzepatide
From $199/mo across tracked programs.
15 mg tirzepatide
From $199/mo across tracked programs.
The trials behind every number on this site
We cite the study, the dose, the population and the effect size — not a marketing summary of it.
SURMOUNT-1
Does tirzepatide cause weight loss in adults with obesity and without diabetes?
SURMOUNT-5
Head-to-head: tirzepatide vs semaglutide for weight loss in adults with obesity and without diabetes.
SURMOUNT-4
What happens if you stop tirzepatide after reaching a maintenance dose?
SURMOUNT-OSA
Does tirzepatide treat obstructive sleep apnea in adults with obesity?
SURPASS-2
Tirzepatide vs semaglutide 1 mg in type 2 diabetes.
SURPASS-CVOT
Cardiovascular outcomes with tirzepatide vs dulaglutide in type 2 diabetes with established ASCVD.
SUMMIT
Tirzepatide in heart failure with preserved ejection fraction and obesity.
SURMOUNT-3
Does tirzepatide add further loss after a successful intensive lifestyle program?
Everything else worth knowing
Tirzepatide Dosage Chart 2026
Tirzepatide starts at 2.5 mg once weekly and steps up by 2.5 mg no sooner than every four weeks, through 5, 7.5, 10, 12.5 and 15 mg. The 2.5 mg starte…
Tirzepatide Results Timeline
Most people notice reduced appetite within the first two weeks, see the scale move meaningfully between weeks 4 and 12, and reach the steepest part of…
Tirzepatide Side Effects
Nausea affects roughly 24–33% of people, diarrhea 19–23%, constipation 16–17% and vomiting 8–12%. Effects cluster in the days after a dose increase an…
Tirzepatide vs Semaglutide 2026
In the only large randomized head-to-head, SURMOUNT-5, tirzepatide produced 20.2% mean weight loss versus 13.7% for semaglutide over 72 weeks — roughl…
Switching From Semaglutide to Tirzepatide
There is no 1:1 dose conversion between the molecules. You restart at 2.5 mg tirzepatide weekly regardless of your current semaglutide dose, take the …
Flat vs Dose-Scaled Tirzepatide Pricing
Most advertised tirzepatide prices quote the 2.5 mg starter tier — a dose you occupy for exactly four weeks. Programs that scale price with dose can m…
Is Compounded Tirzepatide Legal in 2026? What Changed and What Didn't
Compounded tirzepatide remains legal when a state-licensed 503A pharmacy prepares it for an individual patient with a valid prescription. What ended i…
Zepbound Cost 2026
Brand Zepbound lists around $1,089 per month at retail. Real-world cash cost ranges from $25 with commercial insurance plus the savings card, to $50 o…
Tirzepatide Without Insurance
Without insurance, compounded tirzepatide from a licensed US 503A pharmacy runs roughly $99–$299 per month. Brand-name Zepbound through LillyDirect se…
Run the numbers on your own dose
Every tool computes in your browser against the same dataset that generates these tables.
Four questions, ranked answer
Dose, budget, pricing model and format — ranked against every tracked program.
What a year costs
Titration plus maintenance, modeled across the whole market at your dose.
What switching would save
Enter what you pay now; see the annualised gap against the tracked floor.
Your titration, dated
The four-week rule mapped onto real calendar dates, including repeated steps.
What approval status costs
The annual gap between an FDA-approved product and a compounded one, as a number.
All six doses at once
The full comparison, every program, every strength.
Check your state before you start an intake
Program service maps differ, and a handful of states appear on exclusion lists repeatedly.
Search all 6 pages
The search index is a static file on this domain. Queries never leave your browser and nothing is logged.
Frequently asked questions
How much does tirzepatide cost per month without insurance?
Compounded tirzepatide from licensed US telehealth programs runs roughly $99 to $299 per month depending on the provider and whether the price is flat or scales with your dose. Brand-name Zepbound through LillyDirect self-pay runs about $299 to $449 per month depending on strength. Retail Zepbound without any program is around $1,089.
Is compounded tirzepatide the same as Zepbound?
The active ingredient is the same molecule. Zepbound is FDA-approved, manufactured by Eli Lilly and reviewed by FDA for safety, effectiveness and quality. Compounded tirzepatide is prepared by a state-licensed pharmacy for an individual patient and is not FDA-approved or FDA-reviewed. The pharmacology is identical; the quality assurance structure is not.
How much weight will I lose on tirzepatide?
In SURMOUNT-1, mean 72-week weight loss was 15.0% at 5 mg, 19.5% at 10 mg and 20.9% at 15 mg, versus 3.1% on placebo. If you have type 2 diabetes, expect roughly two-thirds of those figures based on SURMOUNT-2. Real-world averages run lower than trial averages, mostly because people stop early.
Is tirzepatide better than semaglutide?
For weight loss, yes, on the available randomized evidence. SURMOUNT-5 compared them head-to-head over 72 weeks and found 20.2% mean loss on tirzepatide versus 13.7% on semaglutide. Semaglutide retains a stronger cardiovascular outcomes label from the SELECT trial and is cheaper in compounded form.
What dose of tirzepatide do most people end up on?
Most people settle between 7.5 mg and 12.5 mg. The efficacy gain from 10 mg to 15 mg was only about 1.4 percentage points in SURMOUNT-1, while side effects and often price continue to rise. Many people never need 15 mg.
Why do tirzepatide prices go up as my dose increases?
Because some programs price by dose tier rather than charging one rate. The advertised price usually reflects the 2.5 mg starter dose, which you occupy for about four weeks. Flat-rate programs charge the same amount at every dose. Over twelve months that structural difference typically matters more than any first-month discount.
What happens if I stop taking tirzepatide?
Weight regain is expected. In SURMOUNT-4, participants who switched to placebo after 36 weeks regained 14% of body weight over the following year, while those who continued lost a further 5.5%. Obesity behaves as a chronic condition and treatment is generally open-ended.
Is compounded tirzepatide legal in 2026?
Yes, when a state-licensed 503A pharmacy prepares it for an identified individual patient with a valid prescription. FDA declared the tirzepatide shortage resolved in December 2024, which ended mass compounding under shortage rules. Patient-specific compounding under section 503A of the Federal Food, Drug, and Cosmetic Act continues.
Primary sources
Clinical, dosing and regulatory statements on this page rest on the documents below. Links go to the publisher, not to a summary of it. Prices are not sourced here — they carry a verification date instead, and the reason is set out in the source ledger.
- ZEPBOUND (tirzepatide) full prescribing information — DailyMed, US National Library of Medicine. Dose ladder, contraindications, warnings, storage.
- FDA’s concerns with unapproved GLP-1 drugs used for weight loss — US Food and Drug Administration. Compounded GLP-1 risks, API import alert, cold-chain complaints.
- FD&C Act provisions that apply to human drug compounding — US Food and Drug Administration. Why a compounded preparation is lawful without being FDA-approved.
- Tirzepatide once weekly for the treatment of obesity (SURMOUNT-1) — N Engl J Med 2022;387:205-216. Registration NCT04184622. The weight-reduction and adverse-event figures used across this site.
- The full source ledger — every primary source, what it supports, the date we read it, and the claims we deliberately do not source.